Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0403608 (ureter)
 9,655 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Between January 1, 1970 and March 1, 1985 530 patients underwent graft replacement of the abdominal aorta for infrarenal aortic aneurysms. 28 (5.3%) patients had inflammatory aneurysmal disease, in 3 cases (10.7%) the aneurysm was ruptured. Operation mortality was 17.3%. Characteristic appearance was an unusually thick aortic wall with diffuse, shiny white fibrotic reaction in the retroperitoneum. In most cases the duodenum, inferior vena cava, left renal vein, transverse mesocolon or the ureter were involved into the inflammatory mass. Thoracic aortic involvement was not observed. Contrast CT showed enhancement of the periaortic tissue similar to the blood in the aortic lumen. Standard operation techniques had to be modified to avoid mobilisation of the adherent structures and organs to the aorta.
 ...
PMID:[Inflammatory abdominal aortic aneurysm]. 405 74

A 70-year-old man who had undergone a low anterior resection for primary rectal cancer 9 years before complained of anorexia, hemiplegia, and recurrent laryngeal nerve palsy. The anorexia was caused by duodenal stenosis due to swollen lymph nodes, the hemiplegia was caused by a metastatic brain tumor, and the recurrent laryngeal nerve palsy was caused by metastases of the cancer to the mediastinal space. Metastases were also found in the bilateral lungs, liver, ureter, and cervical vertebra. In choosing the anesthesia for the gastrojejunostomy to improve the malnutrition of this patient, we decided, on the basis of the patient's full stomach, malnutrition, hypovolemia, hemiplegia, cerebral compression, recurrent laryngeal nerve palsy, renal dysfunction, and respiratory dysfunction, to use thoracic epidural anesthesia rather than spinal anesthesia or general anesthesia. Thoracic epidural anesthesia could provide sufficient analgesia, and the operation was uneventful. In anesthetic management of an end-stage patient undergoing a palliative operation like this, we should consider the purpose of the operation, its complications, and further complications which may be induced by anesthesia in order to plan out an anesthetic regimen unlikely to lead to harmful events in perioperative period.
 ...
PMID:[Anesthetic management for gastrojejunostomy in a patient with hemiplegia and recurrent laryngeal nerve palsy]. 1145 80