Browsing by Author "Laker, L."
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- ItemBleeding from varicose veins -still potentially fatal. A case report(Health & Medical Publishing Group, 1985-02) Du Toit, D. F.; Knott-Craig, C.; Laker, L.A 57-year-old woman was admitted to hospital with spontaneous profuse haemorrhage from a small acute varicose ulcer of the left leg. She was in shock, semicomatose and anaemic because of blood loss. The haemorrhage was easily controlled by elevating the leg, applying compression bandages and administering a blood transfusion. The patient made an uneventful recovery.
- ItemExtracranial internal carotid artery aneurysm : a case report(Health & Medical Publishing Group, 1984) Du Toit, D. F.; Van Zyl, J. A.; Laker, L.; Groenewald, J. H.A patient with an asymptomatic, right-sided internal carotid artery aneurysm is reported. The entity was accurately located and diagnosed pre-operatively by utilizing a duplex ultrasonographic scanner. Treatment comprised aneurysmectomy and restoration of arterial continuity by autogenous venous grafting. The patient recovered without the occurrence of any sequelae.
- ItemHepatic abscess in a patient with polycystic liver disease : a case report(Health and Medical Publishing Group (HMPG), 1985-04) Du Toit, D. F.; Van Schalkwyk, P.; Laker, L.A patient with a liver abscess and underlying polycystic renal and liver disease is described. The liver abscess was diagnosed on the clinical findings and accurately localized by ultrasonography. Tube drainage and antibiotic administration resulted in a rapid recovery. The polycystic liver disease, which was previously undiagnosed and asymptomatic, was an unexpected finding at laparotomy.
- ItemIntrahepatic gallstones : a case report(Health & Medical Publishing Group, 1985) Du Toit, D. F.; Retief, A.; Laker, L.A Coloured woman was admitted to hospital with a 3-day history of acute right upper abdominal pain, nausea and vomiting. Acute cholecystitis was confirmed by biliary imaging using technetium-99m. An acutely inflamed gallbladder and two pigment stones in the common bile duct were removed. There were numerous retained gallstones in biliary radicles of the right hepatic duct; attempts to dislodge these by saline flushing failed. An extended choledochotomy with further exploration of the intrahepatic radicles also failed to remove the incarcerated stones. Biliary enteric drainage was achieved by choledochoduodenostomy and short-term postoperative progress was uneventful.
- ItemTakayasu's disease : a report of 3 cases(Health & Medical Publishing Group, 1985) Du Toit, D. F.; Warren, B.; McCormich, M.; Laker, L.Three patients with Takayasu's disease are described. In 2 cases aortography demonstrated an occlusion of the great vessels at the origin of the arch of the aorta. In 1 patient there was concomitant aneurysmal dilatation of the brachiocephalic trunk. Common and internal carotid artery stenosis occurred in 1 patient and was associated with hemiplegia and blindness. All 3 patients had constitutional symptoms and signs of the disease as well as markedly elevated erythrocyte sedimentation rates; 2 patients had moderate clinical responses to steroid administration in the short term and 1 developed bilateral calf vein thrombosis, which responded satisfactorily to conservative management.