Page 586 (image) |
Previous | 588 of 670 | Next |
|
|
small (250x250 max)
medium (500x500 max)
Large
Extra Large
large ( > 500x500)
Full Resolution
|
Loading content ...
586 NORTH CAROLINA MEDICAL JOURNAL November, 1942 Fig. 3. (Case VIII) Kartagener syndrome. The ectatic bronchi are partially filled with lipiodol. The three lobed lung is here on the left. and Churchill'2* reviewed the cases of bronchiectasis at the Massachusetts General Hospital and found the incidence of the disease higher in persons with SIV than in persons with situs solitus. In the author’s collection of more than a dozen cases of SIV (table 1) there is one proven example of this syndrome (case VIII). A possible explanation for the supposed greater incidence of bronchiectasis in SIV is that an embryological pulmonic malformation predisposing to bronchial ectasia accompanies the transposed disposition of the viscera more frequently than the untransposed. The causes of death in several hundred reported cases reviewed by the author are not confined to any system, organ, or tissue, and vary as widely as in the general population. A similar survey of the complaints bringing such patients to their physician (table 1) fails to demonstrate any peculiar susceptibility to disease. However, the condition is accompanied frequently by additional congenital anatomical abnormalities, such as congenital heart disease, cryptorchidism, Adams, K. and Churchill, E. I).: Situs Inversus. Sinusitis, Bronchiectasis; Report of 5 Cases Including Frequency Statistics. J. Thoracic Surg. 7:206-217 (Dec.) 1987. splenic and renal anomalies, and malformations of ectodermal derivatives. If it be true that 70 per cent of vertex deliveries are LOA for anatomical reasons (the fetal occiput being in the left anterior quadrant of the maternal pelvis because the uterus undergoes torsion toward the right, owing to the presence of the sigmoid colon in the mother’s left side), one should expect predominance of ROA deliveries in women with SIV. Thus, on examination of a pregnant woman with SIV, sinistrotorsion of the uterus should be anticipated. Military Importance Most of the surgical emergencies of civilian life, and in addition emergencies and operative conditions peculiar to military surgery, may confront the medical officers of the armed forces. There may be no time for preliminary physical examinations merely for the sake of determining gross anatomical peculiarities. Nevertheless, “while transposition of the viscera may have no prejudicial effect upon the life and health of the individual it may prove an awkward complication in surgical procedures. It is easy, for instance, to understand how the success of a colotomy (for intestinal obstruction) might be imperilled by its non-recognition by the operator. In the performance of an esophag-otomy, of paracentesis thoracis, and of operations on the liver, gall-bladder, stomach, pylorus, and spleen, the presence of situs inversus would necessitate changes in the mode of procedure.”*3' Consequently men with SIV should be discovered by physicians examining them for military service; they should be informed of their condition, and should receive some distinguishing mark, so that if they are rendered incapable of communicating their condition to a surgeon, their visceral situs may be instantly recognized in time of peril. The importance of the above statement is emphasized by the report of difficulties encountered at operation by surgeons in civilian practice who have failed to discover the visceral transposition. A number of cholecystic and appendiceal operations have been reported in which a wrong-sided incision was made before the unusual position of the affected organ was diagnosed. If such mistakes have occurred in normal times without the pressure of accumulating casualties demand- 3. Ballantyne. J. W.: Manual of Antenatal Pathology and Hygiene. New York, William Wood & Co. 1905, xix and 679 pages.
Object Description
Rating | |
Fixed Title * | NCHH-17: North Carolina Medical Journal [1940-2001] |
Document Title | North Carolina Medical Journal [1940-2001] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1942 |
Identifier | NCHH-17-003 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 3 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-003.pdf |
Document Sort | all; nchh-17 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-003 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Revision History | done |
Description
Fixed Title * | Page 586 (image) |
Document Title | North Carolina Medical Journal [1940-2001] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1942 |
Identifier | NCHH-17-003-0596 |
Form General | Periodicals |
Page Type | all; all images; x-ray; article |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | northcarolinamed31942medi_0596.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 3 |
Issue Number | 11 |
Page Number | 586 |
Health Discipline | Medicine |
Full Text | 586 NORTH CAROLINA MEDICAL JOURNAL November, 1942 Fig. 3. (Case VIII) Kartagener syndrome. The ectatic bronchi are partially filled with lipiodol. The three lobed lung is here on the left. and Churchill'2* reviewed the cases of bronchiectasis at the Massachusetts General Hospital and found the incidence of the disease higher in persons with SIV than in persons with situs solitus. In the author’s collection of more than a dozen cases of SIV (table 1) there is one proven example of this syndrome (case VIII). A possible explanation for the supposed greater incidence of bronchiectasis in SIV is that an embryological pulmonic malformation predisposing to bronchial ectasia accompanies the transposed disposition of the viscera more frequently than the untransposed. The causes of death in several hundred reported cases reviewed by the author are not confined to any system, organ, or tissue, and vary as widely as in the general population. A similar survey of the complaints bringing such patients to their physician (table 1) fails to demonstrate any peculiar susceptibility to disease. However, the condition is accompanied frequently by additional congenital anatomical abnormalities, such as congenital heart disease, cryptorchidism, Adams, K. and Churchill, E. I).: Situs Inversus. Sinusitis, Bronchiectasis; Report of 5 Cases Including Frequency Statistics. J. Thoracic Surg. 7:206-217 (Dec.) 1987. splenic and renal anomalies, and malformations of ectodermal derivatives. If it be true that 70 per cent of vertex deliveries are LOA for anatomical reasons (the fetal occiput being in the left anterior quadrant of the maternal pelvis because the uterus undergoes torsion toward the right, owing to the presence of the sigmoid colon in the mother’s left side), one should expect predominance of ROA deliveries in women with SIV. Thus, on examination of a pregnant woman with SIV, sinistrotorsion of the uterus should be anticipated. Military Importance Most of the surgical emergencies of civilian life, and in addition emergencies and operative conditions peculiar to military surgery, may confront the medical officers of the armed forces. There may be no time for preliminary physical examinations merely for the sake of determining gross anatomical peculiarities. Nevertheless, “while transposition of the viscera may have no prejudicial effect upon the life and health of the individual it may prove an awkward complication in surgical procedures. It is easy, for instance, to understand how the success of a colotomy (for intestinal obstruction) might be imperilled by its non-recognition by the operator. In the performance of an esophag-otomy, of paracentesis thoracis, and of operations on the liver, gall-bladder, stomach, pylorus, and spleen, the presence of situs inversus would necessitate changes in the mode of procedure.”*3' Consequently men with SIV should be discovered by physicians examining them for military service; they should be informed of their condition, and should receive some distinguishing mark, so that if they are rendered incapable of communicating their condition to a surgeon, their visceral situs may be instantly recognized in time of peril. The importance of the above statement is emphasized by the report of difficulties encountered at operation by surgeons in civilian practice who have failed to discover the visceral transposition. A number of cholecystic and appendiceal operations have been reported in which a wrong-sided incision was made before the unusual position of the affected organ was diagnosed. If such mistakes have occurred in normal times without the pressure of accumulating casualties demand- 3. Ballantyne. J. W.: Manual of Antenatal Pathology and Hygiene. New York, William Wood & Co. 1905, xix and 679 pages. |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://hsl.lib.unc.edu/specialcollections/nchealthhistory/nchh-17-pdf |
Document Sort | all; nchh-17 |
Article Title | The Recognition Of Visceral Transposition |
Article Author | D Def Bauer |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-003 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Revision History | done |
Tags
Comments
Post a Comment for Page 586 (image)