Browsing by Author "Groenewald, J. H."

Now showing 1 - 6 of 6
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    Aneurysm of the splenic artery - a controversial entity. A case report
    (Health & Medical Publishing Group, 1983-01) Du Toit, D. F.; Theron, J. C.; Groenewald, J. H.
    ENGLISH ABSTRACT: The case of an asymptomatic, calcified, arteriosclerotic, intact splenic artery aneurysm in a 60-year-old woman is presented. The diagnosis was confirmed by selective coeliac arteriography and the aneurysm was successfully resected with preservation of the spleen.
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    Extracranial 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.
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    A nosocomial outbreak of Crimean-Congo haemorrhagic fever at Tygerberg Hospital. Part I. Clinical features
    (Health & Medical Publishing Group, 1985) Van Eeden, P. J.; Joubert, J. R.; Van de Wal, B. W.; King, J. B.; De Kock, Annamarie; Groenewald, J. H.
    Crimean-Congo haemorrhagic fever (CCHF) is a rare disease in South Africa. From 1981 to September 1984, 8 sporadic primary cases were reported. An outbreak of CCHF in a large university hospital is described; of 8 patients diagnosed 2 died (the index and a secondary case). Four patients were seriously ill and 2 had a mild illness. Problems were encountered in diagnosing the disease, which presents initially with influenza-like symptoms, differing only in severity from influenza. However, petechiae and other manifestations of a bleeding tendency distinguished it from influenza in the later phase of the disease. Special investigations, especially those revealing leucopenia and thrombocytopenia, were critically important in early diagnosis. The dilemma of handling this highly contagious disease is that definite virological diagnosis is time-consuming and is conducted in only one high-security laboratory 1600 km distant. A further case was admitted 3 months later from a different locality and confirmed virologically but no secondary cases could be confirmed or traced.
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    Rectus sheath haematoma - a complication of anticoagulation therapy : a case report
    (Health & Medical Publishing Group, 1983) Du Toit, D. F.; Maritz, J.; Loxton, A. J.; Groenewald, J. H.
    A right-sided rectus sheath haematoma developed during heparin therapy for deep vein thrombosis. Computed tomography of the abdomen provided accurate pre-operative images of the size and extent of the haematoma, and surgical evacuation thereof resulted in uneventful recovery.
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    Ruptured abdominal aortic aneurysm and horseshoe kidney : a case report
    (Health & Medical Publishing Group, 1983) Du Toit, D. F.; Louwrens, H.; Klompje, J.; Groenewald, J. H.
    A patients with a ruptured abdominal aortic aneurysm associated with a horseshoe kidney is reported on. The treatment included aneurysmectomy and insertion of an aortic Dacron prosthesis without division of the isthmus of the kidney. The postoperative course was complicated by a stroke and mild renal failure, but the patient made excellent progress and was discharged from hospital 1 month after admission.
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    The treatment of rectal incontinence by surged faradic type current stimulation
    (Health & Medical Publishing Group, 1973) Groenewald, J. H.; Runnalls, M. J.; Esslinger, R. E.
    A case history of physiotherapy given to a 12 yr old girl, suffering from rectal incontinence as a result of necrosis of the anal tissue and disuse of the pelvic floor muscles, is described. Conventional pelvic faradism was administered with an intra anal Scott type electrode with little increase of tone of the pelvic floor muscles. However, when the same technique was used, and administering surged faradic type current under anesthesia to obtain maximum contraction of the pelvic floor muscles, muscle tone increased dramatically and a fully competent anal sphincter was regained.