Browsing by Author "Louwrens, H."

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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 Zollinger-Ellison syndrome : a case report
    (Health & Medical Publishing Group, 1985) Du Toit, D. F.; Louwrens, H.; Esterhuizen, N.; Falck, V. C.; Du Toit, L. B.
    A vagotomy and antrectomy was performed on a 15-year-old boy with malignant gastrinoma for emergency control of massive upper gastro-intestinal haemorrhage from a large posterior penetrating duodenal ulcer in the presence of jejunal ulceration and liver metastases. Hypergastrinaemia was confirmed by elevated serum gastrin levels. In the short term postoperatively the patient's disease has been controlled with oral cimetidine. Although controversy continues over the efficacy of cimetidine in the management of gastrinomas, medical treatment should be considered as an alternative to total gastrectomy in children with malignant gastrinomas because they are often slow-growing, indolent and compatible with long survival.