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20 results on '"Bloch, Robert S."'

3. Cholecystectomy in Patients With Cirrhosis: A Surgical Challenge

Author

Bloch, Robert S., Allaben, Robert D., and Walt, Alexander J.

Abstract

• Cholecystectomy or cholecystostomy was performed in 49 patients with cirrhosis with a mortality of 10.2%. Massive intraoperative blood loss was found in 16.3% and major wound problems (dehiscence, abscess) in 12.2%. Intraoperative blood loss, amount of blood transfused, and mortality were correlated with the Child classification of hepatic reserve. Mortality was 23.5% for Child C patients vs 0% for Child A patients. Excessive blood loss from a hypervascular biliary bed and resulting liver failure and sepsis were the usual causes of death. Elective surgical intervention for Child A and B patients with symptomatic cholelithiasis is warranted. In Child C patients, however, every attempt should be made to increase the class to a Child B.(Arch Surg 1985;120:669-672.

Published
1985
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18. The white-eyed blowout fracture in the child: beware of distractions.

Author

Ogu, Uchechukwu Stanley, Keim, Garrett, Cleary, Andrew J., and Bloch, Robert S.

Subjects
SPLENIC rupture, SMALL cell lung cancer, LUNG cancer -- Case studies
Abstract

Inferior ‘trapdoor’ orbital floor fractures with muscle and soft tissue incarceration are the most common type of orbital fracture in children. Delays to treatment can lead to a significant morbidity. It has been recommended that children who present with a ‘white-eyed blowout’ fracture should have surgery performed within 48h of diagnosis, otherwise prognosis is poor. A 14-year-old boy was initially misdiagnosed with a head injury due to the minor appearance of his orbital injury and his presenting complaint of nausea and vomiting. This resulted in a significant delay to surgery. The oculovagal reflex associated with orbital injuries is well documented (Wei and Durairaj in Pediatric orbital floor fractures. J AAPOS 2011;15:173–80). It should be considered by emergency department and paediatric staff when dealing with patients who have sustained a blow to the orbital region, despite not having a subconjunctival haemorrhage. The importance of examination to detect other features of orbital blow-out and entrapment are stressed. [ABSTRACT FROM PUBLISHER]

Published
2013
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19. Massive spontaneous hemoperitoneum of unknown etiology: A case report.

Author

Suber, Jr., W. John, Cunningham, Peter L., and Bloch, Robert S.

Subjects
*PERITONEUM diseases, *ABDOMEN, *HEMORRHAGE
Abstract

Reports a case of a patient with massive spontaneous hemoperitoneum in Easton, Pennsylvania. Symptoms felt by the patient; Precipitating events of spontaneous hemoperitoneum; Age-related etiology of the condition; Variables influencing proper management of the condition; Differential diagnoses of hemoperitoneum.

Published
1998

20. Atraumatic splenic rupture secondary to metastatic non-small-cell lung cancer.

Author

Ogu US, Keim G, Cleary AJ, and Bloch RS

Abstract

Splenic metastasis of solid organ tumors is rare; even more so is splenic rupture from metastatic disease. We report a case of a 61-year-old male who presented with splenic rupture and hemodynamic instability, secondary to malignant metastasis from a recently diagnosed left lung cancer., (Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2013.)

Published
2013
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