Richard A. Fellows

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Two cases are reported of adult type polycystic renal disease (autosomal dominant) presenting in the newborn as a unilateral abdominal mass. The radiographic findings in the involved kidney simulated the ectatic tubules of infantile polycystic disease, yet histologic examination was consistent with the adult variety and both infants had other family members(More)
Umbilical vessel catheterization in a neonate with Noonan's syndrome disclosed a unique developmental anomaly of the umbilical vein. There was no evidence of a ductus venosus nor any connection between the vein and the portal hepatic venous system. The umbilical vein instead entered the inferior vena cava directly at the level of the iliac veins. There was(More)
Gastroesophageal reflux (GER) may be normal, functional, or pathogenic. Normal GER is of short duration and seen in all individuals. Functional GER, or effortless regurgitation, is common during infancy, causing no ill effects. Pathogenic GER causes diseases such as failure-to-thrive, coughing, choking, aspiration, apnea and/or bradycardia, esophagitis with(More)
Prenatal occlusion of the superior mesenteric artery results in a distinct type of distal duodenal or proximal jejunal atresia in which the dorsal mesentery is absent and the distal small bowel assumes a spiral configuration around its vascular stalk, strongly resembling an apple peel. In some instances the condition is transmitted genetically as an(More)
Gastrografin (methylglucamine diatrizoate) enemas were carried out in 2 newborn infants with meconium ileus. Evacuation was slow and incomplete. Both patients died within 72 hours following enemas from bowel necrosis, perforation and peritonitis. Although it is not possible to implicate Gastrografin directly as the cause, it is suggested that it may have(More)
Chest roentgenograms obtained in the first two days of life from 67 infants with respiratory distress were reviewed to determine whether the radiographic features of group B streptococcal septicemia were diagnostic or distinctive. The retrospective review contained 24 infants with proven and 14 with suspected septicemia, as well as 29 patients with other(More)
Three children with the cerebrocostomandibular syndrome have been studied. They were from unrelated families. The sib of one of them may demonstrate partial expression of a disorder that varies in severity, so that long-term survival is possible. Long-term survival may be complicated by restrictive pulmonanry disease and cardiac failure. A disorder of(More)