摘要:

This is a report of a hernia through the foramen of Winslow in which the right half of the colon was herniated. It was gangrenous and perforated. Following hemicolectomy the patient recovered.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1976.tb03194.x

出版商:Blackwell Publishing Ltd    

年代:1976

数据来源: WILEY

摘要:

In contrast with the incidence in Britain and the United States, about 50% of intussusceptions in Sri Lanka occur in adults, the maximum age incidence being in the fourth decade. Seventy‐six cases of intussusception in adults are analysed in this paper, 62 of which were of the ccecocolic type, which though only rarely described in the West, have also been frequently reported from other tropical countries. The clinical picture was characteristic, and a mass was palpable in go% of the patients, facilitating diagnosis without ancillary investigations. On the basis of the histological examination of resected specimens it is concluded that amoebic granulomatous formation in the dependent “diverticulum” of the accum is the predisposing cause of the ccecocolic intussusception, accounting for the chronicity of a large number of cases. Irrespective of the duration of the illness, gangrene did not occur in any of the cases of this type, although resection was occasionally required on account of irrcducibility. In view of the proliferation of fibrous tissue in the wall of the eweum, complete cvagination of the intussusception can only be achieved by surgical exploration and manipulation, the results of which are exce

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1976.tb03195.x

出版商:Blackwell Publishing Ltd    

年代:1976

数据来源: WILEY

摘要:

A case of ischtemic ileal necrosis is reported. It was associated with elastic vascular sclerosis produced by mesenteric metastases of an ileal carcinoid tumour.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1976.tb03196.x

出版商:Blackwell Publishing Ltd    

年代:1976

数据来源: WILEY

摘要:

This paper reviews a short series of patients with distal hypospadias who were treated by Mustardc's one‐stage technique, to which we have added a minor modification by tubing the flap before penis tunnelization. A single‐stage repair has obvious advantages over a more conventional multistage procedure. The advantage of tubing the flap is early healing, and it reduces the risk of fistula formation, even in the presence of infection, which is very common in this country. The new urethral opening is situated at the fossa navicularis, and the functional results are excell

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1976.tb03197.x

出版商:Blackwell Publishing Ltd    

年代:1976

数据来源: WILEY

摘要:

This case was previously reported in 1973 at the 46th annual general scientific meeting of this College. Following a suggestion made at the meeting the patient was referred for radiotherapy, with a result so satisfactory as to call for a restatement of the case.Summarycase of gross hHæmangiomatous malformation of the orbit was treated and observed for 20 years. The condition had progressed to the point where further surgical attack was impossible. Radiotherapy was applied with a resultant remarkable cure

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1976.tb03198.x

出版商:Blackwell Publishing Ltd    

年代:1976

数据来源: WILEY

摘要:

Three cases of lateral myelomeningocele in the lumbar region are reported because of their rarity. It is stressed that in these laterally placed cystic swellings spinal dysplastic conditions should be also considered. The literature is briefly reviewed.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1976.tb03199.x

出版商:Blackwell Publishing Ltd    

年代:1976

数据来源: WILEY

摘要:

A case of melanotic neuroectodermal tumour occurring in a seven‐month‐old male infant is reported. The atiopaihogenesis, clinical features, treatment and prognosis of the condition are discussed. Tumours of the join in infancy are extremely rare, and pigmented tumours still rarer. One such case of pigmented tumour of the maxilla is the subject of this report.SummaryA case history of a seven‐month‐old male who had a melanotic neuroectodermal tumour of infancy of the right upper jaw has been presented. The literature on the subject has been reviewed, and its setiohistogenesis has been discussed in detail. It has been widely accepted that the tumour arises from congeni‐tally displaced neural crest tissue. The classic clinical picture and the amenability of the tumour to radical cure by thorough surgical excision are

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1976.tb03200.x

出版商:Blackwell Publishing Ltd    

年代:1976

数据来源: WILEY

摘要:

A series of 23 cases of pineal tumours is presented, and their salient clinical features are analysed. The rationale of the present trend of treatment is discussed, and the relevant literature is reviewed.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1976.tb03201.x

出版商:Blackwell Publishing Ltd    

年代:1976

数据来源: WILEY

摘要:

The diagnosis of retroperitoneal fatty tumour is not extremely difficult provided that the possibility of its presence is kept in mind by the surgeon in all cases of distended abdomen in an apparently well‐nourished patient. A careful clinical examination and a good excretory Myelogram arc very important in the diagnosis. Surgical excision requires a considerable amount of patience and boldness on the part of the surgeon and is always gratifying, even if the tumour cannot be totally removed. Three cases of retroperitoneal tumour treated by us arc presented. All three had had previous unsatisfactory treatment, the firs two being incorrectly diagnosed and the third being inadequately excised. The pathology, diagnosis and treatment of these tumours are briefly discusse

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1976.tb03202.x

出版商:Blackwell Publishing Ltd    

年代:1976

数据来源: WILEY

摘要:

Accidental perianal vaccinia is a rare condition, presenting acutely with severe pain and characteristic superficial ulceration. There is no specific treatment, and complete resolution occurs. A case is described of autogenous perianal vaccinia occurring in an adult.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1976.tb03203.x

出版商:Blackwell Publishing Ltd    

年代:1976

数据来源: WILEY