Madurella foot infection

Five cases of Madurella foot infection caused by Madurella mycetomi were studied, all patients were adult males coming from rural country [possibility of walking bare footed], four patients had experienced local trauma preceding their infection. The lesion was characterized by raised indurated areas with multiple discharging sinuses. Mycological examination showed that, the black granules are composed of coarse septate hyphae, culture on Sabouraud's Dextrose Agar revealed typical colonies of Madurella mycetomi. Histopathological examination of tissue sections established the diagnosis. Surgery is the treatment of choice in addition to a systemic antifungal agent as long term therapy

Bile peritonitis

Bile peritonitis is an uncommon catastrophy. Unless there is a reason to suspect, diagnosis of bile peritonitis is impossible until exploration is done. Diagnosis is often made late, since initially sterile bile causes only minimal peritoneal reaction. The purpose of the present article is a trial to clarify the condition early so as to lessen the high rate of mortality in bile peritonitis

surgical treatment of hypopharyngeal carcinoma

Carcinoma of the hypopharynx kills usually by the effect of its rapid spread locally and into the neck rather than as a result of distant secondaries. Surgical excision remains the only reliable method of controlling the disease. However, the results of reconstruction of the oro-eosophageal continuity were always disappointing. The present work is an attempt of the authors to evaluate different methods of reconstruction and is based on the experience gained from the management of 40 cases of hypopharyngeal carcinoma

Cancer parotid

Malignant tumours of the parotid gland have represented a considerable challenge for surgeons in the last few years. They have a special importance because of their varied morphohistological types, unpredictable clinical behaviour, and their close neighbourhood to the facial nerve. Questions such as the value and type of biopsy, to preserve or to sacrifice the facial nerve, the extent of resection, the indications of radical neck dissection and the benefits of radiotherapy are still awaiting answers. Our experience in the management of 35 cases of primary malignant tumours of the parotid are here discussed and some guidelines for treatment are advised

Synchronous and hetachronous carcinoma of the colon

The presence of one malignant growth of the colon does not exclude the presence of a second one in the same organ. Preoperative sigmoidoscopic and radiologic examination should be done in all cases to exclude the presence of double lesions. A careful 6-monthly follow-up should be made in all cases with colorectal cancer