ABSTRACT
Congenital carotid to jugular arteriovenous communications are rare lesions presenting a challenging surgical problem. Including our case, five cases have been reported so far and all were female. The communications represent the persistence of embryonic arteriovenous channels and consequently they are usually multiple. Ligation of the external carotid artery or the use of multiple ligatures should be avoided as a recurrence usually ensues. In addition, both methods render secondary complete excision more difficult and hazardous to the patient. Primary complete resection is recommended as the procedure of choice.
Subject(s)
Arteriovenous Fistula/surgery , Arteriovenous Malformations/surgery , Carotid Arteries/abnormalities , Jugular Veins/abnormalities , Jugular Veins/surgery , Aortography , Arteriovenous Fistula/diagnostic imaging , Arteriovenous Malformations/diagnostic imaging , Carotid Arteries/surgery , Female , Humans , Infant , LigationABSTRACT
A case is presented of pancreatic pseudocyst which ruptured as a result of an automobile accident. Sixty-three cases from the literature of ruptured pseudocyst of the pancrease due to a variety of causes are reviewed. Special reference is made of the site of perforation and treatment. It is concluded that each case should be individualized, tailoring the operative procedure to the operative findings. While external drainage may be life saving in some cases and sometimes the only procedure possible, internal drainage is superior and should be considered when it can be done without endangering the patient's life.
