ABSTRACT
Three cases of tuberculous pancreatic abscess (TPA) in HIV-positive patients are reported. Pancreatic tuberculosis (PTB) is a rare pathological entity with nonspecific symptomatology that presents a diagnostic challenge. Ultrasound or computed tomography-guided fine-needle aspiration biopsy (FNAB) is recommended, as this may be diagnostic and negate the need for operative intervention.
Subject(s)
AIDS-Related Opportunistic Infections/diagnosis , Abscess/diagnosis , Pancreatic Diseases/diagnosis , Tuberculosis/diagnosis , Adult , Female , Humans , Male , Middle AgedABSTRACT
Primary sarcomas of the major salivary glands are exceptionally uncommon. Synovial sarcoma is a distinctive neoplasm which usually arises in the extremities in the region of joints. Although synovial sarcomas arising in the head and neck region are well described, tumours actually originating in and around the major salivary glands are exceedingly rare, with few cases reported in the literature. We report a synovial sarcoma in the right parotid gland of a 67-year-old man. The literature pertaining to salivary gland sarcomas and synovial sarcoma of the head and neck region is reviewed.
Subject(s)
Parotid Neoplasms/pathology , Sarcoma, Synovial/pathology , Aged , Humans , Immunohistochemistry , Male , Parotid Neoplasms/radiotherapy , Parotid Neoplasms/surgery , Radiotherapy, Adjuvant , Radiotherapy, High-Energy , Sarcoma, Synovial/radiotherapy , Sarcoma, Synovial/surgery , Treatment OutcomeABSTRACT
A case of acute large-bowel obstruction due to colonic stricture complicating degenerative leiomyopathy with massive megacolon (pseudo-Hirschsprung's disease in blacks) is reported. This was successfully managed by colonic resection and end-to-end anastomosis. Organic colonic stricture as a complication of pseudo-Hirschsprung's disease in blacks has not been reported before.
Subject(s)
Colonic Diseases/etiology , Intestinal Obstruction/etiology , Megacolon/complications , Adolescent , Constriction, Pathologic , Humans , MaleABSTRACT
The role of a multidisciplinary intensive care unit in respect of patient care in a developing country is described. An analysis of 1,000 admissions to the unit by severity of disease according to the classification system of Acute Physiology and Chronic Health Evaluation (Apache II), and the short-term outcome of the patients is outlined. The most important referring specialties were surgery (62.7%), medicine (23.9%), paediatrics (7%) and obstetrics and gynaecology (6.4%). Despite the shortage of equipment and investigative facilities, 86.1% of patients were discharged in a satisfactory condition.
Subject(s)
Intensive Care Units/organization & administration , Adolescent , Adult , Aged , Child , Developing Countries , Humans , Middle Aged , Mortality , Patient Admission , Patient Care Team/organization & administration , South Africa , WorkforceSubject(s)
Diaphragm/injuries , Wounds, Stab , Adolescent , Adult , Female , Humans , Male , Middle AgedABSTRACT
A patient who ingested concentrated hydrochloric acid and in whom early stricture of the gastric antrum formed is presented. Attention is drawn to the fact that the stomach usually bears the brunt of the injury following the ingestion of exogenous acid. Aspects of management are discussed, including the place of endoscopy and surgery.
Subject(s)
Gastritis/chemically induced , Hydrochloric Acid/poisoning , Adult , Burns, Chemical/etiology , Humans , Male , SuicideSubject(s)
Peutz-Jeghers Syndrome/diagnosis , Adolescent , Black People , Female , Humans , Peutz-Jeghers Syndrome/pathology , ZimbabweSubject(s)
Black or African American , Cholelithiasis/epidemiology , Adult , Aged , Black People , Female , Humans , Male , Middle Aged , ZimbabweSubject(s)
Breast Neoplasms/pathology , Neoplasms, Muscle Tissue/pathology , Female , Humans , Mastectomy , Middle AgedSubject(s)
Anthrax/diagnosis , Intestinal Diseases/diagnosis , Adult , Anthrax/drug therapy , Gentamicins/therapeutic use , Humans , MaleSubject(s)
Fibrosarcoma/pathology , Skin Neoplasms/pathology , Abdomen , Female , Humans , Middle AgedABSTRACT
One hundred and thirteen patients with missile injuries of the abdomen were seen over a 3-year period at one hospital in Zimbabwe-Rhodesia. The details of these injuries and the results of their treatment are presented. Twenty-four patients died (21 per cent). Twenty of these patients had sustained high velocity missile injuries, 18 had damaged colons and 3 died from major vascular injuries before surgery. Excluding these last 3 patients, the mortality rate for high velocity wounds of the colon was 52 per cent and that for all other patients was 6 per cent (P less than 0.01). More than half the postoperative deaths were due to septicaemia. The importance is stressed is stressed of early and effective resuscitation, including appropriate antibiotic therapy and rapid evacuation to facilities for major surgery.
