ABSTRACT
An unusual case of congenital syphilis is reported. A week-old baby presented with abdominal distension, small-bowel obstruction, bilious vomiting and a large left upper quadrant mass. Histopathological examination of a specimen of the mass confirmed the clinical diagnosis of gumma formation. Primary resection with end-to-end anastomosis was carried out. The baby made an uneventful recovery.
Subject(s)
Peritoneal Neoplasms/etiology , Syphilis, Congenital/complications , Female , Humans , Infant, NewbornABSTRACT
A 12-year-old boy developed complete right hemiplegia and 7th cranial nerve palsy 2 days after laparotomy for a perforated appendix. Full recovery took 2 months. Although it can be accepted that the hemiparesis was not caused by acute appendicitis it is postulated that this unusual association was due either to a septic embolus which lodged in the region of the internal capsule or to a minor cerebrovascular accident.
Subject(s)
Appendectomy/adverse effects , Hemiplegia/etiology , Postoperative Complications , Child , Humans , MaleABSTRACT
A case of melanotic neuro-ectodermal tumour of infancy (retinal anlage tumour, melanotic ameloblastoma) is described. Although a well recognized entity, the biological origin of this tumour is still disputed. A confusing array of names has been awarded to this tumour which characteristically occurs in infants under one year of age, commonly arising from the maxilla but also from the mandible, frontal bone, mediastinum, shoulder and cerebellum. While the origin of the tumour remains unclear, the ultra-structural evidence of Haywood et al. (1969) supports a neural crest origin. Consistent with this are the findings by Borello and Gorlin (1966) of high urinary vanillylmandelic acid excretion in one case and the correlation of tumour enzyme patterns with those of paragangliomas, neuroblastomas and phaeochromocytomas.
Subject(s)
Maxillary Neoplasms/pathology , Neoplasms, Germ Cell and Embryonal/pathology , Humans , Infant , Male , Maxillary Neoplasms/surgery , Neoplasms, Germ Cell and Embryonal/surgeryABSTRACT
The presence of a malignant cystosarcoma phyllodes in one breast and a scirrhous carcinoma in the opposite breast in a premenopausal Black woman is described. Malignant cystosarcoma phyllodes is uncommon and its rare association with carcinoma of the breast is mentioned.
