ABSTRACT
A case of bilateral primary malignant lymphoma of the breast in a 30 year old woman is described. The tumors were first discovered during a self-examination of the breast at the 7th month of pregnancy. Thereafter they rapidly increased in size. The patient underwent simple bilateral mastectomy, and histological examination revealed a centroblastic/centrocytic lymphoma. The patient is alive and well 9 months after mastectomy.
Subject(s)
Breast Neoplasms/pathology , Lymphoma/pathology , Pregnancy Complications, Neoplastic/pathology , Adult , Female , Humans , PregnancySubject(s)
Hernia/complications , Intestinal Obstruction/etiology , Aged , Humans , Intestinal Obstruction/surgery , Intestine, Small , MaleABSTRACT
A distinction is drawn between two main groups of patients with continuous and massive haemorrhage respectively in bleeding duodenal ulcer, and the criteria upon which this distinction is based are described. The two main types of surgery proposed for the treatment of this complication of duodenal ulcer (vagotomy and gastric resection) are examined. The conclusion is drawn that vagotomy (truncular with drainage, or superselective with or without drainage) is to be preferred to gastric resection in the light of personal experience, and with particular reference to operative mortality and the recurrence of haemorrhage and ulcers.
Subject(s)
Duodenal Ulcer/complications , Gastrectomy , Peptic Ulcer Hemorrhage/surgery , Vagotomy , Drainage , Duodenal Ulcer/surgery , Humans , Peptic Ulcer Hemorrhage/mortality , Postoperative Complications , RecurrenceABSTRACT
A case of hernia-induced occlusion of the small intestine through an orifice of the broad ligament of the uterus is reported. After reviewing the literature, the pathogenetic aspects are considered, with reference to the congenital or acquired origin of the defect. Clinically, the most significant factors for diagnosis are the patient's multipara condition, previous obstetrico-gynaecological operations, signs of mechanical type intestinal occlusion and palpation of a parauterine mass. Surgical treatment involves straightforward mechanical ileus with repair of the occluding orifice.
Subject(s)
Adnexa Uteri , Broad Ligament , Hernia, Inguinal/complications , Intestinal Obstruction/etiology , Uterine Diseases/complications , Female , Humans , Middle AgedABSTRACT
Rupture of the pericardium due to closed thoracic trauma is a very rare event which is hard to diagnose. It occurs in the form of two main clinical pictures: 1) severe chest trauma with massive haematoma requiring surgery and which permits diagnosis, and 2) precordial pain and clinical signs of pericardiac origin. Surgery is essential in view of the risk of lethal complications from cardia luxation. Operation consists of closure of the pericardiac lesion.
