RESUMO
The authors conducted a 20-year review of the records of patients with torsion of greater omentum or appendices epiploicae admitted to the Vancouver General Hospital. Presenting signs and symptoms, operative findings and some recent reports are examined and conclusions are given. Diagnosis of the condition is rarely made preoperatively owing to the lack of specific symptoms. When a straightforward diagnosis of appendicitis has been made, yet a normal appendix is found, torsion of omentum should be considered and excluded.
Assuntos
Doenças do Colo , Omento , Doenças Peritoneais , Doença Aguda , Adolescente , Adulto , Idoso , Apendicite/diagnóstico , Criança , Doenças do Colo/diagnóstico , Doenças do Colo/cirurgia , Diagnóstico Diferencial , Erros de Diagnóstico , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Peritoneais/diagnóstico , Doenças Peritoneais/cirurgia , Anormalidade Torcional/diagnóstico , Anormalidade Torcional/cirurgiaRESUMO
A case of multiloculated choledochal cyst occurring in an 18-year-old girl is presented. The choledochus which contained multiple pigment stones was excised as the primary treatment and the patient remains well on two year follow-up. Ten additional cases of choledochal cyst treated in the past 20 years have been reviewed. It is concluded that excision of the choledochus is a safe and acceptable treatment of choledochal cyst in young low risk patients and that the alternative treatment of Roux-en-Y choledochocyst-jejunostomy gives satisfactory results.
Assuntos
Ducto Colédoco/cirurgia , Cistos/cirurgia , Adolescente , Ducto Colédoco/patologia , Cistos/patologia , Feminino , Humanos , MétodosRESUMO
Two cases of neonatal small left colon syndrome are described. This syndrome usually is seen as bowel obstruction in the neonate with characteristic roentgenographic features resembling those of Hirschsprung's disease. In view of the usual improvement after contrast enema, a trial of conservative management seems warranted. Rectal biopsy may be the only way to differentiate those patients who do not improve from those with Hirschsprung's disease.
Assuntos
Colo/anormalidades , Doenças do Recém-Nascido/diagnóstico por imagem , Colo/diagnóstico por imagem , Doenças do Colo/diagnóstico por imagem , Doenças do Colo/cirurgia , Colostomia , Anormalidades Congênitas/diagnóstico por imagem , Erros de Diagnóstico , Humanos , Recém-Nascido , Recém-Nascido Prematuro , Doenças do Prematuro/diagnóstico por imagem , Obstrução Intestinal/diagnóstico por imagem , Obstrução Intestinal/cirurgia , Perfuração Intestinal/diagnóstico por imagem , Perfuração Intestinal/cirurgia , Masculino , RadiografiaRESUMO
Two families were ascertained with multiple cases of hypospadias. In one family, four generations were reported to be affected and this was proven in three generations. In the second family, a father and two sons were affected. We suggest that dominant gene inheritance may be responsible for a small number of hypospadias cases. The incidence of hypospadias in British Columbia is 1 per 250 live male births and, using Edwards' formula, this gives a theoretical empiric recurrence risk of about 6%.
