1/7. Inflammatory myofibroblastic tumor of small bowel wall in childhood: Report of a case and a review of the literature.Benign intestinal tumors are rare in children, however we describe an inflammatory myofibroblastic tumor (IMT) of the jejunum in a 2-year-old girl who presented with an intestinal obstruction. During laparotomy, an annular mass around the jejunum was resected, from which a histological diagnosis of IMT was made. A review of the literature for this rare entity emphasizes the importance of histological confirmation of its benign nature. Because of the risk of local recurrence, IMT cases should have a long-term follow up.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
2/7. Malrotation of the bowel resulting in a left-sided caecal carcinoma presenting as a palpable intrahernial mass.An 86-year-old woman presented with a large left-sided intrahernial mass, which was shown on CT to represent an abnormally located caecal tumour. An underlying bowel malrotation was also found explaining the left-sided nature of the mass.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
3/7. Headaches in patients with traumatic lesions of the cervical spinal cord.We established the occurrence of headache in a group of 20 patients with traumatic transections of the cervical spinal cord. All but two patients had complete sensory lesions at levels varying from C2-3 to C7-8. Only three patients claimed to have no headaches at all although one of them had nuchal pains with fever. Twelve patients had "bladder" or "bowel headaches" or had had them in the past. These headaches were mostly generalized, throbbing or pounding in nature and severe in intensity. They were caused by obstruction of urinary flow and fecal impaction, respectively, and were associated with autonomic dysreflexia. Otherwise the headaches reported by the patients were mild although frequent in four, i.e once per week or more. These headaches were also mostly bilateral and lasted a relatively short time, i.e. less than one or two hours. The causes of these headaches were nonspecific for the group studied except for stimulation of the body which, however, probably depended on a mechanism similar to that of the bladder and bowel headaches. Migraine, either classic or common, was not reported by any of the patients.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
4/7. Enterolithiasis with imperforate anus. Report of two cases with sonographic demonstration and occurrence in a female.Enterolithiasis has been previously described as a plain film finding of rectovesical or rectourethral fistula in patients with anorectal malformation. Two cases of enterolithiasis with anorectal malformation are described in which the intraluminal nature of the calcifications was identified using ultrasound. The use of ultrasound for this purpose has not been previously reported to our knowledge. This simple, noninvasive technique permits antenatal differentiation between enterolithiasis and meconium peritonitis in some patients and can suggest the prenatal diagnosis of rectourinary communication when enterolithiasis is present. In addition, one of our cases occurred in a female. The entity of enterolithiasis with imperforate anus in a female has not been previously reported.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
5/7. The "brown bowel syndrome": a case report.Brownish discoloration of the muscular layers of the small intestine has been described in association with deficiency of fat soluble vitamin e occurring in various disorders with malabsorption. A patient presenting with diarrhea ultimately found to have "brown bowel syndrome" is reported with serum levels of vitamin e before and during treatment. A brief review of the nature and significance of ceroid pigmentation of the intestine is included; however, the pathophysiology of the brown bowel syndrome remains to be fully elucidated.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
6/7. Idiopathic intestinal pseudo-obstruction: a familial visceral neuropathy.Four individuals with idiopathic intestinal pseudo-obstruction (IIP), a familial visceral neuropathy with autosomal dominant inheritance, are presented. The disorder is characterised by abdominal colic, abdominal distension and diarrhoea, and is of a progressive nature with relapses and remissions. The main feature is a disturbance of motility in the affected intestine, with histological evidence of a neuronal disorder, characterised by hyperplasia and eventual atrophy. Management of the condition is difficult; initially, treatment should be conservative by nasogastric suction with intravenous nutrition. When laparotomy is undertaken to exclude mechanical obstruction, resection of the intestine is inadvisable, and ileo-colic anastomosis may be beneficial.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
7/7. Hazards in the management of large intra-abdominal tumours.Whatever their nature, large intra-abdominal tumours interfere with respiratory and circulatory function by producing elevation and splinting of the diaphragm and partial occlusion of the inferior vena cava. The main hazards involved in removing such tumours are consequences of abdominal decompression, which may produce a labile cardiovascular state, respiratory difficulties, and rapid intestinal distension. A knowledge of the deranged physiology and its management may avert these complications. Careful preparation, modification of anaesthetic technique, postoperative ventilation, and external abdominal compression are important. To illustrate the discussion two cases of large ovarian cysts are described.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |