Search

A case of the hyaline vascular type of angiofollicular lymph node hyperplasia (lymphoid hamartoma) in the neck of a 25-year-old Hindu male is reported. A brief review of the literature is presented and relevant clinical, pathological and therapeutic aspects of this lesion are discussed.

Summary Clinicopathological feazures and follow-up of 150 cases of necrotizing enteritis observed over the period of 8 years at Miraj, India, are presented. This is a distinct pathological entity with seasonal occurrence, frequently affecting male patients of the low socioeconomic groups between the third and fifth decades of life. The symptoms are disproportionately greater than the physical. signs. The ischaemic lesions, which mainly affect the jejunum, show a variable degree of severity ranging from segmental congestion and ulceration to extensive gangrene and perforation. In the early stage of the disease recovery is complete. Conservative treatment is preferred in early cases, surgery being indicated only for advanced lesions. No definite aetiology has been detected.

Summary The results of modified surgical procedures in intestinal tuberculosis in 79 patients are presented. Special emphasis is laid on the role of limited ileocaecal resection and ileoplasty. These procedures are safe, quick and easy with preservation of functional portions of the bowel. They are of immense value in emergencies in chronically ill and emaciated patients.

A case of leiomyoma of Meckel's diverticulum associated with a carcinoma of the descending colon, presenting with intestinal obstruction, is described. Only two cases of smooth muscle tumors of the small intestine associated with carcinoma of the large bowel have been described so far, and ours is probably the first case of its kind to be reported. The importance of angiography and a through intraoperative exploration is stressed.

Summary An accessory lobe of the liver with long well defined mesentery presenting as recurrent pain in abdomen in a Hindu female is described. This is the seventh case recorded in English literature. The embryological genesis of this anomaly and the possibility of preoperative diagnosis by various techniques is discussed.

Four cases of torsion of the fallopian tube following sterilization are reported. This is a rare complication that may occur two to eight years after tubal ligation. It is more likely to occur after Pomeroy's, Irving's or the Viennese school technique of sterilization, in which the free distal segment of the fallopian tube is suspended by a narrow mesentery. Hydrosalpinx, which is common after sterilization, seems to predispose to torsion.