Search

This is a presentation of 10 unusual cases of hydatid cyst beyond the pulmonary sieve. One of these cases has not been described previously. Some comments and a discussion are included.

Two cases of antiperistaltic bowel segment in the treatment of the short bowel syndrome are presented here. We think that this is the best procedure for the treatment of this syndrome. The length of the reversed segment should be 9 cm.

Three consecutive groups of 50 obstetric patients received spinal anaesthesia. The control group received no prophylactic treatment for spinal headache, the second group were treated by the epidural injection of 20-25 ml of normal saline and the third group were treated by abdominal binder. There was no statistically significant difference between the two forms of treatment but the results show that the incidence of post spinal puncture headache can be significantly reduced by applying either of them.

The wife of a vasectomized man became pregnant by her husband. He was examined and a supernumerary testis with intact vas and with normal histology and normal spermatogenesis were discovered.

Spontaneous return of function after surgical excision of the seventh cranial nerve in surgery of parotid tumors is not impossible. This seems to occur through the several existing neural pathways between the fifth and seventh cranial nerves. It is probable that voluntary motor impulses by reeducation find their way from the cortex through the fifth cranial nerve to the respective muscles.

A patient with rheumatic heart disease developed right renal artery embolism and was treated by renal artery embolectomy. After a brief historical data, etiologic factors, clinicopathologic points, and treatment of the disease have been discussed.

This brief historical data of a patient dying of severe hematemesis as a result of broncho-esophago-aortal fistula in primary pulmonary cavitating carcinoma is presented. It indicates that the elastic wall of the arteries even that of the aorta, is not a barrier to the penetration of the malignant cells. The neoplasm was in an advanced stage with gross vascular involvement but distant metastases did not occur even in microscopic examination. Liomyoma of the uterus was associated with lung carcinoma.

We present 2 Iranian children, siblings, with the very rare but classical 'lobster-claw' deformities of hands and feet. We could not trace any hereditary influences.

The authors present a patient who has ascarid-containing jejunum herniated through the foramen of Winslow and incarcerated. Some remarkable anatomic abnormalities were noticed upon operation. These consisted of a short ascending colon, an unusually large foramen of Winslow, and smallness of the greater omentum. Before reduction, resection of the herniated and incarcerated segment of jejunum were performed. Barium enema and swallow are valuable diagnostic acids, as well as the plain film of the abdomen, but we prefer gastrographin study. With it the dangers of perforation and peritonitis are avoided.

The case of a woman who had had a perianal sinus tract for nine years, in whom squamous-cell carcinoma arose in the sinus tract, is presented. We believe that long-standing perianal sinus tracts should be examined carefully for tumor development. In suspected cases, a biopsy specimen should be obtained from the central part of the lesion.

An 8-year-old deaf-mute girl experienced syncopal attacks. Past medical history revealed cardiac arrhythmia which had developed following an abdominal surgery for a twisted ovarian cyst. Electrocardiogram showed a Q-Tc interval of 40/100 second. The diagnosis was Jervell and Lange-Nielsen syndrome. Etiology, physiopathology, clinical picture, and management of the disease are discussed.