ABSTRACT
Uncommonly, pancreatic cysts are complicated by the erosion of certain adjacent arteries and serious gastrointestinal haemorrhage. This diagnosis should be entertained in any patient with chronic pancreatitis who presents with unexplained gastrointestinal blood loss, whether acute or chronic, a pulsatile mass in the epigastrium, and an associated bruit. Selective caeliac axis angiography may not only confirm the diagnosis, but provide precise anatomical information as a guide to the surgeon in planning treatment. The surgical treatment of choice is transcystic ligation of the bleeding vessel, followed by internal cyst drainage.
Subject(s)
Aneurysm/etiology , Duodenum/blood supply , Gastrointestinal Hemorrhage/etiology , Pancreatic Cyst/complications , Adult , Aneurysm/diagnostic imaging , Aneurysm/surgery , Angiography , Gastrointestinal Hemorrhage/diagnostic imaging , Gastrointestinal Hemorrhage/surgery , Humans , Male , Pancreatic Cyst/surgery , Splenic Vein , Thrombosis/complicationsSubject(s)
Hodgkin Disease/surgery , Splenectomy , Adolescent , Adult , Anemia/etiology , Bone Marrow/pathology , Candida albicans , Child , Female , Hodgkin Disease/complications , Hodgkin Disease/diagnosis , Hodgkin Disease/diagnostic imaging , Hodgkin Disease/pathology , Humans , Iron/blood , Leukopenia/etiology , Liver/pathology , Liver/physiopathology , Male , Middle Aged , Prognosis , Radiography , Thrombocytopenia/etiologySubject(s)
Abdomen , Buttocks , Hematoma/etiology , Hemophilia A/complications , Abdominal Injuries/complications , Adolescent , Aged , Humans , Ilium , Male , Middle AgedSubject(s)
Carcinoma, Basal Cell/etiology , Facial Injuries/complications , Skin Neoplasms/etiology , Accidents , Adult , Aged , Burns/complications , Female , Humans , Male , Middle Aged , Precancerous ConditionsSubject(s)
Filtration , Masks , Resins, Plant , Serratia marcescens , Surgical Equipment , Wool , Aerosols , Animals , Evaluation Studies as Topic , Humans , ManometryABSTRACT
The case records arc reported of 13 patients who gave a history of a well-remembered injury, which appeared to have resulted, within a comparatively short period of time, in the development of a basal-cell carcinoma at the same site. Although it is likely that, if such an injury is relevant, it has only accelerated the appearance of a tumour in a precancerous area, it is, none the less, curious that this happening is more commonly recorded in the pathogenesis of a basal-cell carcinoma than in that of a squamous-cell carcinoma. In seven of the cases the injury was a thermal one.