RESUMO
Two cases of intestinal perforation in association with ascariasis are described. In both cases adult ascarids were found either in the gut or lying free in the peritoneal cavity. Neither patient had typhoid fever, one had Hodgkin's lymphoma. The authors believe that the perforations were directly caused by the ascarids. Both patients died (Summary)
Assuntos
Humanos , Adulto , Pessoa de Meia-Idade , Ascaríase/complicações , Íleo , Perfuração Intestinal/etiologia , Ascaríase/mortalidade , Doença de Hodgkin/complicações , Perfuração Intestinal/mortalidadeRESUMO
A review of 250 patients with gall bladder disease seen at the University Hospital in Jamaica is presented. The striking feature is the early age of presentation. It is suggested that this may be related to early and multiple pregnancies in the women. The condition, except in its associated diseases, follows the patterns classically described, and the study also confirms that surgical treatment of acute cholecystitis is safe and to be performed (AU)
Assuntos
Humanos , Adulto , Masculino , Feminino , Doenças da Vesícula Biliar/epidemiologia , Colecistite/epidemiologia , Estudos Retrospectivos , Fatores Etários , Fatores Sexuais , SomatotiposRESUMO
A patient with an extraluminal gastric leiomyoma, which presented as an emergency because of torsion, is reported. This is thought to be the first report of such an occurrence. The diagnosis was not made preoperatively in spite of intensive investigation.(AU)
Assuntos
Humanos , Pessoa de Meia-Idade , Masculino , Abdome Agudo/etiologia , Leiomioma/cirurgia , Neoplasias Gástricas/cirurgia , Laparotomia , Leiomioma/complicações , Métodos , Neoplasias Gástricas/complicações , Anormalidade TorcionalRESUMO
This paper reports a study of cases seen at the University Hospital of the West Indies (U.H.W.I.) to determine the pattern of the disease in Jamaica. The notes were reviewed in regard to age and sex distribution, economic status and build of the patients and the course of the disease. The data are compared with that from North American centres. The results showed that 40 percent of patients were below the age of 40 years and 25 percent below the age of 30 years, as compared with 15 percent and 7 percent respectively from North American Centre. This age distribution was largely unaffected when patients with haemoglobinopathies were excluded. It was confirmed that the disease is one of affluence and overnutrition, in that most patients were obese. In spite of the fact that the vast majority of patients seen at U.H.W.I. are poor - 75 percent of patients with gall bladder disease came from middle and upper income brackets and from the urban areas. Of the poor patients with gall bladder disease 70 percent were domestics. The results of treatment showed that 40 percent of patients treated conservatively for acute cholecystitis required urgent imperative intervention for a variety of reasons. It is concluded that the disease is seen in a large proportion of young patients in Jamaica, that it is a disease of affluence and overnutrition, and that early operative intervention during an attack of acute cholecystitis is the best form of treatment (AU)
