Journal of surgical oncology
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A case of a primary lymphoma of Meckel's diverticulum in a 6-year-old Iraqi boy presenting clinically as acute appendicitis is reported. Exploration revealed a ruptured gangrenous Meckel's diverticulum with an ileo-ileal intussusception at the diverticulum origin. A fairly comprehensive search through the English language literature has failed to reveal any other report of a primary lymphoma of Meckel's diverticulum leading to acute intestinal obstruction.
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Chondrosarcoma of the first metatarsal was observed in an 84-year-old man. Chondrosarcoma of the small bones of the foot is comparatively rare. ⋯ Radiographs show lytic destruction of bone with or without calcification. The histological grade, location of the tumor, and adequacy of surgical excision are the major determinants of long-term survival.
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During a 20-year period, 77 patients who underwent ligation of the common or internal carotid artery were analyzed for the site, side of hemorrhage and/or ligation, with incidence of rebleed, previous treatment (surgery and/or radiation therapy), the type of incision utilized for resection, the incidence of preoperative and intraoperative hypotension and hemiplegia. The immediate mortality and subsequent follow-up of the patients were also noted.
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Randomized Controlled Trial Clinical Trial
Choice of route for central venous cannulation: subclavian or internal jugular vein? A prospective randomized study.
The clinical need for central venous cannulation has been well established. The usual route for catheter placement is by either the subclavian or internal jugular vein. ⋯ One hundred consecutive patients requiring elective central venous cannulation were randomized to either the subclavian or internal jugular route. Successful venipuncture and catheter passage were significantly more common with the subclavian route, and in the absence of special clinical situations, it appears to be the route of choice.
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Biography Historical Article
George Henry Alexander Clowes, PhD, DSc, LLD (1877-1958): a man of science for all seasons.