Acta chirurgica Scandinavica
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Case Reports
Invagination of the vermiform appendix. A report of two cases associated with endometriosis.
Two cases of invagination of the Vermiform appendix associated with endometriosis are presented. Classification, incidence, etiology, symptomatology, diagnosis and treatment are discussed. The literature is reviewed in brief, and it is concluded that the possibility of invagination of the Vermiform appendix should be considered in obsure abdominal cases with recurrent right lower quadrant pain.
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Acute radiological investigation of the oesophagus, stomach and duodenum is a routine in patients admitted to the first surgical department of Kommunehospitalet, Copenhagen, with upper gastro-intestinal tract hemorrhage. In the period 1969-1972, 294 patients were admitted with hematemesis and/or melena. The acute radiological study was undertaken in 190 of these patients (65%). ⋯ In 34 patients the acute study failed to point the cause of bleeding, and in 50% of these patients subsequent examination was also non-productive. 26% subsequently evidenced duodenal ulcer; 11% gastric ulcer; 6% carcinoma of the stomach; 3% oesophageal varices; and 3%--one patient--a bleeding vessel in the fundus of the stomach. The acute radiological study was complication free. The place of the study in acute diagnosis of the patient with upper gastro-intestinal tract bleeding is discussed.
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The records of 57 patients with abdominal stab wounds, treated at the Surgical Departments of the Sahlgrenska Hospital, Göteborg, between 1969-1974, were revised. Fifty-five patients were males and 2 females. The wounds were situated in the upper abdomen in 72% of the patients. ⋯ Liver injuries were found in 45% of the operated patients. No complications occurred in the patients with negative laparotomy findings. One patient with multiple intra-abdominal lesions succumbed from an irreversible septic shock.
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The Department of Surgery at the University Hospital, Linköping has 133 beds and serves a population of 130000. During the 10-year period 1962-1971 35039 in-patient operations were performed, of which 16719 (48%) were laparotomies. ⋯ The mortality for appendicectomy was 0.2%, for gall-bladder surgery 1.3%, for gastric surgery 8.1%, for colon surgery 11.9% for small-gut surgery (including ileus) 15.2%, and for pancreatic surgery 22.2%. Over and above the target organ, malignancy and age exceeding 50 years appear to have contributed greatly to a lethal outcome.