Colopleural fistula presenting as tension pneumothorax in strangulated diaphragmatic hernia. Report of a case.

A case of colopleural fistula, resulting from strangulation and perforation of a diaphragmatic hernia and presenting as tension pneumothorax, is reported. The hernia was most likely a consequence of a stab wound to the left side of the chest four years before admittance. Colopleural fistula as a cause of tension pneumothorax is an extremely rare entity, reported only once in past English medical literature.

Association of diabetes mellitus with gastric bezoar formation.

The association of diabetes mellitus with gastric bezoars is not well documented. Our endoscopic experience over a seven-year period (1979 to 1985) included 3247 esophagoduodenoscopies (EGDs). Bezoars were found in 14 patients (0.

Rightward shift of colon cancer. A feature of the aging gut.

Two hundred twenty-two patients with colon cancer, diagnosed in the past 5 years, were grouped by age into the sixth, seventh, and eighth decades. Examination showed an increased incidence of right-sided colon cancer by decade and a simultaneous fall in the incidence of rectosigmoid lesions. A trend toward a more favorable Dukes' pattern was evident with each rise in decade.

Ageing and the stomach.

Minor alterations of gastric function are frequently found in the elderly, but are rarely of any consequence. The attrition of normal defences followed by inadequate reparative response leads to an increasing number of significant ailments while simultaneously muting their clinical manifestations. Greater recognition of the nature of these ailments and their protean presentation should improve their detection and, hopefully, the outcome for the patient.