A case report of hepatic and renal dysfunction complicating midgut malrotation in an adult.

A 39-year-old man had an unusual presentation of jaundice and acute renal dysfunction complicating midgut malrotation. Diagnosis by computed tomography scan enabled prompt surgery and functional correction of the malrotation, with a full return to normal life.

Primary neuroendocrine neoplasm of the gallbladder.

Carcinoid tumours are distinct neuroendocrine tumours with characteristic clinical and histological behavioural properties which arise mainly in the gastrointestinal tract (73.7%) or bronchopulmonary system (25.1%).

Long-term results after Nissen fundoplication: a 5-15-year review.

In a study of 154 consecutive patients who had a Nissen fundoplication performed by 12 surgeons over a 10-year period, 117 (76%) were available for review of symptoms 5-15 years after the procedure. Heartburn, the most common presenting symptom, was abolished in 85.5% and epigastric pain in 84.

111In-platelet and 125I-fibrinogen deposition in the lungs in experimental acute pancreatitis.

An experimental model of acute pancreatitis in rats has been used to study intrapulmonary 125I-fibrinogen and 111In-platelet deposition. Pancreatitis caused a significant increase in wet lung weight compared to normal, and this could be abolished by heparin or aspirin pretreatment. 125I-fibrinogen was deposited in the lungs of animals to a significantly greater degree than in controls (P less than 0.

Bacteriology of the closed duodenal loop model of acute pancreatitis and ultrastructural changes induced in the lungs.

Injection of infected human bile into a closed duodenal loop in the rat consistently produces lethal pancreatitis with severe pulmonary damage. Lung abnormalities, resembling the human adult respiratory distress syndrome (ARDS) are frequently seen in this model and are usually ascribed to the pancreatitis. Similar pulmonary problems are seen in the human form of acute pancreatitis.

The value of an erect abdominal radiograph in the diagnosis of intestinal obstruction.

The value of an erect abdominal radiograph in the diagnosis of acute intestinal obstruction has been studied. Four observers independently assessed 100 supine abdominal films and then reassessed them in combination with an erect film. The addition of the erect film did not significantly increase the accuracy of diagnosis of obstruction or help in the correct identification of its level.

Computer aided diagnosis in acute testicular pain.

Over an 11-year period in Edinburgh, 495 patients with a proven diagnosis of testicular torsion or acute epididymo-orchitis were admitted to hospital. The final diagnosis in 227 was epididymitis, in 236 torsion of the testis and in 32 torsion of a testicular appendage. The immediate salvage rate from torsion of the testis was 67 per cent.

Operations for hernia and varicose veins in a day-bed unit.

Over eight years (1970-8) 1055 patients underwent operations for hernia or "major" varicose veins in a day-bed unit. Here, 608 were discharged home on the day of operation, 262 were transferred to a convalescent hospital for 48 hours, and 161 were retained in the acute ward as part of a controlled trial. Special emphasis was placed on selection and preadmission screening.