Factors influencing postoperative urinary retention in patients undergoing elective inguinal herniorrhaphy.

We retrospectively studied 295 men who had undergone herniorrhaphy under spinal or general endotracheal anesthesia to determine the incidence of postoperative urinary retention and to assess factors influencing it. The type and location of hernia had no effect on retention. In contrast, the use of general anesthesia, patient age above 53 years, and perioperative administration of more than 1,200 mL of fluid were significantly associated with an increase in retention.

Hodgkin's disease in the mesenteric lymph nodes in a patient with colon carcinoma.

We describe a patient in whom Hodgkin's disease affecting the mesenteric lymph nodes was discovered incidentally at laparotomy for carcinoma of the colon. The occurrence of Hodgkin's disease and colon carcinoma in the same patient is rare, as is Hodgkin's disease in the mesenteric lymph nodes. In cases in which Hodgkin's disease is discovered incidentally at laparotomy, staging is usually done by using computerized tomography and lymphangiographic studies.

Enterovesical fistula from Meckel's diverticulum in a patient with Crohn's ileitis.

Formation of a fistula from a Meckel's diverticulum to the bladder is extremely rare and may not be recognized, especially in patients with other gastrointestinal disease. We describe a patient with Crohn's ileitis who was assumed to have two enterovesical fistulae from his diseased ileum. Laparotomy revealed a Meckel's diverticulum with fistulization to the bladder.