Duodenal atresia associated with proximal jejunal perforations: a case report and review of the literature.

Duodenal atresia is associated with Down's syndrome, malrotation, and congenital cardiac defects. Idiopathic intestinal perforations in a newborn, which are not associated with necrotizing enterocolitis (NEC), have been described. The authors report on a full-term neonate who had multiple perforations of the proximal jejunum distal to duodenal atresia.

Abdominal wall endometriomas.

Background: The diagnosis of abdominal wall endometriomas is often confused with other surgical conditions.

Methods: A retrospective study was made of 12 patients presenting with an abdominal wall mass, which proved to be endometrioma.

Results: Of a total of 297 patients of endometriosis treated in our hospital over a 7-year period, 12 (4%) had isolated abdominal wall endometriomas.

Spontaneous endometriosis of the abdominal wall.

Background: The abdominal wall is the commonest site of extrapelvic endometriosis, which usually develops in association with a prior surgical scar.

Case: A 28-year-old woman with two endometriomas in the recti abdominis, which developed in a scarless abdomen.

Conclusions: Abdominal wall endometrioma can develop spontaneously in the absence of prior surgical scar and should be considered in the differential diagnosis of abdominal wall masses.

Use of endovascular stents in the peripheral circulation.

The concept of transluminal treatment of vascular obstruction by the percutaneous approach was introduced by Dotter and Judkins, in 1964. Percutaneous transluminal angioplasty (PTA) developed rapidly into an extremely important therapeutic modality for relieving symptomatic obstructions in major arteries. However, it was not until 1969 that Dotter reported the successful placement of coiled stainless steel wire endarterial tube grafts, with the aid of a catheter, into the popliteal arteries of dogs.

Delayed presentation of splenic injury: still a common syndrome.

The entity of delayed splenic rupture represents an initially missed injury, a delayed presentation of the latter, or an actually delayed development of an initially latent, minor, splenic injury. Having encountered a number of patients presenting with splenic rupture days after what was considered a minor abdominal trauma we review our experience with this entity. This is a retrospective study.

Cystic Hypersecretory Duct Carcinoma of the Breast.

We present two cases of a rare form of intraductal carcinoma of the breast, "cystic hypersecretory carcinoma of the breast." The clinical and pathologic characteristics of the lesion are discussed, along with a review of the literature.