Splenic rupture as a consequence of dual malignant pathology: a case report.

A 76 year old woman presented acutely with non-traumatic splenic rupture, which was successfully treated by emergency splenectomy. Histological examination of the spleen revealed the coexistence of metastatic adenocarcinoma cells, together with low grade B cell non-Hodgkin lymphoma. Splenic rupture as a consequence of malignant disease is discussed, together with a brief review of the literature.

Cholesterolosis in patients with chronic acalculous biliary pain.

The outcome of patients with cholesterolosis was compared with that of those with chronic cholecystitis operated on for chronic acalculous biliary pain. A total of 55 patients with acalculous biliary pain with a median symptom duration of 24 (range 6-120) months were investigated by dynamic cholescintigraphy and followed for a median of 24 (range 12-60) months. Thirty-five patients underwent cholecystectomy, of whom 22 had a low gallbladder ejection fraction (under 35 per cent), with symptomatic improvement in 21 of these (P < 0.

Factors influencing post-operative hospital stay after transurethral resection of the prostate gland.

The influence of 12 clinical and social factors on the length of post-operative stay in hospital after transurethral resection of the prostate was investigated in 100 patients. Using a multiple binary regression analysis, the factors significantly associated with a post-operative stay exceeding 6 days were: patient's age greater than 70 years (P less than 0.005), the presence of existing cardiovascular disease (P less than 0.

Acute chylous peritonitis with associated intestinal tuberculosis.

Acute chylous peritonitis is a rare condition that may be a sign of occult disease. However, in the majority of cases an underlying cause has not been demonstrated. The following is a case report of a five-year-old boy with acute chylous peritonitis with associated intestinal tuberculosis.