- Email: [email protected]
Primary liver tumor presenting as right atrial tumor: A case report
,611
INTERNATIONAL ABSTRACTS OF PEDIATRIC SURGERY
verus ruptured omphalocoele is not discussed. Forty-two cases of "omphalocoele'" were collected and 4 o f these "fulfilled the diagnostic criteria for gastroschisis." Conventional treatment was employed consisting of primary fascial closure where possible. When skin flaps are all that cover the defect care is taken not to mobilize over the anterior chest to avoid future difficulties in closing. It is stated that "no attempt was made to separate bowel loops." Others have found this of value however, and it probably should be done in conjunction with removal of the exudate to achieve early peristalsis. A mortality rate of 33 per cent was re-
ported.--Edward J. Berman. ASYMETmCAL HETEnOPAGUS. M. Kekomaki, I. Louhimo, and M. PasiIa. Ztschr. Kinderchir. 3:354-360, 1966. The authors describe a successfully treated case of a 5 year old boy with an asymmetrical heteropagus. This is a very rare malformation and its etiology is discussed. Next to an omphalocele sac there was a rudimentary limb which extended to the anterior thoracic wall. At a later operation there was a huge duplication which extended from the stomach into the large bowel. The commencement of the duplication was placed within the thorax and surrounded the heart and its continuity into the abdomen was through the foramen of Bochdalek. The child is now quite symptom free.--S. Hofmann and H. B. Eckstein.
A ease of embryonal cell rhabdomyosarcoma arising in the left lobe of the liver of a 7 year old boy, and presenting originally as a tumor of the right atrimn is described. The tumor was r e m o v e d from the right atrium using eardioptd/nonary bypass, and t h e diagnosis: was, th:ought to be atrial myxoma. The patient was discharged from the hospital, and returned 4 months later with the t~ndings o f massive liver enlargement and prominent collateral veins on the abdomen. Diagnostic tests revealed an obstruction in the inferior vena eava at the level of the liver. At re-operation left hepatic lobectomy was attempted, and death occurred postoperatively from hemorrhage. At autopsy no tumor could be found elsewhere in the liver or the body.--Daniel T. Cloud. DIFFICULTIES IN THE OPERATIVE DIAGNOSIS OF CONGENITAL ATRESIA OF THE BILIARY DUCTAL SYSTEM. G. /:[. Mason, W. North-
wa!r and IL B. Cohn. Amer. J. Surg. 112:183-187, August, 1966, Two cases are reported which were explored for the diagnosis of neonatal jaundice. In each case "a gallbladder" connected to the duodenum was found but no reflux of the dye into the hepatic radicals was shown. In each case the patient lived with decreasing jaundice and was re-explored at a later date and found to have intrahepatie duets which were smaller than normal. The condition of hypoplastie hepatic duets draining the biliary system is discussed.--Neville
K. Connolly. HEPATIC
HEMOANGIOENDOTHELIOMA IN
A
NEWBORN. F. Bellini, and A. Beltrame. Arch. It. Chir. 41:594-602, 1965. A 4 month old male was operated upon because of a large abdominal mass. A round free mass 15 x 10 X 7 cm., was connected to the inferior surface of the liver by a 2.5 era. wide pediele and was easily excised. Histology revealed angioendothelioma or hamartoma.--C. A. Montagnani. PRIMARY LIVER TUMOR PRESENTING AS RIGHT ATRIAL TUMOR: A CASE REPORT.
Conrad R. Lam, Dale Webb, and Edward Green. Surgery 59:872-877, May, 1966.
HEPATIC LYMPHATIC DRAINAGE JEJUNUM FOR CONGENITAL
TO THE BILIARY
ATRESlA. Eric W. Fonkatsrud, Shiro Kitagawa, and William P. Longmire, Jr. Amer. J. Surg. 112:188-194, August, 1966. On the basis of experimental work with dogs, where an anastomosis of the Roux-enY type was made between the hepatic lymphatics at the oorta hepatis and the bowel, which produced a reduction of serum bilirubin in dogs who had had previous ligation of the common duct, 5 cases of biliary atresia were operated upon by this technic. In each case there was a tran-
INTERNATIONAL ABSTRACTS OF PEDIATRIC SURGERY
verus ruptured omphalocoele is not discussed. Forty-two cases of "omphalocoele'" were collected and 4 o f these "fulfilled the diagnostic criteria for gastroschisis." Conventional treatment was employed consisting of primary fascial closure where possible. When skin flaps are all that cover the defect care is taken not to mobilize over the anterior chest to avoid future difficulties in closing. It is stated that "no attempt was made to separate bowel loops." Others have found this of value however, and it probably should be done in conjunction with removal of the exudate to achieve early peristalsis. A mortality rate of 33 per cent was re-
ported.--Edward J. Berman. ASYMETmCAL HETEnOPAGUS. M. Kekomaki, I. Louhimo, and M. PasiIa. Ztschr. Kinderchir. 3:354-360, 1966. The authors describe a successfully treated case of a 5 year old boy with an asymmetrical heteropagus. This is a very rare malformation and its etiology is discussed. Next to an omphalocele sac there was a rudimentary limb which extended to the anterior thoracic wall. At a later operation there was a huge duplication which extended from the stomach into the large bowel. The commencement of the duplication was placed within the thorax and surrounded the heart and its continuity into the abdomen was through the foramen of Bochdalek. The child is now quite symptom free.--S. Hofmann and H. B. Eckstein.
A ease of embryonal cell rhabdomyosarcoma arising in the left lobe of the liver of a 7 year old boy, and presenting originally as a tumor of the right atrimn is described. The tumor was r e m o v e d from the right atrium using eardioptd/nonary bypass, and t h e diagnosis: was, th:ought to be atrial myxoma. The patient was discharged from the hospital, and returned 4 months later with the t~ndings o f massive liver enlargement and prominent collateral veins on the abdomen. Diagnostic tests revealed an obstruction in the inferior vena eava at the level of the liver. At re-operation left hepatic lobectomy was attempted, and death occurred postoperatively from hemorrhage. At autopsy no tumor could be found elsewhere in the liver or the body.--Daniel T. Cloud. DIFFICULTIES IN THE OPERATIVE DIAGNOSIS OF CONGENITAL ATRESIA OF THE BILIARY DUCTAL SYSTEM. G. /:[. Mason, W. North-
wa!r and IL B. Cohn. Amer. J. Surg. 112:183-187, August, 1966, Two cases are reported which were explored for the diagnosis of neonatal jaundice. In each case "a gallbladder" connected to the duodenum was found but no reflux of the dye into the hepatic radicals was shown. In each case the patient lived with decreasing jaundice and was re-explored at a later date and found to have intrahepatie duets which were smaller than normal. The condition of hypoplastie hepatic duets draining the biliary system is discussed.--Neville
K. Connolly. HEPATIC
HEMOANGIOENDOTHELIOMA IN
A
NEWBORN. F. Bellini, and A. Beltrame. Arch. It. Chir. 41:594-602, 1965. A 4 month old male was operated upon because of a large abdominal mass. A round free mass 15 x 10 X 7 cm., was connected to the inferior surface of the liver by a 2.5 era. wide pediele and was easily excised. Histology revealed angioendothelioma or hamartoma.--C. A. Montagnani. PRIMARY LIVER TUMOR PRESENTING AS RIGHT ATRIAL TUMOR: A CASE REPORT.
Conrad R. Lam, Dale Webb, and Edward Green. Surgery 59:872-877, May, 1966.
HEPATIC LYMPHATIC DRAINAGE JEJUNUM FOR CONGENITAL
TO THE BILIARY
ATRESlA. Eric W. Fonkatsrud, Shiro Kitagawa, and William P. Longmire, Jr. Amer. J. Surg. 112:188-194, August, 1966. On the basis of experimental work with dogs, where an anastomosis of the Roux-enY type was made between the hepatic lymphatics at the oorta hepatis and the bowel, which produced a reduction of serum bilirubin in dogs who had had previous ligation of the common duct, 5 cases of biliary atresia were operated upon by this technic. In each case there was a tran-