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The radiologic discrimination of abdominal masses in infants
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ignore the "spitter" but to adequately study the child with diagnostic radiography and surgical correction if indicated. Clifford Rubin The Radiologic Discrimination of Abdominal Masses in Infants. E. S. Tank, A. K. Poznanski, and J. F. Holt. J. Urol. 109:128 132 (January), 1973. The authors feel that most asymptomatic mass lesions discovered within the first year of life can be differentiated by radiologic means. A single injection of radio-opaque contrast material can produce inferior venacavography, total body opacification and excretory urography to give the information that is diagnostic. A description of the usefulness of the various radiologic tests is described in more detail. The authors emphasize the use of angiography to differentiate hepaticlesions. S. Kim Pseudocysts of Pancreas in Children. J. Kopeckj~, Z. B?ezina, S. Tr?kovh. Rozhl. Chir. 52(2):231-235, 1973. This is a report (from the County Hospital, Ostrava) of two cases of pseudocyst of the pancreas following an injury in girls, 15 and 5 yr old, respectively. In the first case, a resection together with the tail of the pancreas was performed; in the other a cystogastrostomy. In both, the postoperative course was without complications.-- V. Kafka Subcapsular Injuries of Pancreas. M. Kud~lka, R. Plhal, K. Nohejl. Rozhl. Chir. 52(4): 261 266, 1973. The authors recommend the use of suction to remove the destroyed pancreatic tissue, suture of the capsule of pancreas and insertion of a drainage tube under low suction. (1) An 8-yrold boy was operated upon 9 hr after injury (motorcycle). The crushed cauda pancreatis was removed by suction and the wound drained. (2) A girl of 9 yr came to surgery on the fifth day after fall on a bike steering wheel. Contusion of the body of pancreas was found with effusion into the bursa omentalis. Suture of the capsule and outer drainage were performed. A fistula closed spontaneously on the 44th day after surgery. (3) In the last case, a 2-yr-old girl, surgery was performed 24 hr after i n j u r y - - a fall against a bicycle steering wheel. 21 days later she was reoperated because of development of a pseudocyst. A gastrocysto-anastomosis was used. All were cured. V. Kafka
ABSTRACTS
GENITOURINARY TRACT Multi Locular Renal Cystic Disease In Children. D. E. Johnson, A. G. Ayala, H. Medellin, andJ. Wilber. J. Urol. 109:101-103 (January), 1973. Three cases are presented where abdominal renal masses were interpreted preoperatively as Wilms' tumor. In the first two cases, the error was corrected at the time of laparotomy. In the third case, radio- and chemotherapy were administered preoperatively. The authors point out the lack of characteristic angiographic findings in Wilms' tumor and emphasize that extirpation of the cystic mass with preservation of the remaining kidney is the treatment of choice. S. Kim Cure of Hypertension in a Child With Renal Artery Stenosis and Hydronephrosis in a: Solitary Kidney. A. J. Presto, II1, and R. G. Middleton. J. Urol. 109:98 100 (January), 1973. A case report of an 1 l-yr old with hypertension of 7-yr duration who had undergone a right nephrectomy for hydronephrosis at the age of 4 yr. Following this, the child had unresponsive severe hypertension as high as 200/ 150. Radiography revealed a left UPJ obstruction and angiogram revealed a left renal artery stenosis. Surgical correction included a saphenous vein patch graft to the renal artery and a dismembered foley Y-V pyeloplasty. One year follow up reveals a blood pressure of 105/65.-S. Kim Primary Obstructive Megaureter in Adults. M. R. Heal. Br. J. Urol. 45:490 496, (October), 1973. Fifteen adult patients with obstructed megaureter are reviewed. The majority were in their late teens or early 20s but four presented over the age of 40 yr. Ten were treated expextantly for periods of between 6 mo and 40 yr without apparent deterioration in the urinary tract. Three patients underwent ureteric reimplantation. One 48-yr-old women developed a transitional cell carcinoma in the middle third of the megaureter.--J. H, Johnston Results of Surgical Therapy of Vesicoureteral Reflux in Children. H. Faflovh. Rozhl. Chir. 52(2):129-133, 1973. In the period of 1960 1970, 112 children were operated on for vesico-ureteral reflux at the
ignore the "spitter" but to adequately study the child with diagnostic radiography and surgical correction if indicated. Clifford Rubin The Radiologic Discrimination of Abdominal Masses in Infants. E. S. Tank, A. K. Poznanski, and J. F. Holt. J. Urol. 109:128 132 (January), 1973. The authors feel that most asymptomatic mass lesions discovered within the first year of life can be differentiated by radiologic means. A single injection of radio-opaque contrast material can produce inferior venacavography, total body opacification and excretory urography to give the information that is diagnostic. A description of the usefulness of the various radiologic tests is described in more detail. The authors emphasize the use of angiography to differentiate hepaticlesions. S. Kim Pseudocysts of Pancreas in Children. J. Kopeckj~, Z. B?ezina, S. Tr?kovh. Rozhl. Chir. 52(2):231-235, 1973. This is a report (from the County Hospital, Ostrava) of two cases of pseudocyst of the pancreas following an injury in girls, 15 and 5 yr old, respectively. In the first case, a resection together with the tail of the pancreas was performed; in the other a cystogastrostomy. In both, the postoperative course was without complications.-- V. Kafka Subcapsular Injuries of Pancreas. M. Kud~lka, R. Plhal, K. Nohejl. Rozhl. Chir. 52(4): 261 266, 1973. The authors recommend the use of suction to remove the destroyed pancreatic tissue, suture of the capsule of pancreas and insertion of a drainage tube under low suction. (1) An 8-yrold boy was operated upon 9 hr after injury (motorcycle). The crushed cauda pancreatis was removed by suction and the wound drained. (2) A girl of 9 yr came to surgery on the fifth day after fall on a bike steering wheel. Contusion of the body of pancreas was found with effusion into the bursa omentalis. Suture of the capsule and outer drainage were performed. A fistula closed spontaneously on the 44th day after surgery. (3) In the last case, a 2-yr-old girl, surgery was performed 24 hr after i n j u r y - - a fall against a bicycle steering wheel. 21 days later she was reoperated because of development of a pseudocyst. A gastrocysto-anastomosis was used. All were cured. V. Kafka
ABSTRACTS
GENITOURINARY TRACT Multi Locular Renal Cystic Disease In Children. D. E. Johnson, A. G. Ayala, H. Medellin, andJ. Wilber. J. Urol. 109:101-103 (January), 1973. Three cases are presented where abdominal renal masses were interpreted preoperatively as Wilms' tumor. In the first two cases, the error was corrected at the time of laparotomy. In the third case, radio- and chemotherapy were administered preoperatively. The authors point out the lack of characteristic angiographic findings in Wilms' tumor and emphasize that extirpation of the cystic mass with preservation of the remaining kidney is the treatment of choice. S. Kim Cure of Hypertension in a Child With Renal Artery Stenosis and Hydronephrosis in a: Solitary Kidney. A. J. Presto, II1, and R. G. Middleton. J. Urol. 109:98 100 (January), 1973. A case report of an 1 l-yr old with hypertension of 7-yr duration who had undergone a right nephrectomy for hydronephrosis at the age of 4 yr. Following this, the child had unresponsive severe hypertension as high as 200/ 150. Radiography revealed a left UPJ obstruction and angiogram revealed a left renal artery stenosis. Surgical correction included a saphenous vein patch graft to the renal artery and a dismembered foley Y-V pyeloplasty. One year follow up reveals a blood pressure of 105/65.-S. Kim Primary Obstructive Megaureter in Adults. M. R. Heal. Br. J. Urol. 45:490 496, (October), 1973. Fifteen adult patients with obstructed megaureter are reviewed. The majority were in their late teens or early 20s but four presented over the age of 40 yr. Ten were treated expextantly for periods of between 6 mo and 40 yr without apparent deterioration in the urinary tract. Three patients underwent ureteric reimplantation. One 48-yr-old women developed a transitional cell carcinoma in the middle third of the megaureter.--J. H, Johnston Results of Surgical Therapy of Vesicoureteral Reflux in Children. H. Faflovh. Rozhl. Chir. 52(2):129-133, 1973. In the period of 1960 1970, 112 children were operated on for vesico-ureteral reflux at the