Accessory spleen in the scrotum

✍ Scribed by M. J. Bennett-Jones; C. A. St. Hill

• Publisher: John Wiley and Sons
• Year: 1952
• Tongue: English
• Weight: 398 KB
• Volume: 40
• Category: Article
• ISSN: 0007-1323
• DOI: 10.1002/bjs.18004016112

✦ Synopsis

total acidity of the stomach is normal and this, combined with the long history and the comparatively slight alteration in the patient's weight, renders it possible to differentiate the condition from malignant disease of the stomach, even when the tumour produces a gross filling defect of the stomach on radiological examination.

T h e exogastric type grows away from the lumen of the stomach, becomes subserous, and then grows into the peritoneal cavity. Willis (1948) recorded a subserous gastric myoma weighing 900 g. and Rajasingham and Cooray (1950) successfully removed an unusually large leiomyoma of the stomach which nearly filled the abdominal cavity and weighed 4080 g. This type may give rise to atypical dyspepsia with negative radiological findings and it depends on the size of the tumour whether a lump is palpable on abdominal examination. When found it is usually mobile, non-tender and diagnosis is only certain on exploration of the abdomen.