An unusual foregut anomaly an extragastric pouch communicating with the pancreatic duct
✍ Scribed by J. W. Bradbeer
- Book ID
- 101732161
- Publisher
- John Wiley and Sons
- Year
- 1959
- Tongue
- English
- Weight
- 322 KB
- Volume
- 46
- Category
- Article
- ISSN
- 0007-1323
No coin nor oath required. For personal study only.
✦ Synopsis
THE anomaly of the foregut in this patient is of interest because of the mode of presentation and the transient nature of the physical signs, together with the operative, radiological, and pathological findings.
CASE REPORT
In May, 1957, a thin underdeveloped youth, aged 17 years, was admitted to the Medical Unit of the Cardiff Royal Infirmary. His first symptoms began at the age of epigastrium just to the left of the midline. The position of the lump corresponded exactly with the site of the pain. The tumour was felt only when the pain was present, but could not be felt during every attack.
Antispasmodics had a variable effect on the pain. Amy1 nitrite produced immediate relief lasting for 5 min. Ten minims of belladonna relieved the pain in 15 rnin., its effect lasting all day. Atropine gr. 1/200 intravenously relieved the pain in z min. but it recurred 6 min. later. FIG. 692.--Specimen removed at operation (natural size).