Rupture of pancreatic cysts. Report of a case and review of the literature

✍ Scribed by William A. Hanna

• Publisher: John Wiley and Sons
• Year: 1960
• Tongue: English
• Weight: 484 KB
• Volume: 47
• Category: Article
• ISSN: 0007-1323
• DOI: 10.1002/bjs.18004720508

✦ Synopsis

operation carried out varied with the circumstances in that, for example, local excision was performed of what was thought to be a lipoma; in another z cases conservative resection was undertaken; and the perforation was recognized, closed, and oversewn. However, it will be noted that in 2 patients, including the case described in the introduction, right hemicolectomy was undertaken in the belief that the lesion was malignant.

I n all instances the results were satisfactory and convalescence was straightforward.

It must be conceded that the experience thus gained is unlikely to improve our diagnostic accuracy when the choice lies between acute inflammation of solitary diverticulum and appendicitis, but we feel that there are certain distinguishing features to be considered when the surgeon is faced at operation with the probability that he is dealing with a malignant lesion. These are briefly: young age-group, short history, and the infrequency of a palpable mass. All favour diverticulitis.

I n conclusion, the fact remains that the occasion will arise when despite full consideration of all