Pulmonary hydatid disease

Abstract

head of the pancreas, ascites, and malignant peritoneal nodules. Gradual decompression was performed, but he became increasingly drowsy, urinary output dwindled, the blood-urea rose to 280 mg., and he died in coma three days after the operation. SUMMARY I. A brief review is presented of the operations which are performed for gall-stones, with special reference to diathermy dissection and pulmonary embolism.2 . A simple method is described of taking a cholangiogram on the operating-table. The information so obtained may reveal some abnormality which might otherwise be missed, or, conversely, the unnecessary exploration of the common duct in a doubtful case.3. I n about 15 per cent of cases the results of cholecystectomy for gall-stones are disappointing. Some of the causes are briefly considered, with suggestions for their prevention and treatment.4. I n cases of obstructive jaundice sudden decompression of intrahepatic tension may precipitate liver failure-a condition analogous to renal failure when the urinary bladder is rapidly emptied in cases of chronic retention. A technique is described by means of which gradual decompression can be accomplished, with consequent diminution of the risk of liver failure.I must express my indebtedness to the Radiological staffs of the Royal Northern and Metropolitan Hospitals for their co-operation in the production of cholangiograms, and to Mr. R. N. Lane for the realistic illustrations reproduced in this article. T H E B R I T I S H MIRIZZI, P. L. (1939), T r a i t i de Physio-Pathologie deSAINT,

Primary echinococcal cyst in the axillary region

“…According to Barret and Thomas [4], hydatid cysts have a predilection to locate in liver (60%) and lungs (30%). Other organs of the body including brain, heart, bones, muscle, kidney, and pancreas may also be affected.…”

Hydatid Disease in North Wales

“…It is relatively common in Australia, South America, Greece, Southern Italy, and in some countries of the Middle East; it is rare in the United States, but not uncommon in the native population of Canada. In Great Britain the incidence of the disease is low and, as was noted by Howell (1938), Wolfe (1943), and Barrett and Thomas (1952), largely confined to the Welsh area. Stringent public health measures have reduced the disease to a rarity in Scotland and the Shetlands.…”

One-Lung Pediatric Anesthesia: A New Use for the Pulmonary Wedge Catheter

“…1,3 If the cyst wall is ruptured during surgical manipulation, cyst contents will be discharged through these communications into the bronchus. 3 Before surgical removal is attempted, various scolicidal agents such as formaldehyde, alcohol, 4 or hypertonic saline may be injected into the cyst.…”