Gordon J. Culver

Extracranial Metastases from Medulloblastomas

Abstract Three cases of extracranial metastases from medulloblastomas are presented of a total of 60 cases statistically analyzed. All are postcraniectomy. The most common metastatic site is bone, followed by the lymph nodes, then other soft tissues. Osseous metastases are mainly to the axial skeleton and consist of osteoblastic and osteolytic types, appearing much the same as metastases from breast carcinoma. In one of the cases presented, the first metastasis recognized was to the breast.

Intramural hematoma of the jejunum. A case report.

Two of the authors recently published an article on intramural hematoma of the duodenum (7) in which the literature on this condition was reviewed and a case was reported. Shortly after the appearance of this article an opportunity arose to examine a patient with an intramural hematoma of the jejunum. Intramural hematoma is more rarely seen in the jejunum than in the duodenum, and it seemed worthwhile to report this example, since there were roentgenographic changes which made it possible to establish the diagnosis preoperatively. Case Report C. F., a 52-year-old man, was admitted to The Buffalo General Hospital, Feb. 22, 1960, complaining of abdominal pain, nausea, and vomiting of about five days duration. The pain was crampy in nature at the onset, gradually developing into a generalized abdominal discomfort. The nausea and vomiting became less severe and were accompanied by abdominal distention. Nine weeks prior to the present admission, the patient had a coronary thrombosis and anticoagulant (Dicumaro...

Criteria for Roentgen Diagnosis of Submucosal Gastric Lipoma

A review of the world literature shows that gastric lipoma is infrequent. To date, excluding those in this study, 103 cases have been reported, 56 of them in the English literature. Of tumors of the stomach, less than 5 per cent are benign, and of these 3 per cent are lipomas. Despite their relative rarity, they assume importance because, with the aid of the characteristic feature we are presenting, they can be diagnosed with reasonable certainty by radiologic means. The roentgen criteria of Moore (8) are referred to in nearly all articles reporting cases of gastric lipoma, but are for benign gastric tumors in genera1. They are, therefore, of no aid in the differentiation of lipoma from other benign lesions. Skorneck (13) in 1952, reporting a case of gastric lipoma, refers to a unique roentgen appearance enabling a preoperative diagnosis of lipoma, namely, an area of radiolucency not representing intestinal gas. His was a large lesion, and in our experience and study of the available literature, lipomas o...

Renal carbuncle: Simulation of tumor response to epinephrine

A case of renal carbuncle with unusual angiographic findings is presented. The abscess showed abnormal vessels on selective angiogrpahy which were enhanced after intra-arterial epinephrine. New foci of abnormal vessels were also seen on the postepinephrine angiogram.

Chronic ulcerative disease of the colon

SummaryThe surgical material from 41 random cases of chronic ulcerative disease of the colon was reviewed. There were 28 cases of chronic ulcerative colitis and 13 cases of Crohns disease of the colon. The clinical and pathologic findings were in agreement, in general, with those reported in the literature. Specimens from ten cases of chronic ulcerative colitis and five cases of Crohns disease of the colon were studied with additional special stains. In the former the argentaffin and argyrophilic cells were usually increased in numbers, but in the latter those cells were decreased. In two of the indicated five cases of Crohns disease the mucosal mucin apparently was inducing the granulomas, which were similar to those reported to occur in the disease.

X-ray diagnosis of a mycotic aneurysm: case report.

The Preoperative or premortem diagnosis of a mycotic abdominal aortic aneurysm due to Salmonella has been difficult. A febrile illness, with a positive blood culture for Salmonella, abdominal pain, and roentgen demonstration of displacement of the duodenum should suggest the possibility of such an aneurysm (1). We have recently encountered another radiographic finding extremely helpful in its preoperative diagnosis. Case Report A 70-year-old diabetic white male suffered epigastric pain, fever, and shaking chills one week prior to hospitalization. Physical examination on admission revealed a cachectic, confused patient. Blood pressure was 140/70 mm Hg; pulse, 88/minute, and temperature, 104°. The abdominal aorta was easily palpable and tender. Two blood cultures, as well as urine and stool cultures, were positive for Salmonella typhimurium. Plain abdominal x-ray films disclosed a localized gas accumulation surrounding a spherical mass about 6 em in diameter, The lesion seemed to encompass or be part of the...