Thomas E. Jones

Mucocele of appendix

Abstract 1.1. Two cases of mucocele of the appendix are reported, one of which caused intussusception and partial intestinal obstruction in an adult. Complete recovery followed operation in each case. 2.2. Mucocele of the appendix is a rare, chronic condition which is seldom diagnosed before operation or necropsy. Its presence should be suspected in any case in which there is a movable palpable mass in the region of the cecum which is not associated with fever, loss of weight, anemia or gastrointestinal disturbances other than vague discomfort in this region. 3.3. Surgical removal of the appendix is the only method of treatment, and should be done as early as possible before pseudomyxomatous peritonaei develop which nearly always terminate fatally. 4.4. Other complications associated with mucocele of the appendix are intussusception, invagination, volvulus, intestinal obstruction and gangrene. 5.5. Surgical treatment may necessitate partial resection of the cecum as was necessary in Case 1, and the surgeon should be prepared to follow this procedure if it is necessary.

Primary carcinoma of the jejunum: Report of case

Abstract The difficulty of early diagnosis of carcinoma of the jejunum is reflected in the curability rate. Even early Roentgen therapy is of little value because a considerable degree of obstruction must be present before it is manifest and, frequently by this time, some extension has taken place. Routine examination of the stool for occult blood and insistence on early exploratory operation in the absence of definite Roentgen findings seem to offer the only hope of detecting these cases earlier so that the curability may be increased.The difficulty of early diagnosis of carcinoma of the jejunum is reflected in the curability rate. Even early Roentgen therapy is of little value because a considerable degree of obstruction must be present before it is manifest and, frequently by this time, some extension has taken place. Routine examination of the stool for occult blood and insistence on early exploratory operation in the absence of definite Roentgen findings seem to offer the only hope of detecting these cases earlier so that the curability may be increased.