Biomedical subjects
Publications and source records attributed to J D Wig.
A case of caecal actinomycosis presenting as a lump in the right iliac fossa is discussed. A right hemicolectomy was performed with complete cure. Clinical awareness of this condition is necessary for proper management and to differentiate it from tumour.
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The classical approach to management of intestinal hemorrhage due to typhoid ulceration has been conservative. In, however, the event of massive, persistent and life-threatening hemorrhage not responding to conservative measures, early surgical intervention is life-saving, controls typhoid toxemia rapidly and presents no special difficulties. A right hemicolectomy is recommended. Four such patients treated by us with bowel resection have had an uneventful recovery.
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Fifteen cases with generalized amebic peritonitis have been described. Early surgical intervention combined with intensive resuscitation and specific chemotherapy has given good results. Mortality associated with colonic perforation may be reduced by performing staged procedures. Chances of survival may be improved through early diagnosis by suspecting an amebic cause in cases of generalized peritonitis in endemic areas.
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