Biomedical subjects
Publications and source records attributed to L D Stone.
Distant metastases from head and neck carcinoma are becoming more common, with lung, bone and liver being the most frequent sites. We present an unusual case of a metastasis from a tongue primary presenting with severe abdominal pain and pseudo large bowel obstruction.
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Pancreatic ascites is an unusual yet increasingly more often recognized complication of inflammatory pancreatic disease. The gradual onset of abdominal distension in a debilitated patient who may not have marked abdominal pain is often misdiagnosed and commonly attributed to cirrhotic ascites or malignant ascites. Analysis of ascitic fluid enables the diagnosis to be made, even in the presence of a normal serum amylase. Treatment should be initially conservative, moving onto surgery after 4-6 weeks if no improvement has occurred. When the conditions has been diagnosed the prognosis is surprisingly good despite the poor presenting condition of most patients.
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