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Biomedical subjects

P M Devig

Publications and source records attributed to P M Devig.

5 recordsLinked to original sources

Cardiac myxoma arising from the inferior vena cava.

This report documents what we believe to be the first reported case of a cardiac myxoma originating from inferior vena caval tissue. Myxomas account for 50 percent of cardiac tumors and present with either embolic, obstructive, or constitutional symptoms and signs. Diagnosis is facilitated by angiography and echocardiography and should be followed promptly by careful and complete removal of the mass and adjacent tissue with close follow-up by clinical and echocardiographic examinations.

Adult↗

The recessed chest wall pacemaker pocket.

Recurrent pouch problems led to the development of a recessed chest wall pacemaker pocket. Segments of the seventh and eighth ribs were resected in the mid-axillary line resulting in a "tailor-made" space suitable for generator implantation. Follow-up at one year has proven the chest wall to be a satisfactory alternative site for a pacemaker pocket.

Follow-Up Studies↗

Bowel perforation with candidiasis.

Spontaneous multiple jejunal perforations developed in a relatively normal patient. Candida albicans was cultured from a biopsy specimen of an area of perforation and from peritoneal fluid. Yeasts and pseudohyphae were seen deep within the necrotic mucosa. Serial determinations of precipitating and agglutinating antibodies support the diagnosis of invasive candidiasis causing this unusual presentation.

Adult↗

Pancreatic ascites.

Two patients with pancreatic ascites secondary to acute pancreatitis are presented. Successful drainage was carried out in one patient with distal pancreatectomy and Roux-en-Y pancreaticojejunostomy and in the other by cystoduodenostomy. Most cases of pancreatic ascites are due to a mild peritoneal reaction casued by inactivated pancreatic enzymes liberated after ductal or pseudocyst disruption. A majority of cases are successfully treated by surgical correction of the underlying pathology.

Acute Disease↗