"The balloon diet": a noninvasive treatment for morbid obesity. Preliminary report of 108 patients.
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Biomedical subjects
Publications and source records attributed to W L Percival.
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Large sliding inguinal hernias may contain a variety of either intraperitoneal or retroperitoneal anatomical structures. A ureter within a sliding inguinal hernia has been reported rarely. The author presents such a case to alert the unwary surgeon of this possibility and to indicate a successful method of treatment. Pyelography is indicated as a routine preoperative diagnostic procedure in morbidly obese patients with large irreducible inguinal hernias, particularly if the patient complains of frequency or other urinary symptoms. The ureter should be carefully dissected with its blood supply from the sliding tissues and laid back in the retroperitoneal space with resection or reimplantation. The hernia may then be repaired by standard methods. The patient described in the report is well and free of symptoms 10 years after the operation.
This report of the case of a 37-year-old woman with hemangiosarcoma of the breast it is the first such case to be described in the Canadian literature. It is emphasized that lack of familiarity with the lesion is the main reason for its frequent misdiagnosis. This case is unusual in that the patient is alive and well 7 years after her initial operation.