Annular pancreas presenting as high intestinal obstruction in the newborn has been reported on numerous occasions.14 The purpose of this paper is to report the occurrence of annular pancreas causing duodenal obstruction in the newborn in two consecutive siblings. Case Reports Case 1, D.B., a male, was born August 31, 1966. The mother was gravida III, para II. Her expected date of confinement was September 12, 1966. The pregnancy had been uneventful except that she had minimal polyhydramnios. The mother had been on no medications during her pregnancy except a prenatal vitamin and iron. On August 31, 1966 the mother underwent an elective cesarean section because of previous cesarean sections which were performed for cephalo-pelvic disproportion.
Two individuals, a father and son with idiopathic intestinal pseudo-obstruction (IIPO), a familial visceral neuropathy, and major depressive illness are presented. In both the bowel symptoms preceded the onset of the depressive illness – the bowel symptoms presenting in mid-adolescence and the depressive illness presenting in middle age. Both patients required numerous laparotomies and both were treated with a series of ECTs. Both developed vitamin B12 deficiency anaemia and other evidence of malabsorption. At post-mortem both patients showed evidence of distension of the small bowel with volvulus. An extensive pedigree of both conditions overlapping in two inter-related families now extending to the fourth generation with 28 children under the age of 30 is described. Pending further investigation and genetic studies we postulate a possible common neurotransmitter pathology and recommend further neurochemical and histopathological studies of the myenteric plexus in IIPO. Furthermore, the genetic locus of familial IIPO might provide a genetic marker for some forms of primary affective disorder.
The Broighter gold boatThe front cover of The Irish Journal of Psychological Medicine Vol. 9 No. 2 featured the Gold Boat with its fittings, from the Broighter Gold Hoard, now safely preserved in the National Museum of Ireland. The hoard consists of the little boat which resembles a currach, with oars, boat hook etc., a collar, tubular in structure, and richly ornamented with the bold raised designs of the La Tene Period, together with a bowl, and some slender chains. In 1896, a man ploughing at Broighter turned them up near the corner of a field, on flat ground near the tidal River Roe, the surface being about 4' above high water and the objects had been lying close together, under some 14" of soil (1).The British Museum acquired them by purchase, but they were then claimed by the Royal Irish Academy, acting on behalf of the Irish government which considered they were treasure trove, that is, precious objects deposited or hidden with the intention of subsequent recovery (2). The British Museum declined to give them up, claiming they constituted a votive offering made when the sea flowed over the site, and thus, deposited from a boat, and abandoned. There then followed a remarkable trial at the Royal Courts of Justice in June 1903, remarkable for the unusual nature of the evidence, which ranged from ploughing, conchology and geology to folklore and mythology. For three days Mr. Justice Farwell listened to an amazing medley of fact and fancy, but his judgement delivered one week later, left little doubt, "the Court has been occupied listening to fanciful suggestions more suited to the poem of a Celtic Bard, than the prose of an English Law Report. The defendants' suggestion is that the articles were thrown into the sea, which they suggest then BOOK REVIEWS BOOKS RECEIVEDA new home in the community. (The Sovereign Series: Language beyond words).
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