A disease characterized by segments of ischaemic small intestine has been recognized in norther Thailand over the past decade. The clinical features and appearance of the diseased intestime are described. Most of the patients were treated by surgical resection of the affected bowel. The overall mortality was 14 per cent. Recently, some patients have been successfully treated by non-surgical means. The aetiology of the disease is still unknown.
Twenty patients with obstructed obturator hernia were seen at the City of Chiang Mai Hospital between 1962 and 1973. The most helpful diagnostic points are described. The relative frequency with which this disease has been seen at this hospital has made preoperative diagnosis possible in most cases in recent years and this has helped to lower the mortality.
A case is reported of complete transection of the stomach and pancreas as a results of blunt trauma. The occurrence of transection of the stomach and transection of the pancreas and their management are reviewed. From a search of the medical literature this is the first recorded case in which both these injuries have occurred together.
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