Sequelae of cholecystojejunostomy for benign intrapancreatic biliary strictures.
Department of Surgery, King Edward VIII Hospital, Durban.
The case histories of 5 patients who presented with recurrent jaundice following cholecystojejunostomy for biliary decompression of benign intrapancreatic strictures were studied. Four developed episodes of severe cholangitis 2-9 years after their initial operation. A subsequent surgical intervention was undertaken in 3 patients, 2 of whom died from cholangitis. The fourth patient experienced 3 episodes of cholangitis, declined surgical intervention and died. The fifth patient presented 4 months after the first procedure with a transient cholangitis. Cholelithiasis and cholangitis may take several years to develop but seem inevitable when cholecystojejunostomy is used to decompress benign biliary obstruction. Its use in suspected benign biliary obstruction should be abandoned.
Diffuse leiomyomatosis of the oesophagus--a case report.
Department of Anatomical Pathology, Medical University of Southern Africa, Medunsa.
A case of diffuse leiomyomatosis of the oesophagus is described. The patient presented with progressive dysphagia and severe loss of weight. Barium swallow revealed a massively dilated oesophagus. The patient was treated by oesophageal resection, but died 12 hours after the operation.