Abdominal Upper Quadrant Research Articles

ACCESSORY LOBES OF THE LIVER

When operating on a patient for disease in the right upper abdominal quadrant, Feb. 26, 1924, I was surprised to find a small, discrete, flat piece of liver tissue lying on the surface of the gallbladder. This little body had sharp margins and, though in miniature, was veritable liver. It was attached to the gallbladder by a small mesentery, and was about 3 cm. distant from the liver proper. I gently lifted it up, tied off its mesentery with a fine catgut ligature, and removed this accessory liver intact. Recently, I have spent many hours in the Surgeon-General's Library, reviewing the literature bearing on abnormalities of the liver, and in this article I shall endeavor to give a short account of the more important observations. Abnormalities of the gallbladder might also be discussed with profit. For example, Rambault and Schachmann,¹in 1882, recorded a case ot congenital absence of

MALIGNANT TUMORS OF THE SUPRA-RENAL GLAND

Malignant tumors of the suprarenal gland are comparatively rare, and an early diagnosis is more difficult than that of hypernephroma or other growths occurring in the kidneys. The prompt detection of this condition is, however, of paramount importance, for the patient's only hope of recovery lies in surgical intervention before adjacent structures have become involved or metastases have occurred. The case here reported is of unusual interest from etiologic and diagnostic standpoints. It afforded an opportunity for anatomic and histologic study, in addition to thorough clinical investigation. While correctly designated under the broader term a hypernephroma, it should be classified with the adenocarcinomas. REPORT OF CASE M. G., a youth, aged 17, a leather repairer, seen in consultation with Dr. Harold Brunn, entered the Mount Zion Hospital clinic complaining of pain in the left upper abdominal quadrant. Except for measles when a child, he had never been sick before. Two

Remarks on the Surgery of the Right Upper Abdominal Quadrant

Remarks on the Surgery of the Right Upper Abdominal Quadrant