Richard D. Signer

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A patient with a huge mesenteric lipoma is discussed. A review of the literature reveals that there are less than 30 reported cases and consequently this diagnosis is rarely made preoperatively. An upper gastrointestinal series with a small bowel follow-through and a mesenteric arteriogram may suggest this condition. Surgical excision is the treatment of(More)
Vascular injuries in children are not rare. The rising incidence of general trauma in children and the frequent use of diagnostic procedures in this age group may contribute to an overall increase in these injuries. A 10-year experience with severe vascular injuries in children at The Johns Hopkins Hospital has been reviewed. The mechanisms of production(More)
The patient is a 2-year-old Caucasian boy with acute acalculous cholecystitis (AC) but none of the predisposing factors that are typically found in patients with this disease. The presentation and clinical course of the disease was typical of AC. Nonsurgical intervention resulted in resolution of the child's initial symptoms. After recurrent bouts of(More)
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