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H. W. HEUPEL, MD

AMA Arch Surg. 1966;92(2):273-276.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

LIVER metastases are rarely considered a cause of acute surgical abdomen. Cope¹ states "... it has been (the writer's) aim to put down nothing which has not been frequently confirmed and demonstrated in his own experience." He fails to mention liver metastases as a cause of acute abdomen.

A review of operations at the Minneapolis Veterans Administration Hospital from 1953 to 1965 reveals six cases of acute abdomen where cancer in the liver was found at laparotomy. Cholecystitis was suspected in four cases, subhepatic abscess in one, and appendicitis in one. The site of the primary tumor was the colon (case 1 and 2), pancreas (case 3 and probable in case 4), small intestine (case 5), and liver (case 6).

Report of Cases

CASE 1 (146590).

—A 69-year-old man was admitted with the diagnosis "acute cholecystitis, cholelithiasis, rule out peptic ulcer." He had been troubled with an upset stomach and . . . [Full Text PDF of this Article]

Author Affiliations
MINNEAPOLIS

From the Department of Surgery, Minneapolis Veterans Administration Hospital and the University of Minnesota, Minneapolis.

Footnotes
Submitted for publication Sept 11, 1965.

Reprint requests to 54th St and 48th Ave, South, Minneapolis, Minn 55417.

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