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October 15, 1973


Author Affiliations

Loma Linda, Calif

JAMA. 1973;226(3):353. doi:10.1001/jama.1973.03230030065024

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To the Editor.—  In their article, "Massive Abdominal Panniculectomy" (225:408, 1973), Meyerowitz et al describe the excision of what they call a pannus. Since, it would seem to me, panniculectomy would indicate the removal of a panniculus rather than a pannus, I consulted the 24th edition of Dorland's Illustrated Medical Dictionary, and discovered the definition of pannus to be: "1. Superficial vascularization of the cornea with infiltration of granulation tissue. 2. An inflammatory exudate overlying the lining layer of synovial cells on the inside of a joint...." The 38.5-kg mass hanging from the ceiling in the illustration seems quite large for a lesion of either an eye or the inside of a joint.It appears that what was removed was not a pannus, but a panniculus, or, more specifically, a panniculus adiposus, which is defined in Dorland's as "those parts of the subcutaneous tissue which contain especially large amounts of