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Article
January 3, 1931

ADENOCARCINOMA OF THE HEAD OF THE PANCREAS: MISTAKEN FOR CALCIFIED CYST IN THE LOWER POLE OF A RIGHT ECTOPIC KIDNEY

Author Affiliations

ERIE, PA.
From the Urological Department, St. Vincent's Hospital.

JAMA. 1931;96(1):29-30. doi:10.1001/jama.1931.02720270031008
Abstract

Tragedies occur to every physician, no matter how careful and thorough may be the study of a given patient. It is only by careful analysis that these may be turned to future advantage.

This is a report of a woman who noticed a tumor mass in the right side of the abdomen, which was freely movable. A competent man, head of a prominent diagnostic clinic, reported after a complete gastro-intestinal study that the tumor, which apparently was fixed to the lower pole of a freely movable right kidney, was probably a hypernephroma. Several cystoscopic studies were made with the final preoperative diagnosis, calcified cyst of the lower pole of the right ectopic kidney.

At operation the kidney was found to be perfectly normal, although freely movable. The tumor mass, which was below the pelvic brim, was easily delivered into the loin incision and easily removed. Death occurred forty-eight hours later.

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