Cardiomegaly in a Newborn Due to Placental Chorioangioma

Abstract

JOURNALrate (90 mm./hour, Westergren).Ascitic fluid was haemor- rhagic, having a specific gravity of 1016 and 2.4 g. of protein per 100 ml.; cytological examination by Papanicolaou's technique revealed class I cells.Peritoneal biopsy disclosed an anaplastic malignant growth, some cells showing evidence of mucus secretion.Case 2.-A Hindu man aged 25 was admitted to hospital complaining of distension of the abdomen and anorexia for two months.His previous history did not reveal any- thing significant.Liver-function tests were slightly abnormal (T.T. 4 units, T.F.+) and the liver biopsy obtained by Vim Silverman needle confirmed the diagnosis of portal cirrhosis.Ascitic fluid had a specific gravity of 1020, 5.1 g. of protein per 100 ml., and 20 lymphocytes per c.mm.A peritoneal biopsy specimen revealed granulation tissue composed of epithelioid cells, giant cells, and caseation.Acid-fast bacilli were demonstrated in the peritoneal tissue section by Ziehl-Neelsen method of staining.Case 3.-A Mohammedan woman aged 20 was admitted to hospital complaining of loss of appetite, low-grade pyrexia, and loss of weight for 25 days.Her previous history did not reveal anything significant.Physical examination showed glandular enlargement in the left side of the neck and minimal ascites.A skiagram of the chest was normal.A follow-up barium-meal study revealed ileal stasis, and adherent terminal ileal loops which were tender.The peritoneal biopsy showed an accumulation of epithelioid cells arranged in a follicular pattern and the presence of caseation necrosis.Acid-fast bacilli could be demonstrated in the peritoneal tissue by the Ziehl-Neelsen method of staining.Case 4.-A Hindu woman aged 30 was admitted to hospital complaining of distension of the abdomen and weakness for two and a half months.Her previous history