
CT Case 102
A 52 year old man is brought to hospital by ambulance complaining of 2 weeks of abdominal pain and constipation. What does the abdominal CT show?

A 52 year old man is brought to hospital by ambulance complaining of 2 weeks of abdominal pain and constipation. What does the abdominal CT show?

Auto-appendicectomy: three landmark self-appendectomy cases—Kane (1921), McLaren (1944), Rogozov (1961)—and what they reveal about surgery in extremis.

Fernand Cathelin (1873–1960), Paris urologist who pioneered caudal epidural anaesthesia (Cathelin’s method) and designed the urine-divider and air cystoscope.

Charles T Dotter (1920–1985): father of interventional radiology; coronary imaging pioneer, 1964 angioplasty, catheter thrombolysis, and stents.

Théodore Tuffier (1857–1929): Paris surgeon and innovator; thoracic/cardiac pioneer, early open-chest massage, valve experiments, spinal anaesthesia and Tuffier’s line.

Cardio-biliary reflex (“Cope sign”): gallbladder disease causing vagal bradycardia or AV block that mimics cardiac events, often with normal troponin.

Sir Vincent Zachary Cope (1881 – 1974) was a British physician and surgeon. Eponymously linked with Cope Psoas test and obturator test.

Eugen Bogdan Aburel (1899-1975), Romanian obstetrician and gynaecologist. Pioneer of continuous epidural analgesia, and fertility-sparing cancer surgery

Leonid Rogozov (1934–2000): Soviet surgeon who performed a self-appendicectomy in Antarctica (1961) when evacuation was impossible—an iconic feat of austere medicine.

Evan O’Neill Kane (1864–1932), American country surgeon. Railway accident specialist and medical inventor, famed for his 1921 auto-appendicectomy.

Fidel Pagés (1886–1923): Spanish military surgeon who described “anestesia metamérica” (1921), an early, practical lumbar epidural technique.

Frédéric Justin Collet (1870–1964), Lyon physician and ENT professor; described the 1915 skull-base palsy of CN IX–XII later known as Collet–Sicard syndrome