RESUMO
A newborn infant with patent omphalomesenteric duct (POMD), who presented faecal umbilical discharge, was treated with a semicircular periumbilical incision up to the abdominal cavity. The omphalomesenteric duct was followed up to the junction with the small intestine and there resected. The abdominal wall was closed without resection of the umbilicus.
Assuntos
Hérnia Umbilical/cirurgia , Umbigo/cirurgia , Ducto Vitelino/cirurgia , Secreções Corporais , Fezes , Feminino , Humanos , Recém-Nascido , Umbigo/anormalidades , Umbigo/fisiopatologia , Ducto Vitelino/anormalidadesRESUMO
Needle catheter jejunostomy is a technique to allow enteral feeding after upper abdominal surgery. An unusual postoperative complication is pneumatosis intestinalis which can be life-threatening. A case of a 76-year-old man with pneumatosis intestinalis due to needle catheter jejunostomy, in whom diagnosis was made by CT-scan, is described. Needle catheter jejunostomy complicated by pneumatosis intestinalis needs attention and careful treatment. Removal of the catheter seems necessary, although controversy remains.
Assuntos
Intubação Gastrointestinal/efeitos adversos , Jejunostomia/efeitos adversos , Pneumatose Cistoide Intestinal/etiologia , Idoso , Cateterismo/efeitos adversos , Colecistectomia/métodos , Remoção de Dispositivo , Seguimentos , Gastrectomia/métodos , Neoplasias Gastrointestinais/patologia , Neoplasias Gastrointestinais/cirurgia , Humanos , Intubação Gastrointestinal/métodos , Jejunostomia/instrumentação , Jejunostomia/métodos , Masculino , Nutrição Parenteral , Pneumatose Cistoide Intestinal/diagnóstico por imagem , Medição de Risco , Índice de Gravidade de Doença , Tomografia Computadorizada por Raios XRESUMO
Malignant myoepitheliomas of the breast are rare. We report a case of spindle cell malignant myoepithelioma studied by light microscopy and immunohistochemistry. The malignant myoepithelial cells stained positively for cytokeratins, smooth muscle actin and vimentin, but not for epithelial membrane antigen. The tumor showed a focal positivity for S100 protein. A short review of the morphology and immunohistochemistry of cases reported in the international literature is given in a table. Morphologically malignant myoepitheliomas can be subdivided into spindle cell malignant myoepitheliomas and malignant adenomyoepitheliomas.