RESUMO
A case of solitary neurofibroma located in the mid-portion of the esophagus in a 61-year-old woman is reported. She was operated with the diagnosis of benign tumor of the esophagus (leiomyoma). The microscopic examination of the tumor tissue found nervous cells. The immunohistochemistry analysis confirmed neurofibroma.
Assuntos
Neoplasias Esofágicas/diagnóstico , Neurofibroma/diagnóstico , Diagnóstico Diferencial , Neoplasias Esofágicas/patologia , Neoplasias Esofágicas/cirurgia , Esôfago/patologia , Esôfago/cirurgia , Feminino , Humanos , Leiomioma/diagnóstico , Pessoa de Meia-Idade , Neurofibroma/patologia , Neurofibroma/cirurgiaRESUMO
The election of the treatment in the pyloric-duodenal perforations pursues a double objective: to reduce the operative mortality and to reduce the risk of ulcerous relapse in the long run. The authors carry out a retrospective study of 100 pyloric-duodenal perforations treated in 12 years. Three risk factors of immediate mortality are demonstrated: the age, 70 years or older; elapsed time, equal or superior to 24 hours and the existence of a situation of preoperative hemodynamic shock. The global mortality of the series was of 12% and the index of relapses of 12%. The authors outline a therapeutic management in which the election of the treatment was modulated for the factors of mortality risk. Thus, the presence of one of these factors must lead to the accomplishment of single treatment in treating only the perforation. The absence of risk factors must lead to accomplish a definitive treatment through the resection or the suture of the perforation followed by any type of vagotomy and eventually a drainage operation. The results obtained with Taylor's vagotomy, as well as with laparoscopic methods have not yet been validated although, probably, in a near future they will be integrated in the first management of pyloric-duodenal perforations.
Assuntos
Úlcera Duodenal/complicações , Laparoscopia , Úlcera Péptica Perfurada/etiologia , Adolescente , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Úlcera Duodenal/cirurgia , Emergências , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Úlcera Péptica Perfurada/diagnóstico , Úlcera Péptica Perfurada/cirurgia , Antro Pilórico/cirurgia , Fatores de Risco , VagotomiaRESUMO
In general, pulmonary hydatidosis supposes 22% of the cases treated in a general surgery unity and 4.9% correspond to infantile hydatidosis (98 cases). The authors establish an anatomico-pathological classification of the cyst and make a comparative study with adults. The authors then expound on the different types of complications after the differents treatments used to treat hydatid disease since 1952. Post-operatory morbidity is 4.7% and mortality of 0.9%. These percentages are related to the anatomico-pathological type of the cyst.
Assuntos
Equinococose Pulmonar/cirurgia , Adolescente , Adulto , Fatores Etários , Criança , Pré-Escolar , Equinococose Pulmonar/classificação , Humanos , Lactente , Complicações Pós-OperatóriasRESUMO
The authors describe 8 cases of carcinoma of the gastric stump, 6 after Billroth II and 2 after Billroth I resection. They were observed after a free interval of 18.5 years and formed 3 per 100 of the treated gastric and duodenal malignant tumors. The authors indicate the surgical technique they recommend to prevent the malignant degeneration following operations for benign gastric or duodenal ulcers.