RESUMO
The authors report one exceptional case of organic small bowel occlusion. The etiological diagnosis was performed by ultrasonographic examination and showed two hydatid cysts of the liver opened into the peritoneum and a peritoneal fluid collection corresponding to the hydatid fluid. The authors emphasize the absence of clinical symptoms during the opening of the hydatid cysts of the liver into the peritoneum and the usefulness of emergency ultrasonographic examination of the entire abdomen in cases of small bowel obstruction without any evident etiology.
Assuntos
Equinococose Hepática/complicações , Obstrução Intestinal/etiologia , Intestino Delgado , Adulto , Equinococose Hepática/fisiopatologia , Humanos , Masculino , Peritônio , Peritonite/etiologia , Ruptura Espontânea , UltrassonografiaRESUMO
OBJECTIVE: To study the etiologies of occupational asthma and determine its impact on the professional status of asthmatic subjects. METHODS: The authors carried out a descriptive study on all of the cases of asthma recognized as an occupational disease and declared in the private sector over nine years (2000-2008) in the Tunisian central region. RESULTS: Cases (219) of occupational asthma were listed, accounting for 16.8% of all of the occupational diseases recognized during the period studied. Occupational asthma concerned young adults (40±8.2 years), with a predominance of women (67.7%). The textile sector dominated (74.9%). The majority of the employees were exposed to high molecular weight allergens (82.3%) and cotton dust was the principal offending agent (75.3%). Involuntary unemployment was observed in about half of the cases (46.6%) and was associated with an age lower or equal to 35 years (p = 0.01) and under 15 years of professional seniority (p=0.03). CONCLUSION: Occupational asthma in the Tunisian central region prevails in the textile sector thereby justifying the reinforcement of preventive measures in this branch of industry.
Assuntos
Asma/epidemiologia , Asma/etiologia , Emprego/estatística & dados numéricos , Doenças Profissionais/epidemiologia , Doenças Profissionais/etiologia , Adulto , Agricultura/estatística & dados numéricos , Agroquímicos/efeitos adversos , Asma/reabilitação , Fibra de Algodão , Feminino , Geografia , Humanos , Indústrias/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Doenças Profissionais/reabilitação , Indústria Têxtil/estatística & dados numéricos , Tunísia/epidemiologia , Madeira , Adulto JovemAssuntos
Nutrição Enteral , Jejunostomia , Pancreatite/terapia , Doença Aguda , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pancreatite/cirurgiaAssuntos
Queimaduras Químicas/terapia , Cáusticos/efeitos adversos , Esôfago/lesões , Estômago/lesões , Adolescente , Adulto , Criança , HumanosAssuntos
Ampola Hepatopancreática/cirurgia , Neoplasias dos Ductos Biliares/complicações , Colestase Extra-Hepática/etiologia , Neoplasias do Ducto Colédoco/complicações , Neoplasias Pancreáticas/complicações , Adulto , Idoso , Neoplasias dos Ductos Biliares/cirurgia , Neoplasias do Ducto Colédoco/cirurgia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias Pancreáticas/cirurgiaAssuntos
Departamentos Hospitalares , Procedimentos Cirúrgicos Operatórios , Acreditação , Adolescente , Adulto , Infecção Hospitalar , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Mortalidade , Recursos Humanos em Hospital , Estatística como Assunto , Infecção da Ferida Cirúrgica , TunísiaRESUMO
The authors report a case of primary malignant melanoma of the rectum seen in an 84-year-old woman. This blackish tumour measuring 3 cm in diameter and situated 8 cm from the anal margin was treated by surgical excision. The patient died during the immediate postoperative period.
Assuntos
Melanoma/patologia , Neoplasias Retais/patologia , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Imuno-Histoquímica , Melanoma/diagnóstico , Melanoma/cirurgia , Neoplasias Retais/diagnóstico , Neoplasias Retais/cirurgiaRESUMO
The authors report a case of liver cell carcinoma arising in Caroli's disease. A review of the literature shows that this association is quite rare. The etiology of the malignant transformation is discussed.
Assuntos
Ductos Biliares Intra-Hepáticos/patologia , Carcinoma Hepatocelular/complicações , Neoplasias Hepáticas/complicações , Idoso , Doenças dos Ductos Biliares/complicações , Doenças dos Ductos Biliares/patologia , Carcinoma Hepatocelular/patologia , Dilatação Patológica , Feminino , Humanos , Neoplasias Hepáticas/patologiaRESUMO
The authors report the first two cases of Echinococcus multilocularis observed in Tunisia, in two patients from the North-West of the country, who never travelled abroad. The diagnosis was reached by histopathologic examination of a partial hepatectomy section. The appearance of this disease in this geographic area where unilocularis hydatic cyst is endemically present needs further epidemiologic study.