RESUMEN
Mycotic peritonitis can be demonstrated by microbiological, histological and serological tests. The disease can be proved histologically by a deep invasion of fungi. Initially, the mycotic peritonitis can be caused by polymicrobial infections and also by genuine mycotic invasion after perforation of the gastrointestinal tract. In the final phase of the disease only these fungi are of relevance. In most of the cases candida albicans can be verified. In the procedure of programmed peritoneal lavage the mycotic peritonitis provides a severe complication. Untreated, it would cause death by dissemination, fungemia and candida sepsis. 8 out of 12 patients with candida peritonitis died. Most of the patients had been severely ill previously and had shown several risk factors promoting mycotic disease. Antimycotic treatment has to be initiated as soon as possible, in order to diminish the high lethality.
Asunto(s)
Micosis/diagnóstico , Peritonitis/diagnóstico , Adulto , Anciano , Bacterias/aislamiento & purificación , Candida albicans/aislamiento & purificación , Terapia Combinada , Humanos , Masculino , Persona de Mediana Edad , Micosis/microbiología , Micosis/terapia , Lavado Peritoneal , Peritoneo/microbiología , Peritoneo/patología , Peritonitis/microbiología , Peritonitis/terapia , ReoperaciónAsunto(s)
Neoplasias del Recto/cirugía , Engrapadoras Quirúrgicas , Adenocarcinoma/cirugía , Adenoma/cirugía , Anciano , Carcinoma/cirugía , Colon/cirugía , Femenino , Humanos , Masculino , Persona de Mediana Edad , Recto/cirugía , Dehiscencia de la Herida Operatoria/etiología , Cicatrización de HeridasRESUMEN
Diagnostic difficulties in the assessment of osteoid-osteoma of os hamatum (its recidive or persistence) are outlined by means of a case report. Even by great expenditure in diagnostic (esp. by large-scaled diagnostic apparatus) a 100% safe diagnosis is not achieved in any case.
Asunto(s)
Neoplasias Óseas/diagnóstico , Huesos del Carpo/patología , Recurrencia Local de Neoplasia/diagnóstico , Osteoma Osteoide/diagnóstico , Adulto , Angiografía de Substracción Digital , Neoplasias Óseas/cirugía , Huesos del Carpo/cirugía , Estudios de Seguimiento , Humanos , Imagen por Resonancia Magnética , Masculino , Osteoma Osteoide/cirugíaRESUMEN
Perforation and peritonitis as complications of severe Crohn's disease are rare. Case reports of two young female patients are given who have been treated in 1983 because of peritonitis after perforation of Crohn's disease. The only therapeutic approach making sense is elimination of the intestine affected by the disease and repeated control laparotomies with for treatment of peritonitis and controlling sufficiency of the anastomosis. These patients are at high risk because of treatment with cortisone.