RESUMEN
The diagnostics of focal nodular hyperplasia is reached through the use of imaging. When the diagnostic is certain, surgical abstention is the rule. Nevertheless, we were confronted with two cases of a rare complication; that of intraperitoneal rupture. In this situation, we suggest to first do an arteriography to control the bleeding, then to perform surgery when the patient has reached hemodynamic stability. Spontaneous rupture as a complication of benign nodular hyperplasia remains a rare event and only five cases were reported in litterature.
Asunto(s)
Hiperplasia Nodular Focal/complicaciones , Adulto , Femenino , Humanos , Rotura EspontáneaRESUMEN
Acute appendicitis is the most common acute surgical infection during pregnancy. Although usually pyogenic in origin, parasitic infections account for a small percentage of cases. Despite the relatively high prevalence of acute appendicitis in our environment, it is not commonly associated with schistosomiasis. We report here the association of pregnancy and appendicitis caused by Schistosoma haematobium. Schistosomiasis is very common complication of pregnancy in hyperendemic areas. Schistosome egg masses can lodge throughout the body and cause acute inflammation of the appendix, liver and spleen. Congestion of pelvic vessels during pregnancy facilitates passage of eggs into the villi and intervillous spaces, causing an inflammatory reaction. Tourism and immigration make this disease a potential challenge for practitioners everywhere.
Asunto(s)
Apendicectomía , Apendicitis/cirugía , Complicaciones Parasitarias del Embarazo/cirugía , Esquistosomiasis Urinaria/cirugía , Adulto , Animales , Apendicitis/patología , Apéndice/parasitología , Apéndice/patología , Femenino , Humanos , Óvulo/patología , Embarazo , Complicaciones Parasitarias del Embarazo/patología , Schistosoma haematobium/ultraestructura , Esquistosomiasis Urinaria/patologíaRESUMEN
Lung cancer is the most frequent cause of superior vena cava (SVC) syndrome. Malignant SVC syndrome is generally considered a contraindication to curative resection, although palliative bypasses are done for symptoms that do not respond to medical therapy. However, a majority of patients with such advanced disease die of complications caused by the primary tumor rather than distant metastasis. We present the case of one patient with lung cancer invading the mediastinal structures. Combined resection and replacement of the SVC with a segment of Dacron vascular graft was performed. Postoperative survival time was 24 months.
Asunto(s)
Implantación de Prótesis Vascular/métodos , Venas Braquiocefálicas/cirugía , Carcinoma de Células Escamosas/complicaciones , Atrios Cardíacos/cirugía , Neoplasias Pulmonares/complicaciones , Síndrome de la Vena Cava Superior/etiología , Anastomosis Quirúrgica , Materiales Biocompatibles , Biopsia , Carcinoma de Células Escamosas/diagnóstico por imagen , Carcinoma de Células Escamosas/patología , Contraindicaciones , Humanos , Neoplasias Pulmonares/diagnóstico por imagen , Neoplasias Pulmonares/patología , Masculino , Persona de Mediana Edad , Cuidados Paliativos/métodos , Neumonectomía , Tereftalatos Polietilenos , Síndrome de la Vena Cava Superior/diagnóstico , Síndrome de la Vena Cava Superior/cirugía , Tomografía Computarizada por Rayos XRESUMEN
Gastric neurofibroma associated with von Reklinghausen's disease is a rare clinical entity. We report a case of gastric neurofibroma with gastrointestinal bleeding and severe anaemia. Surgical resection is the treatment of choice. The recommended follow-up is an annual complete cell blood count and stool testing for occult blood.