ABSTRACT
An aortocaval fistula is a rare complication of the abdominal aortic aneurysm: early diagnosis and appropriate surgery improve survival. We report the case of a patient presenting with abdominal pain and oedema of both lower limbs secondary to an aortocaval fistula. CT-scan confirmed the diagnosis and successful surgery was performed in the emergency room. Immediate haemostasis on the inferior vena cava is easier when preoperative diagnosis of the fistula has been made.
Subject(s)
Aortic Aneurysm, Abdominal/complications , Aortic Diseases/etiology , Arteriovenous Fistula/etiology , Vena Cava, Inferior , Aortic Aneurysm, Abdominal/diagnosis , Aortic Aneurysm, Abdominal/surgery , Aortic Diseases/diagnosis , Aortic Diseases/surgery , Arteriovenous Fistula/diagnosis , Arteriovenous Fistula/surgery , Humans , Male , Middle AgedSubject(s)
Aorta, Abdominal , Aortic Aneurysm, Abdominal/complications , Arteriovenous Fistula/complications , Vena Cava, Inferior , Aortic Aneurysm, Abdominal/diagnostic imaging , Aortic Aneurysm, Abdominal/surgery , Arteriovenous Fistula/diagnostic imaging , Arteriovenous Fistula/surgery , Humans , Male , Middle Aged , Tomography, X-Ray Computed/methodsABSTRACT
Chondrosarcoma is a slow-growing malignant tumor, with a mainly local infiltration, usually arising from skeletal cartilaginous cells. However, a few such neoplasms also arise from extraskeletal mesenchymal cells. Metastasis are usually seen with undifferentiated tumors (grade III), mainly within the lungs. The best treatment associates total surgical resection with chemotherapy. Radiotherapy is of poor use. Isolated pulmonary metastasis can be profitably withdrawn. Prognosis is about of 75% of survival after 10 years, in case of well-differentiated tumors (grade I). The prognosis is far worse for undifferentiated tumors (grade III), turning around 10% of survival after 10 years.
Subject(s)
Abdominal Neoplasms/surgery , Chondrosarcoma/surgery , Abdominal Neoplasms/diagnostic imaging , Abdominal Neoplasms/drug therapy , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Carboplatin/administration & dosage , Chondrosarcoma/diagnostic imaging , Chondrosarcoma/drug therapy , Combined Modality Therapy , Epirubicin/administration & dosage , Humans , Male , Middle Aged , RadiographyABSTRACT
The authors report 50 cases of low colorectal anastomosis performed with a Russian circular suture apparatus : the KC-28. They reserved this technique for all tumors situated more than 4 cm above the anorectal function and for which the exeresis required a dissection below the peritoneal reflection. Their study seems to confirm the impression that this technique maintains a sphincteral function while decreasing the operatory difficulties encountered during the production of similar anastomosis and far from compromises the cancerology value of the resection. The postoperative complications seem no more frequent than for the classical techniques. The only minor inconvenience being a anastomotic stricture in 24% of the cases.