ABSTRACT
The study aim was to report an adenocarcinoma of the anal glands revealed by an anal abscess in a 64-year-old man. Malignant transformation of an anal fistula is discussed in the genesis of this disease. Clinical symptoms are not specific. Abdomino-perineal resection of the rectum is the usual surgical treatment and adjuvant radiation therapy didn't prove its efficiency.
Subject(s)
Abscess/etiology , Adenocarcinoma/complications , Anus Neoplasms/complications , Rectal Fistula/etiology , Adenocarcinoma/diagnosis , Adenocarcinoma/surgery , Anus Neoplasms/diagnosis , Anus Neoplasms/surgery , Diagnosis, Differential , Humans , Male , Middle Aged , Radiotherapy, AdjuvantABSTRACT
Inflammatory pseudotumor of the spleen is a very rare benign lesion of unknown etiology. Splenectomy is recommended to obtain histological diagnosis and to eliminate a malignant tumor.
Subject(s)
Granuloma, Plasma Cell/surgery , Splenectomy , Splenic Diseases/surgery , Diagnosis, Differential , Female , Granuloma, Plasma Cell/pathology , Humans , Middle Aged , Splenic Diseases/pathologyABSTRACT
Authors report 121 cases of post bulbary ulcers between 1969 and 1987. They precise the frequency of complications in this localisations of the ulcerous disease: Hemorrhage: 38% Stenosis: 39.6% Peritonitis through perforation: 9.09% Anatomical reports of the post bulbary area explain the anatomo-pathological aspects made by the above mentioned complications added the biliodigestive fistula and perforations blocked of a surgical treatment. Considering these elements, the authors show the difficulty of a surgical treatment. They suggest choosing the most simple intervention: Treating the ulcer without approaching the ulceron area; namely; making truncal vagotomy and duodenoplasty, that of Finney being the most adapted in case of haemorrhage. On case of a stenosis, with gastric ditension, exclusion gastrectomy is the adequate intervention. The results are good, except two deaths that occurred by cataclysmic ulcerous haemorrhage.
Subject(s)
Duodenal Ulcer/pathology , Adult , Duodenal Ulcer/surgery , Female , Gastrectomy , Humans , Male , Middle Aged , Retrospective Studies , VagotomyABSTRACT
This work is based on 140 cases of esophageal reconstructions collected during 17 years from 1970 to 1987. Those interventions were performed for 62 cancerous esophageal lesions, 8 peptic stenosis and 70 caustic stenosis. The immediate and long-term results will be presented. Important points of the reconstructions will be stressed.
Subject(s)
Esophagoplasty , Adenocarcinoma/surgery , Burns, Chemical/complications , Carcinoma/surgery , Esophageal Neoplasms/surgery , Esophageal Stenosis/chemically induced , Esophageal Stenosis/etiology , Esophageal Stenosis/surgery , Esophagitis, Peptic/complications , Female , Humans , Male , Middle AgedABSTRACT
To look for the explanation about the post-cholecystectomy syndrome, the authors study 637 liver's biopsies during cholecystectomy for cholelithiasis. 373 liver's biopsies showed hepatic lesions (58.5 per cent). The post-cholecystectomy syndrome is observed in 36 per cent of patients who had hepatic lesions, and only 13 per cent of patients with normal liver biopsies.
Subject(s)
Cholecystectomy , Cholelithiasis/surgery , Liver Diseases/diagnosis , Adolescent , Adult , Aged , Aged, 80 and over , Biopsy , Female , Humans , Liver/pathology , Liver Diseases/pathology , Male , Middle Aged , Postoperative Complications/diagnosis , Postoperative Complications/pathology , SyndromeSubject(s)
Cholecystectomy , Pain, Postoperative/etiology , Adolescent , Adult , Aged , Cholecystitis/pathology , Cholelithiasis/pathology , Female , Gallstones/pathology , Humans , Liver/pathology , Male , Middle Aged , SyndromeABSTRACT
Three types of porto-systemic shunt were performed in the dog following 65% hepatectomy with the aim of determining the best porto-systemic shunt for the maintenance of hepatic function during regeneration of the liver: terminolateral portocaval shunt, mesenterico-caval shunt and spleno-pancreatico-caval shunt. The hepatic functions studied were the hydroxylation of vitamin D and proaccelerin synthesis. These functions were unaffected by the mesenterico-caval shunt whilst they were depressed to the same extent by both other types of shunt.