RESUMEN
A tumour of the posterior mediastinum was removed via thoracoscopy. The histology report was a triton tumour. This is a rare (less than 80 cases reported in the literature) malignant tumour of the nervous system: malignant schwannoma with rhabdomyoblastic differentiation. The characteristics of this rare tumour and the consequences of videoassisted surgery in this specific case are discussed: a second access is required to widen the thoracotomy and complementary radiotherapy is needed.
Asunto(s)
Endoscopía , Neoplasias del Mediastino/cirugía , Neurilemoma/cirugía , Adulto , Humanos , Masculino , Neoplasias del Mediastino/epidemiología , Neoplasias del Mediastino/patología , Neurilemoma/epidemiología , Neurilemoma/patología , Pronóstico , ToracoscopíaRESUMEN
The aim of this work is to perform a general review of pancreas divisum. Six cases are reported. A clinical and therapeutic study is made, successively studying the circumstances of discovery, the morphological and functional studies, and the therapeutic methods. A discussion underlines the learnings and contradictions of the literature about this issue.
Asunto(s)
Páncreas/anomalías , Enfermedades Pancreáticas/diagnóstico por imagen , Pancreatitis/diagnóstico por imagen , Enfermedad Aguda , Adulto , Anciano , Colangiopancreatografia Retrógrada Endoscópica , Colecistectomía , Enfermedad Crónica , Femenino , Humanos , Masculino , Persona de Mediana Edad , Páncreas/diagnóstico por imagen , Páncreas/cirugía , Enfermedades Pancreáticas/cirugía , Pancreatitis/cirugía , Esfinterotomía EndoscópicaRESUMEN
Lesions of the ureter caused by penetrating wounds of the abdomen rare a are complication of abdominal gunshot wounds, of which the reported incidence is 2 to 17%. The preoperative diagnosis is difficult and unrecognized initially in every third case. There are no early clinical signs of ureteral lesions. There is often no hematuria. Only IVP can make the preoperative diagnosis possible. As a matter of fact, the diagnosis will often be established by the surgical exploration made during the laparotomy required by the extent of the associated lesions. The ureteral blast contusion is an important cause of secondary necrosis with fistula. The treatment is mainly based on ureteroureterostomy after debridement. The transanasmotic drainage of urine is controversial. Mortality results from associated abdominal lesions and morbidity consists in a risk of secondary nephrectomy.
Asunto(s)
Uréter/lesiones , Enfermedades Ureterales/cirugía , Heridas por Arma de Fuego , Adulto , Anastomosis Quirúrgica , Colon/lesiones , Enfermedades del Colon/cirugía , Humanos , Enfermedades Intestinales/cirugía , Intestino Delgado/lesiones , Masculino , Uréter/diagnóstico por imagen , Uréter/cirugía , Enfermedades Ureterales/diagnóstico por imagen , UrografíaAsunto(s)
Fístula Arteriovenosa/complicaciones , Gasto Cardíaco Elevado/etiología , Arteria Ilíaca/fisiopatología , Vena Ilíaca/fisiopatología , Desplazamiento del Disco Intervertebral/cirugía , Angiografía , Fístula Arteriovenosa/diagnóstico por imagen , Femenino , Humanos , Arteria Ilíaca/diagnóstico por imagen , Vena Ilíaca/diagnóstico por imagen , Vértebras Lumbares/cirugía , Persona de Mediana Edad , Complicaciones PosoperatoriasRESUMEN
Lesions of the ureter caused by penetrating wounds of the abdomen rare a are complication of abdominal gunshot wounds, of which the reported incidence is 2 to 17%. The preoperative diagnosis is difficult and unrecognized initially in every third case. There are no early clinical signs of ureteral lesions. There is often no hematuria. Only IVP can male the preoperative diagnosis possible. As a matter of fact, the diagnosis will often be established by the surgical exploration made during the laparotomy required by the extent of the associated lesions. The ureteral blast contusion is an important cause of secondary necrosis with fistula. The treatment is mainly based on ureteroureterostomy after debridement. The transanasmotic drainage of urine is controversial. Mortality results from associated abdominal lesions and morbidity consists in a risk of secondary nephrectomy.