RESUMO
A 64-year-old woman presented to Our Department with 2 weeks history of fever and cough. Through a series of radiological and invasive diagnostic studies we finally reach an unexpected diagnosis of Tsukamurella pneumonia; Diagnosing an ILD is a dynamic process, and that is the reason why complex cases discussed in a multidisciplinary team may need to be reconsidered in light of evolution of the disease and the results of the performed exams with a flexible approach. Tsukamurella spp. is an obligate aerobic, Gram-positive, weakly acid-fast, non-motile bacillus that belongs to the order Actinomycetales. Pneumonia caused by Tsukamurella is exceedingly rare, and only few cases are reported in the literature. Our aim is to evidence the paramount importance of Multidisciplinary team discussion in deciding the most appropriate diagnostic is of and therapeutical strategy.
RESUMO
Pulmonary hypertension (PH) is not considered a known risk factor for non-tuberculous mycobacterial lung disease (NTM-LD), despite that many studies state that incidence is almost equal to other chronic lung diseases. Current standard of care for NTM-LD consists in multidrug antibiotic regimen for several months. However, it results in negative culture conversion in a minority of cases. Therefore, when feasible an adjuvant surgical approach is indicated. In this case report we highlight the importance of multidisciplinary team discussion in providing the best therapeutic strategy in presence of significant comorbidities like chronic thromboembolic pulmonary hypertension.
RESUMO
A 29-year-old man presented to Emergency Department with nonspecific symptoms. Through a series of radiological and invasive diagnostic studies we finally reach an unexpected diagnosis of hypersentivity pneumonitis; this is a complex and heterogeneous disease which diagnosis can be challenging as its clinical, radiologic and histopathologic features overlap with those of other interstitial lung diseases (ILDs). Diagnosing an ILD is a dynamic process, and that is the reason why complex cases discussed in a multidisciplinary team may need to be reconsidered in light of evolution of the disease and the results of the performed exams with a flexible approach.
Assuntos
Colelitíase/terapia , Adulto , Idoso , Idoso de 80 Anos ou mais , Ácidos e Sais Biliares/uso terapêutico , Colecistectomia , Colelitíase/tratamento farmacológico , Colelitíase/cirurgia , Endoscopia , Feminino , Humanos , Litotripsia , Gravidez , Esfíncter da Ampola Hepatopancreática/cirurgiaRESUMO
The Authors describe a case of meconium peritonitis in a low birth weight infant with associated malrotation of the intestines. We retrospectively analyzed the surgical approach during the stages of the disease. The purpose of this study is to stress a conservative surgical therapy (peritoneal cavity toilette and ileostomy), followed thereafter by intensive care, which should carefully balance metabolic and nutritional needs; it's then possible to perform a second look (canalization) only three mounths later, when a reasonable growth is achieved. A multidisciplinary approach favoured the positive outcome.
Assuntos
Doenças do Íleo/complicações , Doenças do Prematuro/etiologia , Obstrução Intestinal/complicações , Mecônio , Peritonite/etiologia , Humanos , Doenças do Íleo/diagnóstico por imagem , Recém-Nascido , Obstrução Intestinal/diagnóstico por imagem , Obstrução Intestinal/etiologia , Masculino , RadiografiaAssuntos
Doenças Mamárias/patologia , Flebite/patologia , Adulto , Mama/irrigação sanguínea , Feminino , Humanos , MamografiaAssuntos
Colestase/terapia , Drenagem/métodos , Idoso , Cateterismo , Drenagem/instrumentação , Feminino , Humanos , MasculinoRESUMO
3450 women were examined in the Breast Cancer Clinic of the 2nd General Surgery Division of the Mantova Hospitals between November 1979 and November 1982. Cancer was found in 105 cases (3.04%). The variety of conditions observed and the tests used to discover whether they were benign or malignant are described.
Assuntos
Neoplasias da Mama/patologia , Mama/patologia , Adulto , Idoso , Feminino , Doença da Mama Fibrocística/patologia , Humanos , Mastite/patologia , Pessoa de Meia-Idade , Ambulatório Hospitalar , GravidezAssuntos
Hérnia Diafragmática/cirurgia , Hérnia Hiatal/cirurgia , Adulto , Idoso , Feminino , Humanos , Masculino , Métodos , Pessoa de Meia-Idade , Complicações Pós-Operatórias , PrognósticoRESUMO
The correction of the dumping syndrome is based on three surgical techniques: narrowing of the gastrojejunal for gastroduodenal) anastomosis, interposition of an intestinal loop between the gastric stump and the duodenum, or conversion of Billroth II to Billroth I. The authors report the results obtained in a series of 22 cases.