RESUMO
A case of mesenteric panniculitis occurring with recurrent intestinal occlusion is reported. To resolve the serious occlusive condition, a massive intestinal resection had to be carried out, leaving the patient with a short intestine syndrome.
Assuntos
Doenças do Íleo/cirurgia , Obstrução Intestinal/cirurgia , Síndromes de Malabsorção/etiologia , Paniculite Peritoneal/complicações , Síndrome do Intestino Curto/etiologia , Adulto , Diagnóstico Diferencial , Humanos , Doenças do Íleo/etiologia , Obstrução Intestinal/etiologia , Masculino , Paniculite Peritoneal/diagnósticoAssuntos
Obstrução Duodenal/etiologia , Pancreatite/complicações , Doença Aguda , Idoso , Feminino , HumanosRESUMO
The Authors report their experience about 72 operations of bilio-digestive anastomosis done for obstructive icterus from 1972 to 1979, 48 of which due to pathology by neoplastic cause and 24 due to pathology by benign causes. 32 operations of bilio-jejunal anastomosis on ansa in the omega fashion have been done operations of bilio-jejunal anastomosis on Roux's ansa four of which operations of transtumoral drainage in accordance with Rodney-Smith's technic, 16 operations of bilio-duodenal anastomosis.
Assuntos
Procedimentos Cirúrgicos do Sistema Biliar , Intestino Delgado/cirurgia , Adulto , Idoso , Neoplasias dos Ductos Biliares/complicações , Colestase/etiologia , Colestase/cirurgia , Ducto Colédoco/cirurgia , Duodeno/cirurgia , Feminino , Vesícula Biliar/cirurgia , Neoplasias da Vesícula Biliar/complicações , Cálculos Biliares/complicações , Ducto Hepático Comum/cirurgia , Humanos , Jejuno/cirurgia , Masculino , Pessoa de Meia-Idade , Neoplasias Pancreáticas/complicaçõesRESUMO
Twenty-four cases of primary carcinoma of the gallbladder (1.3% of gallbladder operations) collected over a period of 8 years are compared with those reported in the literature. This form has a very poor prognosis due to delays in diagnosis, early regional extension, and often insufficient surgical management. Women over 60 are the main victims. Abdominal pain is nearly always present, with icterus in 50% of cases. In 5/24 cases, the diagnosis was based on histological examination of the surgical specimen in the absence of clinical signs preceding the operation. It is felt that prophylactic cholecystectomy is desirable in cases of symptomatic or asymptomatic lithiatic cholecystopathy, especially in subjects most at risk. Suitable treatment of curable forms requires cholecystectomy combined with cuneiform hepatic resection and regional lymphadenectomy.
Assuntos
Neoplasias da Vesícula Biliar/cirurgia , Fatores Etários , Idoso , Colecistectomia , Feminino , Neoplasias da Vesícula Biliar/complicações , Neoplasias da Vesícula Biliar/epidemiologia , Neoplasias Gastrointestinais , Humanos , Itália , Neoplasias Hepáticas , Masculino , Pessoa de Meia-Idade , Metástase Neoplásica , Fatores SexuaisRESUMO
A survey of the relevant literature prompted by the observation of a case of agenesia of the cholecyst leads to the suggestion that surgery in any form should be avoided in the absence of a PBD disease in the true sense.