Assuntos
Colo/patologia , Pneumatose Cistoide Intestinal/diagnóstico por imagem , Colo/cirurgia , Procedimentos Cirúrgicos do Sistema Digestório , Feminino , Humanos , Obstrução Intestinal/diagnóstico por imagem , Obstrução Intestinal/etiologia , Obstrução Intestinal/cirurgia , Pessoa de Meia-Idade , Pneumatose Cistoide Intestinal/complicações , Pneumatose Cistoide Intestinal/patologia , Pneumatose Cistoide Intestinal/cirurgia , Tomografia Computadorizada por Raios XAssuntos
Carcinoma Hepatocelular/secundário , Neoplasias Hepáticas/patologia , Nódulo da Irmã Maria José/secundário , Umbigo/patologia , Idoso , Antineoplásicos/uso terapêutico , Carcinoma Hepatocelular/tratamento farmacológico , Evolução Fatal , Humanos , Neoplasias Hepáticas/tratamento farmacológico , Masculino , Cuidados Paliativos , Nódulo da Irmã Maria José/tratamento farmacológico , Tomografia Computadorizada por Raios X , Resultado do TratamentoRESUMO
Acute appendicitis is the most frequent emergency in gastrointestinal surgery. Obstruction of the appendiceal lumen appears to be one of the most common physiologic mechanisms for the development of acute appendicitis. Once obstructed, the dilatation of the lumen causes ischemia and necrosis of the wall. The most common organisms involved in appendicitis are Escherichia coli, Peptostreptococcus, Bacillus fragilis and Pseudomonas. Rarely, Actinomyces is involved in this process. In this case report, we report a case of actinomycosis of the appendix vermiformis occurring in a 19-year-old male with no predisposing factors. Along with a review of the literature, we will define the risk factors, clinical characteristics, diagnostic methods, and treatment of actinomycosis.
Assuntos
Actinomicose , Apendicite/microbiologia , Actinomicose/diagnóstico , Apendicite/diagnóstico , Humanos , Masculino , Adulto JovemRESUMO
We report an unusual case of pyogenic, hepatic abscess caused by fish bone penetration of the duodenum in a 68-year-old woman. The fish bone had migrated into the liver through the duodenal wall. The patient was initially admitted to our emergency room with abdominal pain, fever, and asthenia. A contrastenhanced abdominal coputed tomography (CT) scan showed a hepatic abscess in relation with a straight, foreign body, which had entered through the duodenal wall. Surgery was necessary to remove the foreign body, which was identified as a fish bone. The patient's recovery was uneventful and she was discharged on postoperative day 10. This case is discussed together with the data collected by a medline-based extensive review of the literature.
RESUMO
The case reported is of a 30-year-old patient with a left internal carotid-jugular fistula secondary to the explosion of an improvised explosive device during the Afghan war. Carotid resection with arterial bypass using a venous allograft and internal jugular ligation were performed by left cervicotomy associated with sternotomy at a specialized center. The management of cervical arteriovenous fistulas that occur as a result of penetrating trauma faced during the war must be considered and it should be noted that, on battlefields, treatment is not always performed in specialized units.