RESUMO
Ordinary bone wax was used to stop bleeding from the iliac crest after procurement of autogenous bone graft harvesting. This gave rise to a large, symptomatic retroperitoneal tumor, which had to be removed operatively 19 years later. Microscopically, a bone wax granuloma was diagnosed. As far as the authors know this is the first case reported with such late and severe clinical complications after the use of bone wax.
Assuntos
Transplante Ósseo/efeitos adversos , Granuloma/etiologia , Doadores de Tecidos , Ceras/efeitos adversos , Adulto , Feminino , Granuloma/patologia , Hemorragia/prevenção & controle , Humanos , Doenças Peritoneais , Transplante Autólogo , Ceras/uso terapêuticoRESUMO
A 19-year-old girl presenting with an isolated unilateral adrenal hemorrhage after a motorcycle cross-country race without evidence of direct trauma, is reported. The lesion was diagnosed by abdominal ultrasonography, and treated surgically by thoracolaparotomy. Recovery has resulted. A review of literature shows the rarity of the condition.
Assuntos
Doenças das Glândulas Suprarrenais/etiologia , Traumatismos em Atletas/complicações , Hematoma/etiologia , Doenças das Glândulas Suprarrenais/diagnóstico , Adulto , Feminino , Hematoma/diagnóstico , Humanos , UltrassonografiaRESUMO
This report concerns a joint study of fourteen centres about the treatment of arterial occlusion of the low extremity. Eight hundred and two patients older than 80 years have been studied during a period from 1 to 27 years. The operative mortality was 25.2%. There was no significant difference in mortality between emergency cases and those patients who were operated under elective conditions. Leg amputations are followed by a significant higher mortality than more conservative surgery such as arterial by-pass, sympathectomy or embolectomy. The most frequent cause of death was from cardiopulmonar origin (57%). The postoperative morbidity of cardiac, pulmonary, urinary or infectious origin was frequent (50%). Surgical complications in the true sence of the word are quite rare and their frequency is limited to 7%. The conclusion of this study is that conservative surgery such as reascularisation or sympathectomy is, whenever possible, to be preferred over amputation not only because of their lower mortality (13 to 19%) but also since they permit better revalidation of these elderly patients.
