RESUMEN
A case is presented of a totally extraperitoneal laparoscopic hernia repair complicated by internal herniation of small bowel through an inadvertent peritoneal defect.
Asunto(s)
Hernia Inguinal/cirugía , Obstrucción Intestinal/etiología , Laparoscopía , Enfermedades Peritoneales/etiología , Complicaciones Posoperatorias , Anciano , Hernia/etiología , Humanos , Intestino Delgado , Masculino , Recurrencia , Grapado QuirúrgicoRESUMEN
A case of a left renocolic fistula that was caused by a combination of diverticular disease and renal calculi is presented. It is suggested that bowel disease will only produce such a fistula if there is pre-existing chronic renal disease.
Asunto(s)
Enfermedades del Colon/etiología , Diverticulitis del Colon/complicaciones , Fístula Intestinal/etiología , Cálculos Renales/complicaciones , Enfermedades Renales/etiología , Fístula Urinaria/etiología , Anciano , Enfermedades del Colon/diagnóstico por imagen , Femenino , Humanos , Fístula Intestinal/diagnóstico por imagen , Enfermedades Renales/diagnóstico por imagen , Radiografía , Fístula Urinaria/diagnóstico por imagenRESUMEN
In 2 years 41 patients were treated surgically for septic complications of diverticular disease of the sigmoid colon. Nine patients had fistulae arising from sigmoid diverticular disease. Resection of the sigmoid was undertaken as the primary procedure in 8 patients with anastomosis in 5. Thirty-two patients had pericolic abscesses or peritonitis. The outcome (morbidity, length of stay) of the 21 patients who underwent primary resection was compared with that of the 11 patients treated by defunctioning colostomy alone. The better results in the larger group of 21 patients indicate that primary resection should be the treatment of choice for the septic complications of diverticular disease.
Asunto(s)
Divertículo del Colon/complicaciones , Enfermedades del Sigmoide/complicaciones , Absceso/etiología , Anciano , Enfermedades del Colon/cirugía , Colostomía , Femenino , Humanos , Fístula Intestinal/cirugía , Masculino , Persona de Mediana Edad , Pelvis , Peritonitis/etiología , Complicaciones Posoperatorias , Fístula de la Vejiga Urinaria/cirugía , Fístula Vaginal/cirugíaRESUMEN
History and clinical findings of 18 cases of adenosquamous carcinoma of the skin appendages found among 135 cases of primary carcinoma of the vulva seen at the University of Minnesota Hospital between 1951 and 1970 were analyzed. In addition, two recent cases of this tumor were studied with conventional transmission electron microscopy. Adenosquamous carcinoma of the vulva showed poorer survival and a higher rate of lymph node metastases than squamous cell carcinoma of the corresponding stages (carcinoma in situ excluded). In four out of thirteen cases, the metastatic lesions in the lymph nodes retained glandular pattern. The ultrastructure showed mucin-producing columnar cells lining glandular lumina, and poorly differentiated squamous cells elsewhere; further, cells of the intermediate type between the two were present. This study indicates that adenosquamous carcinoma of the vulva is a distinctively separate entity from squamous cell carcinoma of the vulva, and possibly arises from mucin-producing cells of the skin appendages as suggested by Johnson and Helwig.
Asunto(s)
Adenocarcinoma/ultraestructura , Carcinoma de Células Escamosas/ultraestructura , Neoplasias de las Glándulas Sudoríparas/ultraestructura , Neoplasias de la Vulva/ultraestructura , Adenocarcinoma/metabolismo , Adenocarcinoma/terapia , Anciano , Carcinoma de Células Escamosas/metabolismo , Carcinoma de Células Escamosas/terapia , Femenino , Humanos , Metástasis Linfática , Microscopía Electrónica , Persona de Mediana Edad , Mucinas/biosíntesis , Pronóstico , Neoplasias de las Glándulas Sudoríparas/metabolismo , Neoplasias de las Glándulas Sudoríparas/terapia , Neoplasias de la Vulva/metabolismo , Neoplasias de la Vulva/terapiaRESUMEN
A woman and her son who both developed pneumatosis coli within a period of 6 months are described. No familial or cluster association has previously been reported. The aetiology of this uncommon disease is reviewed.