RÉSUMÉ
Intercostal artery pseudoaneurysm (IAP) is a rare entity and may complicate a percutaneous intervention through an intercostal space or follow thoracic trauma. Its rupture into the pleural space can give rise to haemothorax, which if untreated may lead to a retained haemothorax (RH). Traditionally both the IAP and the RH are managed by a thoracotomy. We report a patient who developed an IAP with haemothorax following a trauma. The diagnosis was established by computed tomography. The patient was treated by endovascular embolisation of the IAP followed by thoracoscopic decortications of the RH.
Sujet(s)
Faux anévrisme/étiologie , Faux anévrisme/imagerie diagnostique , Faux anévrisme/thérapie , Complications du diabète , Embolisation thérapeutique/méthodes , Procédures endovasculaires/méthodes , Études de suivi , Hémothorax/étiologie , Hémothorax/imagerie diagnostique , Hémothorax/chirurgie , Humains , Hypertension artérielle/complications , Muscles intercostaux/vascularisation , Mâle , Adulte d'âge moyen , Facteurs de risque , Blessures du thorax/complications , Blessures du thorax/étiologie , Thoracoscopie , Tomodensitométrie , Résultat thérapeutique , Plaies par arme blanche/complicationsRÉSUMÉ
We report a 14-year-old girl who developed port-site infection with Mycobacterium chelonei following laparoscopic appendicectomy. She was treated with local exploration and excision of sinuses that developed at the site, followed by antibacterial agents for six months. She has had no recurrence of infection at two years.
Sujet(s)
Abcès/étiologie , Adolescent , Antibactériens/administration et posologie , Appendicectomie/effets indésirables , Appendicite/diagnostic , Drainage/méthodes , Femelle , Études de suivi , Humains , Laparoscopie/effets indésirables , Mycobactéries non tuberculeuses/isolement et purification , Infections à mycobactéries non tuberculeuses/étiologie , Appréciation des risques , Résultat thérapeutiqueRÉSUMÉ
The traditional surgical treatment of chronic gastric volvulus involves laparotomy for derotation of the stomach and its fixation to the patients. We describe a 36-year-old man with organoaxial gastric volvulus who was treated successfully with laparoscopic gastropexy. He is asymptomatic four months later.
Sujet(s)
Adulte , Humains , Laparoscopie , Mâle , Volvulus gastrique/chirurgie , Techniques de sutureSujet(s)
Adulte , Cystoscopie , Femelle , Humains , Léiomyome/diagnostic , Tumeurs de l'urètre/diagnosticRÉSUMÉ
Twenty-three opponensplasties were performed in 21 subjects. Flexor sublimis transfer was carried out in 15 hands, brachioradialis transfer in 4 hands, Makin's translocation of flexor pollicis longus in 2 hands and our modification of Makin's procedure in 2. The results were graded as excellent in 13 hands, good in 6 hands, fair in 3 hands and poor in 1 hand. Further, the power of pinch was graded as good in 14 hands, fair in 7 hands and poor in 2 hands. We suggest that it is almost always possible to devise an appropriate procedure to restore the opposition of the thumb.