Résumé
A case of chronic relapsing pancreatitis presenting in an 8-year old African Jamaican girl is outlined. Aggressive supportive management failed to control pain and vomitting. The Puestow Procedure effectively aborted these symptoms. The use of the Puestow procedure should not be inordinately delayed in chronic relapsing pancreatitis if symptoms persist, since it may not only control pain but also halt declining pancreatic function.
Sujets)
Enfant , Femelle , Humains , Conduits pancréatiques , Pancréatite , Drainage , JamaïqueRésumé
This review of all laparoscopic cholecystectomies performed between 1993 and 1995 in Jamaica records the experience of local surgeons following an accelerated training programme. Special attention was paid to operating time, conversions, complications, analgesic requirements, time to discharge and cost. Comparisons were made of the local experience with the international experience. Laparoscopic cholecystectomy has been found to be a safe and viable option for Jamaican patients with gall bladder disease.
Sujets)
Adolescent , Adulte , Sujet âgé , Enfant , Femelle , Humains , Adulte d'âge moyen , Cholécystectomie laparoscopique/effets indésirables , Douleur postopératoire , Cholécystectomie laparoscopique/économie ,Résumé
A case of obstructive jaundice secondary to a neurofibroma in the common hepatic duct is presented. The histological appearance was that of a plexiform neurofibroma. The clinicopathological features are discussed
Sujets)
Adulte , Femelle , Humains , Tumeurs des canaux biliaires/anatomopathologie , Cholestase/étiologie , Neurofibrome plexiforme/anatomopathologie , Neurofibrome plexiforme/chirurgie , Conduit hépatique communRésumé
Three cases of spinal epidural abscess managed at the University Hospital of the West Indies are presented. This disorder, a neurosugical emergency, runs a variable course, and, if improperly managed, may lead to paraplegia and death. The aetiology, diagnosis and management of this disease are discussed
Sujets)
Humains , Adulte , Mâle , Maladies du rachis/diagnostic , Maladies du rachis/thérapie , Abcès/diagnostic , Abcès/thérapie , Pronostic , Urgences , LaminectomieRésumé
One case of atherosclerotic gluteal artery aneyrysm (GAA) is presented. The diagnosis was made pre-operatively, and treatment involved ligation and division of the internal iliac artery only. This therapeutic option is discussed as the perferred one compared to the conventional two-step procedure