RESUMO
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.
Assuntos
Falso Aneurisma/etiologia , Falso Aneurisma/diagnóstico por imagem , Falso Aneurisma/terapia , Complicações do Diabetes , Embolização Terapêutica/métodos , Procedimentos Endovasculares/métodos , Seguimentos , Hemotórax/etiologia , Hemotórax/diagnóstico por imagem , Hemotórax/cirurgia , Humanos , Hipertensão/complicações , Músculos Intercostais/irrigação sanguínea , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Traumatismos Torácicos/complicações , Traumatismos Torácicos/etiologia , Toracoscopia , Tomografia Computadorizada por Raios X , Resultado do Tratamento , Ferimentos Perfurantes/complicaçõesRESUMO
Intra-abdominal migration of the catheter and formation of a cerebrospinal fluid pseudocyst are both rare complications of a ventriculoperitoneal shunt. Traditionally, each condition is treated by a formal laparotomy. Laparoscopic management of the complications in two patients is described.
Assuntos
Adulto , Líquido Cefalorraquidiano/metabolismo , Cistos/etiologia , Evolução Fatal , Migração de Corpo Estranho/etiologia , Humanos , Laparoscopia , Masculino , Reoperação , Derivação Ventriculoperitoneal/efeitos adversosRESUMO
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.
Assuntos
Abscesso/etiologia , Adolescente , Antibacterianos/administração & dosagem , Apendicectomia/efeitos adversos , Apendicite/diagnóstico , Drenagem/métodos , Feminino , Seguimentos , Humanos , Laparoscopia/efeitos adversos , Micobactérias não Tuberculosas/isolamento & purificação , Infecções por Mycobacterium não Tuberculosas/etiologia , Medição de Risco , Resultado do TratamentoRESUMO
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.
Assuntos
Adulto , Humanos , Laparoscopia , Masculino , Volvo Gástrico/cirurgia , Técnicas de SuturaAssuntos
Adulto , Cistoscopia , Feminino , Humanos , Leiomioma/diagnóstico , Neoplasias Uretrais/diagnósticoRESUMO
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.