RESUMO
Nonfunctioning islet cell tumors commonly cause no symptoms. A 22-year-old woman presented with lump in the left hypochondrium, refractory high-protein ascites and evidence of left-sided portal hypertension. At exploratory laparotomy, a 30 cm x 15 cm mass was seen at the splenic hilum, with large collateral vessels around. Distal pancreatectomy with splenectomy was done. Histology of the mass showed malignant islet cell tumor infiltrating the spleen. The patient died in the postoperative period.
Assuntos
Adulto , Ascite/etiologia , Carcinoma de Células das Ilhotas Pancreáticas/complicações , Evolução Fatal , Feminino , Humanos , Invasividade Neoplásica , Neoplasias Pancreáticas/complicações , Baço/patologia , Tomografia Computadorizada por Raios XRESUMO
Spontaneous pneumoperitoneum follows perforation of hollow viscus; rarely, it may arise from pulmonary interstitial emphysema or intestinal inflammatory disease. We report a 30-year-old man with ruptured splenic abscess who presented with acute abdomen and had pneumoperitoneum. He was treated with splenectomy and is asymptomatic 2 months later.
Assuntos
Abdome Agudo/diagnóstico , Abscesso/diagnóstico , Adulto , Antibacterianos/administração & dosagem , Diagnóstico Diferencial , Infecções por Escherichia coli/diagnóstico , Seguimentos , Humanos , Masculino , Pneumoperitônio/diagnóstico , Ruptura Espontânea/diagnóstico , Esplenectomia , Esplenopatias/diagnósticoRESUMO
A 26-year-old, 30 weeks primigravida presented with a gastric fistula through a left intercostal drain, which was inserted for drainage of suspected haemopneumothorax following minor trauma. It was confirmed to be a diaphragmatic hernia, with stomach and omentum as its contents. On exploratory laparotomy, disconnection of the tube and fistulous tract, with reduction of herniated contents and primary suturing of stomach was carried out. Diaphragmatic reconstruction with polypropylene mesh was also carried out. Post-operative recovery was uneventful with full lung expansion by 3rd postoperative day. Patient was asymptomatic at follow-up 6 months.
Assuntos
Adulto , Erros de Diagnóstico , Drenagem/efeitos adversos , Feminino , Fístula Gástrica/etiologia , Hérnia Diafragmática Traumática/etiologia , Humanos , Doença Iatrogênica , Gravidez , Telas CirúrgicasRESUMO
Foramen of Morgagni hernias require surgical treatment; laparoscopic repair is another option with lower morbidity. We describe a 35-year-old man with Morgagni hernia treated successfully by laparoscopy.