ABSTRACT
The authors' experience with splenic hydatidosis is presented. Sixteen cases, representing 3% of the hydatidosis treated surgically in our center, are reviewed. Pain in the left upper quadrant, splenomegaly and calcifications detected by simple abdominal radiology are the most suggestive indications. The definitive diagnosis is based on abdominal echography and CT scan, which have the greatest sensitivity and specificity. The treatment should be surgical, attempting to preserve as much splenic tissue as possible, although in our experience, it is infrequent that conservative treatment can be used due to massive involvement of the spleen.
Subject(s)
Echinococcosis/diagnosis , Splenic Diseases/diagnosis , Adolescent , Adult , Aged , Child , Echinococcosis/surgery , Humans , Middle Aged , Postoperative Complications/epidemiology , Splenectomy , Splenic Diseases/surgeryABSTRACT
We report a rare case of acute abdomen caused by the spontaneous rupture of a splenic hydatid cyst into the abdominal cavity, causing a massive hemoperitoneum due to accompanying rupture of the spleen which required splenectomy. A review is made of the literature on this rare entity, its treatment and its consequences and their prevention and treatment.
Subject(s)
Abdomen, Acute/etiology , Echinococcosis/complications , Splenic Diseases/complications , Adult , Female , Humans , Rupture, SpontaneousABSTRACT
We present a case of cancer of a choledochal cyst in a patient with antecedents of cholecystectomy, who complained of pain in the right hypochondrium. Echography and CAT disclosed a cystic mass of biliary location, and the diagnosis was confirmed by intraoperative cholangiography and biopsy of the cyst margin. Cysto-jejunostomy on a Roux-en-Y loop was performed. The patient survived 11 months and died of tumoral dissemination. We reviewed 130 cases of cancer of a choledochal cyst published up until 1986 and possible etiopathogenic causes, and we discuss the diagnostic problems and related treatment.
Subject(s)
Adenocarcinoma/complications , Common Bile Duct Diseases/complications , Common Bile Duct Neoplasms/complications , Cysts/complications , Adenocarcinoma/surgery , Common Bile Duct Diseases/diagnosis , Common Bile Duct Neoplasms/surgery , Cysts/diagnosis , Diagnosis, Differential , Echinococcosis, Hepatic/diagnosis , Female , Humans , Middle AgedABSTRACT
A case is presented of intestinal duplication in the duodenum of a 17-year-old patient initially diagnosed as anorexia nervosa due to her extreme thinness and scant accompanying symptomatology. The etiopathogenesis, anatomic, clinical and diagnostic features, and different treatments of duodenal duplication are briefly reviewed.
Subject(s)
Duodenum/abnormalities , Adolescent , Age Factors , Body Weight , Duodenum/diagnostic imaging , Duodenum/pathology , Duodenum/surgery , Humans , RadiographyABSTRACT
Pancreatic heterotopia is pancreatic tissue with no direct or vascular connection to the pancreas that results form a ontogenic anomaly. It is usually an incidental findings, although it has been sometimes associated to nonspecific symptoms or symptoms due to its location. Massive gastrointestinal hemorrhage due to pancreatic ectopia has been described occasionally and is considered an infrequent form of presentation. Two cases are presented of massive digestive hemorrhage associated with pancreatic duodenal ectopia that were treated surgically by excision of the ectopic tissue. The patients remain asymptomatic after surgery. A review is made of the literature on this topic.
