ABSTRACT
A gastric cystic duplication was found in a 83 year old patient; the cyst was located on the posterior wall of the stomach and required a total gastrectomy. Gastric duplications are usually discovered during the first year of life. They are located in the greater curvature. It's common the cystic form without communication with the gastric lumen. Due to its rarity, in most cases the diagnosis is made at laparotomy.
Subject(s)
Stomach/abnormalities , Aged , Aged, 80 and over , HumansABSTRACT
Two cases of small bowel postradiation enteritis after abdominoperineal resection are presented. The interval between radiation of 60 Gy to the pelvis and perineal area and the occlusive symptoms were 3 and 6 years. One patient required a massive small bowel resection, and the second an ileo-transverse colon bypass. The first case had a partial dehiscence of the anastomosis, and the second a colonic fistula 8 months after surgery that closed after total parenteral nutrition. Both patients had abdominal wall closure defects.
Subject(s)
Enteritis/etiology , Radiation Injuries , Enteritis/surgery , Humans , Male , Middle Aged , Postoperative Complications , Radiation Injuries/surgeryABSTRACT
A case of a large synchronous metastasis on the pancreas from a clear cell renal carcinoma is presented. The patient presented with melena from duodenal ulcer and a palpable mass in the mesogastrium. A radical right nephrectomy and cephalic duodenopancreatectomy were performed. Six years later bone and retroperitoneal metastasis developed and she died one year later. Renal clear cell carcinoma give pancreatic metastasis in only 1-3% of cases. Only 1-2% of the pancreatic malignancies are secondary to renal carcinoma. Clinical and radiological findings are similar to those of primary pancreatic tumors, and hemorrhage is the principal symptom. When the metastasis is single, as in this case, duodeno-pancreatectomy is the treatment of choice.
Subject(s)
Adenocarcinoma/secondary , Kidney Neoplasms/pathology , Pancreatic Neoplasms/secondary , Aged , Female , Humans , Time FactorsABSTRACT
We present the case of a female patient with tuberculosis of the gallbladder, the adipose tissue and lymph nodes surrounding the common bile duct; the patient presented with obstructive jaundice. We discuss the diagnostic criteria, approach to the biliary tract and treatment of this type of patients.
