ABSTRACT
Intestinal intussusceptions represent a rare cause of intestinal obstruction in adults (about 1% of intestinal obstructions). The principle causes are benign or malignant tumors. In adults, the most frequent localizations of intestinal invaginations are the ileo-cecal segment, ileum and colon as exclusive localization. We report the case of a 56 year-old Caucasian male admitted in our Department complaining with diffuse abdominal pain and severe anemia. The colonoscopy revealed a vegetant, stenosing and ulcerated mass in the hepatic flexure. The computed tomography suggested the additional diagnosis of intestinal intussusception with no evidence of intestinal obstruction. In our experience, surgery is always indicated for the treatment of intussusceptions in adults, especially for the almost constant underlying neoplasm.
Subject(s)
Cecal Diseases/pathology , Colonic Neoplasms/complications , Ileal Diseases/pathology , Intussusception/pathology , Abdominal Pain/etiology , Anemia/etiology , Cecal Diseases/etiology , Cecal Diseases/surgery , Colonoscopy , Humans , Ileal Diseases/etiology , Ileal Diseases/surgery , Ileocecal Valve/pathology , Intussusception/etiology , Intussusception/surgery , Male , Middle Aged , Tomography, X-Ray ComputedABSTRACT
Internal abdominal hernias are a rare cause of intestinal obstruction (0.2-0.9%). Transmesenteric hernia is a rare type of internal hernia and usually in adult people is acquired. We report the case of a 44 year-old caucasian female with a small bowel occlusion after right nephrectomy for clear cell renal carcinoma caused by an acquired transmesenteric hernia. We emphasize the role of CT scanning for a prompt diagnosis and a quick surgical treatment in order to avoid intestinal gangrene.
Subject(s)
Hernia, Abdominal/diagnosis , Hernia, Abdominal/surgery , Intestinal Obstruction/diagnosis , Intestinal Obstruction/surgery , Nephrectomy/adverse effects , Adult , Female , Hernia , Hernia, Abdominal/etiology , Humans , Intestinal Obstruction/etiology , Intestine, Small/pathology , Intestine, Small/surgery , Tomography, X-Ray Computed/methodsABSTRACT
We report 4 cases of neuroendocrine tumors of the duodenum. Signs and symptoms were non-specific. The choice of surgery depended on the site and stage of the tumor and any concomitant diseases.
Subject(s)
Duodenal Neoplasms , Adult , Aged , Duodenal Neoplasms/pathology , Duodenal Neoplasms/surgery , Female , Humans , Male , Middle AgedABSTRACT
Retroperitoneal fibrosis (RPF), also known as Ormond's disease, is a rare fibroinflammatory disease with uncertain etiology. RPF is characterized by the presence of a particular retroperitoneal fibrotic tissue which is white, woody and involving retroperitoneal structures such as the great vessels, ureters and psoas muscle. The main complication of RPF is the obstruction of local structures such as the ureters due to the fibrosis and the treatment of this aspect represents the main challenge for this pathology. RPF medical treatment consists of corticosteroids or/and immunosuppressive therapy. We report a case of a patient affected by idiopathic RPF treated with low-dose methotrexate (MTX) and 6-methylprednisolone (6-MP) for two years, describing and confirming the effectiveness and safety of a long-term low-dose MTX and 6-MP treatment associated to ureteral Double-J stenting avoiding more invasive surgical approaches.
