Lung consolidation in a young-age active smoker: An unexpected diagnosis.

A 29-year-old man presented to Emergency Department with nonspecific symptoms. Through a series of radiological and invasive diagnostic studies we finally reach an unexpected diagnosis of hypersentivity pneumonitis; this is a complex and heterogeneous disease which diagnosis can be challenging as its clinical, radiologic and histopathologic features overlap with those of other interstitial lung diseases (ILDs). Diagnosing an ILD is a dynamic process, and that is the reason why complex cases discussed in a multidisciplinary team may need to be reconsidered in light of evolution of the disease and the results of the performed exams with a flexible approach.

[Peritonitis caused by meconial ileus in a very premature patient. Presentation of a clinical case]. / Peritonite da ileo meconiale in paziente con prematurità grave. Presentazione di un caso clinico.

The Authors describe a case of meconium peritonitis in a low birth weight infant with associated malrotation of the intestines. We retrospectively analyzed the surgical approach during the stages of the disease. The purpose of this study is to stress a conservative surgical therapy (peritoneal cavity toilette and ileostomy), followed thereafter by intensive care, which should carefully balance metabolic and nutritional needs; it's then possible to perform a second look (canalization) only three mounths later, when a reasonable growth is achieved. A multidisciplinary approach favoured the positive outcome.

[Breast pathology from the viewpoint of a breast cancer outpatient clinic]. / La patologia della mammella nell'ottica di un ambulatorio di senologia.

3450 women were examined in the Breast Cancer Clinic of the 2nd General Surgery Division of the Mantova Hospitals between November 1979 and November 1982. Cancer was found in 105 cases (3.04%). The variety of conditions observed and the tests used to discover whether they were benign or malignant are described.

Surgical treatment of the dumping syndrome after gastroduodenal resection.

The correction of the dumping syndrome is based on three surgical techniques: narrowing of the gastrojejunal for gastroduodenal) anastomosis, interposition of an intestinal loop between the gastric stump and the duodenum, or conversion of Billroth II to Billroth I. The authors report the results obtained in a series of 22 cases.