Subject(s)
Humans , Male , Adult , Abdomen, Acute/etiology , Colitis, Ischemic/etiology , Colonic Neoplasms/complications , Neurofibromatosis 1/complications , Abdomen, Acute/diagnosis , Abdomen, Acute/surgery , Colectomy , Colitis, Ischemic/diagnosis , Colitis, Ischemic/surgery , Magnetic Resonance Spectroscopy , Colonic Neoplasms/diagnosis , Colonic Neoplasms/surgery , Neurofibromatosis 1/diagnosis , Neurofibromatosis 1/surgerySubject(s)
Adult , Humans , Male , Abdomen, Acute/etiology , Colitis, Ischemic/etiology , Colonic Neoplasms/complications , Neurofibromatosis 1/complications , Abdomen, Acute/diagnosis , Abdomen, Acute/surgery , Colectomy , Colitis, Ischemic/diagnosis , Colitis, Ischemic/surgery , Colonic Neoplasms/diagnosis , Colonic Neoplasms/surgery , Magnetic Resonance Spectroscopy , Neurofibromatosis 1/diagnosis , Neurofibromatosis 1/surgeryABSTRACT
We want to introduce the case of an 18 year old male patient who consulted us because of proctorrhage, straining and rectal tenesmus. Diagnosis was rectal tumor which pathological anatomy revealed an adenocarcinoma of cells in seal ring shape, suggesting a probable gastric origin. The high endoscopy evidenced multiple polyps, less than a centimeter wide found in the cardiac orifice, body and antrum, with the same histology. All these findings were confirmed during the exploratory laparotomy. We thought it was interesting to report this case because of the clinical presentation, unusual in this type of gastric cancer.
Subject(s)
Carcinoma, Signet Ring Cell/secondary , Rectal Neoplasms/secondary , Stomach Neoplasms/pathology , Adolescent , Fatal Outcome , Humans , Male , Rectal Neoplasms/diagnosis , Rectal Neoplasms/surgery , Stomach Neoplasms/diagnosis , Stomach Neoplasms/surgeryABSTRACT
We want to introduce the case of an 18 year old male patient who consulted us because of proctorrhage, straining and rectal tenesmus. Diagnosis was rectal tumor which pathological anatomy revealed an adenocarcinoma of cells in seal ring shape, suggesting a probable gastric origin. The high endoscopy evidenced multiple polyps, less than a centimeter wide found in the cardiac orifice, body and antrum, with the same histology. All these findings were confirmed during the exploratory laparotomy. We thought it was interesting to report this case because of the clinical presentation, unusual in this type of gastric cancer.
ABSTRACT
We want to introduce the case of an 18 year old male patient who consulted us because of proctorrhage, straining and rectal tenesmus. Diagnosis was rectal tumor which pathological anatomy revealed an adenocarcinoma of cells in seal ring shape, suggesting a probable gastric origin. The high endoscopy evidenced multiple polyps, less than a centimeter wide found in the cardiac orifice, body and antrum, with the same histology. All these findings were confirmed during the exploratory laparotomy. We thought it was interesting to report this case because of the clinical presentation, unusual in this type of gastric cancer. (AU)
Subject(s)
Adolescent , Humans , Male , Stomach Neoplasms/pathology , Adenocarcinoma, Mucinous/pathology , Rectal Neoplasms/secondary , Fatal Outcome , Stomach Neoplasms/diagnosis , Stomach Neoplasms/surgery , Adenocarcinoma, Mucinous , Adenocarcinoma, Mucinous/surgeryABSTRACT
We want to introduce the case of an 18 year old male patient who consulted us because of proctorrhage, straining and rectal tenesmus. Diagnosis was rectal tumor which pathological anatomy revealed an adenocarcinoma of cells in seal ring shape, suggesting a probable gastric origin. The high endoscopy evidenced multiple polyps, less than a centimeter wide found in the cardiac orifice, body and antrum, with the same histology. All these findings were confirmed during the exploratory laparotomy. We thought it was interesting to report this case because of the clinical presentation, unusual in this type of gastric cancer.
Subject(s)
Adolescent , Humans , Male , Adenocarcinoma, Mucinous , Rectal Neoplasms , Stomach Neoplasms , Adenocarcinoma, Mucinous , Fatal Outcome , Stomach NeoplasmsABSTRACT
Gástric duplicación si an infrequent congenital malformation present in both, neonatal period and childhood, and exceptionally during adulthood. We present here there cases of gastric duplication from patients of different ages, in which it was not possible to make diagnosis before surgery. In all of them cystic form was the predominating one, without communication with gastric lumen (cavity). Diagnosis was performed after laparotomy and histopathological examination.
Subject(s)
Stomach/abnormalities , Child , Cysts/congenital , Cysts/surgery , Female , Humans , Infant, Newborn , Male , Middle Aged , Stomach/surgeryABSTRACT
Gástric duplicación si an infrequent congenital malformation present in both, neonatal period and childhood, and exceptionally during adulthood. We present here there cases of gastric duplication from patients of different ages, in which it was not possible to make diagnosis before surgery. In all of them cystic form was the predominating one, without communication with gastric lumen (cavity). Diagnosis was performed after laparotomy and histopathological examination.
ABSTRACT
Gastric duplicacion si an infrequent congenital malformation present in both, neonatal period and childhood, and exceptionally during adulthood. We present here there cases of gastric duplication from patients of diferent ages, in wich it was not possible to make diagnosis before surgery. In all of them cystic form was the predominating one, without communication with gastric lumen (cavity). Diagnosis was performed after laparotomy and histopathological examination.(Au)
Subject(s)
Humans , Female , Child , Middle Aged , Adult , Stomach/abnormalities , Gastrointestinal Diseases/diagnosis , Cysts/congenital , Cysts/surgery , Stomach/surgeryABSTRACT
Gastric duplicacion si an infrequent congenital malformation present in both, neonatal period and childhood, and exceptionally during adulthood. We present here there cases of gastric duplication from patients of diferent ages, in wich it was not possible to make diagnosis before surgery. In all of them cystic form was the predominating one, without communication with gastric lumen (cavity). Diagnosis was performed after laparotomy and histopathological examination.
Subject(s)
Humans , Female , Child , Middle Aged , Adult , Gastrointestinal Diseases/diagnosis , Stomach/abnormalities , Cysts/congenital , Cysts/surgery , Stomach/surgeryABSTRACT
The mutation in the hypoxanthine-guanine phosphoribosyltransferase (HPRT) gene has been determined in two brothers affected with Lesch-Nyhan syndrome. Female members of the family who are at risk for being heterozygous carriers of the HPRT mutation were also studied to determine whether they carry the mutation. DNA sequencing revealed that the boys' mother is heterozygous for the mutation in her somatic cells, but that three maternal aunts are not heterozygous. Such carrier information is important for the future pregnancy plans of at-risk females. The mutation, an A-->T transversion at cDNA base 590 (590A-->T), results in an amino acid change of glutamic acid to valine at codon 197, and has not been reported previously in a Lesch-Nyhan syndrome male. This mutation is designated HPRTBrasil.
Subject(s)
Hypoxanthine Phosphoribosyltransferase/genetics , Lesch-Nyhan Syndrome/genetics , Point Mutation , Adolescent , Adult , Brazil , Child , DNA, Complementary/analysis , Female , Heterozygote , Humans , Lesch-Nyhan Syndrome/diagnosis , Male , Pedigree , Sex FactorsABSTRACT
One hundred and forty-three patients presenting with 170 cysts and pseudocysts complicating chronic pancreatitis were followed between 1980 and 1990. Thirteen patients were managed conservatively and pseudocysts spontaneously disappeared in 11 patients. Cysts were small (average 28 mm), often communicating with the ductal system without dilatation of the main pancreatic duct. Percutaneous puncture was performed in 47 patients with a low morbidity rate (5%) but a high rate of recurrence (57%). Thirteen of 39 patients (33%) who underwent percutaneous puncture as initial treatment did not require further therapy. Communication of pancreatic cysts with the ductal system was associated with poorer results after percutaneous puncture. Percutaneous drainage was performed in 9 patients with a low morbidity rate (12%). The mean duration of drainage was 10.4 days. Five patients were definitively cured. Seventy-eight endoscopic cystoenterostomies were performed in 71 patients. Complications occurred in 12 patients (15.3%) and one patient died (1.3%). Endoscopic cystoenterostomy was effective in 39 of 54 patients initially treated with this technique (72.2%). Sixty-three patients underwent surgical management, principally internal drainage (83%), with a morbidity rate of 13.2% and a mortality rate of 1.3%. Twenty-one of the 29 patients (72%) who underwent surgery as initial treatment did not require further therapy. Endoscopic cystoenterostomy is an efficient treatment of cysts and pseudocysts complicating CP when anatomical conditions are favorable. Percutaneous drainage also appears to be a satisfactory treatment modality. Surgery should be considered in cases of failure or technical impossibility of endoscopic or percutaneous approaches.
Subject(s)
Pancreatic Cyst/etiology , Pancreatic Pseudocyst/etiology , Pancreatitis/complications , Chronic Disease , Drainage , Endoscopy, Digestive System , Female , Humans , Male , Middle Aged , Pancreatic Cyst/surgery , Pancreatic Pseudocyst/surgery , Postoperative Complications , Punctures , Retrospective StudiesABSTRACT
A total of 55 pancreatic pseudocysts in 45 patients with acute pancreatitis were managed between 1980 and 1990. Six patients were managed conservatively with resolution of pseudocysts in 5 patients. All pancreatic pseudocysts that disappeared were smaller than 35 mm. CT or ultrasound-guided aspiration were performed in 26 patients with a morbidity rate of 5%. Nine among 21 patients (42%) who were initially treated by percutaneous puncture were definitively cured: all pseudocysts were smaller than 55 mm. Nine patients were managed by long-term percutaneous drainage: 3 minor complications occurred and in 7 patients, no other treatment was necessary even for large pseudocysts. Endoscopic cystoenterostomy was performed in 12 patients. Only 15 pseudocysts (27%) bulged into the digestive wall, mainly of the stomach. Three complications (following 2 cystogastrostomies) occurred and one patient died after endoscopic cystogastrostomy. In 7 patients (58%), no other treatment was necessary even for large pancreatic pseudocysts. Surgery was required in 13 patients but only 4 patients underwent surgery as primary treatment. One major complication occurred and one patient died. Percutaneous drainage and endoscopic cystoenterostomy when technically feasible, are effective treatments of pancreatic pseudocysts complicating acute pancreatitis.
Subject(s)
Pancreatic Pseudocyst/surgery , Pancreatitis/complications , Acute Disease , Adult , Aged , Cystostomy , Drainage , Endoscopy, Digestive System , Female , Humans , Male , Middle Aged , Pancreatectomy , Pancreatic Pseudocyst/etiology , Pancreatic Pseudocyst/mortality , Punctures , Retrospective StudiesSubject(s)
Hemiplegia/etiology , Acute Disease , Child, Preschool , Female , Humans , Infant , Infant, Newborn , Male , SyndromeABSTRACT
Se hace un recuento histórico de los medios utilizados para sustituir el esófago. Se hace una clasificación de procederes en intrapleurales y atendiendo al material utilizado en la sustitución del esófago. Se hace un breve análisis crítico de los distintos segmentos de tubo digestivo que se utilizan señalando las bondades del colon. Se señalan las dos condiciones fundamentales de las plastias. Se precisan las indicaciones de la esófagocoloplastia en las afecciones benignas y malignas del esófago. Se señalan la ventaja que ofrece el método al no abrir el tórax y al no resecar el esófago. Se resumen las indicaciones del preoperatorio recalcando la importancia del estudio previo del colon. Se descubre la técnica operatoria. Se resume el postopertorio y se señala la rápida alimentación por vía oral (AU)
