ABSTRACT
The Term "Biloma" describes an extraductular collection of bile within a defined capsular space secondary to traumatic, iatrogenic or spontaneous injury of the biliary tree, of medical, surgical or mixed treatment.
Subject(s)
Bile , Biliary Fistula/complications , Biliary Fistula/etiology , Diagnosis, Differential , Drainage , HumansABSTRACT
Pancreatic ascites in a 13 year old female is described. The diagnosis was suspected by the presence of ascites with an elevated fluid amilase level and protein content. Ascites was successfully treated by a Roux-in-Y-pancreatojejunostomy.
Subject(s)
Ascites/etiology , Pancreatic Diseases/complications , Adolescent , Amylases/analysis , Ascites/surgery , Ascitic Fluid/analysis , Female , Humans , Pancreatic Diseases/surgery , Proteins/analysisSubject(s)
Intestinal Diseases , Tuberculosis, Gastrointestinal , Aminosalicylic Acid/therapeutic use , Female , Humans , Isoniazid/therapeutic use , Middle Aged , Tuberculosis, Gastrointestinal/diagnosis , Tuberculosis, Gastrointestinal/drug therapy , Tuberculosis, Gastrointestinal/pathology , Tuberculosis, Gastrointestinal/surgeryABSTRACT
PIP: The article reports on the case of a 30-year-old woman who had been on OC (oral contraception) for several years, who died in the space of 10 days for thrombosis of the superior longitudinal sinuses and of the uterine vasa, and on the case of a 26-year-old woman, also on OC, who suddenly developed cholestatic jaundice. The relationship between OC and hepatic or/and blood coagulation effects has been amply described in the literature, although the mechanism causing the problems are not yet well known. The authors insist on discontinuation of OC treatment at the first negative symptoms, and on careful examination of the clinical family history of patients before administration of OC.^ieng
Subject(s)
Cholestasis, Intrahepatic/chemically induced , Contraceptives, Oral/adverse effects , Thromboembolism/chemically induced , Adult , Female , HumansABSTRACT
One patient was seen with Candida albicans infection in a gastric ulcer. Gastric biopsy was of value in the diagnosis. The patient responded well to Nistatin therapy.
Subject(s)
Candidiasis , Stomach Ulcer , Aged , Candida albicans/isolation & purification , Candidiasis/drug therapy , Candidiasis/parasitology , Candidiasis/pathology , Female , Gastroscopy , Humans , Nystatin/therapeutic use , Stomach Ulcer/drug therapy , Stomach Ulcer/parasitology , Stomach Ulcer/pathologyABSTRACT
In 102 cases with massive upper digestive hemorrhage, the method of immediate endoscopic diagnosis was used. From these 79 were selected which permitted an integral analysis. Upon the patient's gastric pumping with iced water was effected, and then emergency esophago-gastro-duodenoscopy was performed. Intravenous or intramuscular Diazepan or Meperidine, anticholinergics, and local anesthesia were used as pre-medication. In patients in a critical condition only local anesthesia and anticholinergics were used. Once the diagnosis had been made the method to be followed was planned. There were no complications either in the preparation of the endoscopy itself. Diagnostic certainty was of 91%. General mortality was 13,9%. The most frequent diagnosis was that of Duodenal Ulcer with 31,6%, followed by Gastric Ulcer with 24,1%, and Hemorrhagic Gastritis with 22,8%. Of the total, 34,2% were submitted to emergency laparotomy after the endoscopy. Immediate endoscopy is a useful procedure for massive upper digestive hemorrhage since it provides an etiological and topographical diagnosis thus indicating a specific treatment. In this way the general mortality rate and the percentage of patients submitted to exploratory laparotomy have decreased.
