ABSTRACT
We report the case of a 25 year old male patient who suffered a traffic accident. He was admitted to the ICU of our hospital and underwent a two step intervention for main pancreatic duct transection.
Subject(s)
Abdominal Injuries/complications , Organ Sparing Treatments/methods , Pancreatic Ducts/injuries , Pancreatic Ducts/surgery , Pancreaticojejunostomy/methods , Pancreatitis/surgery , Abdominal Injuries/etiology , Accidents, Traffic , Adult , Diabetes Mellitus/prevention & control , Drainage , Humans , Male , Pancreas/injuries , Pancreas/surgery , Pancreatitis/etiology , Treatment OutcomeABSTRACT
The complicated diaphragmatic hernia of traumatic origin, is a life-threatening condition. In most cases, the diaphragmatic rupture is caused by blunt trauma that affects the chest or abdomen, but penetrating wounds may represent also an etiological factor. Traffic accidents are primarily involved, in time of peace. We report a case of a 59-year-old male patient, who had a traffic accident 16 years before his admission to the emergency department. In these years he produced vague dyspeptic symptoms and was treated several times for pleural effusions and COPD. At the time of his latest admission he had frank signs of an acute abdomen.
Subject(s)
Abdomen, Acute/etiology , Abdomen, Acute/surgery , Accidents, Traffic , Colon/pathology , Colonic Diseases/complications , Hernia, Diaphragmatic, Traumatic/complications , Colonic Diseases/etiology , Colonic Diseases/pathology , Colonic Diseases/surgery , Hernia, Diaphragmatic, Traumatic/pathology , Hernia, Diaphragmatic, Traumatic/surgery , Humans , Male , Middle Aged , Necrosis/etiology , Pleural Effusion/etiology , Pulmonary Disease, Chronic Obstructive/etiology , Rupture/complications , Time Factors , Tomography, X-Ray ComputedABSTRACT
Various congenital anomalies, organ transpositions impose special demands on building up the diagnosis; the mirror image of the abdominal organs tests the skills of the surgeon. We report a case of a 68 year old female patient, with a known situs inversus totalis, who underwent a laparoscopic cholecystectomy. We discuss our diagnostic steps (such as US, ERCP and EST), the variation of maneuvers used during the operation. No iatrogenic event occurred. We also stress that the surgeon should be alert of possible local anatomic variations and, if needed, conversion should be a solution of choice.
Subject(s)
Cholecystectomy, Laparoscopic , Cholecystitis/surgery , Situs Inversus/complications , Aged , Cholangiopancreatography, Endoscopic Retrograde , Cholecystectomy, Laparoscopic/methods , Cholecystitis/complications , Cholecystitis/diagnostic imaging , Female , HumansABSTRACT
In a 52-year-old women suffering in Recklinghausen's disease, operated for acute abdomen, subserous neurinomas and neurofibroma were found on the jejunum and in the mesentery. Gastrointestinal tumors (neurofibroma, GIST, carcinoid etc.) should be considered in patients with Recklinghausen's disease and gastrointestinal symptoms.
Subject(s)
Abdomen, Acute/etiology , Jejunal Neoplasms/diagnosis , Mesentery , Neurilemmoma/diagnosis , Neurofibroma/diagnosis , Neurofibromatosis 1/complications , Peritoneal Neoplasms/diagnosis , Abdomen, Acute/surgery , Diagnosis, Differential , Female , Humans , Jejunal Neoplasms/etiology , Jejunal Neoplasms/surgery , Middle Aged , Neurilemmoma/etiology , Neurilemmoma/surgery , Neurofibroma/etiology , Neurofibroma/surgery , Neurofibromatosis 1/diagnosis , Neurofibromatosis 1/surgery , Peritoneal Neoplasms/etiology , Peritoneal Neoplasms/surgeryABSTRACT
The authors describe a tumor localized next to the left adrenal gland. On histological examination the lipid-rich tumor was found to be partly a solid adrenocortical adenoma and partly a tubular oncocytoma.
Subject(s)
Adenoma, Oxyphilic/diagnosis , Adenoma/diagnosis , Adrenal Cortex Neoplasms/diagnosis , Retroperitoneal Neoplasms/diagnosis , Adenoma/pathology , Adenoma/surgery , Adenoma, Oxyphilic/pathology , Adenoma, Oxyphilic/surgery , Adrenal Cortex Neoplasms/pathology , Adrenal Cortex Neoplasms/surgery , Diagnosis, Differential , Female , Humans , Middle Aged , Retroperitoneal Neoplasms/pathology , Retroperitoneal Neoplasms/surgeryABSTRACT
Primary solid tumors of the mesentery are very rare. The authors found a bulky gastrointestinal stromal tumor (GIST) in the mesentery. The stomach and the intestines were tumor-free.