Subject(s)
Hernia, Inguinal/surgery , Postoperative Complications , Respiratory Insufficiency/etiology , Humans , Male , Middle Aged , ScrotumSubject(s)
Embolization, Therapeutic , Gastrointestinal Hemorrhage/therapy , Aged , Humans , Male , Radiography, InterventionalABSTRACT
BACKGROUND/AIMS: Hepatic hemangiomas are controversial tumors, especially as far as treatment is concerned. This paper analyses a series of 26 cavernous hemangiomas of the liver diagnosed between 1982 and 1993. MATERIALS AND METHODS: A descriptive study is made of cases, their treatment and subsequent follow-up averaging 5 years. RESULTS: A preoperative diagnosis was made in 18 patients. Fifteen of the 26 patients underwent operation, and no deaths occurred. One patient with Kasabach-Merritt syndrome (3.8%) had complications due to rupture of the hemangioma. Postoperative complications were limited to two abscesses (13%). There were no recurrences in the follow-up (average 4.4 years). Three of the 15 surgery patients revealed residual hemangiomas. There were no complications in the 11 non-surgery patients (five of which had giant hemangiomas) during a follow-up averaging 5.9 years. One patient initially without pain and with a hemangioma of 7.4 cm became symptomatic, and the hemangioma grew to 9.6 cm; another patient with pain became asymptomatic, with no change in hemangioma size. CONCLUSION: Most hemangiomas can be managed conservatively. Indication for surgery should be assessed in units with experience in liver surgery, where low morbidity and mortality rates can justify the intervention.
Subject(s)
Hemangioma, Cavernous/surgery , Liver Neoplasms/surgery , Adult , Aged , Female , Hemangioma, Cavernous/diagnosis , Humans , Liver Neoplasms/diagnosis , Male , Middle Aged , Retrospective Studies , Treatment OutcomeABSTRACT
A case is presented of chronic intestinal ischemia due to arteriosclerotic obstruction of the celiac trunk and superior mesenteric artery. The diagnosis was reached by right transfemoral aortography. Surgical treatment was direct reimplantation of the superior mesenteric artery on the anterior aspect of the healthy aorta and installation of a retrograde Dacron graft between the aorta and common hepatic artery. The patient's postoperative course was satisfactory, with total remission of the symptomatology; revascularization was confirmed by a new aortography at six months. The diagnostic and therapeutic problems posed by this pathology are commented.
