ABSTRACT
Abdominal wound closure with safety retention sutures can cause intestinal obstruction, fistula, skin necrosis and rarely pseudoaneurysms of the inferior epigastric artery (IEA) (1, 2, 3). We report the case of a man presenting with a pseudoaneurysm of the IEA after traumatic extraction of retention sutures, successfully treated by surgical ligation of the feeding vessels. The importance of contrast enhanced CT and duplex colour Doppler sonography in differential diagnosis of postoperative abdominal wall masses is discussed, as well as possibilities and risks in the treatment of false aneurysms of the IEA.
Subject(s)
Aneurysm, False/surgery , Epigastric Arteries/surgery , Abdominal Pain/etiology , Aneurysm, False/complications , Aneurysm, False/diagnosis , Diagnosis, Differential , Disease-Free Survival , Epigastric Arteries/diagnostic imaging , Hematoma/diagnosis , Hematoma/etiology , Humans , Male , Middle Aged , Tomography, X-Ray Computed , Ultrasonography, Doppler, ColorABSTRACT
A case of fibrous mesothelioma is presented. Chest films suggested an elevation of the left diaphragm and a limited pleural effusion, which was confirmed on computed tomography. Percutaneous needle biopsy showed mesothelial cells. At thoracotomy the tumor was attached to the pleura of the mediastinum by a pedicle. Complete surgical resection was possible. Clinical, radiological and histological data in literature are summarized. The radiological features of the presented case correspond to those described in the literature.
Subject(s)
Mediastinal Neoplasms/diagnostic imaging , Mesothelioma/diagnostic imaging , Female , Humans , Mediastinal Neoplasms/surgery , Mesothelioma/surgery , Middle Aged , Radiography, Thoracic , Tomography, X-Ray Computed , UltrasonographyABSTRACT
Ninety-one PTFE grafts (63 Gore-Tex and 28 Impragrafts) were used to bypass an occluded femoropopliteal artery in eighty-six patients. Ischemic rest-pain usually combined with ulcerative lesions or gangrene was the operative indication in 56 patients. In 58 percent the outflow was limited to at most 1 crural artery. The distal anastomosis was located to the distal popliteal artery in 38 reconstructions and to the tibioperoneal trunc or one of the crural arteries in 27 reconstructions. Postoperative angiography was performed in 18 patients. The incidence of early thrombosis is very high namely 47% within 3 months and 57% within 6 months. Limited outflow and thrombus apposition, as demonstrated by some angiograms, are the major reasons of the early occlusion.
