[Low-malignancy duodenal leiomyosarcoma]. / Il leiomiosarcoma duodenale a bassa malignità.

The authors report a case of duodenal leiomyosarcoma presenting a low degree of histological malignancy. The main anatomoclinical features of the neoplasm are summarized. The authors conclude indicating not aggressive surgical therapy as adequate in such cases. However, a prolonged post-operative follow-up is always necessary, in order to detect recurrences as early as possible.

Abdominal contrast tomography in the evaluation of the gall-bladder and biliary tract (with emphasis upon jaundiced patients).

Tomography of the right upper quadrant after the rapid intravenous infusion of a high dose of contrast medium is a valuable method of investigation of hepato-biliary disease. Gall-bladder wall opacification may be normal, but if the wall is thicker than 2 mm and if irregular, it indicates inflammatory or calculous disease. Gall-bladder area greater than 35 cm2 indicates bile duct obstruction. This also causes the ducts to appear as lucent bands within the opacified liver parenchyma. Secondary deposits in the liver may also become visible. Various patterns of these findings are described which suggest specific biliary abnormalities.