ABSTRACT
The classification of benign stenosis of Vater's ampulla is explained and reference is made to 5 years' experience in this field. The preoperative diagnosis of this condition is discussed and an account is given of the results obtained and the postoperative course. Attention is drawn to the very low incidence of postoperative pancreatitis with respect to the surgical methods employed. This incidence is evaluated in the conclusions reached.
Subject(s)
Ampulla of Vater/surgery , Gallstones/surgery , Adolescent , Adult , Aged , Biliary Tract Diseases/surgery , Constriction, Pathologic , Female , Humans , Jaundice/etiology , Male , Middle Aged , Pancreatitis/etiology , Postoperative ComplicationsABSTRACT
After commeting on the importance of acute postoperative pancreatiti (APP) as a complication of surgery involving the main biliary passages, the authors give a detailed account of the 5 cases of this complication seen in their own clinical material over the last 5 years. In their summation, they identify the presence of pathological conditions of the papilla and the manipulation of the terminal segment of the choledochus as factors conducive to APP in the short-term postoperative period. In their discussion of therapeutic guidelines in the event of APP they call attention to the need for a careful assessment of pancreatic function before surgery.
Subject(s)
Common Bile Duct/surgery , Pancreatitis/etiology , Acute Disease , Adult , Aged , Female , Gallstones/surgery , Humans , Male , Middle Aged , Postoperative ComplicationsABSTRACT
A very rare case of carcinoid of the testicle combined with teratoma is illustrated. In fact the literature of the last twenty years reports only eleven cases of carcinoid of the testicle, of which only four combined with teratoma. It is stressed that it is possible that these neoplasias arise on already existing teratomas which may be very small and hence not always evidenced.