ABSTRACT
We present the case of a 56-yr-old woman with vague abdominal pain of approximately 5 months duration. An ultrasound study showed moderate dilation of the common bile duct. Magnetic resonance cholangiopancreatography confirmed a cystic dilatation of the right hepatic duct with intra and extra hepatic component. The patient underwent right hepatectomy and complete excision of the cyst. Microscopically, the cyst wall was formed by fibrous tissue with mild acute and chronic inflammatory infiltrate, the inner surface showed a single layer of columnar epithelium and extensive squamous metaplasia without atypia, wich expressed p63 and high molecular weight cytoqueratin (34BE12).
Subject(s)
Choledochal Cyst , Hepatic Duct, Common/abnormalities , Abdominal Pain/etiology , Biomarkers/analysis , Biopsy , Cholangiopancreatography, Magnetic Resonance , Choledochal Cyst/complications , Choledochal Cyst/diagnostic imaging , Choledochal Cyst/surgery , Female , Hepatectomy , Hepatic Duct, Common/chemistry , Hepatic Duct, Common/diagnostic imaging , Hepatic Duct, Common/surgery , Humans , Immunohistochemistry , Keratins/analysis , Metaplasia , Middle Aged , Transcription Factors/analysis , Treatment Outcome , Tumor Suppressor Proteins/analysis , UltrasonographySubject(s)
Blogging , Tissue Transplantation/methods , Adolescent , Adult , Female , Humans , Male , Transplantation, Homologous , Young AdultABSTRACT
Few reports about body contouring surgery after massive weight loss (MWL) have been produced in the developing countries. As Mexico is considered a developing country, we performed a retrospective analysis of medical records of patients who underwent this type of surgery to evaluate their demographic characteristics as well as their outcomes and complications. Results from 684 patients with MWL, 69 (10%) had abdominoplasty; the type of abdominoplasty influenced the operative time, bleeding, and complications (P < 0.05); the body mass index influenced the weight of resected tissue (P < 0.000) and hospital stay (P < 0.020), but did not affect the type of abdominoplasty performed, surgical time, complications, reoperation, or transfusion rates. In contrast with the developed countries, in these procedures, operating time was higher and the patients had more surgical bleeding with higher rates of transfusion and a longer hospital stay, but with the same clinical results and percentage of complications.
