Subject(s)
Contusions/therapy , Liver/injuries , Adolescent , Adult , Aged , Child , Child, Preschool , Contusions/surgery , Female , Hemostatic Techniques , Humans , Liver/surgery , Male , Middle Aged , SuturesABSTRACT
The authors report the case of a juvenile secretory carcinoma of the breast in a 4 year old girl. The study of the first local excision leads to the thought of a "duct ectasia with a luminal benign papilloma". At the age of 6 years, there is a local relapse. A second local excision is performed and connected with simple mastectomy and an axillary node sampling. The pathological examination shows the aspect of a multifocal secretory juvenile carcinoma of the breast without lymph node axillary metastase. The authors emphasize the cystic appearance of the first tumor and the distinctive histologic pattern of this particular breast carcinoma.
Subject(s)
Breast Neoplasms/metabolism , Carcinoma, Intraductal, Noninfiltrating/metabolism , Breast Neoplasms/pathology , Carcinoma, Intraductal, Noninfiltrating/pathology , Child, Preschool , Female , HumansSubject(s)
Peptic Ulcer Hemorrhage/surgery , Adolescent , Adult , Age Factors , Aged , Aged, 80 and over , Endoscopy , Female , Humans , Male , Middle Aged , Peptic Ulcer Hemorrhage/mortalitySubject(s)
Burns, Chemical/complications , Caustics/adverse effects , Esophageal Stenosis/chemically induced , Adult , Burns, Chemical/diagnosis , Burns, Chemical/surgery , Burns, Chemical/therapy , Child, Preschool , Esophageal Stenosis/diagnosis , Esophageal Stenosis/surgery , Esophageal Stenosis/therapy , Female , Humans , Male , Middle Aged , Suicide, AttemptedSubject(s)
Esophagus/injuries , Adolescent , Adult , Aged , Child , Female , Humans , Male , Middle AgedSubject(s)
Endoscopy/methods , Gallstones/surgery , Cholangiography , Endoscopes , Endoscopy/adverse effects , Female , Gallstones/diagnosis , Humans , Intraoperative Period , Male , Middle AgedSubject(s)
Biliary Fistula/etiology , Cholelithiasis/complications , Gastric Fistula/etiology , Intestinal Fistula/etiology , Adult , Aged , Biliary Fistula/diagnosis , Biliary Fistula/surgery , Female , Gastric Fistula/diagnosis , Gastric Fistula/surgery , Humans , Intestinal Fistula/diagnosis , Intestinal Fistula/surgery , Male , Middle AgedABSTRACT
Based on the study of 8 cases diffuse post-operative peritonitis, the authors demonstrate in an exemplary manner the benefit derived through artificial nutritive support which permits, in certain well-defined cases, one-step digestive sutures and allows high-quality anastomotic and parietal healing. This new therapeutic attitude should not be generalized; it remains as yet very special, requiring specific metabolic safety measures. Only surgical teams in total control of the metabolic and nutritive problems accompanying heavy visceral surgery are in a position to apply this new concept.
