ABSTRACT
Our work plans to study problems of the hydatic cyst of the dome on the double therapeutic aspect and prognosis through a 120 study cases collected over a period of 19 years. In this retrospective study, the predominance is male 65.5% with an average of age of 36 years. The diagnosis is often carried late to the stage of complication (biliary rupture in 13 cases and pleurale at 4 invalids) or fortuitously. The pain of the right hypochondre is found in 79.16% of cases. The scanner remains the method of choice for the positive diagnosis. The tomography plays an important role in the exact topographic diagnosis and the count of cysts. Cysts were multiple in 41% of cases. The treatment is surgical. We deplore two death in this series and the morbidity was dominated by subphrenic abscess, pleuresie, biliary escapes, the suppuration of the residual cavity and the prolonged hyperthermy.
Subject(s)
Echinococcosis, Hepatic/diagnosis , Echinococcosis, Hepatic/surgery , Postoperative Complications , Adult , Diagnostic Imaging , Echinococcosis, Hepatic/complications , Female , Humans , Male , Retrospective StudiesABSTRACT
Aneurysm of the coeliac artery is a rare vascular problem. The most serious clinical complication of coeliac artery aneurysm is rupture. Because of this, surgery is traditionally recommended. This paper presents a case of a coeliac artery aneurysm treated by open surgery.
Subject(s)
Aneurysm/diagnostic imaging , Aneurysm/surgery , Celiac Artery , Female , Humans , Middle Aged , Tomography, X-Ray Computed , Treatment OutcomeABSTRACT
INTRODUCTION: Acute appendicitis in femoral hernia is an uncommon condition that can be serious. OBSERVATION: We report the case of a 60 year-old woman presenting with an acute appendicitis in a right femoral hernia. The diagnosis was made at the time of surgery. The appendectomy was performed through the hernial sac, followed by parietal treatment of the hernia. The post-surgical course was uneventful. DISCUSSION: Inflammation of the appendix may arise secondary to constriction in the hernial sac. It occurs most frequently in postmenopausal women and in the right groin. The preoperative diagnosis is difficult, so complications such as abscess have been reported. Appendectomy is performed easily. CONCLUSION: Awareness of this condition may help to avoid the usual delay in diagnosis.
Subject(s)
Appendicitis/complications , Hernia, Femoral/complications , Acute Disease , Female , Humans , Middle AgedABSTRACT
Acute pancreatitis and pregnancy is a rare and serious combination that poses difficult diagnostic and therapeutic problems. Three cases of acute pancreatitis occurred in the post-partum period. Based on these cases and a literature review, we analyzed the different aspects of this interesting association. Biliary origin is particularly evident. Acute pancreatitis after delivery is a serious problem compared to other forms of acute pancreatitis. Late diagnosis caused by circumstances of happening contribute to the severity at least partially.
