ABSTRACT
Three cases of primary hydatidosis of the gluteus muscle treated in our department during the last 10 years are described. The first was initially misinterpreted as perineal or sciatic hernia. The diagnosis was set in the operating room. In the second case we included in our differential diagnosis the possibility of parasitic involvement at unusual sites. The diagnosis was confirmed by ultrasonography followed by computed tomography (CT) scans in order to rule out liver and pulmonary involvement. The last patient was initially operated elsewhere but finally came to us to treat his complications. At years following surgery there was no evidence of recurrence in any of the patients, but the last one still suffers from recurrent fasciitis and sciatica.
Subject(s)
Echinococcosis/diagnosis , Echinococcosis/parasitology , Echinococcus granulosus/isolation & purification , Muscle, Skeletal/parasitology , Aged , Albendazole/therapeutic use , Animals , Anticestodal Agents/therapeutic use , Buttocks , Echinococcosis/drug therapy , Echinococcosis/surgery , Humans , Male , Middle Aged , Muscle, Skeletal/surgery , Treatment OutcomeABSTRACT
The cases of two female patients with lipomatosis of the ileocecal valve inducing episodes of intestinal obstruction are presented. A barium enema with air contrast was performed in patient 1; patient 2 was operated on to treat ileus. Resection of the fatty tissue from the ileocecal valve was performed at operation, after histologic diagnosis on frozen section. These cases suggest that limited resection removing fatty tissue is effective and preferable to more radical resection.
Subject(s)
Ileal Diseases , Ileocecal Valve , Intestinal Obstruction/etiology , Lipomatosis/complications , Diagnosis, Differential , Female , Humans , Ileal Diseases/diagnosis , Ileal Diseases/surgery , Intestinal Obstruction/diagnosis , Intestinal Obstruction/surgery , Lipomatosis/diagnosis , Lipomatosis/surgery , Middle AgedABSTRACT
The value of the simultaneous estimation of serum carcino-embryonic antigen (CEA) and C-reactive protein (CRP) concentrations in staging patients with colorectal neoplasias was evaluated. The study included 95 patients with benign or malignant epithelial tumors of colon and rectum. The simultaneous negative values of CEA and CRP were able to exclude stage D tumors with a specificity of 92.6% (P less than 0.001). Simultaneously positive values of CEA and CRP were able to diagnose stage C or D tumors with a specificity of 92.1% (P less than 0.001). It is concluded that the combination of CEA and CRP tests can substantially contribute to the preoperative staging and assessment of the extent of colorectal cancer.
Subject(s)
C-Reactive Protein/analysis , Carcinoembryonic Antigen/blood , Colorectal Neoplasms/blood , Colorectal Neoplasms/pathology , Adenocarcinoma/blood , Adenocarcinoma/pathology , Adenoma/blood , Adenoma/pathology , Colorectal Neoplasms/immunology , Enzyme-Linked Immunosorbent Assay , Female , Humans , Latex Fixation Tests , Male , Neoplasm Staging/methods , Predictive Value of Tests , Sensitivity and SpecificityABSTRACT
Three patients who presented with perforated small bowel diverticulosis were healed by resection of the perforated segment and primary anastomosis. Clinical awareness of this disease may reduce the relatively high mortality reported by most authors.
Subject(s)
Diverticulum/surgery , Intestinal Perforation/surgery , Jejunal Diseases/surgery , Adult , Aged , Diverticulum/complications , Female , Humans , Intestinal Perforation/etiology , Jejunal Diseases/etiology , Male , Middle AgedABSTRACT
Two unusual cases of primary hydatid disease are described. In one of them a retroperitoneal cyst, presenting as a palpable abdominal mass, was strongly adherent to the inferior vena cava and dislocated the right kidney. Partial cystectomy and drainage were performed. The other cyst, of the right ischiorectal fossa, was initially misinterpreted as a perineal of sciatic hernia. It was completely removed. No other site of hydatid disease was found and the patients remain well 3 and 4 years postoperatively.
Subject(s)
Echinococcosis/diagnosis , Adult , Echinococcosis/surgery , Humans , Ischium , Male , Middle Aged , Rectum , Retroperitoneal Space , Vena Cava, InferiorABSTRACT
The impact of prophylactic cholecystectomy upon early mortality and morbidity of splenectomy for patients with beta TH H was investigated. The results of our study suggested that it is a safe procedure that is not associated with any increase in operative mortality and postoperative complications. This was true even when beta TH H was complicated by pigment cirrhosis and ascites. In view of increasing longevity of those patients with beta TH H, as well as the increased risk for gallstones even after splenectomy, we recommend the use of prophylactic cholecystectomy as a standard approach for all patients undergoing splenectomy for beta thalassemia homozygous.
