Subject(s)
Humans , Male , Female , Aged , Cholecystitis, Acute/complications , Cholecystitis, Acute/surgery , Cholecystectomy, Laparoscopic , Risk FactorsABSTRACT
Tracheal perforation is a rare complication of thyroid surgery. A 36-year-old man with previous neck radiotherapy due to a nasopharyngeal cancer. After right hemithyoidectomy and isthmusectomy, the patient presented a tracheal perforation. The diagnosis was confirmed with computed tomography and bronchoscopy. A conservative management was performed with drainage and antibiotic therapy, and the evolution was satisfactory. If recognized at the time of the surgery, perforations should be closed primarily. Delayed perforations will be treated with an emergency surgery or conservatively depending on the clinical situation of the patient.
La perforación traqueal es una rara complicación de la cirugía tiroidea. Varón de 36 años con antecedente de radioterapia cervical por una neoplasia de cavum sometido a hemitiroidectomía derecha e istmectomía que durante el posoperatorio presentó una perforación traqueal confirmada por tomografía computarizada y broncoscopia. Se realizó manejo conservador con drenaje y antibioticoterapia, evolucionando de forma favorable. Las perforaciones identificadas durante la cirugía deben ser reparadas intraoperatoriamente, mientras que las diferidas se tratarán de forma quirúrgica urgente o de manera conservadora en función de la situación clínica del paciente.
Subject(s)
Nasopharyngeal Neoplasms , Male , Humans , Adult , Drainage , Retrospective StudiesABSTRACT
Introducción: La mastitis granulomatosa es una entidad benigna poco frecuente en la que no existe consenso sobre el tratamiento más adecuado. El objetivo fue analizar las características de esta enfermedad y su manejo en nuestra experiencia y compararlo con los antecedentes descritos en la literatura. Material y métodos: Se realizó un estudio descriptivo retrospectivo de los pacientes diagnosticados de mastitis granulomatosa en nuestro centro entre 2013 y 2018. Resultados: De las 4 mujeres con diagnóstico histológico de mastitis granulomatosa, ninguna presentaba historia de reciente embarazo, lactancia ni tratamiento anticonceptivo. Como factores de riesgo solo se identificó el hábito tabáquico en una paciente y un antecedente traumático en otra. La clínica de presentación más frecuente fue la de tumoración palpable unilateral. Como exploraciones complementarias se realizaron mamografía/tomosíntesis y ecografía en todos los casos y el diagnóstico se estableció tras el estudio histológico de una biopsia con aguja gruesa. Respecto al tratamiento, en 2 casos fue observacional y en otros 2 médico; hubo una sola complicación en forma de absceso mamario. Conclusiones: Para instaurar el diagnóstico definitivo de mastitis granulomatosa y descartar el cáncer de mama es necesario el estudio histológico, debido a la poca especificidad de otras pruebas
Introduction: Granulomatous mastitis is a rare breast disease. There is no consensus on the optimal treatment. The aim of this study was to analyse the characteristics of this disease and its management in our centre and to compare the findings with those reported in the literature. Material and methods: We conducted a descriptive retrospective study of patients with a diagnosis of granulomatous mastitis in our centre between 2013 and 2018. Results: None of the 4 women with a histological diagnosis of granulomatous mastitis had a recent history of pregnancy, lactation, or contraceptive treatment. One patient was a smoker and another had a history of trauma. The most common symptom was a unilateral palpable mass. Mammography/tomosynthesis and ultrasonography were performed in all patients and the definitive diagnosis was based on histological analysis after core needle biopsy. Two patients received no treatment (only observation) and the other 2 received medical treatment. There was only one complication (breast abscess). Conclusions: To establish a definitive diagnosis of granulomatous mastitis and to rule out breast cancer, histological study is necessary due to the low specificity of other tests
Subject(s)
Humans , Female , Adult , Middle Aged , Granulomatous Mastitis/epidemiology , Mammography/methods , Ultrasonography/methods , Retrospective Studies , Risk Factors , Tobacco Use Disorder/complications , Breast/injuries , Abscess/complications , Diagnosis, Differential , Reproductive History , Anti-Bacterial Agents/therapeutic useABSTRACT
No disponible
Subject(s)
Humans , Female , Adult , Chylous Ascites/etiology , Gastric Bypass/adverse effects , Hernia, Ventral/etiology , Postoperative Complications/diagnostic imaging , Chylous Ascites/diagnostic imaging , Chylous Ascites/surgery , Hernia, Ventral/diagnostic imaging , Hernia, Ventral/surgery , Incidental Findings , Laparoscopy/adverse effects , Tomography, X-Ray Computed , UltrasonographySubject(s)
Chylous Ascites/etiology , Gastric Bypass/adverse effects , Hernia, Ventral/etiology , Postoperative Complications/diagnostic imaging , Adult , Chylous Ascites/diagnostic imaging , Chylous Ascites/surgery , Female , Hernia, Ventral/diagnostic imaging , Hernia, Ventral/surgery , Humans , Incidental Findings , Laparoscopy/adverse effects , Tomography, X-Ray Computed , UltrasonographyABSTRACT
No disponible
Subject(s)
Humans , Female , Adult , Hemangiosarcoma/surgery , Hemangiosarcoma , Breast Neoplasms/surgery , Mammography/methods , Mastectomy/methods , Breast Neoplasms , Magnetic Resonance Spectroscopy/methods , Immunohistochemistry/methods , Hemangiosarcoma/pathologyABSTRACT
BACKGROUND: Splenic cysts are rare diseases that are diagnosed incidentally during imaging studies. When cysts are recognized, surgical treatment is recommended adapted to the particular case, depending on the size and location of the cyst and the age of the patient in order to avoid dangerous complications such as spleen rupture or cyst infection with abscess. CLINICAL CASE: We report 2patients with symptomatic splenic epidermoid cyst treated by laparoscopic cleavage. CONCLUSIONS: Laparoscopic cleavage is a surgical option for splenic cyst, with the goal of reducing postoperative complications while preserving splenic function.
