ABSTRACT
Bochdalek's hernia is a congenital posterior diaphragmatic defect, resulting from persistence of the pleuroperitoneal canal of embryonic life. Bochdalek's hernias are rare occurrences in adult patients and they present commonly with digestive symptoms and need surgical therapy. This article describes a case of an 88-year-old female with symptomatic right Bochdalek defect containing intra-abdominal viscera with no hernial sac.
Subject(s)
Hernia, Diaphragmatic , Age Factors , Aged , Aged, 80 and over , Diagnosis, Differential , Female , Follow-Up Studies , Hernia, Diaphragmatic/diagnosis , Hernia, Diaphragmatic/surgery , Hernias, Diaphragmatic, Congenital , Humans , Time FactorsABSTRACT
The incidence of synchronous carcinoma of colon-rectus is rising in relation to a greater oncogenic environmental charge and increased average life expectancy. There is also a risk of not recognising the disease (especially small carcinoma or multicentric neoplasm). After a Literature review, two clinical cases are described by the authors. They recommend an extensive use of preoperative colonoscopy and a careful intraoperative exploration of the viscera. It is also important that patients undergo periodical postoperative endoscopic controls.
Subject(s)
Adenocarcinoma/diagnosis , Colonic Neoplasms/diagnosis , Neoplasms, Multiple Primary/diagnosis , Rectal Neoplasms/diagnosis , Adenocarcinoma/pathology , Adenocarcinoma/surgery , Aged , Colectomy/methods , Colonic Neoplasms/pathology , Colonic Neoplasms/surgery , Colonoscopy , Follow-Up Studies , Humans , Male , Neoplasms, Multiple Primary/pathology , Neoplasms, Multiple Primary/surgery , Rectal Neoplasms/pathology , Rectal Neoplasms/surgeryABSTRACT
Fournier's syndrome or necrotizing fasciitis is a rare infection with high mortality rate. Old patients especially with diabetes mellitus, liver and renal failure are more affected. This disease requires prompt treatment: early diagnosis, antibiotic therapy, nutritional support and immediate extensive surgical debridement are necessary. Two clinical cases are presented.
Subject(s)
Fasciitis, Necrotizing/therapy , Fournier Gangrene/therapy , Age Factors , Aged , Aged, 80 and over , Drainage , Fasciitis, Necrotizing/diagnosis , Fasciitis, Necrotizing/mortality , Fournier Gangrene/diagnosis , Fournier Gangrene/mortality , Humans , Male , PrognosisABSTRACT
The use of PTFE, vascular prosthesis (Gore-Tex), in the vascular access for hemodialysis, is a very reliable and exploited method. Thrombosis is the most frequent complication. The prosthetic "salvage operation" allows an immediate functional recovery. The authors examine their series from 1986 on, analyzing the surgical technics employed and the results obtained.
