ABSTRACT
We describe a patient with angiographic findings of a left superior persistent vena cava draining in the left atrium with absence of the coronary sinus' roof and coexisting with Holmes' heart. The diagnosis can be made by selective angiography in the left atrium, pulmonary vein or at the left superior vena cava. We want to emphasize the importance of knowing this sort of anomaly before surgical treatment.
Subject(s)
Coronary Vessel Anomalies/diagnostic imaging , Heart Defects, Congenital/diagnostic imaging , Vena Cava, Superior/abnormalities , Cardiac Catheterization , Female , Heart Atria/abnormalities , Heart Atria/diagnostic imaging , Humans , Infant , Radiography , Syndrome , Vena Cava, Superior/diagnostic imagingSubject(s)
Fetal Alcohol Spectrum Disorders/epidemiology , Intellectual Disability , Child , Chile , Cross-Sectional Studies , Female , Fetal Alcohol Spectrum Disorders/complications , Fetal Alcohol Spectrum Disorders/diagnosis , Fetal Alcohol Spectrum Disorders/prevention & control , Health Education , Humans , Intellectual Disability/etiology , Pregnancy , Wechsler ScalesABSTRACT
28,500 fiberoptic endoscopies were reviewed. 97 cancers of the stump were found in 1,119 patients who had had gastric resection (8.66%), in contrast to the 3.9% of cancers found in nonoperated patients. This suggests that the gastric remnant has a higher tendency to develop cancer than the nonresected stomach. A policy of periodic follow-up of these patients must be considered in order to detect the tumor at an early stage.
Subject(s)
Gastrectomy , Peptic Ulcer/surgery , Postoperative Complications/pathology , Stomach Neoplasms/pathology , Adult , Aged , Biopsy , Carcinoma, Squamous Cell/pathology , Duodenal Ulcer/surgery , Esophageal Neoplasms/pathology , Female , Follow-Up Studies , Gastric Mucosa/pathology , Humans , Male , Middle Aged , Neoplasm Staging , Neoplasms, Multiple Primary/pathology , Polyps/pathology , Stomach Ulcer/surgeryABSTRACT
Spontaneous intramural oesophageal perforation appears at any level, but preferably on the posterior wall, and is usually longitudinal. Unlike the Mallory Weiss and the Boerhaave syndromes, females are more frequently affected. It appears with sudden retrosternal pain radiating to the epigastrium, neck and back, followed by haematemesis of small quantity and dysphagia. Vomiting is rare. In contrast to complete rupture, neither pneumomediastinum nor emphysema is observed, barium swallow being the diagnostic test of choice whenever this pathology is suspected. However, when the symptoms are not typical, endoscopy is a useful method for diagnosis. Treatment must be conservative, while surgery is suggested in the case of recurrent symptoms or big intramural haematomas with a high risk of perforation. A 74-year-old woman is presented. Endoscopy was performed as an emergency in suspected food impaction in the oesophagus. This case was diagnosed as spontaneous intramural oesophageal perforation. The patient also presented with oesophageal diverticulum and hiatal hernia. Conservative treatment was given, and the lesion cured.
