ABSTRACT
The duodenal varix rupture is a rare and serious complication of portal hypertension. The authors report one case of duodenal varix rupture in a 38 year old woman, revealing portal hypertension, which caused a massive gastro-intestinal bleeding. The endoscopy didn't allow to conclude to a diagnosis. An emergent laparotomy was necessary regarding the massive bleeding. A duodenal varix suture ligation was performed after pyloroduodenotomy. She had a well recovery. After a review of literature, the authors conclude that this abnormal situation is rare, its diagnostic is difficult and it has several therapeutic strategies.
Subject(s)
Duodenum/blood supply , Gastrointestinal Hemorrhage/etiology , Hypertension, Portal/complications , Varicose Veins/complications , Adult , Female , Humans , Rupture, SpontaneousABSTRACT
Splenic abscess are a rare and severe pathology causing difficulty in diagnosis and treatment. The Clinical presentation usually associated with abdominal pain in the left upper quadrant, fever and splenomegaly. Diagnosis will be confirmed by morphologic examination such as ultra sonography and computed tomography. Percutaneous drainage procedure made in first intention can be used either for curative purpose or to prepare patient for surgery. We report four cases of splenic abscess collected in our departement between 1997 and 2000 in which percutaneous drainage procedure was trial first. Two of them were successful and the others were completed by splenectomy.
Subject(s)
Abscess/surgery , Splenectomy , Splenic Diseases/surgery , Abdominal Pain/etiology , Abscess/diagnosis , Abscess/pathology , Adult , Aged , Drainage , Female , Humans , Magnetic Resonance Imaging , Splenic Diseases/diagnosis , Splenic Diseases/pathology , Splenomegaly/etiology , Treatment OutcomeABSTRACT
We realized a retrospective study concerning 1570 cases of celioscopic cholecystectomy screened during 6 years: from September 1995 to August 2001. There were 1328 females and 242 males with a wean age of 50 years. 256 patients underwent laparoscopic cholecystectomy for acute cholecystitis. There were one operative death. The morbidity is weak 2.1%. The rate of conversion is 12.4%. We performed 999 operative cholangiography, we found 82 common bile duct stones. Cholangiography should be systematic.
