ABSTRACT
A case of cystic lymphangioma is reported, located on the mesentery of the jejunum in a fifty-seven year old patient. The lymphangioma is an extremely rare disease and it is often located in the neck and arm pit. An intra abdominal and mediastinal location takes place in just 5% of the examined cases. Pre operative exams are taken into account; computerized (Axial) tomography and echo tomography have made diagnosis possible. The surgical therapy is the preferred treatment; no therapeutic options exist. The radical extirpation of the mass becomes necessary to avoid relapses.
Subject(s)
Abdominal Neoplasms/diagnosis , Lymphangioma, Cystic/diagnosis , Abdominal Neoplasms/pathology , Abdominal Neoplasms/surgery , Humans , Lymphangioma, Cystic/pathology , Lymphangioma, Cystic/surgery , Male , Middle Aged , Tomography, X-Ray ComputedABSTRACT
Starting from the note that in industrialised countries colorectal tumours are an increasingly serious problem, especially in the elderly, and after some epidemiological remarks, a personal series of 65 consecutive operations on over--70s in a three-year period is considered. Personal statistics are analysed following careful assessment of risk factors and the immediate and long-term surgical results, also examined on the basis of reported data. It is noted, first, that age is never an absolute contraindication to surgery; second that early diagnosis is basic for the achievement of an improved prognosis: proof of this lies in the excessive number of emergency operations for occlusion or perforation. On the other hand, while it is true that extreme radicalism at an advanced stage does not imply any substantial modification to prognosis, it should also be recognised that the shortening of surgical times (after the introduction of mechanical staplers and the improvement in anaesthesiological assistance techniques) offer greater scope for manoeuvre.
Subject(s)
Colorectal Neoplasms/surgery , Age Factors , Aged , Aged, 80 and over , Colorectal Neoplasms/diagnosis , Colorectal Neoplasms/pathology , Emergencies , Female , Humans , Male , PrognosisABSTRACT
The authors explored the possibility of using isobutyl-2-cyanoacrylate, a fast-setting plastic adhesive, for controlling parenchymal bleeding after resection of the upper pole of the kidney in rats and rabbits. They describe the immediate results of this technic and histological findings elicited at various removes after experimental surgery.