Subject(s)
Pancreatitis/diagnosis , Acute Disease , Adolescent , Adult , Aged , Child , Combined Modality Therapy , Female , Humans , Male , Middle Aged , Pancreatectomy , Pancreatitis/mortality , Pancreatitis/therapy , ReoperationABSTRACT
A pseudo-tumours of the abdominal wall is described, in the left hypochondrum and the left flank, that, recidivating after 5 years, invaded the splenic angle of the colon. The common histological characteristics were very clear and strongly suggested the presence of Crohn disease. The cellular elements found at the first intervention performed for the extirpation of the tumour in the abdominal wall, as well as at reintervention--consisting in the block resection of the recidivating tumour and of the segment of the colon involved (segmental colectomy)--represented by abundant plasmocytic infiltrates suggest the presence of an immune process. The problem raised is the possibility that the Crohn disease could be incriminated in both instances, since the immunological disturbances can be considered as clearly manifest.
Subject(s)
Abdominal Neoplasms/complications , Colonic Diseases/etiology , Crohn Disease/etiology , Abdominal Muscles , Adult , Humans , MaleABSTRACT
The authors review the patho-physiologic arguments that have determined Bénichoux to recommend spleno-hepatoplasty in the treatment of hepatic cirrhosis, and present a group of 7 personal observations in which they have tested this type of intervention. The technique employed is described, as well as the follow-up of the cases that had a favourable evolution. In one of the observations differences between the samples obtained by bioptic puncture before the intervention and those obtained at one and two years after surgery, have demonstrated a marked reduction in the intensity of inflammatory reactions, as well as evident reparation processes in the hepatocytes. The authors consider the intervention as a new type of therapy, allowing for re-vascularization of the ischaemic hepatic tissue, as well as for a slow porto-caval derivation with remarkable results for the cirrhotic patients.
