ABSTRACT
Cystic lymphangioma is a rare tumour (6% of benign tumours in children), frequently situated in the cervical or axillary region and exceptionally intraabdominal. It arises due to a congenital defect in the connection of the primary lymphatic channels with the central collecting system. It presents clinically either in the form of a pseudo-appendix or pseudo-ascites syndrome or in the form of an abdominal tumour with or without compression of adjacent structures. It can now be easily diagnosed by ultrasonography. Treatment is well defined and consists of surgical resection of the isolated lymphangioma or associated with the adjacent intestine, depending on the site of the tumour. It has a good prognosis.
Subject(s)
Abdominal Neoplasms/surgery , Lymphangioma, Cystic/surgery , Abdominal Neoplasms/diagnostic imaging , Age Factors , Child , Child, Preschool , Female , Humans , Lymphangioma, Cystic/diagnostic imaging , Male , Tomography, X-Ray Computed , UltrasonographyABSTRACT
A case of esophageal duplication discovered in the neonatal period is reported and discussed. This infrequent malformation (9% of all childhood mediastinal tumors) is an entoblastic duplication of the digestive tract and is often accompanied with spinal malformations. The duplication may be either cystic or tubular; the latter form usually opens into the normal esophagus. The most common clinical manifestations are respiratory symptoms caused by compression. The diagnosis, suggested by the findings on the plain chest film and osephageal opacification, is confirmed by the ultrasound examination and, above all, the CT scan. The treatment of this malformation is surgical. Reconstruction may be difficult but overall results and prognosis are excellent.
Subject(s)
Esophagus/abnormalities , Abnormalities, Multiple , Humans , Infant, Newborn , Male , Spinal DysraphismABSTRACT
The authors report the case of a 20 year old patient in whom the clinical findings combined with the radiological signs, suggested the diagnosis of renal cancer. The histological findings after nephrectomy established the diagnosis of xanthogranulomatous pyelonephritis. This disease may rarely give the appearance of a renal tumor. This points out the importance of identifying this lesion in preoperative staging to avoid carcinologic surgery and all of its difficulties.
Subject(s)
Kidney Neoplasms , Pyelonephritis, Xanthogranulomatous , Adult , Diagnosis, Differential , Humans , Kidney Neoplasms/pathology , Male , Pyelonephritis, Xanthogranulomatous/pathologyABSTRACT
The authors report an analysis of 419 cases of operated peptic ulcer. 68.78% of patients had a mean follow-up of 4 years. After clinical and endoscopic examination, the results of the survey were assessed on the basis of various parameters, which demonstrated that the results of surgery were related to socio-occupational problems, smoking, the site of the ulcer, the stage, the history of the ulcer prior to the operation, the conditions of the operation and obviously the surgical technique used.
Subject(s)
Peptic Ulcer/surgery , Adolescent , Adult , Aged , Endoscopy, Gastrointestinal , Female , Fiber Optic Technology , Follow-Up Studies , Gastrectomy/methods , Hemostasis, Surgical , Humans , Male , Middle Aged , Peptic Ulcer/diagnostic imaging , Peptic Ulcer/mortality , Postoperative Care , Postoperative Complications , Radiography , Recurrence , VagotomyABSTRACT
The authors report their experience of 1,126 cases of posterior vertical lumbar incision. The essential indication for this approach is stones in the renal pelvis or lumbar ureter (788 cases). The authors subsequently extended the indications for this incision to all plastic operations on the pyeloureteric junction (56 cases) and the extraction of certain staghorn calculi (114 cases). The posterior approach is anatomically simple and direct. It has the advantage of causing less muscular mutilation with a simpler postoperative course.
Subject(s)
Kidney Diseases/surgery , Lumbosacral Region/surgery , Ureteral Diseases/surgery , Adolescent , Adult , Aged , Child , Child, Preschool , Female , Humans , Infant , Male , Middle Aged , Surgical Procedures, Operative/methods , Urinary Calculi/surgeryABSTRACT
The authors report 16 cases of this type, without associated cardiac abnormality, seen in the course of 3000 coronary arteriographies in adults. The diagnosis has been made on the findings at selective coronary arteriography, completed eight times by one totalinjection above the sinus. A classification of distribution anomalies and of cases of hypoplasia of one coronary artery is put forward, based on the number of ostia. The role which these anomalies might play in the genesis of myocardial ischaemia is discussed, and was formally considered responsible in two cases. It has not been demonstrated that they play a part in the development of atheromatous stenosis of the coronary arteries. It is vital that these anomalies should be recognized preoperatively.
