ABSTRACT
Colic endometriosis is a classical but rare localization. The authors present one case treated by partial colectomy associated with a total hysterectomy and preservation of ovarian parenchyma. The hysterectomy was necessary because of adenomyosis and inflammatory adhesions undissociable from the sigmoid.
Subject(s)
Endometriosis/surgery , Sigmoid Neoplasms/surgery , Adult , Colectomy , Female , HumansABSTRACT
The authors report three cases of peritonitis due to perforation of an ileal loop diversion. Two cases occurred 21 and 26 days after surgery with a persistent lesion at the base of the graft. The third case, much more unusual, occurred 8 months after the operation due to a stress ulcer in the ileal loop. The three patients were successfully treated surgically but the ileal loop diversion could only be preserved in one case: the other patients underwent cutaneous ureterostomy. The authors distinguish between fistulae of intermediate and late onset after the operation. The first type of fistulae can be prevented by improvement of the surgical technique and drainage. The second type of fistulae may develop whenever an associated arterial pathology is present.
Subject(s)
Intestinal Perforation/complications , Peritonitis/etiology , Urinary Diversion/adverse effects , Urine , Aged , Humans , Ileum/surgery , Male , Middle AgedABSTRACT
Among the uterine malformations responsible for infertility, uterus bipartitus is one of the most amenable to surgery. The operation devised by Bret and Palmer is intended for those cases where the malformation is due to non-resorption of the medial septum and not for those where it is due to lack of fusion of the Mullerian ducts. The results are excellent, since 70% or 80% of previously infertile women subsequently became pregnant.