Asunto(s)
Obstrucción Intestinal/etiología , Intususcepción/diagnóstico por imagen , Quiste Mesentérico/complicaciones , Dolor Abdominal/etiología , Carcinoma/patología , Humanos , Obstrucción Intestinal/patología , Obstrucción Intestinal/cirugía , Laparotomía , Masculino , Quiste Mesentérico/patología , Quiste Mesentérico/cirugía , Persona de Mediana Edad , Náusea/etiología , Vómitos/etiologíaAsunto(s)
Bezoares , Duodeno , Estómago , Adolescente , Bezoares/diagnóstico por imagen , Bezoares/patología , Femenino , HumanosAsunto(s)
Uréter/anomalías , Adulto , Humanos , Masculino , Radiografía , Uréter/diagnóstico por imagenAsunto(s)
Acantosis Nigricans/etiología , Adenocarcinoma/diagnóstico , Neoplasias de la Vesícula Biliar/diagnóstico , Adenocarcinoma/tratamiento farmacológico , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Resultado Fatal , Femenino , Neoplasias de la Vesícula Biliar/tratamiento farmacológico , Humanos , Neoplasias Hepáticas/secundario , Neoplasias Pulmonares/secundario , Persona de Mediana EdadAsunto(s)
Linfangioma Quístico/diagnóstico , Mesenterio , Neoplasias Peritoneales/diagnóstico , Humanos , Linfangioma Quístico/patología , Linfangioma Quístico/cirugía , Masculino , Persona de Mediana Edad , Neoplasias Peritoneales/patología , Neoplasias Peritoneales/cirugía , Tomografía Computarizada por Rayos XRESUMEN
Abdominal wall hernias after trauma have been recognized for more than a century, with the first case reported as occurring after a fall. Traumatic abdominal wall hernias (TAWHs) after blunt trauma are uncommon. The timing of definitive repair, early or delayed, is not clear. We report a case on TAWH and mesenteric avulsion, highlighting the reasons for immediate or delayed repair. A single case study can hardly be considered as a basis for profound changes in the management of post traumatic hernias. However, damage to all layers of the abdominal wall indicates high-energy trauma. In such cases, the damage is not, in all probability, limited to the integumentary system. For the moment, the timing of surgery in any TAWH should be considered differently according to the trauma, the wall defect, clinical and radiological findings, associated injuries, and the clinical status of the patient.
Asunto(s)
Traumatismos Abdominales/complicaciones , Hernia Abdominal/etiología , Hernia Abdominal/cirugía , Laparotomía/métodos , Heridas no Penetrantes/complicaciones , Accidentes de Tránsito , Adulto , Progresión de la Enfermedad , Estudios de Seguimiento , Hernia Abdominal/diagnóstico por imagen , Humanos , Masculino , Mesenterio/patología , Mesenterio/fisiopatología , Medición de Riesgo , Administración de la Seguridad , Índice de Severidad de la Enfermedad , Factores de Tiempo , Tomografía Computarizada por Rayos X , Resultado del Tratamiento , Heridas no Penetrantes/diagnósticoRESUMEN
Hibernomas are rare benign tumours originating from the brown fat found in the foetus and animals that hibernate. In most cases they present as a slowly growing painful mass situated in those regions where this type of fat persists in the adult. We report a case of hibernoma of the forearm, which is an unusual localization, and we review the diagnostic and therapeutic aspects of this of tumour whose main differential diagnosis is liposarcoma.
Asunto(s)
Antebrazo , Lipoma , Neoplasias de los Músculos , Diagnóstico Diferencial , Femenino , Antebrazo/patología , Humanos , Lipoma/diagnóstico , Lipoma/patología , Lipoma/cirugía , Liposarcoma/diagnóstico , Imagen por Resonancia Magnética , Persona de Mediana Edad , Neoplasias de los Músculos/diagnóstico , Neoplasias de los Músculos/patología , Neoplasias de los Músculos/cirugíaRESUMEN
The purpose of this report is to describe a case of primary pelvic hydatid cyst in a 30-year-old man who presented with abdominal symptoms related to compression of the rectum and urinary tract. This unusual location was initially considered as a tumour process. Proper diagnosis can sometimes be based on ultrasound and computerised tomography. However in some cases such as ours surgical exploration may be necessary for definitive diagnosis.
Asunto(s)
Equinococosis/diagnóstico , Infección Pélvica/parasitología , Adulto , Equinococosis/cirugía , Humanos , Masculino , Palpación , Proctoscopía , Recto , Tomografía Computarizada por Rayos X , Sistema UrinarioRESUMEN
The CARI (clinical amplitude/velocity reconstruction imaging) technique is a new ultrasonography for better detection of the breast cancer. The method uses the mammography-like positioning of the breast and a reference structure to assess the changes of sound velocity in the screened region. In this work, we present a first attempt to simulate the CARI technique using finite element time-domain (FETD) wave propagation. The CARI sensitivity to the size, shape and location of the tumors is investigated via the simulations on 2D and 3D breast models. Small lesions can be detectable under a suitable spatial resolution. 3D simulations agree with the quantitative results of the 2D case. Moreover, the FETD approximation is proving to be a simple, but robust tool in the CARI simulation.
Asunto(s)
Neoplasias de la Mama/diagnóstico por imagen , Procesamiento de Imagen Asistido por Computador , Ultrasonografía Mamaria/métodos , Simulación por Computador , Femenino , Análisis de Elementos Finitos , Humanos , Imagenología Tridimensional , Sensibilidad y EspecificidadAsunto(s)
Hernia Ventral/etiología , Laparoscopía/efectos adversos , Complicaciones Posoperatorias , Colecistectomía Laparoscópica/efectos adversos , Femenino , Hernia Ventral/diagnóstico por imagen , Hernia Ventral/cirugía , Humanos , Persona de Mediana Edad , Factores de Tiempo , Tomografía Computarizada por Rayos XRESUMEN
STUDY AIM: The aim of this retrospective study was to report on 12 cases of peritoneal hydatidosis observed in the same hospital from 1989 to 1998. PATIENTS AND METHODS: Four men and 8 women (mean age: 37 years) were included in the study. Four of them had been operated on for liver hydatidosis, 3 to 9 years before. The peritoneal hydatidosis was asymptomatic (n = 2), revealed by pain and/or fever (n = 9) and by hydatid peritonitis (n = 1). Diagnosis was performed by ultrasonography in seven cases out of 10. Preoperative treatment with albendazole was given to one patient only during 1 month. All patients were operated on. Peritoneal cysts, with different locations, were secondary in 11 patients. Nine patients had concomitant liver hydatidosis and two concomitant retroperitoneal hydatidosis. Hydatid cysts were usually sterilized with oxygen water and treated by resection of the protruding dome. Postoperative treatment with albendazole was given to five patients. RESULTS: Postoperative complications occurred in five patients: intestinal occlusion, abscess in a residual cavity, purulent fistulas, biliary fistulas with a favorable issue. With a mean 38-month follow-up, all patients were alive, with only one recurrence in a liver hydatid cyst. CONCLUSION: Peritoneal hydatidosis was secondary in 11 out of 12 patients. Diagnosis was performed with ultrasonography in seven out of 10 patients. All patients were operated on. With a mean follow-up of 38 months, only one recurrence has been observed.