RESUMEN
The Authors report on three cases of Mucinous Cystic Neoplasms of the pancreas. These tumours are rare and the diagnosis is based on echography and CT scanning. After a radical excision the prognosis is good although these tumours are "all" potentially malignant.
Asunto(s)
Adenocarcinoma Mucinoso/patología , Quistes/patología , Neoplasias Pancreáticas/patología , Adenocarcinoma Mucinoso/diagnóstico , Adenocarcinoma Mucinoso/cirugía , Anciano , Quistes/diagnóstico , Quistes/cirugía , Femenino , Humanos , Persona de Mediana Edad , Neoplasias Pancreáticas/diagnóstico , Neoplasias Pancreáticas/cirugíaAsunto(s)
Neoplasias Esofágicas/cirugía , Esófago/cirugía , Estómago/cirugía , Anciano , Femenino , Humanos , Masculino , Métodos , Persona de Mediana EdadRESUMEN
A case of mixed tumour in an island of ectopic salivary glandular tissue at the right nostril and surrounding labial skin is reported. An anatomopathological classification of salivary neoplasias is provided and the histological picture of mixed tumours described. Stress is laid on the rarity of the finding. An extensive tissue area was removed because the neoplasia was a recurrence of a previous intervention (done by others) not followed up by histological examination.
Asunto(s)
Adenoma Pleomórfico/patología , Coristoma/patología , Neoplasias de los Labios/patología , Neoplasias Nasales/patología , Glándulas Salivales , Adulto , Humanos , MasculinoRESUMEN
A series of 30 patients operated over a period of 5 yr is presented. Stress is laid on the different approaches required in relation to the progress of peritonitis, and reasons are offered for preferring suture, rather than gastroresection, vagotomy, and conservative management.
Asunto(s)
Úlcera Duodenal/complicaciones , Úlcera Péptica Perforada/cirugía , Úlcera Gástrica/complicaciones , Adulto , Anciano , Úlcera Duodenal/cirugía , Femenino , Humanos , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias , Úlcera Gástrica/cirugía , Técnicas de SuturaRESUMEN
Two cases of gallstone ileus are reported. Treatment of the occlusion and the underlying bilio-digestive fistula should be carried out in one surgery session. Careful preoperative preparation of these patients from the hydric, electrolytic and metabolic viewpoints is the indispensable premise for single session treatment.
Asunto(s)
Fístula Biliar/complicaciones , Colelitiasis/complicaciones , Fístula Intestinal/complicaciones , Obstrucción Intestinal/etiología , Anciano , Femenino , Humanos , Obstrucción Intestinal/cirugía , Persona de Mediana EdadRESUMEN
A clinical case of bezoar of the stomach accompanied by peptic and gastric ulcer is presented. The different types of bezoar and the reasons for their formation are described, and the clinical, laparotomic and anatomopathological picture is illustrated.
Asunto(s)
Bezoares/diagnóstico , Gastropatías/diagnóstico , Úlcera Gástrica/complicaciones , Bezoares/cirugía , Femenino , Humanos , Persona de Mediana Edad , Gastropatías/cirugíaRESUMEN
An unusual case of spontaneous detachment of the sigmoid epiploic appendix is described. The most frequently reported pathologies of these formations are reviewed. The discussion stresses the unusual clinical picture which determined the diagnostic error. Some hypotheses are also formulated on the aetiopathogenesis of ischaemia of epiploic appendices.
Asunto(s)
Hemoperitoneo/etiología , Enfermedades del Sigmoide/complicaciones , Adulto , Humanos , MasculinoRESUMEN
A series of 354 patients suffering from gall bladder and/or bile way conditions and who had undergone operation in the acute phase has been reviewed. The usefulness of early operation over more wait-and-see tactics is confirmed. Shortening of mean hospitalization is particularly significant. The difference in hospital mortality is insignificant. The only complication reported is the higher frequency of suppurative accidents in the surgical wound.
Asunto(s)
Colecistitis/cirugía , Enfermedad Aguda , Adolescente , Adulto , Anciano , Niño , Colecistitis/complicaciones , Colelitiasis/complicaciones , Femenino , Neoplasias de la Vesícula Biliar/complicaciones , Humanos , Ictericia/etiología , Masculino , Persona de Mediana Edad , Pleuresia/etiología , Complicaciones Posoperatorias , Infección de la Herida Quirúrgica , Tromboflebitis/etiología , Factores de TiempoRESUMEN
Reference is made to the relevant literature in a description of cases of non-appendicular primary diseases of the large intestine necessitating emergency surgery at the Tradate District Hospital over the last five years. Emphasis is placed on the wide aetiological variety of these cases, their different clinical pictures, the types of operation performed, the possible complications, and the causes of death prior to discharge.