Asunto(s)
Adenocarcinoma/complicaciones , Adenocarcinoma/diagnóstico , Enfermedades del Colon/complicaciones , Enfermedades del Colon/diagnóstico , Neoplasias del Colon/complicaciones , Neoplasias del Colon/diagnóstico , Heces , Fístula/complicaciones , Fístula/diagnóstico , Fístula Intestinal/complicaciones , Fístula Intestinal/diagnóstico , Enfermedades Pleurales/complicaciones , Enfermedades Pleurales/diagnóstico , Adenocarcinoma/cirugía , Colectomía , Colon Transverso/patología , Colon Transverso/cirugía , Enfermedades del Colon/cirugía , Neoplasias del Colon/cirugía , Fístula/cirugía , Humanos , Fístula Intestinal/cirugía , Masculino , Persona de Mediana Edad , Invasividad Neoplásica , Estadificación de Neoplasias , Enfermedades Pleurales/cirugía , Neumotórax/diagnóstico , Neumotórax/etiología , Neumotórax/cirugía , Pared Torácica/patología , Tomografía Computarizada por Rayos XRESUMEN
We report on a 34-year-old man who was admitted to our hospital with melena and hematemesis. Endoscopy showed a giant pedunculated polyp of the duodenum as the source of bleeding. The 10 cm long tumor was resected transduodenally by open surgery and the histological examination revealed it to be a hamartoma. This case demonstrates a very rare benign tumor of the duodenum, its possible clinical manifestation and treatment options.
Asunto(s)
Neoplasias Duodenales/diagnóstico , Neoplasias Duodenales/cirugía , Hemorragia Gastrointestinal/etiología , Hamartoma/diagnóstico , Hamartoma/cirugía , Pólipos Intestinales/diagnóstico , Pólipos Intestinales/cirugía , Adulto , Diagnóstico Diferencial , Neoplasias Duodenales/patología , Duodeno/patología , Duodeno/cirugía , Endoscopía del Sistema Digestivo , Hamartoma/patología , Humanos , Pólipos Intestinales/patología , MasculinoRESUMEN
Surgical treatment of giant abdominal hernias includes reduction of the hernia content and tension-free closure of the abdominal wall. Initial laparoscopy simulates the postoperative abdominal wall tension. Recognizing the need for a preoperative pneumoperitoneum in cases of chronic eventration may help to avoid "abdominal catastrophes" including bowel resection, abdominal compartment, and extended abdominal wall reconstruction. We report a 66-year-old man with an asymptomatic long-standing giant scrotal hernia who was admitted with sepsis and uremia caused by intestinal obstruction.
Asunto(s)
Enfermedades de los Genitales Masculinos/cirugía , Hernia Abdominal/cirugía , Obstrucción Intestinal/cirugía , Neumoperitoneo Artificial , Escroto/cirugía , Anciano , Humanos , Laparoscopía , Masculino , Orquiectomía , Complicaciones Posoperatorias/cirugía , Reoperación , Sepsis/cirugía , Resección Transuretral de la Próstata , Uremia/cirugíaRESUMEN
The Automobile Technique Research Association at Frankfurt, the Institute for Forensic Medicine at Mainz, the Federal Highway Research Institute at Bergisch-Gladbach, the German Motor Vehicle Inspection Association at Stuttgart, and the German Worker's Compensation at St. Augustin have completed a joint research project dealing with injury costs due to automobile accidents. The data for this social cost analysis were based on costs for administrative expenses, medical treatment, rehabilitation measures, social security payment, and loss of income, which were all paid by Worker's Compensation for single, well-documented injuries to the working population in West Germany (15 to 65 years old). The data base used included 15,407 injured and 1,026 fatal road accident victims. Tables are presented which show the costs associated with various injury levels. The result is an injury cost scale (ICS) that might be a base for establishing priorities of safety measures. The ICS has to be seen as supplemental to the AIS.
Asunto(s)
Accidentes de Tránsito/estadística & datos numéricos , Índices de Gravedad del Trauma , Heridas y Lesiones/economía , Accidentes de Tránsito/economía , Adolescente , Adulto , Anciano , Costo de Enfermedad , Alemania Occidental , Humanos , Persona de Mediana EdadRESUMEN
OBJECTIVE: The influence of ketoconazole on the various enzymes of human adrenal steroid biosynthesis was examined in vitro. MEASUREMENTS: After incubation of human adrenal tissue slices with labelled precursors and ketoconazole (0-2000 microM), radioactive metabolites were separated by thin-layer chromatography and quantified by liquid scintillation counting. Enzyme activity was assessed by measuring conversion of tritium-labelled precursors to products. RESULTS: In vitro, ketoconazole showed a significant inhibition on the following adrenal enzyme systems (with decreasing activity): C17,20-desmolase (IC50 2 microM), 16 alpha-hydroxylase (IC50 9 microM), 17 alpha-hydroxylase (IC50 18 microM), 18-hydroxylase (IC50 28 microM), and 11 beta-hydroxylase (IC50 35 microM). In the tested concentrations ketoconazole had no inhibitory effect on the 21-hydroxylase, the 3 beta-hydroxysteroid dehydrogenase and the 20-hydroxysteroid dehydrogenase component of the C17,20-desmolase enzyme system. CONCLUSIONS: The data are in accordance with clinical findings where a strong suppression of serum androgen levels by relatively selective inhibition of C17, 20-desmolase has been assumed. The predominant blocking effect of ketoconazole on adrenal as well as on gonadal androgen biosynthesis might be of clinical benefit in the management of hyperandrogenic states.
Asunto(s)
Glándulas Suprarrenales/metabolismo , Hidrocarburo de Aril Hidroxilasas , Cetoconazol/farmacología , Esteroide 16-alfa-Hidroxilasa , Esteroide Hidroxilasas/biosíntesis , Glándulas Suprarrenales/efectos de los fármacos , Glándulas Suprarrenales/enzimología , Aldehído-Liasas/biosíntesis , Técnicas de Cultivo , Citocromo P-450 CYP11B2 , Sistema Enzimático del Citocromo P-450/biosíntesis , Humanos , Esteroide 11-beta-Hidroxilasa/biosíntesis , Esteroide 17-alfa-Hidroxilasa/biosíntesisRESUMEN
After an accidental injury of the bowel during a hysterectomy, the patients peritoneal cavity was irrigated for disinfection with a solution containing a mercury-compound. The patient died 40 days after this "peritoneal lavage" with a 0.2% solution of mercury-II-oxycanide. The disinfection with the toxic compound during operation can be judged as a medical mistreatment leading to death of the patient. The mercury concentration in blood (0.1 mg Hg per 100 g blood), taken during autopsy, exceeded normal values severalfold. The cause of death was diagnosed as a "multiorgan-failure", caused by an "iatrogenic mercury poisoning". The results of toxicological analysis, histological examination and the findings of autopsy are presented.