RESUMO
PIP: The article discusses the case of a young patient with ruptured benign adenoma of the liver, possibly related to previous treatment with oral contraceptives. The patient, whose adenoma was bleeding into the peritoneal cavity, underwent right hepatectomy by the Lin technique. There were no complications. Complete resection is the only known adequate treatment for these benign tumors, and Lin's technique and surgical instruments have proven to be very helpful.^ieng
Assuntos
Adenoma/induzido quimicamente , Anticoncepcionais Orais/efeitos adversos , Neoplasias Hepáticas/induzido quimicamente , Adenoma/patologia , Adenoma/cirurgia , Adulto , Feminino , Hepatectomia/métodos , Humanos , Fígado/diagnóstico por imagem , Neoplasias Hepáticas/patologia , Neoplasias Hepáticas/cirurgia , CintilografiaRESUMO
The authors present 8 cases of cancer in the gastric stump of patients operated for benign pathologies. They reviewed 800 clinical histories of gastric cancers with microscopic confirmation. Incidence is of 1%. They analyzed age, sex, interval of time elapsed since the first operation, diagnosis, treatment and mortality of these patients. They emphasize that diagnosis is difficult and confusing but must be considered in patients with gastrectomies for benign causes done long ago and that present new symptoms or aggravation of the preexisting ones. For this reason these patients must be carefully worked up and studied. The mortality is very high. Treatment is surgical and radical.