RESUMO
A retrospective study of 34 patients with acute colitis--inflammatory, ischaemic and other--is presented in order to find out which clinical data are important for diagnosis and therapy. Early aetiological diagnosis and right timing of surgery are mandatory to improve the outcome of critically ill patients. Colectomy associated with proximal diversion and followed by secondary reconstruction led to the best results in patients with surgical indications.
Assuntos
Colite/cirurgia , Doença Aguda , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Colectomia , Colite/classificação , Colite/epidemiologia , Feminino , Humanos , Itália/epidemiologia , Masculino , Pessoa de Meia-Idade , Estudos RetrospectivosAssuntos
Neoplasias Ósseas , Doenças Musculares/diagnóstico , Neoplasias/diagnóstico , Costelas , Escápula , Neoplasias Ósseas/diagnóstico , Criança , Pré-Escolar , Feminino , Fibrossarcoma/diagnóstico , Histiocitoma Fibroso Benigno/diagnóstico , Humanos , Lactente , Recém-Nascido , Masculino , Osteossarcoma/diagnóstico , Sarcoma de Ewing/diagnósticoRESUMO
Pathological involvement of the colon secondary to acute and chronic pancreatitis is a rare complication of major clinical interest. Contiguity with the tail of the pancreas and certain anatomical relationships, particularly at the level of the peritoneal reflections, explain the involvement of, particularly, the left corner of the colon and the adjacent part of the transverse colon. The clinical forms may be listed as follows: 1) Adynamic ileus of the transverse colon associated, on direct radiological examination, with the picture of proximal colon distension with clear-cut interruption at the level of the transverse colon or left flexure. 2) Stenosis of the left flexure due to pericolitis and to the fibrosclerosing process that may take in other contiguous organs also. 3) Fistula of the left flexure or of the adjacent part of the transverse colon due to parietal necrosis and vascular impairment. Also described is an association of fistula and massive haemorrhage for erosion of the colon and of the splenic artery by pancreatic pseudocyst. Two clinical cases are presented along with the basic elements of pathology, diagnosis and therapy.
Assuntos
Doenças do Colo/etiologia , Pancreatite/complicações , Idoso , Colite/etiologia , Hemorragia Gastrointestinal/etiologia , Humanos , Fístula Intestinal/etiologia , Obstrução Intestinal/etiologia , Masculino , Pessoa de Meia-Idade , Pseudocisto Pancreático/complicações , EscleroseRESUMO
Two cases of Ménétrier's disease are presented. Gastric resection was adopted due to necessity in one case, and total gastrectomy in the other. Gastric and digestive exploration, particularly gastroscopy, are regarded as indispensable diagnostic steps. Total gastrectomy is the treatment of choice. This prevents further protein loss and possible malignant degeneration.
