[Splenic abscess after angiography. Considerations on a clinical case]. / Ascesso splenico successivo ad angiografia. Considerazioni su di un caso clinico.

A case of splenic abscess in a diabetic, cardiopathic and arteriopathic 49-year-old man is reported. The abscess developed on a previous splenic infarction caused by an embolus coming from an intraventricular thrombus. The angiographic procedure was the source of bacterial contamination (Staphylococcus aureus). The patient was successfully treated with splenectomy.

[Surgical treatment of aneurysms of the popliteal artery]. / Il trattamento chirurgico degli aneurismi dell'arteria poplitea.

The authors report their experience of two cases of popliteal artery aneurysm. Both patients were treated with aneurysm resection and inverse saphenous vein bypass. Early surgical intervention is the only effective therapeutic tool to avoid serious complications of this pathology.

[Femoral anastomotic pseudoaneurysms. The etiopathogenetic hypotheses and the therapy]. / Pseudoaneurismi anastomotici femorali. Ipotesi eziopatogenetiche e terapia.

The authors present two cases of patients with femoral anastomotic aneurysm treated by surgical vascular reconstruction. They underline the role of etiologic factors changing the structure of the arterial wall. The protective action of end to end anastomosis is confirmed. Finally, they recommend an early intervention to avoid life-threatening complications such as rupture and thrombosis.

[Diabetes mellitus as a risk factor in vascular surgery]. / Diabete mellito quale fattore di rischio in chirurgia vascolare.

The paper reports a series of 23 diabetic patients affected by occlusive arterial disease of the lower limbs treated by reconstructive vascular surgery. Revascularisation interventions were performed in 9 patients affected by claudication, with good long-term results. Fourteen patients underwent operations for limb salvage. The major amputation rate was 35%.

[Ano-rectal candidiasis]. / La candidosi ano-rettale.

The presence of candida and other fungi was investigated in 300 patients referred with anal problems of diverse aetiology. Candida was present in 13% and played a pathogenic role in about 50% of all positive cultures. It is concluded that cultural tests for fungal pathogens should always be performed in cases of anal itching or burning combined with other anal skin problems.

[Popliteal artery entrapment]. / L'intrappolamento dell'arteria poplitea.

The Authors present a case of popliteal artery entrapment syndrome due to an anomalous insertion of medial head of the gastrocnemius muscle. The patient, a 47-year-old man, with calf claudication, was examined with Doppler velocimetry and angiography. He was successfully treated by surgical intervention. A medial approach to the popliteal artery was utilized and the section of anomalous head of gastrocnemius muscle and popliteal thromboendarterectomy were performed. The postoperative course was uncomplicated.