RESUMO
Peritonitis after spontaneous rupture of pyonephrosis is a rare complication, usually diagnosed intraoperatively. We report the case of a 35 year old woman who was admited for an acute abdomen. Ultrasound showed features of acute peritonitis, with left pyonephrosis, confirmed by a CT-SCAN. Treatment consisted of laparotomy with nephrectomy and abdominal washing and draining. The outcome was favourable.
Assuntos
Nefrose/complicações , Peritonite/etiologia , Doença Aguda , Adulto , Feminino , Humanos , Nefrectomia , Nefrose/cirurgia , Tomografia Computadorizada por Raios XRESUMO
Oesophageal intramural pseudodiverticulosis is a very rare cause of dysphasia. This work reports the observation of a 42 year-man who presented with dysphasia; Diagnosis was established by baryum meal. The patient underwent an oesophagectomy because of failure of endoscopic dilatation. Pathologic examination revealed characteristic lesions of esophageal pseudodiverticulosis, with fissures between the lumen and sero-mucosal glands located in the oesophageal wall and containing Candida spores. By means of a review of the relevant literature, etiopathogenesis, diagnosis and treatment of oesophageal intramural pseudodiverticulosis are discussed.
Assuntos
Candidíase/patologia , Transtornos de Deglutição/etiologia , Doenças do Esôfago/microbiologia , Doenças do Esôfago/patologia , Adulto , Candidíase/diagnóstico , Diagnóstico Diferencial , Divertículo/diagnóstico , Doenças do Esôfago/cirurgia , Esofagectomia , Humanos , MasculinoRESUMO
Authors analysed Morgagni's hernia pathogenesis through a new case associated to a common mesentery position and revealed by respiratory distress after delivery.
Assuntos
Hérnia Diafragmática/patologia , Mesentério/patologia , Adulto , Dispneia/etiologia , Feminino , Hérnia Diafragmática/diagnóstico , HumanosRESUMO
One case of primary linitis plastica of the rectum is presented, it is a rare entity presentation in younger patients. The diagnosis was made by excluding the stomach as a primary source by peroperative palpation and fibroscopy examination. Because of potential for local invasion and infiltration, linitis is often detected only at the equivalent of stage C (Astler-Cller). The prognosis is poor, the mean survival time is about 9 months.
Assuntos
Linite Plástica/patologia , Neoplasias Retais/patologia , Neoplasias Gástricas/patologia , Adulto , Diagnóstico Diferencial , Humanos , Linite Plástica/diagnóstico , Masculino , Invasividade Neoplásica , Estadiamento de Neoplasias , Exame Físico , Prognóstico , Neoplasias Retais/diagnóstico , Neoplasias Gástricas/diagnóstico , Tomografia Computadorizada por Raios XAssuntos
Aneurisma Roto , Transtornos Puerperais , Artéria Esplênica , Adulto , Aneurisma Roto/diagnóstico , Aneurisma Roto/cirurgia , Feminino , Hemoperitônio/etiologia , Humanos , Recém-Nascido , Gravidez , Transtornos Puerperais/diagnóstico , Transtornos Puerperais/cirurgia , Esplenectomia , Artéria Esplênica/cirurgia , Tomografia Computadorizada por Raios XRESUMO
A 60 year-old male patient presented with a giant stromal tumor of the stomach that showed predominant extragastric growth. Surgery consisted of total tumor resection with partial gastrectomy. The stromal origin of the tumor was established by immunohistochemistry. In spite of its large size and the presence of necrotic foci, the tumor was considered to be of low grade in view of the low mitosis index. The patient was maintained on careful surveillance. The histological features which characterize these tumors and their implications for prognosis and therapy are briefly discussed.
Assuntos
Neoplasias de Tecido Conjuntivo/patologia , Neoplasias Gástricas/patologia , Células Estromais/patologia , Gastrectomia , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias de Tecido Conjuntivo/cirurgia , Omento/patologia , Doenças Peritoneais/patologia , Neoplasias Gástricas/cirurgiaRESUMO
Internal herniae are responsible for 2% of intestinal obstructions. Various types of such herniae have been described. Diagnosis is difficult but must be thought of in a patient with small bowel obstruction without previous laparotomy or apparent hernia of the abdominal wall. Treatment is always surgical.