RESUMO
A case of biliary ascaridiasis is presented in which biliary obstruction and pancreatitis were diagnosed. Recovery followed surgical removal of the worms. The literature is reviewed.
Assuntos
Ascaridíase/diagnóstico , Colestase Extra-Hepática/diagnóstico , Doenças do Ducto Colédoco/diagnóstico , Abdome Agudo/diagnóstico , Abdome Agudo/etiologia , Abdome Agudo/cirurgia , Idoso , Ascaridíase/complicações , Ascaridíase/cirurgia , Colecistite/diagnóstico , Colecistite/cirurgia , Colestase Extra-Hepática/etiologia , Colestase Extra-Hepática/cirurgia , Doenças do Ducto Colédoco/etiologia , Doenças do Ducto Colédoco/cirurgia , Diagnóstico Diferencial , Humanos , Doenças do Íleo/complicações , Doenças do Íleo/diagnóstico , Doenças do Íleo/cirurgia , Enteropatias Parasitárias/complicações , Enteropatias Parasitárias/diagnóstico , Enteropatias Parasitárias/cirurgia , MasculinoRESUMO
We report a patient with mesenteric fibromatosis, a rare entity in our environment resulting in rectal stenosis which required resection and a Hartman operation. The features of this disease are reviewed.
Assuntos
Fibroma/diagnóstico , Mesentério , Neoplasias Peritoneais/diagnóstico , Idoso , Constrição Patológica/diagnóstico , Constrição Patológica/etiologia , Constrição Patológica/cirurgia , Emergências , Feminino , Fibroma/complicações , Fibroma/cirurgia , Humanos , Mesentério/cirurgia , Neoplasias Peritoneais/complicações , Neoplasias Peritoneais/cirurgia , Reto/patologia , Reto/cirurgiaRESUMO
A case is presented of acute gastric volvulus associated with paraesophageal hernia. Gastric volvulus is an infrequent clinical entity that generally appears in chronic form secondary to diaphragmatic pathology. Pathogenesis rests on two factors, relaxation of the supporting ligaments and neighboring associated pathology that acts to trigger gastric distension. Early diagnosis and treatment of acute forms and prophylactic surgery of chronic forms would lead to practically null mortality figures. The surgical technique, aside from devolvulation, includes hiatal repair in cases associated with paraesophageal hernia, gastropexy being sufficient for other forms.