RESUMO
We report a case of splenic volvulus caused by a mobile spleen. Preoperative ultrasonography and CT-scan did not provide the diagnosis. Splenectomy was performed at laparotomy, the only possible treatment in this exceptional case.
Assuntos
Infarto do Baço/etiologia , Adolescente , Seguimentos , Humanos , Obstrução Intestinal/etiologia , Masculino , Baço/anormalidades , Esplenectomia , Infarto do Baço/diagnóstico , Infarto do Baço/cirurgia , Tomografia Computadorizada por Raios X , Anormalidade TorcionalAssuntos
Apendicite/etiologia , Reação a Corpo Estranho/complicações , Apendicectomia , Apendicite/diagnóstico por imagem , Apendicite/cirurgia , Reação a Corpo Estranho/diagnóstico por imagem , Reação a Corpo Estranho/cirurgia , Humanos , Masculino , Radiografia , Gravação em Vídeo , Ferimentos por Arma de FogoAssuntos
Apendicite/cirurgia , Doenças do Ceco/cirurgia , Doenças do Íleo/cirurgia , Pré-Escolar , Herniorrafia , Humanos , MasculinoRESUMO
A new procedure is described for closing the abdominal wall in patients expected to have poor wound healing. The technique uses rigid steel wires passed through both abdominal thicknesses perpendicularly to the incision with an extraperitoneal course and passed through a large Silastic tube laid on the skin surface parallel to the incision. This method considerably reduces the two detrimental effects of one layer stitches: sawing of tissues by the thread and ischemic compression of the abdominal wall. We have used this procedure in 33 patients, with 31 satisfactory results. In 10 eviscerations that occurred after other methods of closure, only 1 recurrent evisceration was observed.
Assuntos
Abdome/cirurgia , Deiscência da Ferida Operatória/prevenção & controle , Técnicas de Sutura , Humanos , Métodos , Aço , CicatrizaçãoRESUMO
A case of papillary necrosis was discovered by chance when doing a systematic urography on a black woman suffering from subacute pains in the abdomen. This radiological information leads us to the finding of two hemoglobinopathies associated with a heterozygous shate: drepanocytemia and hemoglobin C disease. Clinically this list, nearly asymptomatic, is closed up by distinctive osseous lesions, the pains in the abdomen were due to a biliary lithiasis.
