RESUMO
A case of diffuse cavernous haemangioma of the rectum and sigmoid colon is presented to exemplify the propensity for this tumour to be misdiagnosed as haemorrhoids in the paediatric age group. In view of the prolonged morbidity and high mortality associated with this tumour we suggest that, in any child referred for management of haemorrhoids, a diagnosis of colorectal haemangioma be considered. Appropriate investigations include plain abdominopelvic X-rays, sigmoidoscopy and colonoscopy with biopsy, and barium enema. Selective inferior mesenteric angiography and computerized tomography may be helpful. Excision and coloanal sleeve anastomosis is the most favoured operative procedure for this tumour.
Assuntos
Neoplasias Colorretais/diagnóstico , Hemangioma Cavernoso/diagnóstico , Adolescente , Biópsia , Neoplasias Colorretais/patologia , Neoplasias Colorretais/cirurgia , Colostomia , Diagnóstico Diferencial , Hemangioma Cavernoso/patologia , Hemangioma Cavernoso/cirurgia , Humanos , Masculino , SigmoidoscopiaRESUMO
A case of splenic pregnancy is reported. The patient was treated surgically with a satisfactory result. The problem of preservation of the spleen in the presence of a spontaneous rupture is highlighted.
Assuntos
Gravidez Abdominal/complicações , Esplenopatias/complicações , Ruptura Esplênica/etiologia , Adulto , Feminino , Humanos , GravidezAssuntos
Hemorroidas/terapia , Assistência Ambulatorial , Criocirurgia , Seguimentos , Hemorroidas/cirurgia , Humanos , Injeções , Ligadura , Fenóis/administração & dosagem , Prolapso , BorrachaRESUMO
A case of uncontrollable haemorrhage after blunt liver trauma is described in which a technique was used to expose rapidly and ligate the right hepatic vein, and suture the vena cava at the expense of the right lobe of the liver. It is believed that this method may be appropriate and life saving when techniques of vascular isolation of the liver appear too cumbersome in the emergency situation.