RESUMO
Aborda, de maneira sucinta, as possibilidades diagnosticas do exame laparoscopico.As indicacoes, tradicionais e recentes sao analisadas no sentido de colocar o clinico a par deste metodo propedeutico endoscopico
Assuntos
Humanos , LaparoscopiaAssuntos
Adulto , Pessoa de Meia-Idade , Humanos , Masculino , Feminino , Colangiografia , Colecistectomia , Complicações Pós-OperatóriasAssuntos
Humanos , Masculino , Feminino , Colelitíase , Doenças dos Ductos Biliares , Colecistectomia , Colesterol , RadiografiaRESUMO
Selective distal splenorenal shunt was successfully performed in 20 patients from October 1974 to August 1978. All of them had had gastrointestinal hemorrhage from gastroesophageal varices, diagnosed by barium swallow roentgenography or esophagogastroscopy. Only one patient underwent emergency surgery. Portal hypertension was due to hepatic schistosomiasis in 16 patients, and all underwent rectal biopsy and examination of stools to confirm the clinical diagnosis. A small group of patients had ascites, jaundice and hemorrhage. Hepatic encephalopathy has not been a problem, although the follow-up study is short.
Assuntos
Hipertensão Portal/cirurgia , Derivação Portossistêmica Cirúrgica/métodos , Veias Renais/cirurgia , Veia Esplênica/cirurgia , Adolescente , Adulto , Criança , Varizes Esofágicas e Gástricas/etiologia , Feminino , Hemorragia Gastrointestinal/etiologia , Humanos , Hipertensão Portal/etiologia , Masculino , Pessoa de Meia-Idade , Esquistossomose/complicaçõesRESUMO
Os autores fezem uma revisao bibliografica do tema, descricao pormenorizada das principais patologias surgidas na gravidez e no final descrevem tres pacientes que se apresentam ictericas no ultimo trimestre gestacional em estado desesperador, discutindo o diagnostico mas realcando o ponto mais importante, as suas sobrevivencias, fato raro na literatura
Assuntos
Icterícia , Complicações na GravidezRESUMO
Os autores apresentam um caso de cisto esplenico, tecendo comentarios teoricos sobre o assunto, apos ampla revissao da literatura.Destacam a sua raridade e enfatizam que a arteriografia seletiva e o estudo cintilografico sao os meios diagnosticos principais, alem da laparotomia. O paciente, assintomatico, teve sua patologia comprovada atraves da cirurgia, apesar da ecografia abdominal e do estudo cintilografico terem revelado grandes pistas
Assuntos
Cistos , Esplenopatias , Angiografia , CintilografiaRESUMO
Employing percutaneous transhepatic cholangiography by CHIBA method in 15 patients, it was possible to visualize biliary system in 93.3% of the cases. The radiologic diagnostic of KLATSKIN tumor was observed in 2 cases, 4 cases of carcinoma of the papila of VATER, 1 case of carcinoma of the terminal choledochus, 1 case of intrahepatic neoplasia, 1 case of stenosis secondary to choledocal, trauma, and in another it was damaged by subcapsular hepatic leakage of contrast. The complications were minor. In 5 cases the patients had biliary colic at the time of the exam. In 2 cases, signals of baeteremia occurred in the day following the exam, and in 4 cases there was a small subcapsular hepatic leakage of contrast. In one case it was encountered hematoma under the capsule of the liver, during surgery. The diagnosis was confirmed at surgery in 12 cases. We concluded that the simplicity of the technic, its low cost and its diagnostic, accuracy have made it extremely useful.
