RESUMO
Uterine leiomyoma in torsion is an uncommon emergency and mimics generalized peritonitis. We report the case of a 62-year-old woman with a huge subserous fibroid in torsion. The lesion was removed surgically with the uterus and ovaries. Imaging is an essential tool in the diagnosis of myomata and should serve to exclude other diseases, especially malignancy.
Assuntos
Leiomioma/diagnóstico , Tomografia Computadorizada por Raios X , Anormalidade Torcional/diagnóstico , Neoplasias Uterinas/diagnóstico , Diagnóstico Diferencial , Feminino , Humanos , Laparotomia , Leiomioma/cirurgia , Pessoa de Meia-Idade , Anormalidade Torcional/cirurgia , Neoplasias Uterinas/cirurgiaRESUMO
BACKGROUND: Caecal volvulus accounts for 30% of all cases of volvulus of the colon. METHODS: We recorded clinical data and accurate images of volvulus of the cecum. RESULTS: A detorsion with resection and primary anastomosis was performed. We reviewed the management and surgical strategies for cecal volvulus. CONCLUSIONS: Caecal volvulus is an uncommon entity with potentially severe outcomes and requires surgical management.
Assuntos
Doenças do Ceco/cirurgia , Ceco/patologia , Volvo Intestinal/cirurgia , Doenças do Ceco/diagnóstico por imagem , Feminino , Humanos , Volvo Intestinal/diagnóstico por imagem , Pessoa de Meia-Idade , Radiografia Abdominal , Tomografia Computadorizada por Raios XRESUMO
BACKGROUND: Abdominoplasty has become a popular operation among patients seeking body contouring surgery due to the recent development of laparoscopic procedures in bariatric surgery and the epidemic diffusion of obesity. The wide surface of dissection is responsible for common postoperative complications such as seroma and hematoma. METHODS: PlasmaJet system (PJS), a high energy flow of ionized gas, can be used to stop capillary bleeding from blood and lymph vessels. We tested the PJS in a prospective series of 15 consecutive patients undergoing abdominoplasty after bariatric surgery-induced weight loss. RESULTS: 14 women underwent abdominoplasty with the PlasmaJet system after a mean weight loss of 48 kg (range 37-53). Mean operative time was 73 min (range 60-87). There was no postoperative complication. Mean fluid output from drains was 351.1 ml/patient (range 60 to 568), and drains were removed at a mean time of 4.8 days (range 3 to 6). CONCLUSION: These results are in favor of the efficacy of the PJS in reducing the amount of fluid production, and the rate of postoperative complications. However, this should be confirmed in a randomized trial comparing the PJS with standard technique.
