RESUMO
BACKGROUND: Volvulus of the mobile spleen is a rare condition generally manifested by acute sudden onset abdominal pain localized in the left flank. Ultrasound or computed tomographic imaging generally provides the diagnosis. CASE REPORT: An 18-year-old patient was hospitalized for acute pain of the left flank that had begun 48 hours earlier. The abdominal scan visualized a volvulus of a mobile spleen. Laparoscopic distortion was successful, allowing normal recoloration of the spleen. DISCUSSION: Rapid intervention is crucial for conservative treatment. Laparoscopic treatment allows distortion manoeuvres and splenopexia using a mesh. This is the first reported case of successful conservative laparoscopic treatment of volvulus of a mobile spleen.
Assuntos
Obstrução Intestinal/cirurgia , Laparoscopia/métodos , Esplenopatias/cirurgia , Dor Abdominal/etiologia , Adolescente , Feminino , Humanos , Obstrução Intestinal/patologia , Esplenopatias/patologia , Telas CirúrgicasAssuntos
Actinomicose/patologia , Doenças Ovarianas/microbiologia , Doenças Uterinas/microbiologia , Actinomicose/cirurgia , Antibacterianos/uso terapêutico , Feminino , Humanos , Pessoa de Meia-Idade , Doenças Ovarianas/patologia , Doenças Ovarianas/cirurgia , Doenças Uterinas/patologia , Doenças Uterinas/cirurgiaRESUMO
BACKGROUND: Cystic dystrophy of aberrant pancreas, characterized by cystic formations in ectopic pancreatic tissue, produces variable signs. Treatment is difficult. CASE REPORT: Our patient presented signs of acute pancreatitis and angiocholitis due to cystic dystrophy of an aberrant pancreas situated in the duodenal wall associated with chronic alcoholic pancreatitis. Prolonged medical treatment was unsuccessful. Duodenopancreatectomy with preservation of the tail led to complete regression of the clinical signs. DISCUSSION: Signs of cystic dystrophy of an aberrant pancreas vary greatly. Diagnosis is generally established on the basis of echoendoscopic findings. After failure of medical treatment, duodenopancreatectomy with preservation of the tail could be the most appropriate surgical treatment, hypothesizing that the disorders result from obstruction of the Wirsung and the lower main bile ducts.
Assuntos
Coristoma/cirurgia , Pâncreas , Cisto Pancreático/cirurgia , Pancreaticoduodenectomia , Humanos , Masculino , Pessoa de Meia-Idade , Cisto Pancreático/etiologia , RecidivaRESUMO
The authors report the experience of their surgical department, in the treatment of acute arterial mesenteric ischemia. They insist on the diagnostic, and sometimes therapeutic, interest of mesenteric arteriography. Arterial revascularisation must be the surgical aim. In spite of this attitude, the prognosis of acute mesenteric ischemia remains very severe.
Assuntos
Isquemia/etiologia , Artéria Mesentérica Superior/diagnóstico por imagem , Mesentério/irrigação sanguínea , Adulto , Idoso , Idoso de 80 Anos ou mais , Angiografia , Feminino , Humanos , Isquemia/diagnóstico por imagem , Isquemia/cirurgia , Masculino , Artéria Mesentérica Superior/cirurgia , Mesentério/diagnóstico por imagem , Mesentério/cirurgia , Pessoa de Meia-Idade , Estudos RetrospectivosRESUMO
The authors report one observation of vaginal evisceration of the small intestine which occurred one year after vaginal hysterectomy for uterine prolapse. A review of the literature shows the rarity of these cases. The treatment is surgery.
Assuntos
Intestino Delgado , Vagina , Idoso , Feminino , Humanos , Histerectomia Vaginal , Complicações Pós-Operatórias , Prolapso/etiologiaRESUMO
The authors report a case of sclerosing cholangitis following surgical treatment of a hydatid cyst of the liver. The review of the literature demonstrates the rarity of this serious complication. The authors speculate on the mechanism of this disease: postoperative infection of the common bile duct, or chemical trauma associated with a cysto-biliary fistula. No single hypothesis seems to be able to account for all of the signs of this condition.
