RESUMO
A 76-years old man with carotid body tumor on the left carotid bifurcation was operated on, in August 1999. The rare tumor of the paraganglionic tissue was detected by ultrasonography and arteriography. Although these tumors have a very low incidence of malignancy, extirpation should be carried out. In this case, the tumor was removable by blunt and sharp dissection without resecting the fork of the carotid artery. The postoperative course was uneventful. They discussed the diagnostic and therapeutic steps of solution of this tumors.
Assuntos
Tumor do Corpo Carotídeo/cirurgia , Idoso , Tumor do Corpo Carotídeo/diagnóstico por imagem , Humanos , Masculino , Radiografia , Resultado do TratamentoRESUMO
Generally recognizing of traumatical vascular injuries isn't difficult since clinical signs and symptoms show them unambiguously. For some time-mainly in case of blunt and shot wounds-lacking unanimous signs the vascular injuries can't be diagnosed. Later on appearing symptoms as complications raise the chance of existence of an earlier vascular injury. In case of three patients the elapsing time between the vascular injury and its diagnosis was 4 weeks, 3 years and more than 50 years.
Assuntos
Aneurisma/diagnóstico , Vasos Sanguíneos/lesões , Fraturas Ósseas/diagnóstico , Traumatismos do Joelho/diagnóstico , Artéria Poplítea/cirurgia , Adulto , Idoso , Clavícula/lesões , Diagnóstico Diferencial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Artéria Poplítea/patologia , Fatores de Tempo , Procedimentos Cirúrgicos Vasculares , Ferimentos por Arma de Fogo/diagnósticoRESUMO
The authors report eight cases of intussusception of small and large intestine in adults during five years. 3 of the intussusception caused by simple tumors in five cases by malignant. In three cases were chronic presented long term signs and symptoms. Ileo-ileal invagination was diagnostised at 3 patients, ileo-caecal in one case and ileocolic intussusception also in one case. In 2 cases developed caeco-colic, in one case colo-colic invagination. Resection was strongly indicated in seven cases and wedge resection was done at the last patient. One patient has died of cerebral multiple embilization. They review the etiology and pathology, the signs and symptoms as well as the difficulties during diagnosis and treatment of the intussusceptions according to their own experience and literary datas. The authors draw the attention to the importance of the modern iconographic, tools, particularly the ultrasonography in the diagnosis of intussusception.
