RESUMO
An extremely elderly man (age, 101 years and 9 months) visited our hospital because of recurrent and worsening anal bleeding. Type 2 rectal cancer was found in his rectum during colonoscopy. He did not have any severe coexisting diseases and had not suffered any episodes of dementia. Laparoscopy-assisted anterior resection combined with D2 lymph node dissection was performed with minimal bleeding. The operation time was 128 min. The patient suffered mild reflux pneumonia on postoperative day 6 and was administered additional antibiotics. He recovered within 2 days. He was discharged on postoperative day 17, at which point he was able to walk.
Assuntos
Excisão de Linfonodo/métodos , Linfonodos/patologia , Proctoscopia/métodos , Neoplasias Retais/patologia , Neoplasias Retais/cirurgia , Idoso de 80 Anos ou mais , Idoso Fragilizado , Hemorragia Gastrointestinal/etiologia , Hemorragia Gastrointestinal/cirurgia , Humanos , Masculino , Procedimentos Cirúrgicos Minimamente Invasivos/métodos , Invasividade Neoplásica/patologia , Estadiamento de Neoplasias , Duração da Cirurgia , Prognóstico , Neoplasias Retais/complicações , Neoplasias Retais/diagnóstico por imagem , Resultado do TratamentoRESUMO
Acute myocarditis is a rare complication in influenza infection, but it is serious and occasionally fatal. Recent application of intraaortic balloon pumping(IABP) and/or percutaneous cardiopulmonary support(PCPS) to the serious cases of viral myocarditis brought a better prognosis. We should recognize that the patient with viral infection such as influenza infection may have acute myocarditis and should make an early diagnosis for adequate treatment in time. To avoid misdiagnosis of acute myocarditis complicated with influenza infection, we must know characteristic symptoms, signs and laboratory findings of acute myocarditis during influenza infection. The mechanism of cardiocyte injury in experimental influenza myocarditis of mice is also discussed.
