RESUMO
This report describes the case of a 22-year-old female patient with noncharacteristic complaints in the lower abdomen. Sonography revealed a large cyst close to the right adnexa, suggestive of adnexitis; however, laparoscopy, performed because of suspected adnexitis, revealed a cystic tumor connected to the omentum instead.
Assuntos
Abdome Agudo/etiologia , Cistos/diagnóstico , Omento , Abdome Agudo/diagnóstico por imagem , Adulto , Cistos/patologia , Diagnóstico Diferencial , Feminino , Humanos , Doença Inflamatória Pélvica/diagnóstico por imagem , Doenças Peritoneais/diagnóstico por imagem , Doenças Peritoneais/patologia , UltrassonografiaRESUMO
The meniscusganglion of the knee is rare but it's an indication for the operation, because it is painful and in the most cases it is connected with an injury of the meniscus. Between 1987 and 1992, 23 patients with meniscusganglion were operated only with the method of the inner drainage. There was no recurrence. We have seen that the concept of the arthroscopy of the knee with the inner drainage of the meniscusganglion is an easy and effective treatment with all the advantages of the arthroscopy.
Assuntos
Artroscopia , Traumatismos do Joelho/cirurgia , Cisto Sinovial/cirurgia , Lesões do Menisco Tibial , Adulto , Procedimentos Cirúrgicos Ambulatórios , Artroscópios , Drenagem/instrumentação , Feminino , Humanos , Traumatismos do Joelho/etiologia , Masculino , Meniscos Tibiais/cirurgia , Instrumentos Cirúrgicos , Cisto Sinovial/etiologiaRESUMO
Pneumothoraces in patients with AIDS are a rare, acute and severe complication. Between January 1989 and December 1991 3 patients with spontaneous pneumothorax were operated after a 2-week treatment with chest tube drainage only had failed. The average follow-up time after the operation was 7 months. There was no recurrence. Within the same 3 years 3 patients were treated in the Clinic for Internal Medicine by means of tube drainage only. Thus, only one case was successful. The average survival after receiving the tube was 3 weeks. Their death was not related on their pneumothorax. The mean age of the 6 patients was 34 years (23-49). In 5 patients the pneumothorax was associated with Pneumocystis carinii-pneumonia and in 3 of them also with prophylactic pentamidine aerosol therapy. A minimal invasive operation of operable AIDS-patients with pneumothorax shows good results, shortens the time of therapy and is possible despite the bad prognosis of the disease.
