74 research outputs found
If Only I Were That Warrior
Discussione sul film di Valerio Ciriaci "If Only I Were That Warrior", con la partecipazine di Cristiana Fiamingo, massimo Zaccaria (Univ. di Pavia) e Piero Graglia
True solitary pancreatic cyst in an adult: report of a case.
The differential diagnosis of cystic neoformations in the pancreas is challenging. We report a case of a true solitary cyst of the pancreas in a 26-year old woman. Abdominal magnetic resonance imaging and computed tomography showed a unilocular neoformation in the head of the pancreas, without obstruction of Wirsung's duct. We excised the cyst and performed Roux-en-Y loop pancreaticojejunostomy, but the patient suffered recurrent acute pancreatitis from Wirsung's duct stenosis. Thus, a new Roux-en-Y loop pancreaticojejunostomy was successfully done 6 months later. Histologically, the cyst was lined by cuboidal epithelium, immunohistochemically positive to anti-carbohydrate antigen 19-9 antibodies. To our knowledge, only 11 cases of solitary true cyst of the pancreas in adults have been reported, so the characteristics of this unusual entity are not well known. We propose a scheme for the differential diagnosis of cystic neoformations of the pancreas, starting from the histopathological definition of a true solitary cyst
Traumatic complete transsection of the left hepatic duct: Another approach to repair
I.F.= 0.51
Incidental cystadenoma after laparoscopic treatment of hepatic cysts: which strategy?
Biliary cystadenoma is a very rare hepatic neoplasm, accounting for fewer than 5% of cystic neoplasms of the liver; regardless of the various diagnostic modalities, such a lesion may be difficult to distinguish preoperatively from a cystadenocarcinoma. Although a diagnosis of cystadenoma during open hepatic surgery demands a complete surgical resection, there are few reports describing the correct approach to such lesions after a laparoscopic approach. This article presents the first case series of incidental cystadenoma after laparoscopic surgery for hepatic cystic lesions. One patient with a polycystic liver disease treated with a laparoscopic enucleation of the larger cyst declined the reintervention after the diagnosis of cystadenoma; she had no recurrence at follow-up. One patient with a large simple hepatic cyst laparoscopically enucleated had no recurrence at the 18-month follow-up. In one patient, there was a high suspicion of recurrence of cystadenoma after the laparoscopic fenestration of a large cyst, but a histopathological specimen obtained after the open surgical resection could not confirm any signs of cystadenoma. The incidental finding of biliary cystadenoma after laparoscopic fenestration of a cystic hepatic lesion requires an open hepatic resection. When a complete laparoscopic enucleation of the cyst may be assured, a strict clinical, biochemical, and radiologic follow-up could be considered as the definitive treatment, demanding the surgical intervention only in case of recurrence or high suspicion for malignancy
Cytochrome oxidase (a3) heme and copper observed by low-temperature Fourier transform infrared spectroscopy of the CO complex.
Psoas abscess: a rare complication of Crohn's disease
Psoas abscess is a rare complication of Crohn's disease.METHODS AND MATERIALS: We
evaluated the incidence of psoas abscess on 312 patients with Crohn's disease,
seen at our institution between 1992-2001.
RESULTS: We encountered three cases of psoas abscess (0.9%). One patient was
managed with ileocolic resection and immediate anastomosis, while in two patients
a percutaneous drainage was first performed and then, after 12 days of total
parenteral nutrition, a resection of the diseased bowel with immediate
reconstruction was carried out.
CONCLUSIONS: A correction of the nutritional deficiencies is mandatory.
Percutaneous computed-tomography guided drainage of the abscess with intestinal
resection with immediate anastomosis, performed after a parenteral
hyperalimentation, should be the method of choice in the management of such
patients
- …