15 research outputs found
Arteriovenous Malformation of the Pancreas
Pancreatic arteriovenous malformation (PAVM) is a very rare and mostly congenital lesion, with less than 80 cases described in the English-published literature. It is defined as a tumorous vascular abnormality that is constructed between an anomalous bypass anastomosis of the arterial and venous networks within the pancreas. It represents about 5% of all arteriovenous malformations found in the gastrointestinal tract. Herein, we present a 64-year-old patient with symptomatic PAVM involving the body and tail of the organ, which was successfully treated by transcatheter arterial embolization. The disease spectrum and review of the literature are also presented
Pancreatic intraductal papillary mucinous neoplasm with concomitant heterotopic pancreatic cystic neoplasia of the stomach: a case report and review of the literature
A 60-year-old Caucasian male underwent a total pancreatectomy for a mixed type pancreatic intraductal papillary mucinous neoplasm (IPMN) arising in the main and secondary pancreatic ducts. During surgery, a subserosal polypoid mass was noted at the greater curvature of the gastric antrum and was enucleated. This mass was proven to be heterotopic pancreatic tissue with cystic neoplasia of the IPMN histologic subtype. Through an extensive search of the literature, we found that this is the first case ever reported with simultaneous existence of IPMN changes, in the main and secondary ducts of the orthotopic pancreas and in the heterotopic pancreatic tissue of the gastric wall
Massive Uterine Leiomyoma in a Patient with Friedreich's Ataxia: Is There a Possible Association?
A possible association between Friedreich's ataxia (FA) and neoplastic development has been recognized. FA patients have low frataxin levels and insufficient response to oxidative stress. In these patients fibroblasts are characterized by a high rate of mutations. Herein, a case of a 39-year-old woman with FA tetraplegia, who was admitted in our department with intestinal obstruction due to a huge uterine tumor, is described. An abdominal CT revealed a huge intra-abdominal mass originating from the right cornu of the uterus. Tumor excision and adhesionlysis were performed. The histological examination of the tumor revealed a leiomyoma. FA patients seem to present with a variety of neoplasms uncommon for their young age. This is the first report of a leiomyoma originating from the genital system in a female patient with FA tetraplegia. Therefore it is important to identify neoplasms at an early stage in patients with FA and start immediate therapy
A role for surgery in primary pancreatic B-cell lymphoma: a case report
This is an Open Access article distributed under the terms of the Creative Commons Attribution Licens
Short bowel syndrome: Current medical and surgical trends
Short bowel syndrome is a chronic malabsorptive state usually resulting
from extensive small bowel resections. A combination of diarrhea,
nutrient malabsorption, dysmotility, and bowel dilatation may constitute
the clinical symptomatology of this syndrome. The remaining bowel
undergoes a process called adaptation, which may replace lost intestinal
function. Chronic complications include nutrient, electrolyte, and
vitamin deficiencies. Therapy depends largely on the administration of
various factors stimulating intestinal adaptation of the remaining
bowel. If the patient despite medical therapy fails to return to oral
diet alone, then long-term parenteral nutrition is required. However,
long-term parenteral nutrition may gradually induce cholestatic liver
disease. Surgical methods may be required for treatment including
intestinal transplantation, as a last resort for the treatment of
end-stage intestinal failure. The goal of this review is to analyze the
clinical spectrum and pathophysiologic aspects of the syndrome, the
process of intestinal adaptation, and to outline the medical and
surgical methods currently used to treat this complicated group of
patients
Laparoscopic cholecystectomy after open cholecystostomy for gallbladder empyema: A case report
The case of a patient with gallbladder empyema initially drained through
a minilaparotomy procedure under local anesthesia with a tube
cholecystostomy is reported in this paper. Eight weeks later, the
patient underwent an elective interval laparoscopic cholecystectomy. At
laparoscopy, the gallbladder and the cholecystostomy tube were dissected
free from the abdominal wall and the greater omentum, which was attached
to the gallbladder. The tube was removed from the gallbladder fundus,
and the operation was completed laparoscopically without any major
problems