Traitement par alcoolisation des kystes biliaires. Expérience personnelle sur 13 cases

But de l’étude: Evaluer si l’alcoolisation percutanée, technique introduite depuis une dizaine d’années dans le traitement palliatif du carcinome hépatocellulaire inopérable, peut être utilisée à titre curatif dans les kystes biliaires avec de bons résultats, tout en évitant l’intervention chirurgicale. Matériel et méthodes: Pour l’étude, ont été observés 13 patientes (M 4; F 9 – age 38-71, moyenne 54 ans) qu’ils étaient symptomatiques. Tous les 13 malades ont été traités par alcoolisation par voie percutanée sous contrôle échographique. Résultats: L’amélioration de la technique et l’encadrement des protocoles permettent aujourd’hui de considérer l’alcoolisation percutanée comme un bon traitement du patient symptomatique seule indication à ce dernier. Conclusion: La simplicité d’exécution, le bas coût et le faible nombre de complications ont fait de l’alcoolisation percutanée le traitement de choix chez les patients porteurs de kystes biliaires

Appendiceal-sigmoid fistula presenting in a man with ulcerative colitis: a case report

<p>Abstract</p> <p>Introduction</p> <p>Ulcerative colitis is a chronic disease characterized by diffuse mucosal inflammation limited to the colon. It mostly affects young adults, yet a large number of middle-aged and older patients with ulcerative colitis have also been reported.</p> <p>Case presentation</p> <p>A 58-year-old Caucasian man presented to our hospital in August 2006 with continuous and diffuse abdominal pain, meteorism, fever and bloody diarrhea. He had a two-year history of ulcerative colitis. Our patient was treated with intravenous medical therapy. As his condition worsened, he underwent surgery. An explorative laparotomy revealed that the entire colon was distended and pus was found around an appendiceal-sigmoid fistula.</p> <p>Conclusions</p> <p>Therapy for ulcerative colitis <b/>is a rapidly evolving field, with many new biological agents under investigation that are likely to change therapeutic strategies radically in the next decade. Indications for surgery are intractability (49%), stricture, dysplasia, toxic colitis, hemorrhage and perforation. To the best of our knowledge, this is the first case of an appendiceal-sigmoid fistula in a patient affected by ulcerative colitis reported in the literature. Fistulae between the appendix and the sigmoid tract are rarely reported in cases of diverticular disease and appendicitis.</p

Anal GIST in older old patient: a case report

GIST are a group of quite rare neoplastic pathologies. This type of pathology is currently the subject of discussion as for their origin and treatment. It is generally difficult to determine if they are to be considered as a benign or malign neoplastic disease. We present the case report of a patient with a recurrence of anal GIST who was examined 8 years after the first treatment. Case report: C.M., female, 81 years old, came to our Clinic in March 2001 complaining of rectal haemorrhage and abdominal pain in the lower quadrants; he had also suffered from constipation for 1 month. During rectal exploration we found a mass spreading inside the lumen 3 cm from the anal verge. Colonoscopy showed that the tumour, which was 7x5 cm in size, was inside the wall with normal mucosa. EUS revealed that the origin was within the muscular layer; therefore we chose transanal excision as surgical treatment. The patient was discharged 5 days after surgery and is alive; he only showed a small local recurrence of disease 30 months after treatment. Histological examination confirmed that the tumour was a GIST. This case provides the basis for a discussion about characteristics and the evolution of this group of pathologies

Ricostruzione digitale della piazza del suburbio di Nora

Ricostruzione digitale della piazza lastricata di Nora (Pula, CA), spazio pubblico della città risalente all'età imperiale romana. Il dataset, funzionale alla valorizzazione delle strutture conservate on site e offsite mediante una webapp, è stato realizzato da Katatexilux modellando il monumento con il software Blender; il modello è stato infine texturizzato e renderizzato con Autodesk 3ds Max. La ricostruzione ha preso le mosse dai rilievi digitali del monumento, e dai dati di scavo acquisiti ed elaborati dall'Università degli Studi di Cagliari. Il processo ricostruttivo è stato validato mappando le fonti interpretative su immagini 2D equirettangolari della ricostruzione virtuale, definendo campiture cromatiche corrispondenti ai livelli di affidabilità e alle relative fonti. Funzionali alla realizzazione della webapp, sono state prodotte delle maschere semantiche di sintesi relative ai principali elementi ricostruiti e visibili nelle viste equirettangolari prodotte, così come sono state realizzate delle maschere funzionali allo storytelling della ricostruzione