RESUMEN
Congenital polycystic dilatation of the intrahepatic biliary ways (Caroli's disease) is a rare disease. The "pure" type and the one associated with congenital hepatic fibrosis are accepted. Although the current exploration methods, its diagnosis is rare before the surgical procedure. Treatment of the diffuse pure types and the ones associated with hepatic fibrosis is difficult and the outcome is bad. A case of the less frequent type is communicated, in which, as a novelty, intrasurgical echography was used in its treatment.
Asunto(s)
Conductos Biliares Intrahepáticos/anomalías , Conductos Biliares Intrahepáticos/diagnóstico por imagen , Cuidados Intraoperatorios , Adulto , Enfermedades de los Conductos Biliares/congénito , Enfermedades de los Conductos Biliares/diagnóstico por imagen , Enfermedades de los Conductos Biliares/cirugía , Conductos Biliares Intrahepáticos/cirugía , Dilatación Patológica/congénito , Dilatación Patológica/diagnóstico por imagen , Dilatación Patológica/cirugía , Femenino , Humanos , Síndrome , UltrasonografíaRESUMEN
Endometriosis of the Digestive Tract is an uncommon pathology, especially when ileocecal appendix is involved. Authors report twelve cases of appendiceal endometriosis reviewed from surgical and anatomopathological records. The preoperative diagnosis is almost impossible. The most usual clinical presentation is compatible with that of acute or chronic appendicitis. The definitive diagnosis is confirmed by anatomopathological study of the surgical specimen. The Surgical treatment consists of appendicectomy alone or associated with extirpation of other concomitant neighbouring lesions.
Asunto(s)
Neoplasias del Apéndice , Endometriosis , Adolescente , Adulto , Neoplasias del Apéndice/patología , Neoplasias del Apéndice/cirugía , Endometriosis/patología , Endometriosis/cirugía , Femenino , Humanos , Persona de Mediana Edad , Neoplasias Primarias Múltiples , Estudios RetrospectivosRESUMEN
Report of two cases of eosinophilic gastroenteritis. In both cases the presentation was an acute abdomen syndrome. The etiological diagnosis was postoperative, because in the preoperative period there were no data characteristic of this entity. Probably this disease is more frequent than reported and although the treatment is medical, there are some cases in which surgery is justified.
Asunto(s)
Abdomen Agudo/etiología , Eosinofilia/complicaciones , Gastroenteritis/complicaciones , Abdomen Agudo/patología , Abdomen Agudo/cirugía , Adulto , Anciano , Urgencias Médicas , Eosinofilia/patología , Eosinofilia/cirugía , Femenino , Gastroenteritis/patología , Gastroenteritis/cirugía , Humanos , Íleon/patología , Íleon/cirugía , Masculino , Reoperación , Dehiscencia de la Herida Operatoria/cirugíaRESUMEN
A case is presented of mesenteric venous thrombosis which affects about 30 cm of small intestine in a patient operated one month before for portal hypertension and bleeding from esophagogastric varices, in which an interruption of the portal-azygous venous circulation was made with splenectomy, using the Romero-Torres procedure. We consider that postsplenectomy thrombocytosis has been the first pathogenic factor in the mesenteric venous thrombosis.