RESUMEN
The aim of this paper is to describe a typical clinical case of tuberous sclerosis complex (Bourneville disease) and discuss controversial issues about the management of this rare condition, with a short revision of the literature. Particularly, we define which is the role of the surgeon in the treatment of this very rare condition, that should be primary approached conservatively.
Asunto(s)
Angiomiolipoma , Neoplasias Renales , Esclerosis Tuberosa , Adulto , Angiomiolipoma/diagnóstico , Angiomiolipoma/diagnóstico por imagen , Femenino , Estudios de Seguimiento , Humanos , Neoplasias Renales/diagnóstico , Neoplasias Renales/diagnóstico por imagen , Radiografía Abdominal , Factores de Tiempo , Tomografía Computarizada por Rayos X , Esclerosis Tuberosa/complicaciones , Esclerosis Tuberosa/diagnósticoRESUMEN
A cecal mass of uncertain etiology encountered during surgery for presumed appendicitis is a dilemma for the surgeon. The differential diagnosis of an unsuspected ileocecal mass must include neoplasm, diverticular disease, inflammatory bowel disease and severe appendicitis involving the ileocecal region. Right hemicolectomy is the gold standard for the treatment of the unsuspected ileocecal mass. The Authors report a case of inflammatory tumour of caecum secondary to appendicitis in a young adult.
Asunto(s)
Enfermedades del Ciego/cirugía , Granuloma de Células Plasmáticas/cirugía , Enfermedad Aguda , Apendicitis/complicaciones , Enfermedades del Ciego/diagnóstico , Enfermedades del Ciego/diagnóstico por imagen , Enfermedades del Ciego/etiología , Colectomía , Diagnóstico Diferencial , Urgencias Médicas , Estudios de Seguimiento , Granuloma de Células Plasmáticas/diagnóstico , Granuloma de Células Plasmáticas/diagnóstico por imagen , Granuloma de Células Plasmáticas/etiología , Humanos , Masculino , Persona de Mediana Edad , Radiografía Abdominal , Factores de Tiempo , Tomografía Computarizada por Rayos X , UltrasonografíaRESUMEN
Although the vestigial retrorectal cysts are still rare, the number of the observed ones is destined to increase, as methods by imaging become routinely used in the clinical practice. Once diagnosed, the removal of retrorectal lesions should be mandatory. Therefore, by reporting three clinical cases, the Authors propose notes of technique above the abdominal approach used for the surgical treatment of these retrorectal congenital neoformations. In their experience, the anterior route had no postoperative complications, short stay, no neurological consequences and good long-term results.
Asunto(s)
Quistes/cirugía , Neoplasias del Recto/cirugía , Región Sacrococcígea , Teratoma/cirugía , Abdomen , Adolescente , Adulto , Quistes/diagnóstico , Quistes/diagnóstico por imagen , Diagnóstico Diferencial , Femenino , Humanos , Imagen por Resonancia Magnética , Neoplasias del Recto/diagnóstico , Neoplasias del Recto/diagnóstico por imagen , Teratoma/diagnóstico , Teratoma/diagnóstico por imagen , Tomografía Computarizada por Rayos XRESUMEN
General surgeons are more and more frequently requested to prepare an operative exposure of the spine, in order to perform anterior maneuvers of removal and stabilization of the vertebral bodies. Since 1989 to date, in collaboration with the neurosurgical équipe of Prof. G. Cantore, Neurological Sciences Department, La Sapienza University of Rome, the Authors have collected 116 cases of vertebral diseases: among them, 48 involved the thoraco-lumbar junction of the spine (D12-L2). In this paper, Authors' aim is to state precisely the surgical technique of the anterior access to the thoraco-lumbar junction: attention has been focused on this tract of the column stating its anatomical complexity and the high invasivity of the procedures requested for its exposure. Therefore, such notes of technique have been elaborated to make safer the neurosurgical demolitive and reconstructive procedures and, most of all, to reduce the surgical trauma whenever it is possible.