RESUMEN
Computed tomography scanning could be safely used in later pregnancy to aid diagnosis and target management of the acute abdomen.
RESUMEN
Dysphagia is an unusual presentation of pleural mesothelioma and carries a grim prognosis. A case of an elderly patient is presented herein, in whom the diagnosis was confirmed histologically, and the patient was still surviving 6 months after palliation.
Asunto(s)
Trastornos de Deglución/etiología , Mesotelioma/complicaciones , Neoplasias Pleurales/complicaciones , Trastornos de Deglución/diagnóstico , Humanos , Masculino , Mesotelioma/diagnóstico , Mesotelioma/patología , Persona de Mediana Edad , Neoplasias Pleurales/diagnóstico , Neoplasias Pleurales/patología , Pronóstico , Factores de RiesgoRESUMEN
BACKGROUND: To develop an evidence-based protocol for the management of perforated sigmoid diverticular disease. METHODS: A search of the literature was undertaken. All publications pertaining to perforated sigmoid diverticular disease were analyzed and then categorized according to their level of evidence. Recommendations were then made on the basis of this. RESULTS: Multiple case reports suggest that primary closure of perforation of sigmoid diverticula is safe in the absence of peritoneal contamination. CONCLUSIONS: A 2-stage laparoscopic approach incorporating the principles of damage limitation surgery may be a safe strategy in the management of perforated diverticular disease.