Asunto(s)
Seno Pilonidal/cirugía , Adolescente , Adulto , Femenino , Humanos , Masculino , Pronóstico , ReoperaciónAsunto(s)
Linfa/fisiología , Linfedema/fisiopatología , Adolescente , Femenino , Humanos , MasculinoRESUMEN
The development of two hydatid cysts following two primary inseminations near each other, one in the wall of the femoral artery and the other in the adductor muscles, resulted in an ischaemic syndrome in the affected limb. This raised interesting problems of diagnosis and pathology especially since the second cyst presented three and a half years later.
Asunto(s)
Equinococosis/complicaciones , Isquemia/parasitología , Pierna/irrigación sanguínea , Adulto , Equinococosis/diagnóstico por imagen , Equinococosis/cirugía , Femenino , Arteria Femoral/diagnóstico por imagen , Arteria Femoral/parasitología , Arteria Femoral/cirugía , Humanos , Isquemia/diagnóstico por imagen , Isquemia/etiología , Isquemia/cirugía , Pierna/parasitología , Músculos/parasitología , Músculos/cirugía , Radiografía , SíndromeAsunto(s)
Sistema Linfático/patología , Linfedema/patología , Adulto , Brazo , Femenino , Humanos , Hiperplasia/patología , Pierna , Linfedema/diagnóstico por imagen , Linfografía , EsclerosisRESUMEN
In 12 ulcer patients in attack and in 6 healthy subjects the secretory test to insulin (Hollender test) was used and repeated after 48 hrs in association with propranolol (Propins test). While in controls the stimulated acid secretion was not influenced in ulcer patients a significant reduction of the secretory parameters was obtained in 60% of the cases thus confirming the existence of a beta-adrenergic component of the hydrochloric secretion. In 40% of the ulcer patients this effect was not observed. It therefore results that by using our "Propins" test it is possible to estimate the prevalence of the vagal-cholinergic or the beta-adrenergic (gastrinic) mechanism in the pathogenesis of duodenal ulcer.
Asunto(s)
Úlcera Duodenal/fisiopatología , Ácido Gástrico/metabolismo , Propranolol , Humanos , Insulina , Receptores Adrenérgicos beta/fisiologíaAsunto(s)
Simpatectomía , Tromboangitis Obliterante/terapia , Adulto , Humanos , Región Lumbosacra , Persona de Mediana EdadRESUMEN
Segments of an inferior inguinal ganglion and of an external iliac (upper inguinal) ganglion were microscopically examined in 46 cases of bilateral primary lymphedema and 26 cases of unilateral primary lymphedema. The examination was performed bilaterally and comparatively to a set of ganglions unaffected by lymphedema, during the years 1974-1978. In all the lymph nodes originating from the patients with lymphedema important morphopathological alternations were noticed, chiefly consisting in fibrosis, fibrosclerosis, fat loading, hyalinization processes, giganto-cellular responses, etc., leading even to an aspect of cirrhosis, lympho-nodal pseudo-cirrhosis. These alterations were also found on the healthy side of the patients with unilateral primary lymphedema at the time of the microscopical examination. In the same patient clinical edema appeared in the following years. The degree of the morphopathological alterations was greater in the side of the greater edema and more peculiar in the cases of bulkier edema.
Asunto(s)
Ganglios Linfáticos/patología , Linfedema/patología , Adolescente , Adulto , Niño , Femenino , Humanos , Masculino , EsclerosisRESUMEN
The inguinal-iliac lympho-nodal fibrosclerotic processes appearing in female patients with primary lymphedema bring about an obvious tendency of reduction of the circulatory flux in the afferent lymphatics at some distance from the lympho-nodal area: at the foot or at the shank. The inguinal lympho-nodal morphopathological alterations (examined in 72 cases of primary lymph-edema) were followed, by distal lymph stasis at the level of the foot and of the leg, without sensibly affecting the lymph flow in the thigh. These aspects of the lymph stasis adjacent to the lympho-nodal areas are striking in the patients with secondary lymphedema.
Asunto(s)
Ganglios Linfáticos/patología , Linfa/fisiología , Linfedema/patología , Adolescente , Adulto , Niño , Preescolar , Dilatación Patológica , Femenino , Humanos , Linfedema/fisiopatología , EsclerosisAsunto(s)
Antagonistas Adrenérgicos beta/uso terapéutico , Benzocaína/uso terapéutico , Úlcera Duodenal/tratamiento farmacológico , Lidocaína/uso terapéutico , Propranolol/uso terapéutico , Células Receptoras Sensoriales/efectos de los fármacos , Úlcera Gástrica/tratamiento farmacológico , Adulto , Animales , Combinación de Medicamentos , Femenino , Humanos , Masculino , Ratones , Persona de Mediana EdadRESUMEN
In 21 cases of patients with lymphoedema and median fibrosis the author performed termino-lateral lympho-venous troncular anastomosis in the Scarpa triangle, in the internal iliac region, and in the leg. In 18 of the cases there was significant decrease of the oedema. This effect is of particular importance in the reclining position; when sitting upright the oedema recurred, but it is of the soft type, easily depressed, considerably reduced when the patient reclines. Compressive bandages are an efficient supplement to the intervention. One should also mention the necessity of maintaining along the lymph vessel trajectory of integral lymph-node "stations", where the lymph undergoes important and necessary processing.