RESUMEN
A 37-year-old woman was seen for pelvic pain. Ultrasonography and laparoscopy led to the diagnosis of bilateral hydrosalpinx. Analgesics and antibiotics were given several times but the clinical picture worsened. Laparotomy was performed and disclosed bilateral hydatidosis of the fallopian tubes requiring bilateral salpingectomy. Postoperatively, hydatic serology was strongly positive and a calcified hydatic splenic cyst was identified. Medical treatment with albendazole was prescribed for these multiple localizations of hydatid cysts.
Asunto(s)
Equinococosis/diagnóstico , Enfermedades de las Trompas Uterinas/parasitología , Adulto , Albendazol/uso terapéutico , Antihelmínticos/uso terapéutico , Equinococosis/tratamiento farmacológico , Equinococosis/cirugía , Enfermedades de las Trompas Uterinas/diagnóstico , Enfermedades de las Trompas Uterinas/tratamiento farmacológico , Femenino , Humanos , Laparoscopía , Enfermedades del Bazo/parasitología , Enfermedades del Bazo/terapia , UltrasonografíaRESUMEN
Amniotic adhesions occur in a wide variety of foetal malformations and can involve the limbs, the cranio-caudal region and the trunk. They usually occur after premature rupture of the aminos membranes. We report a case of amniotic adhesions diagnosed late at 37 weeks gestation.
Asunto(s)
Síndrome de Bandas Amnióticas/diagnóstico por imagen , Ultrasonografía Prenatal , Adulto , Síndrome de Bandas Amnióticas/complicaciones , Anomalías Congénitas/etiología , Resultado Fatal , Femenino , Humanos , Recién Nacido , Trabajo de Parto Inducido , Masculino , Embarazo , Tercer Trimestre del EmbarazoRESUMEN
This study analyses 25 cases of spermatic cord blockade for scrotal surgery (hydrocele, spermatocele, tumor of epididymis). The spermatic cord was infiltrated, after identification of the pubic tubercle, with a mean total dose of 17 +/- 3 ml of a 2% lidocaine solution not containing adrenaline. The scrotal skin was infiltrated separately at the site of incision. Analgesia was excellent in 22 patients. The duration of analgesia was 82 +/- 33 min. No adverse effects occurred. It is concluded that the blockade of the spermatic cord is a convenient anaesthesia technique for testicular surgery.
Asunto(s)
Bloqueo Nervioso/métodos , Cordón Espermático , Adulto , Anciano , Genitales Masculinos/cirugía , Humanos , Lidocaína/administración & dosificación , Masculino , Persona de Mediana Edad , Enfermedades Testiculares/cirugíaRESUMEN
A man 55 years old reached of chronic bronchopneumopathy was underwent a subumbilical surgery under an epidural anesthesia. The puncture has been realized at the level of the space L3-L4, with the location of an epidural catheter after negative aspiration test. The local anesthetic with lidocaine 2% (12 ml) Ten minutes later, the patient presented cardiac arrest that evaluated favourably under the cardiocirculatory intensive care. Blood and LCR analysis exclude the eventuality of a toxic accident, an anaphylaxia or spinal anesthesia.