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Management of bronchobiliary fistula as a complication of liver hydatidosis
No full text[No abstract available
RESEZIONE RETTOCOLICA ANTERIORE CON CONSERVAZIONE E SCHELETRIZZAZIONE DELL'AMI PER CANCRO DEL SIGMA
No full text
Haemangiopericytoma of greater omentum. A rare cause of acute abdominal pain.
No full textHaemangiopericytoma (HPT) is a rare neoplasm that can occur in any part of the human body. In this report, we
describe the case of a patient with sudden severe upper abdominal pain caused by primary HPT in the greater
omentum
Obstructive biliary symptomatology as the first sign of HIV-infection.
No full text1999 Dec;18(4):459-62
MODULATION OF CONTINUOUS INFUSION 5-FLUOROURACIL (5FU) WITH WEEKLY METHOTREXATE (MTX)
No full textPHILADELPHIA (USA
Robotic-assisted transperitoneal nephron-sparing surgery for small renal masses with associated surgical procedures: surgical technique and preliminary experience
No full textSmall renal masses (T1a) are commonly diagnosed incidentally and can be treated with nephron-sparing surgery, preserving renal function and obtaining the same oncological results as radical surgery. Bigger lesions (T1b) may be treated in particular situations with a conservative approach too. We present our surgical technique based on robotic assistance for nephron-sparing surgery. We retrospectively analysed our series of 32 consecutive patients (two with 2 tumours and one with 4 bilateral tumours), for a total of 37 robotic nephron-sparing surgery (RNSS) performed between June 2008 and July 2012 by a single surgeon (G.C.). The technique differs depending on tumour site and size. The mean tumour size was 3.6 cm; according to the R.E.N.A.L. Nephrometry Score 9 procedures were considered of low, 14 of moderate and 9 of hight complexity with no conversion in open surgery. Vascular clamping was performed in 22 cases with a mean warm ischemia time of 21.5 min and the mean total procedure time was 149.2 min. Mean estimated blood loss was 187.1 ml. Mean hospital stay was 4.4 days. Histopathological evaluation confirmed 19 cases of clear cell carcinoma (all the multiple tumours were of this nature), 3 chromophobe tumours, 1 collecting duct carcinoma, 5 oncocytomas, 1 leiomyoma, 1 cavernous haemangioma and 2 benign cysts. Associated surgical procedures were performed in 10 cases (4 cholecystectomies, 3 important lyses of peritoneal adhesions, 1 adnexectomy, 1 right hemicolectomy, 1 hepatic resection). The mean follow-up time was 28.1 months ± 12.3 (range 6-54). Intraoperative complications were 3 cases of important bleeding not requiring conversion to open or transfusions. Regarding post-operative complications, there were a bowel occlusion, 1 pleural effusion, 2 pararenal hematoma, 3 asymptomatic DVT (deep vein thrombosis) and 1 transient increase in creatinine level. There was no evidence of tumour recurrence in the follow-up. RNSS is a safe and feasible technique. Challenging situations are hilar, posterior or intraparenchymal tumour localization. In our experience, robotic technology made possible a safe minimally invasive management, including vascular clamping, tumour resection and parenchyma reconstruction
Clinical behavior of solitary fibrous tumors of the pleura. An immunohistochemical study.
No full textMalignant fibrous histiocytoma of the mesentery: report of two cases and review of the literature
Get PDFMalignant Fibrous Histiocytoma (MFH) rarely affects the
abdomen and only a few cases arising in the mesentery have to date
been discovered. In this paper, two cases of MFH of the mesentery
are described and a review of the literature is reported
The use of x-ray CT and MRI in the study of sacroiliac joints in patients with Behcet disease and acute anterior uveitis
Get PDFObjective: It's controversial if Behcet Disease (BD) must be included in the group of seronegative spondyloarthropathy (SpA). Our
aim was to establish the prevalence of sacroiliitis (SI) in patients with BD using X-Ray, CT and MRI, in comparison with patients with
Acute Anterior Uveitis (AAU), that is known to belong to the subgroups of SpA.
Methods: We considered, in the period from 04/2006 to 04/2009, 21 consecutive patients with BD, positive for HLA B51 and 28
consecutive patients with AAU, positive for HLA B27. These patients were previously selected by our Rheumatological Ward.
Altogether we evaluated 98 sacroiliac joints (SIJ); each side of any patient was graded separately.
Results: X-ray of the pelvis showed advanced SI (grade 4) in 14% of the cases in patients with AAU; in BD group only 7% CT
showed advanced SI in 14% within AAU patients versus 6-12% of advanced SI (right to left) within BD patients. MR showed 14%
of advanced SI (bilateral) within AAU versus 6-11% of advanced SI (right to left) in BD patients.
Conclusions: This study supports the trend to not consider BD within the SpA, being the prevalence of SI in BD patients not very
different from general population and anyway lower than that observed in patients with AAU. On the other side the prevalence of
SI in AAU patients is higher than in BD patients and very similar to the one observed in patients with seronegative arthritis, and
anyway high enough to consider joint involvement as an important feature of the disease
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