543 research outputs found
L'antichità di Roma /
No full textSignatures: *⁴ A-2I⁸ K¹²."Appendice di Girolamo Ferrucci": leaves 190-241.Errors in foliation: 202, 204, 206, 208-224 numbered 302, 304, 306, 308-324 respectively.T.p. ill. of "Alma Roma" in armor, holding a statuette of Victory. Numerous woodcut ill. depicting antiquities of Rome, chiefly buildings. Tail pieces. Initials.Mode of access: Internet.Sloan candidateBinding, c. 2: modern vellum, lapped foredges. Author & title in gilt on spine. Green silk place marker. Printed slip from bookseller's catalog tipped onto front pastedown. Owner's inscription of A.C. Engl. to right of title.Binding, c. 2: later marbled paper, backed in vellum. Author & title written on spine. Signature on front pastedown, dated 1802.Binding, c. 1: old sheepskin. Spine tooled in gilt, author & title on label in gilt. Page edges sprinkled red and blue. Bibliographical inscription on front free endpaper recto. Signature at right of t.p. ill.: L. Rossini. Another signature at foot of t.p., cancelling an earlier signature: Di me ?Giacomo Leoni
A rare presentation of gastric phytobezoar: Simultaneous bleeding and perforation. combined laparoscopic and endoscopic approach. Report of a case
No full textIntroduction: Bezoars are intraluminal conglomerates of indigestible foreign materials that accumulate in the
gastrointestinal tract. We describe our experience with a patient with gastric perforation and concomitant gastric
haemorrhage with severe anaemia, in whom we successfully extracted a giant gastric phytobezoar by cooperative
laparoscopic and endoscopic surgery.
Case presentation: A 68-year-old man was admitted with melena and septic shock. CT scan revealed a gastric
perforation. We performed a combined laparoscopic and endoscopic approach with gastrotomy, removal of the
phytobezoar and laparoscopic gastric suture. The suture was examined for leakage with the endoscopic hydropneumatic test to obtain direct vision of the suture and no evidence of leakage by insufflation of the area.
Discussion: Gastric bezoars can be managed conservatively, endoscopically or surgically. Endoscopic removal, if
effective, would be an attractive alternative for bezoar treatment. Usually endoscopic attempts are unsuccessful
because of the large size of the bezoar and the difficulty in fragmentation. The laparoscopic approach for bezoar
seems to have better postoperative outcomes. The main criticisms of the technique are abdominal spillage with
risk of contamination as well as longer operative times.
Conclusion: In our case we simultaneously performed laparoscopic surgery and endoscopic operative procedure in
accordance with the principles of laparoscopic and endoscopic cooperative surgery to treat the gastric bezoar in
order to overcome the limits of a single technique
Safety and effectiveness of saving sphincter procedure in the treatment of chronic anal fissure in female patients
No full textLateral internal sphincterotomy (LIS) is still the approach of choice for the treatment of chronic anal fissure (CAF) regardless to the internal anal sphincter tone but it is burdened by high risk post-operative faecal incontinence (FI). In female patient there are some anatomical and functional differences of the sphinteric system which make them more at risk of FI and vaginal birth could cause sphinteric lesions affecting the anal continence function. The aim of our study is to evaluate the results of saving sphincter procedure as treatment for female patients affected by CAF
Colorectal infiltrating deep endometriosis: Laparoscopic treatment. A case report
No full textEndometriosis is a disease affecting approximately 10% of women of fertile age. A particular presentation is deep infiltrating endometriosis of the rectosigmoid colon with symptoms that can mimic an intestinal obstruction or neoplasm. We report the case of a 39-year-old woman with pelvic pain during the menstrual cycle and significant anemia who presented an ectopic endometrial tissue in correspondence of the rectum. Because of the thickness of the lesion the patient underwent a segmental laparoscopic colorectal resection with end-to-end anastomosis
Superior mesenteric vein thrombosis following open right hemicolectomy and cholecystectomy. Case report
No full textAIM: Superior mesenteric vein thrombosis (SMVT) is an uncommon but potentially life-threatening postoperative complication of colorectal surgery. Risk factors and prognosis of SMVT have been poorly described and data to create gold standard criteria for diagnosis and management are lacking. SMVT has a wide spectrum of clinical presentation, hence, its early identification may be a diagnostic challenge. CASE REPORT: 56 year old obese female patient with inherited prothrombotic condition underwent an open right hemicolectomy plus cholecystectomy; the immediate postoperative course was uneventful but on postoperative day 8, already at home, she experienced post-prandial abdominal pain without any other local or systemic signs or symptoms. The CT scan showed a complete thrombosis of the superior mesenteric vein without any bowel complications. Immediately submitted to systemic subcutaneous anticoagulation bridge therapy to a lifelong oral anticoagulation she had a complete clinical recovery on postoperative day 17, despite the persistence at CT scan of complete SMVT without any intestinal suffering. DISCUSSION: SMVT is a multifactorial event where both local and general factors are involved. Conclusive data about comparison of SMVT incidence in laparoscopic vs open colorectal surgery and those about its incidence in cancer vs non cancer groups of patients in relation to the surgical technique are missing. Variability of clinical course and the absence of specific signs, symptoms and laboratory findings make diagnosis of SMVT challenging, therefore it is crucial to have high suspicion. As for the treatment, first line approach is systemic anticoagulation therapy with LMWH for at least 6 months, followed by oral anticoagulation, the earlier we initiate the therapy the greater rate of recanalization we will get. CONCLUSION: prompt diagnosis and more aggressive thromboprophylaxis in patients with inherited or acquired risk factors may prevent the negative evolution towards bowel necrosis of SMVT
Early diagnosis of primary melanoma of caecum. Case report and review of the literature
No full textMalignant gastrointestinal melanoma is usually a metastatic lesion. We report the case of a 79-year-old female asymptomatic patient. Colonoscopy revealed one plane 15 mm pigmented lesion in the caecum. Neither CT scan of the abdomen nor right hemicolectomy revealed no metastatic disease. Histopathological examination of the surgical specimen was indicative of malignant melanoma.A set of additional enquires such as laboratory and imaging tests did not point out any suspicious lesions in the skin, eye, leptomeninges or other sites. Therefore, we made the diagnosis of primary colonic melanoma.The diagnosis of this disease is still a challange and often demanding for a multidisciplinary approach, involving the surgeon, onclogist and even immunotherapy or radiotherapy
Trattamento chirurgico di megacolon tossico da pancolite granulomatosa di Crohn. Caso clinico
No full textA stinging wasp in the stomach: accidental endoscopic diagnosis of a systemic anaphylactic reaction.
No full textThere are only four reported cases of bees or wasps being found as foreign bodies in the esophagus or stomach. We report the first case, to our knowledge, of a wasp puncture in the stomach causing local (acute heartburn) and systemic symptoms (anaphylaxis)
Cap. 13 (Traumi toracici) in dMalattie dell’Apparato Respiratorio di V. Bellia e G. Bonsignore
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