1,721,004 research outputs found
Proposed technic of drainage tunneling in marsupialization of hydatid cysts of the hepatic cupula.
No full textRefractory hepatic lymphorrhea after total pancreatectomy. Case report and literature review of this uncommon complication.
No full textINTRODUCTION:
After extended abdominal lymphoadenectomy, lymphatic vessel injury may cause lymphorrhea that usually disappears spontaneously. However, intractable ascites sometimes develops. Although there are many reports describing persistent chylous ascites from intestinal lymphorrhea, little is known about hepatic lymphorrhea, not containing chyle. It is caused by injury of the lymphatic vessels during hepatoduodenal ligament lymphadenectomy. We present a case of massive ascites due to hepatic lymphorrhea after total pancreatectomy and extended lymhoadenectomy for Ampullar adenocarcinoma. We successfully treated it with prolonged medical therapy after surgical relaparotomy.
PRESENTATION OF CASE:
A 65-year old man underwent total pancreatectomy with extended nodal dissection. Massive clear-colored ascites (2000-9000mL per day) developed since the second postoperative day and persisted despite conservative therapy. At re-laparotomy no lymphatic leakage was found. Similarly lymphangiography was showed no contrast spreading. We treated this hepatic lymphorrea with intermittent opening of the abdominal drainage until spontaneous resolution.
DISCUSSION:
The standard treatment of hepatic lymphorrhea is an aggressive medical treatment. After such approach the most effective therapy seems to be surgical exploration. Other option are peritoneovenous shunt or intraperitoneal administration of OK-432.
CONCLUSION:
In our experience the intermittent abdominal drainage until spontaneous resolution is an useful approach to hepatic lymphorrhea
Role of Lymphatic Endothelial Cells in Innate Immunity by Expression of Functional Toll Like Receptor 1,2,3,4,6 and 9.
No full textHeterogeneous expression of toll-like receptors in lymphatic endothelial cells derived from different tissues.
No full textA drastic complex atheromatous aorta. A case report.
No full textAortic atherosclerosis is the most common disease of the aorta. More than 50% of the plaques thicker than 4 mm are located along the descending aorta. The complex morphology of the plaque, such as ulceration or the presence of thrombi, is associated with increased embolic risk. The increasing use of transesophageal echocardiogram has enhanced the recognition of aortic atheromas. We describe a case of a male patient with complex atherosclerotic disease involving the coronary vessels and descending aortic tract with some embolic complications
The incidence and the clinical significance of the bacterial and fungal contamination of the preservation solution in liver transplantation
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MicroRNA-23b mediates urokinase and MET downmodulation and inhibits migration of human hepatocellular carcinoma cells.
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