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COMMENTO A: ADANI GL, MARCELLO D, MAZZETTI J, CARRELLA G, JORIZZO E, DONINI A. MALIGNANT LYMPHOMA COMPLICATING ULCERATIVE COLITIS.
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Trattamento laparoscopico di un caso di acalasia esofagea con diverticolo epifrenico. In: Carlo Delfino Editore. Atti del SIPAD, 2001:511.
Il trattamento chirurgico del cancro colorettale
Gli autori descrivono le basi razionali e le evidenze scientifiche sul trattamento chirurgico del cancro colorettal
Repeat hepatic surgery for recurrent colorectal metastases.
The author discuss the repeated hepatic resection for recurrent colorectal metastase
Gestione del rischio nelle attività chirurgiche e procedure invasive
Gli autori discutono la presentazione e gestione delle principali complicanze chirurgiche in chirurgia generale
Strangulated adenoma of the liver: a unique cause of acute abdomen
Hepatic adenomas are uncommon benign tumours of the liver which may eventually present with acute onset following rupture of the lesion and haemorrhage. We present here a unique case of strangulated adenoma of the liver presenting as acute abdomen. A 27-year-old woman taking oral contraceptives, presented to the emergency department with abdominal pain, palpable abdominal mass, fever, and neutrophilia. An abdominal ultrasound showed a 3-cm hepatic nodule and an 11-cm mesogastric mass. Computed tomography of the abdomen revealed a 2.3-cm liver adenoma and a 13-cm pedunculated mass of the liver showing no contrast enhancement suggestive of pedicle torsion with ischemia of the mass. The patient underwent an emergent open resection of the strangulated liver mass, she recovered without complications, and was discharged home after three days. Final pathology confirmed an hepatocellular adenoma with areas of necrosis and hemorrhage. The clinical significance of the disease is discussed
[Indications and limitations of spleno-femoral bypass. Report of a clinical case].
The authors present a case report and discuss the indications and limitations of spleno-femoral bypas
Oesophageal achalasia with epiphrenic diverticulum with laparoscopic approach: A 6-year follow-up
Long-term results of laparoscopic treatment for oesophageal
achalasia with epiphrenic diverticulum are reported
in a 75-year-old woman presenting with a 10-year
history of dysphagia, regurgitation, cough, and a 10-kg
weight loss. Preoperative barium swallow showed a dilated
sigmoid oesophagus with a 6-cm enlarging epiphrenic
diverticulum. Endoscopic biopsies
were negative for cancer and oesophageal manometry
showed no peristalsis. Laparoscopic diverticulectomy
and a 7-cm distal oesophageal myotomy with Dor fundoplication
were performed. The postoperative course wasuneventful and the patient was discharged home 5 days
after the operation, symptom-free, and tolerated a soft
diet. Six months postoperatively she had no symptoms,
ate without restrictions, had gained 8 kg, and showed a
normal-sized oesophagus with regular emptying on barium
swallow. At the 6-year follow-up, the patient
was free of symptoms and had gained 19 kg of weight.
Specifi cally, she had no dysphagia, regurgitation, heartburn
or cough; a new barium swallow showed a normalsized
oesophagus with tertiary contractions and a 2-cm
epiphrenic diverticulum
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