1/8. Simultaneous occurrence of adenoma, focal nodular hyperplasia, and hemangioma of the liver: are they derived from a common origin?The association between hepatic hemangioma (HH) and focal nodular hyperplasia (FNH) or the association between FNH and hepatic adenoma (HA) has been reported. The authors report a case in which FNH, HH, and HA simultaneously appear in the liver. A 25-year-old woman was admitted to the Department of Surgery of the University of Catania (italy), after presenting pain in the right hypocondrium. No therapy with oral contraceptives, no pregnancy and no abnormalities of the laboratory tests were found. ultrasonography and computed tomography scans revealed four masses with the characteristics of HH, HA, FNH, and a hydatid cyst located, respectively, in segments II, IV, IV, and V of the liver. The surgical procedures performed were hemangioma and adenoma enucleation and en bloc resection of the FNH, hydatid cyst and gallbladder. No complications were recorded in the postoperative period and the patient was discharged from the hospital after 1 week. A pathological examination confirmed the preoperative diagnosis. To the best of our knowledge, the association of HH, FNH, and HA has never been reported. A common pathogenesis has clearly been demonstrated for hepatocytes and other cell types. The simultaneous presence of these three different kinds of tumor suggest that HH, FNH and HA could be the different expression of the same malformative anomaly.- - - - - - - - - - ranking = 1keywords = surgical procedure (Clic here for more details about this article) |
2/8. Giant hepatic hydatid cyst as a cause of small bowel obstruction.Today, giant hydatid cysts are fairly rare even in endemic areas. We describe a case of an extremely large hydatid cyst of the liver that was causing massive compression of the neighboring organs, giving rise to a subocclusive syndrome of the intestine. After considering the various approaches available for the treatment of this disease, it was decided that radical surgery was still the best therapeutic choice, especially when extremely large cysts are involved. In particular, in clinical situations where it is difficult to perform radical surgical procedures, less aggressive surgery followed by drug treatment should be the treatment of choice.- - - - - - - - - - ranking = 1keywords = surgical procedure (Clic here for more details about this article) |
3/8. Multiple peritoneal hydatid disease after rupture of a multivesicular hepatic hydatid cyst. Case report.We report the peculiar case of a young woman with hepatic hydatid cysts, with numerous peritoneal disseminations (56 cysts) incidentally diagnosed during a caesarian section. The case was managed, surgically preceded and followed by systemic treatment with albendazole. Surgical treatment addressed both the hepatic cyst and the peritoneal hydatid disease aiming to preserve involved abdominal organs. The diagnosis of peritoneal hydatid disease is today more accurate due to the new imaging techniques and the surgical procedure should be tailored to each patient depending on size, location and complications of each cyst. Radical treatment is the best and represents a goal, but with multiple disease, a staged treatment and special care for organ preservation should prevail as recurrences are not unusual.- - - - - - - - - - ranking = 1keywords = surgical procedure (Clic here for more details about this article) |
4/8. Unusual echinococcal cyst.We report a case of a single echinococcal cyst that originated from the liver, and occupied the upper right retroperitoneal space and kidney. The diagnostic problems and the surgical procedure are discussed.- - - - - - - - - - ranking = 1keywords = surgical procedure (Clic here for more details about this article) |
5/8. Thoracic hydatid cysts: a report of 842 cases treated over a thirty-year period.From 1957 to 1985, 842 patients were diagnosed as having thoracic hydatid cysts; 810 cysts were intrathoracic, 29 occurred on the "liver roof," 2 were cardiac, and 1 was on the chest wall. A total of 1,010 surgical procedures were performed in 807 patients (35 refused operation). There was a total operative mortality of 0.6% (5 deaths). Procedures became more conservative as experience was gained, and 79% of the procedures were endocystectomies. Intact endocystectomy (Barrett's technique) without preliminary aspiration was the approach of choice. Careful protection of the operating field, suturing of all the bronchial openings, and capitonnage were the keys to successful treatment. One hundred six patients with intact endocystectomies done before July, 1975, were followed for 3 to 20 years. Ruptures occurred during cyst manipulation in 35 patients (33%). recurrence after operation was seen in 2 patients (1.9%). There were no deaths among the patients undergoing intact endocystectomy. In comparison, we followed 136 patients who underwent aspiration endocystectomy and the recurrence rate was 3.7% (5 patients).- - - - - - - - - - ranking = 1keywords = surgical procedure (Clic here for more details about this article) |
6/8. albendazole in the treatment of cystic hydatid disease.Four cases of cystic hydatid disease treated with albendazole are described. The first patient had previously undergone surgical treatment with only partial removal of her hepatic cysts. The size of the remaining cyst resulted remarkably reduced after three courses of the drug. The second patient had recurrent hydatid disease involving the lumbar spine. After therapy, an evident diminution in the size of the cyst was detected. Two patients (one with a partially calcified cyst of the liver, the other one with multiple pulmonary lesions) did not show any objective evidence of improvement. Failures were probably due to the presence of calcified or thick-walled cysts. In all the patients, neither side-effects were observed, nor recurrences were noted during a 2 years' follow-up. In cystic hydatid disease, whenever radical surgical procedures are impracticable, albendazole treatment can achieve significant clinical results.- - - - - - - - - - ranking = 1keywords = surgical procedure (Clic here for more details about this article) |
7/8. Biliary cystadenoma mistaken for an echinococcal cyst.Because of the incorrect preoperative diagnosis of echinococcal cyst, a 46-year-old female patient did not receive the surgical procedure of choice for biliary cystadenoma. We suggest that this obscure entity be considered in the differential diagnosis of cystic hepatic masses, with or without calcific margins.- - - - - - - - - - ranking = 1keywords = surgical procedure (Clic here for more details about this article) |
8/8. Modern war surgery: the experience of Bosnia. 2: The clinical experience.A Canadian field surgical hospital was deployed in the former yugoslavia to support the medical needs of Canadian and other united nations troops. Over a 6-month period, 5661 patients were seen and 50 surgical procedures performed. Gunshot, shrapnel and other blast injuries were responsible for the injury in only 10 patients seen at the hospital. Strict adherence to the concepts of hygiene, safety and trauma prevention is essential for the proper health care of large groups of peacekeepers abroad. Civilian involvement was limited by political restrictions, but a few civilians were helped. The ability to provide modern medicine in the field of battle boosted the morale of the Canadian troops.- - - - - - - - - - ranking = 1keywords = surgical procedure (Clic here for more details about this article) |