Chirurgia Bucharest
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Chirurgia Bucharest · Sep 2000
Case Reports[Cardiac penetrating wound with the section of the top of the heart and and other visceral injuries].
The case which we present is the most recent of a personal statistics on 10 cardiopericardiac plagues and the decision to be related separately was requested by some particularities with special points of view: a) anatomo-lesional, transfixiant plague with the lost of the top of the heart and the section of the left coronary artery, left diaphragmatic penetrating plague, left hepatic transfixiant plague, penetrating gastric plague. b) some aspects of surgery techniques. c) the evolution of acute septic complications (mediastinopleuroparietal suppuration) which has requested special care and 97 days of hospitalisation. d) healing, good evolution after 14 months from the accident.
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The authors present their experience with two cases of acute peritonitis scattered characteristic lesions were secondary to the tuberculous of the bowel. It is noteworthy, as far as these two cases are concerned, the rarity of intestinal tuberculous fistulation occurrence in addition to the peculiarity of both their preoperative course with its related diagnostic and operative timing difficulties and their postsurgical recurrent perforation complicated evolution. This article also pin-points the special management problems due to the gravity of these cases.
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Chirurgia Bucharest · Jul 2000
Case Reports[Acute gangrenous appendicitis perforated with abscess in the right sack crural hernia].
It's present the clinic case of one patient with false clinical description of right crural abscess (crural ganglion abscess). Operated in emergency--it's no crural ganglion abscess. It's about acute generated and perforated appendicitis with septic in the stargule crural hernia. ⋯ The evolution it's complicated with parietal sepsis. Recovery. The case it's singular from personal statistical (8.000 appendicectomy in the period 1983-1999).
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Chirurgia Bucharest · Sep 1998
Case Reports[Rectal lesions in children. Clinico-therapeutic considerations of 12 cases].
The lesions of the anus and the rectum are not very really found in children, representing even a appreciable percentage; in the Pediatric Surgery Clinic of the University Hospital no. 1 of Craiova were admitted and operated 12 patients with lesions of the rectum between 1986 and 1998. The causes of these lesions were: polytraumatism--3, falls in different sharp things--7, rectal perforations on the septic base from the peritoneal cavity--1, iatrogenic cause--1. The surgical treatment were consisted in: the suture of wounds on the perineal way, lavage, drainage, antibiotherapy--6 cases, the iliac left anus with the re-establishing of the continuity--3 cases, the suture of wounds on the perineal and abdominal ways--2 cases. The conditions were good in 9 cases--cured, and 3 deceases (2 polytraumatism, 1 case malformed new-born with perforation produced by using haegar).
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Chirurgia Bucharest · May 1998
Review Case Reports[An iliac-mesenteric-atrial shunt in the Budd-Chiari syndrome with extensive thrombosis of the inferior vena cava].
A 34-year-old woman with no history of any liver diseases was admitted to the service for a Budd-Chiari syndrome and an extensive thrombosis of the inferior vena cava. The symptoms of the portal hypertension were present, with an enormous ascites, mild esophagogastric varices, associated with increased edema of the lower limbs, perineum and abdominal wall. The diagnosis was established by color Doppler ultrasonography, CT and cavography. ⋯ The color Doppler ultrasonography showed a good flow in the shunts. After 14 days ascites decreased over 70% and the inferior edema almost disappeared. 2 month later ascites decreased over 80%, the esophageal varices and edema disappeared completely. To our knowledge, this is the first case in the country, in which a patient underwent ilio-mesenterico-atrial shunt for Budd-Chiari syndrome and inferior vena cava extensive thrombosis.