Abstract:
:This case report describes an acute colonic diverticular perforation occurred to a multiple myeloma patient, taking corticosteroid and morphine therapy, revealed by a subcutaneous emphysema of upper chest and right abdomen as initial presentation. Sigmoid diverticulitis with perforation and generalized peritonitis is a severe complication of the diverticular disease and it is due to diverticular microperforation. This condition occurs more frequently in patients with widespread diverticolosis and usually after 50 years of age, and the frequency of related complications increases with age (and with the use of corticosteroids). Extraperitoneal air from the sigmoid-rectum perforation can escape diffusing superiorly though paravertebral retroperitoneal tissues and via the diaphragmatic iatus into the mediastinum, producing pneumomediastinum and it diffuses to yield superior thoracic emphysema. This report suggests that the diagnosis of retroperitoneal perforation is usually difficult because of the lack of signs of peritoneal irritation and the paucity of symptoms, particularly in patients treated with corticosteroids.
journal_name
Ann Ital Chirjournal_title
Annali italiani di chirurgiaauthors
Soliani G,Dominici M,Bergossi L,Basaglia E,Pauli S,Carcoforo Psubject
Has Abstractpub_date
2002-11-01 00:00:00pages
643-6issue
6eissn
0003-469Xissn
2239-253Xjournal_volume
73pub_type
杂志文章abstract::Malignant ascites is an abnormal accumulation of fluid in the peritoneal cavity of patients with intraperitoneal cancer dissemination. This clinical condition could represent the terminal evolution of a lethal disease and could influence the prognosis, severely impairing the patients' quality of life. Treatment option...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2016-01-01 00:00:00
abstract::Video-assisted thoracic surgery (VATS) is one of the main medical revolutions of the past decade. For its satisfactory performance, the following prerequisites are essential: (1) knowledge and experience in thoracic surgery; (2) team of experienced anesthesiologists; (3) preoperative assessment of respiratory function...
journal_title:Annali italiani di chirurgia
pub_type: 社论,评审
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更新日期:2000-09-01 00:00:00
abstract:BACKGROUND:The extension of lymphadenectomy is a matter of debate in gastric cancer surgery. The purpose of the present study was to analyse our experience on D3 lymphadenectomy in the treatment of gastric cancer with special reference to post-operative morbidity and mortality, incidence of para-aortic nodal metastases...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
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更新日期:2009-03-01 00:00:00
abstract::Primary aortoenteric fistulas (PAEF) are rare entities associated with a high mortality. Although several causes have been reported, their occurrence is usually due to erosion of an abdominal aortic aneurysm into the intestinal tract. The most common sites for the fistula are the third and fourth portions of duodenum....
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
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更新日期:2004-05-01 00:00:00
abstract::Osteoid osteoma is a benign, bone-forming tumor. The diaphyses of the long bones are the sites of predilection (at least 50% of all cases occurring in the femur and the tibia). Also this lesion has a male preponderance and the majority of cases present in the second and third decade. We represent an unusual localizati...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章,评审
doi:
更新日期:2006-11-01 00:00:00
abstract::Soft tissue and tendon reconstruction after Achilles tendon rupture:Adipofascial sural turnover flap associated with cryopreserved gracilis tendon allograft for complicated soft-tissue tendon losses.A case report and literature review Achilles tendon rupture is often complicated by skin substance loss around the tendo...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章,评审
doi:
更新日期:2006-07-01 00:00:00
abstract::The authors examine the value of different imaging techniques (CT, MRI) in the diagnosis of the involvement of the mesenteric-portal vessels in the pancreatic cancer. In 20 jaundiced patients they obtained in all cases a correct diagnosis about the etiology of the jaundice. The correspondence of the preoperative imagi...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2002-07-01 00:00:00
abstract::Primary torsion of the greater omentum is an uncommon cause of acute abdomen and frequently it is misunderstood. In fact, from the analysis of the literature the authors can evict that the preoperative diagnosis is generally wrong. The authors write about the subject and they describe four cases come to their observat...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章,评审
doi:
更新日期:1993-01-01 00:00:00
abstract:AIM:The liver is the most common site of metastases in colorectal cancer but metastases seem to be less common in patients with a chronically liver damage. The aim of our study was to assess the development of metachronous liver metastases in patients affected by HBV or HCV related liver diseases. MATERIAL OF STUDY:We...
journal_title:Annali italiani di chirurgia
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doi:
更新日期:2013-05-01 00:00:00
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journal_title:Annali italiani di chirurgia
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更新日期:2005-09-01 00:00:00
abstract::Abdominoperineal resection for rectal cancer are being performed with decreasing frequency in favour of sphincter-saving resections. It remains to be demonstrated that sphincter preservation has not resulted in compromised local disease control and survival. For this purpose 342 patients with rectal carcinoma have bee...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
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更新日期:1992-05-01 00:00:00
abstract:BACKGROUND:From the first successful splenectomy performed in 1893 the trend, in the management of splenic injuries has been increasingly toward avoiding splenectomy in favor of splenic preservation, either operatively or nonoperatively. The aim of this study is to evaluate our experience in the management of splenic i...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2003-01-01 00:00:00
abstract::In the last years the therapeutic behaviour with regard to gastrinomas, has deeply changed becoming more and more aggressive. Nowadays, almost all authors recommend, after a serious treatment of the hypersecretion with omeprazole, an explorative laparatomy in all patients affected by gastrinoma even without a preopera...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:1992-09-01 00:00:00
abstract:BACKGROUND:Merkel cell carcinoma (MCC) is a neuroendocrine malignant neoplasm that usually has its primary location on the skin. It often metastasizes to lymph nodes, liver, lungs, bones and brain. Actually there have been few cases of MCC of the retroperitoneal region without a primary skin lesion. CASE PRESENTATION:...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
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更新日期:2014-03-01 00:00:00
abstract::Foreign body reactions may develop against exogenous or certain endogenous materials. Cases of suture granuloma that develop against nonabsorbable suture material are rare complications of thyroid surgery. Because of these postoperative complications, a history of cancer prior to the operation suggests recurrence of c...
journal_title:Annali italiani di chirurgia
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doi:
更新日期:2018-09-25 00:00:00
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journal_title:Annali italiani di chirurgia
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journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:1993-05-01 00:00:00
abstract::Four cases of Palma's operation (veno-venous cross-over bypass) performed from 1986 through 1992 for occlusive venous disease are reported together with an extensive follow-up. After a synthetic review of the literature, the authors conclude that this operation should no more be considered an experimental procedure, e...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:1996-07-01 00:00:00
abstract:BACKGROUND:The AA. compared the preliminary results of two different methods of inguinal hernioplasty: one using only the mesh (Lichtenstein) and the other one using both mesh and plug (Rutkow-Robbins). PATIENTS AND METHODS:Seventy consecutive patients were randomly allocated into two groups, 35 patients each one, to ...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2006-01-01 00:00:00
abstract::The authors describe a rare case, recently observed by them, of coexisting primary lymphoma and adenocarcinoma of the stomach. After illustrating the more salient aspects of the clinical and anatomopathological pattern, the Authors discuss the general issue of the simultaneous presence of the two pathologies, analysin...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:1992-07-01 00:00:00
abstract:BACKGROUND:Psoriasis is a chronic inflammatory skin disease with an incidence of 1-3%. Psoriasis usually occurs in the scalp, knee, elbow, sacral region and joints. The nipple-areola complex involvement is rarely encountered in the literature. CASE REPORT:31-year-old female patient, who presented at the dermatology ou...
journal_title:Annali italiani di chirurgia
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doi:
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journal_title:Annali italiani di chirurgia
pub_type: 杂志文章,评审
doi:
更新日期:1995-11-01 00:00:00
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journal_title:Annali italiani di chirurgia
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journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2004-07-01 00:00:00
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journal_title:Annali italiani di chirurgia
pub_type: 临床试验,杂志文章,多中心研究
doi:
更新日期:1990-07-01 00:00:00
abstract:OBJECTIVE:The AA studied hemodynamic effects in Venous Compression Syndrome of internal Jugular veins, after noninvasive treatment by RIMA (Ricci's manipulation) cervical manipulations. METHODS:Twenty-six subjects were enrolled with at least one jugular vein with complete (white) compression in frontal neck position, ...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2015-03-01 00:00:00
abstract:BACKGROUND:The aim of this study is to demonstrate the functional capacity of thyroid autografts after total thyroidectomy in a rat model. MATERIALS AND METHODS:60 rats were divided into 6 groups of 10 rats each. Thyroid gland was cut into 0.5 mm pieces and was inserted intramuscularly into the left rectus abdominis m...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2008-09-01 00:00:00
abstract::The development of clinical and histopathological criteria for the diagnosis of Crohn's disease (CD) and ulcerative colitis (UC), pushed the scientists to identify a new category: the indeterminate colitis (CI). This term is used when definitive diagnosis of UC or CD has not been made by colonoscopy, colonic biopsy or...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章,评审
doi:
更新日期:2006-07-01 00:00:00
abstract:AIM:The authors seek to assess whether the lymph node ratio (the ratio of positive nodes divided by the total number of retrieved nodes) could predict the risk of metachronous liver metastases. MATERIAL AND METHODS:A homogeneous group of 280 patients, followed-up for at least 5 years, was evaluated. In order to highli...
journal_title:Annali italiani di chirurgia
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doi:
更新日期:2019-01-01 00:00:00
abstract::The word "adenomatous hyperplasia of rete testis" (AHRT) was used by M. Nistal et Al. for the first time in an article about the cystic dysplasia of the testis (1976). AHRT is a benign lesion of the testis. The patient who came to our attention was studied with a testicular echo color Doppler that identified a solid, ...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2013-12-06 00:00:00