Rev Esp Enferm Dig
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Review Case Reports
[The treatment of a simple pancreatic pseudoaneurysm or one associated with hemosuccus pancreaticus].
When a permanent communication occurs between an artery and a pancreatic pseudocyst, the pseudocyst becomes a pseudoaneurysm. Pancreatic pseudoaneurysms are primarily found in patients with alcoholic chronic pancreatitis. Fistulization of a pseudoaneurysm into the main pancreatic duct results in ductal hemorrhage. ⋯ We herein describe two patients with alcoholic chronic pancreatitis and pancreatic pseudoaneurysm; one patient presented with ductal hemorrhage. The inferior pancreatico-duodenal artery was the affected vessel. Both patients were treated with suture-ligation; an internal drainage was added to the patient presenting with ductal hemorrhage.
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The literature of infections after colo-rectal surgery is reviewed, including the influence of mechanical preparation and the prophylactic use of various antibiotic combinations, orally or parenterally. Is is concluded that appropriate prophylaxis is mandatory. Third generation cephalosporins singly or in combination seem to give the best results in the majority of reports. They are economically justified as prophylaxis with antibiotics decreases hospital costs.
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We analyzed 850 gastric biopsy specimens: 643 were obtained from patients with gastric symptoms, and 207 from apparently normal individuals. We evaluated the incidence of precancerous lesions (PL) of the stomach (chronic atrophic gastritis, intestinal metaplasia and gastric dysplasia) in both groups of patients (symptomatic and assymptomatic). We also studied the relationship between these lesions and diverse clinical and morphological parameters (age, sex, location and endoscopic findings). ⋯ These lesions were preferentially located in the antral region and the antro-corporal transitional zone. The incidence of the PL was highest in patients 50 and 60 years of age. These parameters should be considered as risk factors in the development of a gastric carcinoma of the intestinal type.
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We present the case of a 29 year-old cholecystectomized woman with hepatic hydatid cysts who was admitted for acute pancreatitis. Echography and abdominal CAT revealed three thydatid cysts-the one in the right liver lobe being complicated-as well as pancreatitis. Endoscopic retrograde cholangiopancreatography (ERCP) confirmed the suspected diagnosis of intrabiliary hydatid cyst rupture. An endoscopic sphincterotomy was performed, posterior evolution being asymptomatic, thus permitting the postponing of surgery.