Biomedical subjects
Publications and source records attributed to A Escassi Gil.
We report a new case of intestinal duplication in a child of two years old with acute abdomen. At the laparotomy was found to be due to tubular duplication ascending colon. A resection duplication joined a tract of normal colon where are was performed, with termino-terminal anastomosis. The postoperative course was excellent.
We report a new case of solitary intestinal fibromatosis (SIF) in a neonate with intestinal obstruction in the first day of life. At the laparotomy was found to be due to a solid mass in the jejunum. A segmental jejunal resection with anastomosis was performed. Histologic examination showed a SIF. The postoperative course was excellent in contrast to cases of congenital fibromatosis with multiples lesions, which carries a poor prognosis.
Congenital isolated strictures of the extrahepatic bile ducts are very rare, with only eleven cases reported until 1990. We report two infants (3 and 2 months old, respectively) one of them with a choledocal stenosis and the other with a congenital stricture of the common hepatic duct and spontaneous perforation of the biliary tract. Dilatation of the distal stricture with insertion of T-tube was performed during surgical act. We get success with this technique in both cases.
Apendicular Carcinoid tumors are very infrequent, being lower than 0.1% of the appendicectomies carried out. We report on the case of a 13 year-old girl, with Acute Appendicitis picture. The appendix was removed and the histological study revealed the presence of the carcinoid tumor with a diameter of a 6 mm. Where non-invasive treatment was decided on, and at present, after two years follow-up, there has been no recurrence.
We report two cases of congenital diaphragmatic hernia in two infants (3 years and 11 months of age). Recurrent respiratory infections, growth and ponderal delay were the previous clinical findings. Clinical and radiological diagnostic procedures were used and surgery showed left Bochdalek hernia without sac in both cases and intestinal malrotation anomaly in one of them. Postoperative recovery was excellent.
We report two congenital sternal cleft cases, Ravitch type 1, and treated in our hospital during a period of five teen years. This is a rare malformation and the experience is poor. Surgical primary close was realized into the first month of life with satisfactory evolution.
We report a prospective study about congenital clubfoot in 20,000 alive newborns and also a critical analysis about the treatment results. The frequency was 1.65 per thousand and sex ratio almost 2:1 for males. In springtime the incidence was higher. Surgical treatment was performed in less than 50% of the affected feet. There were excellent and good results in 90% of the feet.