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Biomedical subjects

A Taghy

Publications and source records attributed to A Taghy.

9 recordsLinked to original sources

[Splenomegaly and splenic pseudotumor due to tuberculosis: six new cases].

INTRODUCTION: Splenic tuberculosis is rare. The aim of this study was to remind diagnostic problems in this disease, and to evaluate the value of surgery in its management. MATERIAL AND METHODS: Retrospective study of data of six patients (three male and three female, whose mean age was 50 years) admitted in surgical department from 1980 to 2000 for splenic tuberculosis. RESULTS: In six cases, symptoms were poorly specific; splenomegaly and anemia were constant. In imaging studies, splenomegaly was homogeneous in four cases and heterogeneous in two. Diagnosis of tuberculosis was done without need for splenectomy in four patients. Five patients were operated on: two had diagnostic laparotomy without splenectomy, two underwent diagnostic splenectomy and one had splenectomy indicated for splenic abcess refractory to medical treatment. Four of the five operated patients recovered. The two other patients were lost of follow-up. CONCLUSIONS: In our experience, surgery is useful in diagnosis and treatment of splenic tuberculosis.

Adult↗

[Hibernoma: a rare case of massive weight loss].

Hibernoma is a rare soft tissue benign tumor composed of cells similar to those of brown fat observed in fetus and hibernating animals. Brown fat has thermogenous properties, by the way of carbohydrates and lipid catabolism, and can be of an important mean in thermoregulation. A massive weight loss is a rarely reported sign in patients with hibernoma. We report herein the case of a 47 man with a history of isolated weight loss, of 16 kg over 4 months. Clinical examination has shown a swelling of the right flank. Surgical resection has been made and histopathological examination has shown hibernoma. The post-operative weight gain confirmed the relationship between hibernoma and weight loss.

Adipose Tissue↗

[A rare complication of ileal pouch anal anastomosis: superior mesenteric artery syndrome].

The aim of this study was to report a new case of superior mesenteric artery syndrome following total proctocolectomy and ileal pouch-anal anastomosis for chronic ulcerative colitis. Diagnosis was made following a prolonged gastric stasis and was based on upper gastrointestinal X-ray series. Medical treatment was unefficient and gastro-jejunostomy was performed. The early outcome was good.

Adult↗

[Carcinoid liver tumors. Apropos of a case].

The authors report here a case of a young 35 years-woman presenting a probably primitive liver carcinoid tumor, surgically managed by hepatectomy followed by a complete disappearance of the carcinoidal syndrome. Through this case, the authors discuss the diagnostic difficulties, actuality of primitive hepatic carcinoids, their course, prognosis elements and the therapeutical management means.

Adult↗

[Cancer of the stomach: an epidemiologic, diagnostic and therapeutic study].

The authors report 203 cases of gastric cancer collected between 1974 and 1987 without prior selection. Analysis of these records provided the following information: From an epidemiological viewpoint, there was no predominance of blood group A; a certain number of gastric lesions preceded or coexisted with the cancer. From a clinical viewpoint epigastric pain and general physical deterioration were the most frequent presenting signs. Physical examination was normal in 32.5% of patients, while 34.4% presented a palpable epigastric mass. Diagnosis was confirmed by a combination of radiology (transit studies of oesophagus, stomach and duodenum) and endoscopy with multiple biopsies. These procedures were carried out in 88% and 72% of patients respectively. 87% of patients were operable and resection was possible in 50%. Subtotal gastrectomy was performed in 61% of cases where resection was possible. The overall operative mortality was 8.5% and 20% for extended total gastrectomy. Actuarial survival was only correctly evaluated in 42% of operated patients. It was estimated to be 5%.

Adult↗