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Biomedical subjects

C Cebrelli

Publications and source records attributed to C Cebrelli.

15 recordsLinked to original sources

[Solitary fibrous mesothelioma of the peritoneum. Considerations of a clinical case in our observation].

The authors report a case of so-called solitary fibrous peritoneal mesothelioma which was successfully operated on. Their case is compared with the few cases reported in the literature. Analysis of findings shows the fibrous peritoneal mesothelioma to be a solitary well defined tumor, generally of considerable size at the time of the diagnosis, very similar to the fibrous metothelioma of the pleura. It is believed to originate in the sub-mesothelial connective tissue. Surgery provides a definitive cure.

Adult↗

[A rare case of massive digestive hemorrhage. Carcinoid of the small intestine].

The authors reports a case of massive digestive hemorrhage produce by a carcinoid of the small intestine. Having reviewed the most frequent causes of primary hemorrhage of the mesenteric small intestine, attention is focused on the difficulties o making an etiological and topographical diagnosis, in spite of using the most advanced instrumental research methods. The paper concludes that explorative laparotomy is the sole method for making a precise diagnosis and performing appropriate surgical treatment.

Acute Disease↗

[A case of primary carcinoma of the duodenum with subampullar localization].

The authors illustrate a case of previous duodenal adenocarcinoma with subvaterian localization and, after revising the literature and some general remarks, they explain their practice. They come to the conclusion that in some well selected cases, duodenal segmental resection can be correctly applied. They remember that the most important factor of the improvement of the prognosis is early diagnosis: it is indispensable for radical exerectical therapy.

Adenocarcinoma↗

[Traumatic lesions of the spleen. Analysis of 35 cases].

A retrospective review of all the traumatic splenic ruptures from 1974 to 1988 was performed. Thirty-five patients were treated with splenectomy: 24 were males and 11 women. Teenagers and young adults were the most affected age groups. The mechanisms of injuries were: road accidents (78.8%), falls (12.1%), aggression, autoaggression and iatrogenic mishap (3%). Eighty per cent of the patients had associated injuries. Authors suggest a decisional algorithm to precise preoperative diagnosis and to treat the patients correctly. Mortality was 11.4% and primarily due to associated injuries.

Abdominal Injuries↗

[Primary malignant tumors of the small intestine. A clinical report].

The clinical records and pathologic patterns of all the cases of primary small bowel malignancies, treated in the last 15 years, were reviewed. There were 12 patients: 8 men and 4 women ranged from 41 to 86 years old. Carcinoma was the most common (82%) followed by carcinoid and lymphoma (9%). The distribution of the malignancies showed preponderance in the proximal jejunum and duodenum. Multiple primary malignancies were found in 17% of enteric cancers. The most common presentation was pain (75%) followed by weight loss (58%), palpable mass, anemia and gastrointestinal bleeding (25%), obstruction (17%). Barium studies of the duodenum and of the small bowel, duodenal endoscopy were the most useful diagnostic tools but a correct preoperative diagnosis was made in only 42% of the patients. Curative resection was attempted in 67% of the cases. The prognosis is poor.

Adenocarcinoma↗

[A modification of the Sweet-Allen simple reconstruction technique after total gastrectomy].

The Authors report their personal modification of Sweet-Allen's esophago-jejunal reconstruction after total gastrectomy. In their opinion, it enables to combine the advantages of the omega-shaped loop (easier and faster surgical technique, reduced postoperative morbidity) with those typical of the Roux-en-Y loop, that is complete elimination of biliary reflux, leading to better long term functional outcome and quality of life for the totally gastrectomized patient.

Anastomosis, Roux-en-Y↗

[Morgagni-Larrey hernia (author's transl)].

The authors describe minutely Morgagni-Larrey hernia, that is the least frequent of the spontaneous herniae of diaphragm, but it seems that it has a real superior incidence that in past time. They sop, particularly, to sketch the different stages of diagphragmatic embryogenesis that, in its complexity, induces to morphogenetic mistakes of variable relief. These mistakes have always their role in the pathodenic mechanism of considerate disease. In the end, they report a case which happened to their observation and that seems to resume the paradigmatic data of Morgagni-Larrey hernia, for its etiopathogenic, anatomo-pathologic and symptomatologic characteristics.

Adult↗

[Total hematic histamine in gastrectomized patients].

The Authors estimated the blood histamine in 15 patients after gastric-resection and found a significant decrease in all the cases with respect either to basal valus or to normal subjects. The autors suppose it is due to a lower presence of istidin-decarbojlase, owing to removal of gastric tissue where such enzime is placed.

Duodenal Ulcer↗

[Enterovesical fistula (author's transl)].

The authors get a starting point from describing a case with undecided etio-pathogenesis, to focalize the entero-vesical fistulas that represent the most frequent variety of entero-urinary fistulas. Particularly they stop a little on manifold aspects of etio-pathogenetic and classificative order, refer anamnestic, clinical, instrumental and radiological data which allow to get an undoubted diagnosis, emphasize the high rates of complete recoveries in relation to the timely application of adequate surgery.

Humans↗

[A rare cause of intestinal occlusion: Morgagni-Larrey hernia].

Authors report a case of Morgagni-Larrey obstructed hernia recently observed. After remembering pathogenetic hypothesis and pathological findings, they discuss clinical patterns, diagnostic tools and differential diagnosis. Authors suggest to consider surgical repair as a choice treatment, also for asymptomatic patients.

Colonic Diseases↗

Primary Hodgkin's disease of the thyroid: report of a case and a review of the literature.

A case of primary and exclusive Hodgkin's disease of the thyroid gland in a 29-year-old woman and a review of the literature are described. Diagnosis with fine-needle aspiration biopsy (FNAB) was performed before surgery. The patient underwent subtotal thyroidectomy, followed by a radiotherapy dose of 46 Gy. Post-operative histological examination confirmed the cytological diagnosis without evidence of thyroiditis or lymphadenopathy. Five months after thyroidectomy, surgical staging confirmed the exclusive localization of the disease in the thyroid. The patient is followed up on an out-patient basis and is still in good health, 24 months after treatment.

Adult↗