Biomedical subjects

Claudio Pintus

Publications and source records attributed to Claudio Pintus.

5 recordsLinked to original sources

PubMed2006

Complete epididymal separation presenting as polyorchidism.

We describe an unusual case of a 21-month-old boy with complete separation of the testis and epididymis. Two homogeneous structures were observed in the scrotum of a newborn boy in addition to a third structure. Polyorchidism was suspected, but follow-up sonographic studies showed a decrease in the echogenicity of the left scrotal structure. Surgical exploration revealed the testis and epididymis to be completely separated, with no duplicated testis. Orchidopexy was then performed.

Diagnosis, Differential↗

PubMed2005

Evaluation of satisfaction level by parents and children following pediatric anesthesia.

BACKGROUND: Research in the field of patient satisfaction first took place in the 1980s in the USA, and later in Europe, aimed at meeting competitive requirements in the field of health care. Very few studies of this type exist in regard to pediatric anesthesia. Our aim was to develop a rapidly interpretable questionnaire to measure the level of parental satisfaction when their children undergo surgery and provide information on those factors triggering anxiety in these children. METHODS: Over a period of 18 months 179 parents of children in pediatric surgery responded to 214 questionnaires designed to investigate principally the emotional/behavioral spheres as well as the comfort provided. RESULTS AND CONCLUSIONS: We found that parents generally expressed a high degree of satisfaction which was good and correlated significantly with environmental comfort and postoperative observations performed by anesthetists and nursing staff. In the children, lack of fear at the moment of being anesthetized, and lack of anxiety on the day preceding surgery, were attributed to the serenity transmitted by the anesthetist and nurses. Significant anxiety resulted from the fear of an unpleasant impact with the operating room.

Adult↗

PubMed2005

Cystic dysplasia of the rete testis associated to cryptorchidism: a case report.

A case of cystic dysplasia of the rete testis (CDRT) is reported. Nine months after right orchidopexy, a 10-year-old boy presented a palpable mass in the ipsilateral hemi-scrotum. Preoperative ultrasound showed a cystic lesion involving almost the whole testis. Radical orchidectomy was performed and at gross examination a hilar multiloculated cystic lesion was confirmed; microscopic examination showed cystic spaces lined by benign appearing monostratified epithelium with atrophy of the surrounding testicular parenchyma. These findings were consistent with the diagnosis of cystic dysplasia of the rete testis. Immunohistochemical investigation evidenced a pattern similar to that of a normal rete testis. Renal ultrasound and DTPA scintigraphy performed after pathological diagnosis documented the absence of the ipsilateral kidney. CDRT is a rare cause of scrotal swelling in the pediatric patient. When diagnosis is suspected, based on clinical and sonographic findings, conservative surgery may be considered.

Abnormalities, Multiple↗

PubMed2003

Laparoscopic approach to müllerian derivatives in a male with mixed gonadal dysgenesis.

Müllerian derivatives are a frequent finding in patients with external genital ambiguity. In cases in which their removal is indicated, traditional surgical approaches are both invasive and associated with risks. We report a case of mixed gonadal dysgenesis in which a large prostatic utricle was successfully removed via laparoscopy.

Gonadal Dysgenesis, Mixed↗

PubMed2002

Sacrococcygeal teratoma. Outcome and management. An analysis of 17 cases.

AIMS: The authors compare their experience of 17 cases of sacrococcygeal teratoma (SCT) with the literature in an attempt to clarify the natural history of this tumor and to identify factors related to its prognosis and management. METHODS: The obstetrical, neonatal and surgical data were analyzed for 17 cases of SCT observed between July 1985 and December 1998. RESULTS: Three fetuses died in utero or shortly after birth. In the remaining 14, the tumors were removed. Twelve of the infants are currently tumor-free, with good sphincter control and lower-limb function. The remaining two died: one had a malignant tumor, and the other had a recurrence of an embryonal carcinoma. Recurrent tumors (mature histotypes) were also removed from two of the 12 patients who survived. CONCLUSIONS: Benign SCTs generally have favorable prognosis. Negative prognostic factors for SCT include solid tumors, those detected early in pregnancy, malignant histotypes, polyhydramnios, placentomegaly, and fetal hydrops.

Birth Weight↗