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Biomedical subjects

F Cortese

Publications and source records attributed to F Cortese.

At least 19 recordsLinked to original sources

[A case of severe posterior hepatic lesion caused by contusion trauma].

A case of blunt liver trauma with massive peritoneal hemorrhage due to a major intraparenchymal injury with active bleeding from a posterior tributary of the right hepatic vein is reported. The treatment consisted of resectional debridement of the VII and VI segment of Couinaud and hemostasis was possible in total vascular exclusion without an intracaval shunt.

Accidents, Traffic

[Recurrent digestive hemorrhage of jejunal angioma].

A case of obscure recurrent gastrointestinal bleeding in a 78 year old man is reported. Selective mesenteric angiography made it possible to identify the site of hemorrhage in the upper jejunum. The pre- and intraoperative problems in case of small bowel vascular lesions are reviewed.

Aged

Adrenal failure due to bilateral metastases as the sole manifestation of relapsing lung carcinoma. Report of two cases.

We describe two patients with lung carcinoma in whom adrenal glands were the sole site of tumor relapse, revealed by the appearance of Addison's disease. Both patients showed bilateral adrenal masses on US and/or CAT scans and received hormone replacement therapy, with rapid improvement of their general conditions. One of them, with small-cell carcinoma, could also be treated with further chemotherapy and achieved a second remission. Therefore, we stress that patients with lung carcinoma should be periodically screened for adrenal deposits by US or CAT and undergo prophylactic steroid maintenance whenever metastatic involvement of the glands is detected.

Addison Disease

[Role of low molecular weight heparin in the prevention of postoperative deep venous thrombosis. Our experience in 88 cases].

In Leriche's "maladie post-operatoire" one of the most frequent and dangerous complications is the deep vein thrombosis (DVT). In general surgery its occurrence is between 10 and 40%, closely related to factors like patient's age, postoperative immobilization, type and time of surgery. Low molecular weight heparins (LMWH) have been recently introduced as a therapy to prevent postoperative DVT in high risk patients. LMWH seem to have all advantages of classical heparin products without their side effects. Eighty eight patients who underwent general surgery were studied in a clinical controlled trial about effectiveness of a new LMWH (Fluxum) for the prevention of postoperative DVT: 44 were treated with Calcium-heparin and 44 were treated with Fluxum. Both drugs decreased significantly the percentage of DVT, but Fluxum seemed to be better tolerated for its single-daily subcutaneous administration.

Adult