[A case of Crohn's segmental colitis with double localization].
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Biomedical subjects
Publications and source records attributed to G Edelmann.
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A recent case of deadly syncope, overcome five days after a colic retro-sternal esophagoplasty for caustic stenosis of the esophagus, and remaining unexplained even at the post-mortem examination, reminds the same cases formerly published. Its report is done for the purpose of inciting other authors to publish similar facts that they could have observed. These collected cases would lead to consider the possible responsibility of the retro-sternal way and put its indications back into question.
In a series of 205 patients treated for colonic diverticulitis, 101 presented acute complications, 35 chronic complications and 69 attacks of diverticulitis without complications. The treatment prescribed for the acute septic complications (generalized peritonitis, perisigmoidic abscess) as well as for acute occlusions consists of two-stage surgery: drainage and emergency colostomy, then secondary colectomy in elective conditions. Massive incoercible hemorrhages were treated by emergency hemostatic resection, guided by selective mesenteric arteriography. Chronic complications (inflammatory stenosing tumor, external or internal fistulas) are ideally treated by a one-stage colic resection. As postoperative mortality and morbidity rates are high and caused by acute conditions, it is justifiable to perform a prophylactic colic resection.
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