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J Raftopoulos

Publications and source records attributed to J Raftopoulos.

6 recordsLinked to original sources
PubMed2002

Anal lesion resulting from implantation of viable tumour cells in a pre-existing anal fistula. A case report.

Colorectal cancer exfoliates cancer cells into the lumen of the bowel, and possibly, raw bowel mucosa should provide a good medium for the exfoliated cancer cells. We report an extremely rare case of a sigmoid carcinoma metastasizing to a low fistula in ano. The patient was operated on for a fistula in ano. Biopsy demonstrated a moderate differentiated adenocarcinoma. Thereafter, sigmoidoscopy revealed an intraluminal mass at the sigmoid colon. The patient subsequently underwent abdominoperineal resection of the sigmoid colon and rectum. In conclusion, surgeons should be aware of the possibility of cancer spread incidence, distally beyond the initial site by exfoliated cancer cells into the lumen of the bowel.

Adenocarcinoma↗
PubMed2002

Management of enterochromaffin-like gastric carcinoid tumour metastasized to the liver.

We report the rare case of a patient suffering from pernicious anaemia and a history of flushing and diarrhoea. The patient was found to have microcarcinoids with multiple gastric polyps and a solitary liver metastasis. He was successfully managed with subtotal gastrectomy, while the liver metastasis was cured by Interferon-alpha and octreotide administration.

Aged↗
PubMed1976

[Myocardiopathia gravidarum].

8 cases of the clinical syndrom known as cardiomyopathy of pregnancy have been presented. In 6 of them cardiac insufficiency during the last weeks of pregnancy was the prevailing symptomatology. In 2 the characteristic symptoms consisted of severe arrythmia at the beginning of the puerperium. Common symptoms were cardiomegaly and characteristic changes in the electrocardiogram. In all patients the disease subsided entirely some weeks after delivery.

Adult↗
PubMedDate not supplied

Diverticular disease of the small bowel: report of 27 cases.

Diverticula of the small bowel are usually asymptomatic but occasionally can present with serious complications. Because of the rarity of small bowel diverticulosis and the limited case number in most published reports, we analyzed one of the largest series with symptomatic small bowel diverticular disease. In this retrospective review, we studied 27 symptomatic patients with diverticula of the small bowel that was treated surgically. The study included 13 male and 14 female patients (age range, 30-87 years; mean age, 69.3 years). Fourteen patients underwent an elective operation for chronic refractory symptoms. Thirteen patients underwent emergency surgery because of rupture of the diverticula and associated peritonitis, diverticulitis and small bowel obstruction, or lower gastrointestinal bleeding. Surgical treatment consisted of resection of the intestinal segment containing the diverticula. All patients were symptom-free postoperatively and no "short bowel" problems developed. Abdominal pain, gastrointestinal bleeding, and bowel obstruction were the most common clinical symptoms. Small bowel diverticulosis should be treated surgically only when refractory symptoms or severe complications are present.

Adult↗