[Sertoli-Leydig cell tumor with a retiform pattern: description of a case].
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Biomedical subjects
Publications and source records attributed to L Lonati.
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Esophageal atresia without fistula is a rather uncommon malformation (about 8% of all esophageal atresias); its surgical correction is sometimes difficult because of the long gap between the two pouches. When a delayed anastomosis cannot be performed, it is necessary to perform a colon interposition. In one patient operated with retrosternal esophageal-colon-plasty a second operation was needed to correct a symptomatic reflux causing dysphasia and severe aspiration pneumonia. The distal end of the colon was tapered around a chest tube; then a submucosal gastric tunnel was prepared, and the tapered colon was pulled through it and anastomosed to the gastric lumen. The child showed no evidence of gastrocolic reflux in the three years following the operation and is today healthy. Radiologic and scintigraphic examinations, performed ten months after the operation, showed the good canalization of the interposed colon and the continence of the antireflux anastomosis.
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The authors present their experience about intra-abdominal lymphangiomas and mesenteric cysts. The histologic evidence shows that these lesions are different. An exact histologic diagnosis is important because lymphangiomas are more invasive and relapsing than mesenteric cysts. Of 8 cases founded at laparotomy, 6 were lymphangiomas and 2 mesenteric cysts. Larger lesions were caused by lymphangiomas (mean, 11 cm vs 6 cm) when compared with mesenteric cysts. Complete resection was possible in all 8 patients, without recurrence after a mean follow-up of 4 years.
The Authors present ten cases of sacro-coccygeal teratomas observed during the last ten years at the G. Gaslini Children Institute, Genova. Two cases was diagnosed in the pre-natal period. Diagnostic methods, histologic aspect and surgical treatments are discussed.
Intraabdominal lymphangiomas are rare. A five-year-old girl with abdominal lymphangiomas was successful treated by excision of the mass and resection of short segment of small bowel. We present a case report.