Biomedical subjects
M Franzini
Publications and source records attributed to M Franzini.
[Gastric bezoars].
Gastric bezoars are concretions sometimes mistaken for cancer, because of their polymorphous symptoms. Previous gastric surgery modifies anatomy and functions of the stomach and favours the bezoar deposition. Digestive endoscopy allows a correct diagnosis and therapy. A wide review of the literature is given.
["Spontaneous" esophageal perforation. A rare emergency for surgical treatment].
Spontaneous esophageal perforation is a rare but not-exceptional occurrence. Its polymorphous symptomatology often prevents the early diagnosis. Surgery is the therapy of choice. The treatment is variable according to early or late diagnosis, severity of the lesion and associated conditions such as mediastinal sepsis, hydropneumothorax and loss of water, electrolytes and proteins. The mortality rate among the untreated patients is highest when compared with the treated ones (90-100% versus 28-65%). A conservative approach is justified only in the case of bad general conditions, contraindicating thoracotomy. A wide review of the surgical managements is given.
[Diagnosis and therapy of gastric carcinoma in the early stage].
The diagnosis of early gastric cancer is often allowed by endoscopy, which favours the surgical therapy with a five years survival rate of 79-99% of treated patients. Four personal cases are presented, whose evolution differed from their particular gastric localization, associated lesions and surgical treatment. A wide review of the literature is given.
[Diagnostic value and therapeutic limits of endoscopic polypectomy of the stomach].
Digestive endoscopy represents the current therapy of the gastric polyps. These lesions are endoscopically found in an unexpected number of patients, because of the frequent failure of radiology by itself. Furthermore endoscopic radical polypectomy is mostly possible for the inflammatory and adenomatous polyps. Otherwise endoscopy favours the early detection of malignant changes and coexisting per-cancerous gastropathy. A wide review of the literature is given.
Delivery through the bladder during cesarean section.
A case is reported of simultaneous incision of the anterior and posterior bladder walls during cesarean section. Despite the serious surgical occurrence delivery was accomplished through the bladder, which was repaired successfully.
[Presumed natural history of peritonitis caused by encapsulating membranes. Clinical aspects and therapy].
Incapsulating peritonitis is rare, casually detected by surgery or autopsy. Its pathogenesis and evolution are uncertain. Only 200 cases are reported in the world literature, but its frequency is diminishing probably in relation to the reducing spread of tuberculosis. Capsulating membranes seem to grow from a poorly cellular connective deposition in many layers on the intestinal peritonium, and are preceeded by inflammatory ascites. When mechanical occlusion occurs, surgery is the choice therapy, to remove the obstacle and, if possible, the membranes too. A wide review of the literature is given.
[Lesions of the genital system associated with brenner tumor].
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[Endoscopic diagnosis of aorto-duodenal fistula].
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[Isolated infarct of the cecum. Anatomo-functional and clinical features].
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Iatrogenic vascular injuries following lumbar disc surgery. Case report and review of the literature.
Iatrogenic vascular injuries are unusual complications of lumbar disc surgery. The incidence of such injuries is very low but probably underestimated because clinical manifestations may be extremely variable depending on the extension of trauma whether artery or vein are injured or both. Diagnosis is suspected when early signs of retroperitoneal hemorrhage appear, but may often be delayed for weeks or years because formation of a pseudoaneurysm or an arteriovenous fistula which may be of gradual onset and produce only a few symptoms at the onset. Prompt diagnosis and aggressive treatment can hope to improve current mortality of more than 50%. A case of venous and arterial injury is reported, successfully operated on with an original technique of ilio-caval patching to avoid caval ligation. A review of the literature shows the predisposing factors and complex anatomy of such injuries, the clinical picture and the management of the emergency.
[Adenocarcinoma of the small intestine. Clinical report of a case located in the jejunum].
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[Rupture of the left main bronchus caused by intubation. Clinical case].
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[Esophageal perforation tamponed by the trachea].
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Therapy of the spontaneous esophageal rupture. Report of a case with atypical early symptoms. Review of the literature.
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[Biliary ileus: a rare complication of cholelithiasis in the elderly].
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[Boerhaave's syndrome. Atypical initial symptoms. Review of literature].
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