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Biomedical subjects

M Garbay

Publications and source records attributed to M Garbay.

At least 19 recordsLinked to original sources
PubMed1983

[Primary retroperitoneal tumors in adults].

The authors report a series of eight primitive retro-peritoneal tumors, which were difficult to diagnose because of the late appearance of the symptoms. The intravenous urogram is the only satisfactory fundamental examination, possibly completed with ultrasound, CT scanning, and, if necessary, angiography. Extensive surgery allowed total exeresis in most cases. But histological examination remains difficult. Mesenchymomas, the most frequent, are very often malignant. Two cases of association with other malignant tumors were observed. Adjuvant procedures add little to life expectancy and total surgery is alone likely to be effective.

Adult↗
PubMed1983

[Acute gangrenous acalculous cholecystitis disclosed by postoperative septic shock].

Three cases of acute gangrenous acalculous cholecystitis, revealed by a postoperative septic shock, are reported. Clinical examination was negative and the surgery gave the diagnosis. Infection with biliary stasis and ischaemia accounts for this pathological entity. The very serious prognosis of this condition can only be reversed by cholecystectomy.

Acute Disease↗
PubMed1982

[Fortuitously discovered gallbladder lithiasis and surgery].

When confronted with the fortuitous discovery of cholelithiasis, a simultaneous operation is advisible in view of the drawbacks of performing a second operation and the risks of postoperative cholecystitis. Analysis of the author's results and those reported in the literature shows only a slightly increased morbidity rate and a similar mortality rate. In high-risk patients, and if the cholecystectomy appears difficult, the removal of the stones followed by a cholecystostomy is less aggressive and faster.

Adult↗
PubMed1975

[2 cases of hepatorenal polycystosis].

The authors report two cases of polycystic liver andkidney in two women. They were unusual in that the liver first gave risr to symptoms and the renal lesions were completely latent. Both hepatic and renal lesions were well tolerated in spite of hepatomegally. They emphasize the interest of laparoscopy and biopsy of the liver under direct vision, and selective aortography, in the diagnosis. They discuss the basic differences between polycystic liver and kidney in adults, from that in children ornewborn, and caroli's disease. Finally, they emphasize the usually poor prognosis dominated by progressive renal failure which should guide treatment. The latter depends on periodic supervision of the patient for the disease usually evolves slowly. Treatment should therefore be conservative. Tn some cases, however, renal transplantaton should be considered before irreversible renal failure in young subjects, at an age when it is still possible. On the other hand, the liver lesions do not require any radical treatment, unless there is intercurrent infection or pressure on neighbouringorgans.

Adult↗