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M Pomata

Publications and source records attributed to M Pomata.

At least 19 recordsLinked to original sources
PubMed2005

Endometriosis of the round ligament: description of a clinical case and review of the literature.

We report a case of endometriosis of the round ligament in a 29-year-old woman, who complained of a lump with a diameter of about 2.5 cm in the right inguinal region, which increased in bulk and was accompanied by intense pain during the menstrual period. The clinical suspicion of inguinal endometriosis, supported by ultrasonography and Magnetic Resonance (MR), was confirmed by histological examination of the surgical specimen, which included the mass and the extraperitoneal segment of the round ligament. The authors conclude that the appearance of a lump in the inguinal region associated with subjective and objective changes of the lesion in relation to the menstrual cycle must raise the suspicion of endometriosis among the possible diagnoses.

Adult↗
PubMed2004

[Acute abdomen due to rupture of mesenteric cysts. Observations on a clinical case and review of the literature].

Personal experience based on a clinical case of a young woman with acute abdominal pain referable to acute appendicitis is presented. The surgical procedure was performed through a Mc Burney incision and revealed the rupture of mesenteric cysts; removal of the cysts was carried out without intestinal resection. Post-operative course was uneventful and 2 years follow-up showed no recurrence. Mesenteric cysts are an uncommon pathology, mainly in adult ages. After an analysis of the incidence and etiology, the pathological features and types of clinical presentation are discussed. Diagnosis in asymptomatic cases is usually made in search of other diseases. Complications are rare: rupture, infection and intestinal obstruction. In such cases, the clinical presentation is usually attributable to the main causes of acute abdomen, unless ultrasonography or CT scan are performed. When mesenteric cyst is diagnosed, a laparoscopic approach should be performed, even if in emergency traditional surgery is justified. Total excision of the cyst is necessary to avoid recurrence and obtain a correct pathologic evaluation.

Abdomen, Acute↗
PubMed2002

[Our experience in the diagnosis and treatment of diffuse peritonitis].

Acute diffuse peritonitis is still an unpredictable occurrence that hinders patient's survival and is a severe challenge for the surgeon regarding diagnosis and management. The Authors report their experience on 94 cases of acute diffuse peritonitis due to different causes observed during a period of 10 years. Surgical treatment was mainly based on severity of clinica data and general conditions of the patients. Overall mortality was 6.3%. Modern diagnostic techniques, proper usage of antibiotics and accurate timing of surgical procedure constitute the main factors for un update management of peritonitis.

Acute Disease↗
PubMed1991

[Relevance and therapeutic implications of dysplasia in the follow-up of ulcerative rectocolitis].

Long standing ulcerative colitis (UC) is a condition capable of malignant transformation. Even if the rate of occurrence of carcinoma differs considerably among the various series, there is general agreement that it can be detectable in advance through the finding of glandular dysplasia. The Authors examine such a problem in a series of 27 patients submitted to clinical and endoscopic follow-up from 1984 to 1989. During this study a total of 237 rectosigmoidoscopies, 83 colonoscopies and 71 histologic exams were performed. At the outset mild or moderate dysplasia was found in 5 cases (18%). However, in the follow-up no evidence of dysplasia was detectable in 4 of the 5 cases. In the remaining case dysplasia was present only in one control. It was not found in the subsequent two histologic examinations. In our limited experience the incidence of dysplasia was not significant enough to require a prophylactic proctocolectomy. Instead a frequent and thorough endoscopic follow-up is recommended.

Adolescent↗
PubMed1990

[Immediate complications in thyroid surgery].

The Authors report the results of a series of 502 thyroid operations (bilateral in 322 cases [64%] and unilateral in 180 cases [36%]), with the aim to evaluate the incidence of early complications and to establish when they were more likely to occur. Preoperative diagnosis was based on scintigraphic scan recently combined to ultrasonography with fine needle biopsy. In all patients a pre and postoperative control of vocal cords motility was performed. Intraoperative identification of recurrent laryngeal nerve was the rule. Complications include a single case of mortality due to cerebral haemorrhage, 2 cases of monolateral recurrent laryngeal nerve paralysis, 4 cases of transient dysphonia, 8 cases of temporary hypoparathyroidism, 5 cases of postoperative bleeding. In three patients a temporary tracheostomy was needed. Thyrotoxic storm did not occur and wound infections were negligible. The various thyroid diseases and their different biological behavior are responsible of the risk factors, local and general ones, which the surgeon must recognize. Diagnostic accuracy, meticulous surgical technique and the best treatment at the first approach are the main factors to prevent complications in thyroid surgery.

Humans↗
PubMed1983

[Critical remarks on medullary cancer of the thyroid].

Medullary carcinoma of the thyroid (MCT) is a rather uncommon neoplasia that must be correctly identified to allow a proper therapy. The Authors on the basis of their own series consisting of 223 surgically treated tumors of the thyroid, report 4 cases of MCT. In none of these cases the diagnosis was made before surgery. It is therefore stressed, to achieve an early diagnosis, the usefulness of the careful appraisal of the clinical data and of the complete biochemical and histo-pathological evaluation of each suspicious case. Such a policy allows to exclude all possibility of doubt.

Adenoma↗
PubMed1980

[Manometric findings in esophageal achalasia].

Manometric studies represent nowadays a very useful diagnostic procedure to identify the various esophageal motility disturbances and brought an essential contribution to improve the pathologic knowledges on achalasia. The manometric experience during the past years has proved that achalasia is characterized by different evolutive steps, varying from an early and still compensate phase to an evolved stage with progressive esophageal dilatation. The manometric features are peculiar and the various stages of the disease may be easily identified, as well as it results form the study of the illustrative cases reported by the authors. The increased diagnostic possibilities have allowed an improvement in surgical management of achalasia. The best long-term results are really obtained in the cases operated on in early stages.

Esophageal Achalasia↗
PubMed1978

[Diverticula of the esophagus. Etiopathogenetic aspects and principles of surgical treatment].

On the basis of the new knowledges recently acquired with the manometry on the esophageal physiology, the Authors first consider both etiologic and pathologic problems then emphasize the essential principles for correct surgical treatment of esophageal diverticula. With this purpose is confirmed the importance of careful and systematic preoperative study of esophageal pressure. In this way the etiologic role of functional disorders is cleared and a correct surgical treatment, particularly as regards the indication of extramucosal esophagomyotomy, can be performed. Nevertheless the diverticulectomy, performed alone or combined with myotomy, still maintains its role in the treatment of large-size diverticular pouches.

Diverticulum, Esophageal↗
PubMedDate not supplied

[Intestinal ischemia caused by mesenteric veno-occlusive inflammatory disease: description of a clinical case].

The Authors report a case of small bowel venous ischaemia due to a peculiar form of vasculitis called Mesenteric Inflammatory Veno-Occlusive Disease. Such disease represents a new anatomopathological entity, with exclusive thrombotic and inflammatory infiltration of the mesenteric veins, with no arterial flogistic involvement. Clinical manifestation of the diseases is that of the venous mesenteric thrombosis in patients in whom the more common forms of systemic vasculitis are not recognizable.

Abdominal Pain↗
PubMedDate not supplied

[Large villous adenoma of the colon in carcinomatous transformation: colonic resection after endoscopic excision].

Large colonic villous adenomas are benign neoplasms capable of malignant transformation with a higher frequency than other adenomas. Such transformation often requires surgical therapy after endoscopic resection. The aim of the present study was to establish the indications for surgery in a series of 13 cases of large colonic villous adenomas initially submitted to endoscopic resection. The patients (8 males and 5 females; mean age; 62 years) were observed over the period 1993-2000. All endoscopic resections were performed using the piecemeal technique. In 7 cases there were 2 endoscopic sessions and in one case 3; a single case of post-endoscopic bleeding was treated conservatively. In 5 cases, endoscopic resection was deemed not to be radical and these patients were submitted to surgical resection. Histology on the surgical specimens revealed 2 cases of carcinoma (T1 and T2, respectively), confirmation of colonic villous adenoma in 2 cases and the presence of inflammatory tissue in 1 case. Among the patients treated with endoscopic resection alone one death occurred at two years due to lung and systemic metastases probably due to the malignant adenoma. After a review of the literature and on the basis of their own experience, the authors stress the importance of a combined pathological and endoscopic approach to establish when surgery is required.

Adenoma, Villous↗
PubMedDate not supplied

[The general surgeon facing acute abdomen caused of gynecologic cause: diagnostic and therapeutic considerations on 2 cases].

The general surgeon has sometimes to face problems arising from an acute abdomen due to gynecologic causes. Such conditions are mainly found in women in reproductive age; the most frequent pathologies are due to complications of ovarian cysts, perlvic inflammatory disease and extrauterine pregnancy. Some short clinical commentaries are herein presented on two cases of gynecologic acute abdomen: the first case reported is related to an intraperitoneal rupture of a large uterine sarcoma and the second an ovarian neoplasm associated with a diffuse peritonitis from perforation of tubo-ovarian abscess.

Abdomen, Acute↗