[Acute necrotic-hemorrhagic pancreatitis. Proposal of a therapeutic plan using an antiseptic agent in infectious complications].
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Biomedical subjects
Publications and source records attributed to M Trompetto.
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Abdominal surgical emergencies in the aged patients are considered on the basis of personal experience. Peritonitis from acute infections, is for many reasons, a higher challenge in the elderly.
After a review of the aetiological, clinical and diagnostic aspects of acute pancreatitis, personal experience is reported of the prognostic indications supplied by the analysis of certain simple haematic parameters. The reliability of the results is confirmed. This technique will be used in a personal diagnostic and therapeutic protocol as a means of early identification of patients at the greatest risk.
A case of carcinoma of the gallbladder with particular clinic course is described, stressing the problem of the precocious diagnosis of this kind of tumor. The insufficient knowledge about this argument, confirmed by conflicts of the studies about this, is denounced. Considering the far better prognosis when the diagnosis of cancer of the gallbladder is done in the stage "in situ", the AA. confirmed the importance of a careful anamnesis and, above all, of the histological examination on all the gallbladders removed for every cause.
Sigmoid colon is the most frequent side for a volvulus. We present four cases of sigmoid volvulus admitted to our department during the period July 1994-December 1995. Intestinal volvulus, despite its benignity, has a quite high morbidity and mortality. Important factors such as the patient's features and frequent late diagnosis can influence the complicated outcome of the disease. Plane X-ray of the abdomen is helpful while barium enema can be therapeutical because of the pressure of the inflated air. Sigmoid resection is the most effective treatment for the disease.