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Biomedical subjects

N Cortesi

Publications and source records attributed to N Cortesi.

7 recordsLinked to original sources
PubMed1979

[Closed abdominal injuries in patients with multiple injuries. Diagnostic considerations on 74 cases].

A diagnostic assessment was made of 74 cases of non-penetrating abdominal wounds observed over the previous 5 years. Laparoscopy performed in 49 polytraumatised patients made a decisive contribution to accurate, early diagnosis, with an indication for emergency surgery in 35 cases (32 visceral lesions and 3 retroperitoneal haematoma), whereas it was clear from the negative finding that surgery was not required in the remaining 14. It is felt that all additional radiological and instrumental diagnostic should be employed, and that careful clinical examination and repeated inspection, preferably by the same surgeon, are important in cases of multiple injury, since the situation may become dramatically worse in the space of a few hours.

Abdominal Injuries↗
PubMed1978

Laparoscopic cholangiography in the diagnosis of cholestasis: experience with 103 cases.

The results of 103 laparoscopic cholangiographies performed in patients with cholestasis are reported and the technique used is described. Minimal or no secondary effects were noted. A correct diagnosis was reached in 92 cases, 53 of which presented cholestasis of an extrahepatic nature and 39 of intrahepatic origin. In the latter group, the technique made exploratory laparotomy unnecessary. The procedure allows a roentgenologic examination of the biliary system, a direct evaluation of the liver and gallbladder and, if necessary, a liver biopsy.

Adolescent↗
PubMed1977

[Acute intestinal occlusion caused by pseudo-neoplastic, endometriosic rectosigmoid stenosis].

Bilateral hysteroadnexectomy and rectosigmoid resection were successfully employed in a case of acute intestinal occlusion due to endometriotic rectosigmoid stenosis in a 36-yr-old woman. The endometriotic character of the stenosis was only made clear histopathologically. The clinical features of intestinal endometriosis are examined. Its lack of pathognomonic symptoms makes diagnosis difficult and may result in confusion with cancer, even intraoperatively. Ex tempore histological examination is thus fundamental in clinching diagnosis and hence the extent to which intestinal resection is required.

Adult↗
PubMed1975

[Hepatic scintigraphy and laparoscopy in the diagnosis of the metastatic liver neoplasms. Comparative studies in 112 cases].

Personal experience of hepatic scintigraphy and laparoscopy in the diagnosis of secondary tumors of the liver is reported. The usefulness of both the techniques, associated, is proved by the small number of cases (2,98%) where metastases remained undiagnosed before surgery. Considering only the results of scanning, a larger number of "false positive" is noted, while those of laparoscopy are more often "false negative".

Adenocarcinoma, Papillary↗