[A spontaneously ruptured primary hydatid cyst of the great epiploon. Hydatid peritonitis].
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Adult↗
Biomedical subjects
O Ilea
Publications and source records attributed to O Ilea.
[Biliary decompression by tumor drilling and endoprosthesis with a hepatocholedochal tube in a case of cholangiocarcinoma].
The paper reports on the case of an 82-year-old patient, operated for a cholangiocarcinoma with high location, involving the bifurcation of the hepatic ducts. The surgery consisted of an endo-lumen tumoral drilling, followed by assembling two tubes introduced in the hepato-choledochal canal for ensuring the internal biliary drainage. A survival of more than 30 months was obtained. The authors show the possibility of using this palliative method, followed by a good result when a radical surgery cannot be used.
Adenoma, Bile Duct↗
[A giant cancer of a gastric diverticulum].
An observation is presented, of a female patient aged 62 years with a large abdominal tumour. Clinical and para-clinical examinations could not establish the organic origin of the formation. Surgery disclosed a giant tumour developed in a gastric diverticulum situated under the cardia. The patient had suffered for a long time with gastric symptoms and her antecedents included upper digestive haemorrhage which was attributed to gastric ulcer according to radiological examination. In retrospect it was established that the disturbances were determined by a gastric diverticulum, complicated by haemorrhage and which later on had become malignant. In spite of its extraordinarily large size the tumour was removed by total gastric resection, in an attempt to treat radically the cancer.
Carcinoma↗
[Cancer of the rectosigmoid junction].
The authors present a statistics on 32 cases of proctosigmoid junction cancer and discuss diagnostic and management aspects. This localization of the colorectal cancer has certain characteristic features, among which most important are its severe complications. The treatment of choice is the high anterior proctosigmoid resection with restoration of digestive passage, with or without colostomy. In the complicated cases the interventions will be performed in two or even three stages. Hartman's surgery is also indicated in the complicated cancers and in the compromised patients. The postoperative mortality remains high.
Colectomy↗