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Biomedical subjects

R A D'Altorio

Publications and source records attributed to R A D'Altorio.

At least 19 recordsLinked to original sources
PubMed1998

Palliation of obstructing gastric carcinoma with metal stents through a gastrostomy.

Gastric cancer is the world's second most common malignancy. In the U.S., patients present with advanced disease, and surgery with curative intent accounts for only 30% of gastric malignancies. Palliative surgery has significant morbidity and mortality. Recently, there have been encouraging reports of self-expanding endoprostheses in obstructing gastrointestinal neoplasms. We report a case of a 70-yr-old woman with inoperable outlet stenosis secondary to a mucinous infiltrating adenocarcinoma involving nearly the entire stomach, except the anterior wall, which provided a percutaneous access site for gastrostomy and subsequently successful management of outlet obstruction with metallic stents.

Adenocarcinoma, Mucinous↗
PubMed1993

CT findings after uncomplicated and complicated laparoscopic cholecystectomy.

Laparoscopic cholecystectomy (LC) is quickly becoming the standard procedure for gallbladder removal. Recent studies indicate that this new procedure compares favorably with open cholecystectomy in mortality and overall morbidity. Imaging has assumed an important role in the diagnosis and management of postoperative complications. This report reviews the CT findings after uncomplicated LC as well as the spectrum of CT findings seen with various postoperative complications.

Cholecystectomy, Laparoscopic↗
PubMed1992

Hepatopulmonary fistula: treatment with biliary metallic endoprosthesis.

Hepatopulmonary communication, most commonly in the form of bronchobiliary fistula, is an unusual lesion that can occasionally close spontaneously, but usually requires surgical therapy. The usual treatment has been a combined thoracoabdominal approach with correction of the fistulous tract or an abdominal approach to correct the causative bile duct obstruction. Both endoscopic and percutaneous therapy of the biliary ductal system have been described as forms of treatment. We present a case of hepatopulmonary fistula in a patient with bilioptysis, treated with percutaneous biliary metallic endoprosthesis. To our knowledge, this is the first reported case in which metallic stents were used to treat a hepatopulmonary fistula.

Bronchial Fistula↗
PubMed1991

A rare cause of parastomal hernia: stomach herniation.

Our case of a parastomal hernia is rare because the stomach became incarcerated in the hernial sac. The diagnosis of parastomal hernia is not a difficult one, but one must be aware of the possible complications of the colostomy and the rare occurrence of the parastomal hernia containing the stomach.

Aged↗
PubMed1986

Orbital involvement by multiple myeloma: case report.

A case of orbital myeloma in a patient with myelomatosis is discussed. Extraskeletal spread to the orbit has rarely been reported. In a patient with proptosis and known multiple myeloma, an orbital mass can be presumed to be orbital involvement by myeloma.

Adult↗
PubMed1979

Ureteral obstruction secondary to bifurcated aortic grafts.

We report three cases of ureteral obstruction producing hydronephrosis following aortofemoral bypass graft. In each case, the obstruction occurred in the area where in the ureter crossed over the limb of a Dacron graft. Ureterolysis relieved the obstruction. Most of the previously reported cases of this complication of bypass surgery occurred when the ureter was situated between the limb of a graft and the patient's own iliac artery. Various methods of surgical appraoch are listed. In some cases, ureterolysis is a suitable alternative to division and reanastomosis of the ureter to relieve obstruction.

Aged↗
PubMed1976

Renal liposarcoma: case report.

A case of renal liposarcoma is described. The clinical presentation, angiographic findings and treatment are discussed.

Cyclophosphamide↗
PubMedDate not supplied

Ocular melanoma with retinal detachment: double density sign on CT.

A CT examination of a woman with an intraocular melanoma revealed a high density mass lesion with an adjacent retinal detachment of slightly lower density. The "double density" identified in this case can serve as a useful sign in distinguishing melanomatous lesions with accompanying retinal tears.

Choroid Neoplasms↗