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R Assadourian

Publications and source records attributed to R Assadourian.

72 records · Page 4Linked to original sources
PubMedDate not supplied

[Intestinal obstruction caused by Meckel's diverticulum in adults].

The diagnosis of intestinal obstruction caused by Meckel's diverticulum is difficult. The clinical evolution of the condition is subacute, with painful bouts occurring over several years and puzzling the clinicians. As a first step, explorative laparotomy solves the problem. Two cases show how difficult this decision is. Celioscopic surgery may be chosen in the future.

Adolescent↗
PubMedDate not supplied

[Spontaneous rupture of the spleen during chronic pancreatitis. A report on two new cases (author's transl)].

Spontaneous spleen rupture during chronic pancreatitis is scarcely seen. About 2 personal cases, the authors study 15 published cases. The spleen break can occur in patients with a known chronic pancreatitis, or with pancreatic signs, or without any symptomatology. Diagnosis is hard: spontaneous spleen break often looks like an acute pancreatitis. The high frequency of associated left pleural effusion is significant. Arteriography is helpful when it is done. Splenectomy, often too late, is the right treatment.

Adult↗
PubMedDate not supplied

[Tuberculous ganglio-oesophageal fistula. A case revealed by hematemese (author's transl)].

The authors report the observation of a tuberculous ganglio-oesophageal fistula which revealed itself through several severe digestive hemorrhages. On this occasion, they recall that these fistulae are unusual and exceptionally hemorrhagic. Diagnosis can only be made by a thorough endoscopic examination. If medical treatment can be envisaged when the tuberculous nature of the lesion has been ascertained, surgery is to be prefered in case of uncertain etiology; the intervetion enables the opening of the tuberculous abscess and, at the same time, the treatment of the oesophageal perforation and the suppression of hemorrhages.

Adult↗
PubMedDate not supplied

[Hepatic tumoral form of bacterial infections. Diagnostic and therapeutic considerations apropos of 3 cases].

When the clinical picture and complementary tests reveal a tumoural formation in the liver suggesting cancer, it is often difficult to diagnose such formations resulting from bacterial infection without surgical exploration. The diagnosis is particularly difficult since exclusive hepatic formations are extremely rare, the latency period is often long and specific markers are often lacking. We observed 3 such cases with local hepatic tumour-like formations due to tuberculosis, brucellosis and actinomycosis. Pathology examination of a liver biopsy can contribute to the diagnosis and avoid unnecessary exploratory laparotomy allowing successful medical treatment.

Actinomycosis↗