[A clinical study of chronic actinic enteropathy].
Two cases of chronic radiation enteritis are reported. The resection of the intestinal tract was performed in both cases. The literature is then reviewed.
Biomedical subjects
Publications and source records attributed to R Costantini.
Two cases of chronic radiation enteritis are reported. The resection of the intestinal tract was performed in both cases. The literature is then reviewed.
The Authors report 7 cases of unusual spleen pathology represented by 2 real cysts, 1 pseudocyst, 1 hydatid cyst, 2 abscesses, 1 splenic artery aneurysm. Pathophysiological hypotheses are examined, and clinical and diagnostic considerations are stressed, evaluating particularly anatomo-histologic characteristics and the differential diagnosis through non invasive imaging techniques. All patients were subjected to splenectomy via laparotomy, except for the case of real cyst where an inferior hemisplenectomy was performed. In the case of splenic artery aneurysm, an urgent aneurysmectomy was required together with splenectomy, considering the young age of the patient (29 years old), and the type of aneurysm presenting in a double rupture phase. Reoperation was necessary in only one patient to drain an hematic abscess. After a 9 year follow up all the patients are well.
Anastomotic dehiscence after colon resection is the most frequent complication in colon surgery and the main cause of post-operative death. In the light of anatomical peculiarities of the blood supply to the rectum, it would appear that in atherosclerotic patients with impairment of hypogastric arteries (80% in authors' series out of 200 atherosclerotic subjects) inferior mesenteric artery ligature, determining vascularization of the rectal ampulla by the distal vessels alone, results in an insufficient supply in case of colo-rectal anastomosis. A series of 15 cases of cancer of the left and sigmoid colon, treated with left hemicolectomy, preservation and peeling of the inferior mesenteric artery, is reported. In the follow-up ranging from 6 months to 5 years, no anastomotic dehiscence was observed and only one case (7.5%) presented hepatic recurrence after two years. The other patients are all alive and disease free.
Protostrongylus (Pulmostrongylus) pulmonalis from Lepus europaeus in Italy (Alto Adige) was studied. Most of the parasite population showed the typical morphology described for this species. Variations observed in the morphological features of gubernaculum, antero-lateral ray and telamon are considered to lie within the range of variability of the species. This is the first record of Protostrongylus (Pul.) pulmonalis in hares in Italy.
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Two new species of the genus Nematodirus are described. The nematodes were collected from the gastro-intestinal tract of steinboks (Capra ibex) and chamois (Rupicapra rupicapra) of Parco Nazionale del Gran Paradiso (Italian Western Alps). The names Nematodirus ibicis sp. n. and Nematodirus rupicaprae sp. n. are proposed.
A survey on 589 foxes for the control of trichinelliasis in the Province of Rome was carried out in collaboration with the gamekeepers of the Province of Rome. The presence of Trichinella larvae in masseters muscles was studied using trichinoscope and digestion methods. Five foxes out 589 were found infected; four infected animals were killed in the Prenestini and Simbruini mountains, one infected animal was killed in the plain north west of Rome.
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A nematode parasitic of bronchial system of Rupicapra rupicapra (chamois) of Parco Nazionale del Gran Paradiso (Italian Western Alps) is described and the name Protostrongylus (Protostrongylus) rufescens boevi subspecies nova, is proposed.
A short redescription of Stefanskostrongylus soricis (Soltys, 1954) parasite of Sorex minutus from Bialowieza forest (Poland) and Parco Nazionale Gran Paradiso (West Italian Alps) is given.