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Biomedical subjects

S Campagnola

Publications and source records attributed to S Campagnola.

7 recordsLinked to original sources
PubMed1999

[A rare case of acute scrotum. Thrombophlebitis from ectasia of the left pampiniforme plexus].

The acutely painful scrotum may be due to testicular torsion, twisted testicular appendages, twisted spermatic cord or epididymitis. Most rarely it occurs as a result of a testicular trauma, orchitis, idiopathic scrotal edema, idiopathic infarction of testis and vaginalis tunica or testicular neoplasm; a spontaneous thrombosis of the spermatic vein vessels is quite unusual. A rare case of thrombosis of a dilated pampiniform plexus which occurred in a 6 year-old child is reported and its clinical presentation, diagnosis and treatment is discussed. The difficulty in making such a diagnosis is stressed since thrombosis of the spermatic vein is quite a rare entity; a conservative approach is suggested as a treatment of choice whenever a definite diagnosis is made, otherwise surgical intervention (ligation of the spermatic vein, if necessary) is required in order to rule out any other urologic emergency.

Child↗
PubMed1999

[Meconium ileus. A clinical contribution].

BACKGROUND: Meconium ileus (MI) is a form of neonatal intestinal obstruction due to an abnormal thickened meconium within the terminal ileum. The aim of this retrospective paper is to review our experience with neonates affected from MI treated at our institute over a twenty year period. METHODS: This report deals with 23 neonates with MI: 14 newborns had uncomplicated MI due to obstruction of the terminal ileum with meconium pellets, while 9 presented with complications (intestinal atresia, volvulus, pseudocyst, peritonitis). RESULTS: A water soluble contrast enema (Gastrografin) was attempted in 12 cases with a success rate of 7/12 (58%). The remaining sixteen neonates underwent laparotomy, with 4 treated by resection and primary anastomosis, 7 by enterostomy (chimney or double-barrelled) and 5 managed with T-tube enterostomy. Survival rate was 93% in uncomplicated MI and 67% in complicated forms. CONCLUSIONS: On the basis of personal experience the authors suggest that the treatment of choice for uncomplicated MI is Gastrografin enema, with T-tube enterostomy to be reserved for enema failure. The surgical treatment of the complicated forms depends on the intra-abdominal findings; nowadays chimney or double barrelled enterostomy is to be reserved in cases where peritonitis, late diagnosis, prematurity or associated anomalies complicate the disease.

Age Factors↗
PubMed1998

Congenital cystic mesoblastic nephroma.

Congenital mesoblastic nephroma is a relatively rare infantile renal tumor. It comprises 3-6% of renal masses in childhood and 50% during the neonatal period. Most mesoblastic nephroma occur in the newborn period, with 80% of the cases being reported within the first month of life. Macroscopically the tumor is composed of a solid mass of different sizes tending to invade the surrounding structures and renal parenchyma. The authors report a case of cystic mesoblastic nephroma of the cellular subtype, with diffuse areas of hemorrhage and necrosis. The tumor was treated by surgical excision with radical nephrectomy and the child is doing well 4 years after the operation.

Biopsy, Needle↗
PubMed1988

Should primary megaureter be treated d'emblée in the neonate?

Since 1969 Hendren and other AA. proposed a radical correction of high obstructive uropathy in neonatal age. This was accepted by most surgeons for pyelo-ureteral joint stenosis, but it may not be accepted in third grade refluent or nonrefluent megaureter. In such an eventuality the lesion may require transient ureterostomy or nephrostomy; this option is necessary in renal insufficiency, but it was not codified for unilateral defects. The results of immediate corrective surgery (Cohen or Politano-Leadbetter ureteral reimplantation) were recently evaluated in 103 patients with 141 primary megaureters. Ninety per cent of infants and children more than six months old recovered, while 6 per cent had fair results, 4 per cent poor results. Only sixty two per cent of infants under six months improved, while 35 per cent and 3 per cent had respectively fair and poor results. "Fair" results were represented by patients with unmodified renal condition (14 per cent) and patients who underwent two or three operations to obtain renal improvement (21 per cent). If the final outcome seems in any case positive, we think a two-stage operation in the third grade megaureter of the neonate is still preferable to a risk of complications and unforeseen reoperations.

Child↗
PubMedDate not supplied

Vas deferens anomalies in paediatric age.

Vas deferens anomalies have been observed with high incidence in cystic fibrosis patients, whereas the overall incidence in the general population is estimated less than 0.05%. Vas deferens anomalies are sometimes associated with renal abnormalities and they are due to a damage occurring within the first weeks of gestational age. In other cases they can be the expression of a mild form of cystic fibrosis. The authors report on 7 patients with 10 anomalies of vas deferens: 2 patients with cystic fibrosis; 3 patients with urinary tract anomalies; 2 patients with no evidence of cystic fibrosis and without urinary tract anomalies. It is suggested that every patient presenting with vas deferens anomalies and no evidence of cystic fibrosis should be further evaluated with renal ultrasound; moreover all patients without evidence of both cystic fibrosis and renal anomalies should have genetic investigations.

Algorithms↗