Search PubMed⌕ Search

Biomedical subjects

A Besson

Publications and source records attributed to A Besson.

At least 91 records · Page 5Linked to original sources
PubMed1981

[Study of 58 intrathoracic complications in 166 accidental or iatrogenic esophageal injuries].

In 58 patients among 166 cases of esophageal trauma who developed an intrathoracic complication, the cases are studied of 26 esophageal instrumental perforations, 10 vomiting or effort ruptures, 14 ingestions of foreign bodies (observed in a surgical unit), 5 corrosions by acids or alkalis and 3 esophageal injuries after closed chest trauma. Some complications occurred or were recognized after a delay of 1 to 16 days. In 22 cases treated after the second day, 9 patients survived and in 18 cases treated after 4 days, 6 patients nevertheless survived. The outcome is difficult to assess initially but hope must be entertained even in the most severe cases. The discussion focuses on symptoms and signs, modes of clinical presentation and the different types of fistulas (4 intramural, 31 esophago-mediastinal, 15 esophago-pleural, 5 esophago-tracheal, 1 esophago-aortic, 1 esophago-pericardial). Treatment varies with the delay in diagnosis and is often complex. In cases requiring reoperation the mortality is very high.

Accidents↗
PubMed1980

[Immediate vascular complications of severe pelvic fractures. Diagnosis and treatment].

Between 1975 and 1979 282 patients were treated for fractures of the pelvis at the Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland. Sixty-eight had severe fractures with two or more ruptures of the pelvis. Twelve of these patients also had vascular complications, viz. severe retroperitoneal hematoma, and rupture of the hypogastric artery or of the iliac vein. The histories, including the associated injuries, of these 68 patients were followed up from admission to hospital to discharge. The mortality was 11% for severe fractures of the pelvis and 33% in cases with vascular complications. The relative importance of diagnostic peritoneal lavage, angiography and surgery is stressed. Vascular embolization as an alternative treatment in the case of rupture of the hypogastric artery or branches is also discussed.

Angiography↗
PubMed1980

[Pleuro-pulmonary actinomycosis. Report of 4 cases].

Four cases of pulmonary actinomycosis are reported. Two cases (1978, 1979) were diagnosed on microscopic examination of lung parenchyma excised on suspicion of bronchogenic carcinoma. The third case was diagnosed retrospectively by reexamining the slides of a patient operated on in 1965, who presented with a similar history and chest X-ray. The fourth was diagnosed at autopsy in a patient who committed suicide. Actinomycosis is a rare disease which affects the lung in 15--20% of cases. Despite its name, actinomycosis is not due to a fungus but to an anaerobic gram-positive bacillus. The germ is a saprophyte of the human digestive tract and is very sensitive to penicillins. It may become pathogenic in a compromised host and usually produces cervico-facial lesions which develop by continuity from mouth mucosa. Abdominal or, more rarely, pulmonary lesions are due to ingestion or inhalation of infected material. Chest X-ray appearance of pulmonary actinomycosis mimics that of bronchogenic carcinoma. Actinomyces culture is difficult, and diagnosis is often based on microscopic examination of the surgical specimen only. Antibiotic therapy is a mandatory complement to surgical treatment.

Actinomyces↗
PubMed1980

[Carcinoid tumors, carcinoid syndromes and related tumors (104 cases)].

One hundred and four consecutive cases of carcinoid among 194 APUD-omas (cerebral and gynecological tumours expected) are presented. Localization is as follows: bronchopulmonary (21%), duodenum (5,5%), small intestine (19%), Meckel's diverticulum (5,5%), appendix (39%), colorectal (5,5%), other (4,5%). Average age at diagnosis is very different for each localization of carcinoid tumour, as is prognosis: in our material, 33% of cases had an infiltrative tumour, 17% had lymph nodes metastases and 16% hepatic metastases. All 15 patients with carcinoidosis died but their survival varied considerably in length (from a few weeks to 21 years after the beginning of carcinoidosis). In addition, 3 patients presented with the Zollinger-Ellison syndrome, 2 of them having an atypical or probable form of the MEN I syndrome.

Adult↗
PubMed1979

[Intralobal pulmonary sequestration and tuberculosis superinfection].

Among 16 pulmonary sequestrations observed in 23 years, 3 were associated with pulmonary tuberculosis. A detailed report is given on a 37-year-old man who was found by serendipity to have a right lower sequestration after 6 years treatment for tuberculosis; middle and upper lobe function had already been lost. Two and half years after pneumonectomy, the patient is in good health. Discussion centers on the diagnosis and potential complications of pulmonary sequestrations.

Adult↗
PubMed1979

[Starch peritonitis. Apropos of 13 cases].

First known as an inert and harmless substance, starch powder has been used from 1950 by surgical gloves factories in place of talcum. Its innocuousness is now being denied, but many surgeons still do not know its adverse side effects. 13 cases of glove starch peritonitis, seen between 1971 and 1978, allow the authors to review clinical signs, diagnostic and treatment possibilities as well as the risk of a new operation. To limit the quantity of starch powder introduced into the peritoneal cavity is so far the only mean to prevent this complication and to compel the surgical team to strict discipline.

Adult↗