[Radiographic demonstration of abdominal abscess of postoperative origin: abscess series (author's transl)].
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Biomedical subjects
Publications and source records attributed to A F Govoni.
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Four cases of benign lymphoid hyperplasia (BLH) of the duodenal bulb are reported. The roentgen findings of this entity are presented and the literature on BLH of the gastrointestinal tract is briefly reviewed.
Demonstration of a lucent tubular shadow projected over the liver on plain films of the abdomen would suggest air in the common hepatic and bile ducts. Occasionally, however, the normal periductal fat which surrounds and follows these ducts like a sleeve can simulate pneumobillia. Intravenous cholangiography should confirm the true nature of the entity.
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Importance of the water and acid-barium tests (De Carvalho and Donner tests) was proved in a large series of cases demonstrating an unknown gastro-oesophageal reflux and an associated oesophagitis.
Sixteen cases of benign extrinsic lesions involving the colon and producing roentgen findings simulating a neoplasm are reported. The literature is reviewed. In 5 cases the pathologic process proved to be an inflamed epiploic appendage, in 4 a "congenital" band, in 3 adhesions, in 2 pancreatitis and, in one case each, an old pericecal abscess and an endometriosis.
The extremely unusual patient reported here had malignant histiocytosis with extensive gastrointestinal involvement. The presenting symptoms were those of a gastrointestinal disorder and barium studies of the upper gastrointestinal tract revealed an infiltrative process of the entire small bowel. A biopsy of the small bowel demonstrated abnormal malignant cells and the diagnosis of malignant histiocytosis was considered and confirmed at postmortem. Strongyloidiasis, which was also found in this patient, may represent a hyperinfestation phenomenon due to altered host-parasite balance.
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