Biomedical subjects

B Acea Nebril

Publications and source records attributed to B Acea Nebril.

40 records · Page 3Linked to original sources

PubMedDate not supplied

[Ruptured aneurysms of the abdominal aorta. A study of their incidence and mortality].

Between 1986 and 1992, 133 patients with abdominal aneurysms presented to our Department of Vascular Surgery. Of these, 97 (73%) were elective cases and 36 (27%) had ruptured. In all these patients resections were undertaken. Postoperative complications occurred in 28 patients (28%) for elective resection and in 17 patients (47%) for ruptured aneurysms (p < 0.05), with mortality rates of 46 and 94%, respectively (p < 0.005). The postoperative mortality for elective resection was 13% and for rupture 44% (p < 0.001).

Age Factors↗

PubMedDate not supplied

[Inflammatory aneurysms of the abdominal aorta].

Approximately 10 per cent of abdominal aneurysms have an excessively thick wall that sometimes involve duodenum, cava or colon by an inflammatory process. Between February 1986 and December 1992, 147 patients with abdominal aortic aneurysm (AAA) were treated surgically and in 13 (8.8%) the aneurysms were found to be inflammatory. Their mean age was 67.3 years (70.1 years in non inflammatory group) and all were symptomatics initially (abdominal pain in 53%, rupture in 23%, mass in 15%). The operative mortality for elective resection was 37% in patients with inflammatory abdominal aortic aneurysms (IAAA) decreasing to 9% in the AAA group without inflammatory involvement. We conclude that surgery is indicated in these patients to prevent rupture and to hasten the subsidense of inflammatory process ever with postoperative morbi-mortality increased.

Aged↗

PubMedDate not supplied

[Acute abdomen caused by thrombosis of the portal and superior mesenteric veins in a splenectomized hematologic patient].

Thrombosis of the portal veins and superior mesenteric artery is a rare condition which may occur due to a wide variety of precipitating factors and is a very uncommon complication in post splenectomized hematologic patients. The case of a woman with idiopathic thrombocytopenic purpura with portal and mesenteric thrombosis following splenectomy is presented. Diagnosis was established by echography and abdominal computerized tomography and confirmed following percutaneous transhepatic angiography. Local fibrinolysis of the thrombosis was performed through a percutaneous transhepatic catheter with good resolution of the process. The authors conclude that echography and computerized tomography provide useful information in this type of complications while percutaneous transhepatic fibrinolysis constitutes the treatment of choice in these patients.

Abdomen, Acute↗

PubMedDate not supplied

[Intestinal obstruction and peritoneal carcinomatosis after endoscopic resection of transitional carcinoma of urinary bladder].

Gut involvement in bladder tumours is low, even exceptional in the presence of surface, low-grade neoplasia. The authors explain their experience in the diagnosis and management of a patient treated endoscopically for a vesical surface tumour which subsequently exhibited peritoneal and gut metastatic seeding. The various mechanisms for gut dissemination of vesical neoplasias and the repercussion of their endoscopic management are discussed.

Aged↗