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Biomedical subjects

B De Waele

Publications and source records attributed to B De Waele.

22 records · Page 2Linked to original sources

Retroperitoneal leiomyosarcoma.

The clinical history, radiological investigations, pathologic findings and treatment of four patients affected by retroperitoneal leiomyosarcoma were compared with data of the literature. These tumors have a great tendency to develop local recurrences after excision, but metastases to lymph nodes and distant organs usually occur lately. CT examination of the retroperitoneal space is a sensitive tool in the diagnosis and follow-up. Complete excision of the tumor followed by radiotherapy improves significantly the prognosis. Chemotherapy is advisable only when disseminated metastases appear. No correlation was found between the histologic appearance and the clinical behaviour.

Adult↗

Endometriosis of the appendix.

Endometriosis has been encountered in different sites of the gastrointestinal tract. Involvement of the vermiform appendix, however, is rather unusual. Two cases of appendiceal endometriosis are reported in the present study: one patient had symptoms simulating acute appendicitis; in another patient it was an incidental finding during pelvic surgery. There are no clinical signs and findings pathognomonic of endometriosis of the appendix, but the condition may present as appendicitis. At surgery, the diagnosis can only be suspected when it is associated with obvious genital endometriosis. Correct diagnosis is established by microscopic examination of the lesion. Symptomatic endometriosis of the appendix will be cured by appendectomy.

Adenocarcinoma↗

Endometriosis and small bowel obstruction.

Pelvic endometriosis, a common disease of the female genital tract, may also affect the bowel, especially the rectosigmoid colon. Involvement of the small intestine occurs very infrequently. A case of small bowel obstruction caused by ileal endometriosis is reported. Correct preoperative diagnosis is very difficult to achieve. The association of gynecologic complaints with intestinal symptoms in women of childbearing age is characteristic, but the clinical history may be extremely variable. Small bowel roentgenography can be helpful and ultrasound examination offers new diagnostic possibilities. Endometriotic obstruction of the small bowel should be treated by resection of the involved segment.

Adult↗