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Biomedical subjects

E Faysse

Publications and source records attributed to E Faysse.

11 recordsLinked to original sources
PubMed1996

[Liver abscess caused by Streptococcus intermedius, following hemorrhoidectomy].

The pyogenic liver abscess is an uncommon but potentially lethal complication of colo-anal surgery. The authors report a case due to Streptococcus intermedius, a pathogen with a known ability to produce visceral abscesses, after haemorrhoidectomy. According to the French consensus conference, the patient had received a prophylactic preoperative antibiotic regimen consisting of metronidazole, active against S intermedius. Despite surgical therapy and adequate antibiotics, the patient died of hepatic failure.

Fatal Outcome↗
PubMed1996

[Peritoneal mesothelioma. Contribution of MRI. Apropos of a case].

Peritoneal invasion by a malignant mesothelioma is less frequently encountered than pleural localization. We report a case of a double pleural and peritoneal localization. CT and MR may be suggestive, especially when pulmonary asbestosis is associated, but pathology (fine needle aspiration or surgical biopsy) is necessary to assess the diagnosis. When possible surgery is performed, with or without associated radiotherapy. Prognosis is nevertheless very poor.

Humans↗
PubMed1996

[Malignant adrenocortical carcinoma with atypical aspect. Value of tomodensitometry and magnetic resonance imaging. Apropos of a case].

A case of large and non-functioning malignant adrenal tumor is reported. It was discovered incidentally during a check-up ordered because of sciatic pain caused by an osteolytic lesion of the sacrum. This huge abdominal tumor was suspected to be an adrenal tumor one the basis of the CT and MR findings. Histological analysis of percutaneous biopsies were unable to define the site and etiology of these two masses. Only histo-pathological examination of the surgical specimen allowed the diagnosis of adrenal cortical carcinoma.

Adrenal Cortex Neoplasms↗
PubMed1994

[Spontaneous rupture of the rectum. Contribution of CT scan. Apropos of a case].

We report a case of spontaneous rupture of the rectosigmoid junction demonstrated by surgical and histological examination. This rare complication of chronic constipation is difficult to confirm except in the case of the typical clinical presentation with lower abdominal pain after defaecation and evisceration of small intestine loops through the anus. No radiological procedure is usually performed except for plain abdominal radiograph, to demonstrate inconstant (retro)peritoneal emphysema. CT scan could detect free air outside of the rectosigmoid lumen, suggesting parietal rupture and allowing appropriate surgical treatment on the lower digestive tract.

Aged↗
PubMed1984

[Reoperation for primary hyperparathyroidism].

Twenty-one patients in a series of 283 treated surgically for primary hyperparathyroidism between 1960 and 1982, underwent reoperation. Eleven had been previously treated elsewhere. The initial cervicotomy was negative in fourteen cases, but had led to the ablation of one or more adenomas in seven. The reason for reoperation was recurrence or persistence of hyperparathyroidism (HPT). It was commenced by cervicotomy in the eleven patients initially treated elsewhere, and by cervicotomy and/or sternotomy for the others. Reoperation involved ablation of adenomas in thirteen cases, but was negative in the remaining eight. Three of the eight underwent a second reoperation, with success in two cases. Overall, reoperations led to ablation of sixteen adenomas in fifteen patients. Ten adenomas were ectopic, including eight located mediastinally . Ten sternotomies were performed, leading to ablation of four mediastinal adenomas. Postoperative complications included five recurrent paralyses and two severe cases of hypocalcemia. One patient with parathyroidal carcinoma died of malignant hypercalcemia. Fifteen of the twenty one patients (71%) were cured of their HPT. Basing themselves on these cases, and a review of the literature, the authors describe the indications and practical management of reoperative surgery for primary HPT.

Adenoma↗
PubMed1983

[Surgical treatment of primary hyperparathyroidism. Evaluation of 263 cases].

A retrospective study of the case-reports of 263 patients explored surgically for primary hyperparathyroidism demonstrated the cause to be: an adenoma (206 cases), a primary hyperplasia (29 cases), or a cancer (3 cases), exploration was negative in 25 cases. Presenting symptoms were mainly urinary, but 15 p. 100 of patients seen during the last two years had been asymptomatic. Nine patients required emergency surgery and 29 had a primary normocalcemic hyperparathyroidism. The two most useful laboratory examinations, apart from measurement of blood calcium and phosphorus levels, were parathormone assay (elevated levels were present in 80 p. 100 of cases) and quantitative bone biopsy (positive in over 80 p. 100 of patients). The surgical approach was mainly cervical, except for repeat operations when ten sternotomies were performed with successful results in 4 cases. Immediate postoperative mortality was quite high (3 p. 100), particularly in the acute forms or those with multiple adenomas, and in patients over 70. Morbidity (hypocalcemia, recurrent nerve palsy) was increased after repeat surgery. Analysis of long-term results, particularly with respect to urinary symptoms, showed marked differences between lesions of single glands (adenoma) and hyperplasia. The most difficult problem to resolve with this surgery is the importance to attach to excision of the parathyroids when lesions are present in several glands.

Acute Disease↗