[Hematocolpos as diagnosis of gynecological acute abdomen. (Presentation of 3 cases)].
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Biomedical subjects
Publications and source records attributed to I Signorelli.
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The authors report on five cases of jejuno-ileal diverticulosis, which is a rare generally fairly unimportant disease, but which may unexpectedly develop into a life-threatening situation for the patient. The Authors take these cases as their starting point for presenting a number of findings and considerations regarding various aetiopathogenetic, clinical and therapeutic aspects of the condition.
The Authors report on tpo cases of strangulated obturator hernia observed in their department during the period 1977-1987 and successfully operated on by mid-line laparotomy, both pith a diagnosis of occlusion of the small bowel. The Authors review the clinical signs and instrumental investigations which may be of use in reaching an early pre-operative diagnosis, which constitutes the only possibility of reducing the mortality associated with this condition. Particular attention is devoted to the somatic characteristics of the patients: elderly, thin, chronic bronchitic, hypertensive cardiopathic. In one of the two cases, there was a concomitant crural hernia. In both cases, which presented a picture of acute intestinal occlusion, the type of surgery opted for was a mid-line laparotomy. In one case, an ileal resection was performed. To close the orifice of the obturator canal, plain suture of the peritoneum was used in one case and a mersilene patch in the other.
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