The Role of Classical Surgery in Treatment of Acute Abdomen in Oncological Patients
Authors:
M. Huťan; M. Huťan, ml. *; J. Zelenák
Authors‘ workplace:
IV. chirurgická klinika LF UKo a FNsP Bratislava, Slovenská republika, doc. MUDr. Martin Huťan, CSc.
; II. chirurgická klinika LF UKo a FNsP Bratislava, Slovenská republika, doc. MUDr. Ján Škultéty, CSc.
*
Published in:
Rozhl. Chir., 2009, roč. 88, č. 7, s. 377-380.
Category:
Monothematic special - Original
Overview
Acute abdomen in patients with malignity may present itself as a first sign, or might manifest itself during therapy of diagnosed disease. Clinical picture might be modified by age of patients, comorbidity, and side effects of multimodal therapy. Authors analyze their group of patients, admitted to their department with malignant disease. They found out, that almost half of the patients was admitted urgently and had serious comorbidities. In operative therapy classical surgery dominated. Authors present in discussion causes of this unsatisfactory status, as well as literature references concerning urgent cases in different types of malignant diseases.
Key words:
acute abdomen – malignant disease
Sources
1. Badger, S. A., Yousaf, M., Campbell, W. J. A case of a gastrointestinal stromal tumour presenting as acute abdomen. Irish Journal of Medical Science, 174(3), 2005, s. 84–85.
2. Bucher, P., Poletti, P. A., Myit, S., Morel, P. Spontaneous rupture of a gastrointestinal stromal tumour associates with life- threatening nontraumatic hemoperitoneum. Canadian Journal of Surgery, 51(2), 2008, E 38–39.
3. Cameron, J. L. Current Surgical Therapy. Elsevier Mosby, Philadelphia, 2004, 1343 s.
4. Caronna, R., Catinelli, S., DiMartino, M., Prezioso, G., Scozzafava, S., Sassayannis, P. G., Sinibaldi, G., Chirletti, P. Acute abdomen in a 15-year-old patient with Peutz-Jeghers syndrome. Surgical approach. Minerva Chirurgica, 58(1), 2003, s. 101–104.
5. Dugalic, V., Popovic, N., Gojnic, M., Arsenijevic, L. J., Filimonovic, D., Jeremic, V. Torsion of carcinomatous ovarian cyst and polycystic omental diseases. European Journal of Gynaecological Oncology, 27(6), 2006, s. 629–631.
6. Efremidou, E. I., Liratzopoulos, N., Papageorgiou, M. S., Romanidis, K. Perforated GIST of the small intestine as a rare cause of acute abdomen. Journal of Gastrointestinal and Liver Diseases, 15(3), 2006, s. 297–299.
7. Fiss, G., Pottek, T., Bartelheimer, M. Ruptured renal tumor as a rare differential diagnosis of colicky abdominal pain. Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin, 178(2), 2006, s. 233–234.
8. Goddard, S. L., Chesney, A. E., Reis, M. D., Ghorab, Z., Brzozowski, M., Wright, F. C., Wells, R. A. Pathological splenic ruptúre : a rare complication of chronic myelomonocytic leukémia. American Journal of Hematology, 82(5), 2007, s. 405–408.
9. Habek, D., Habek, J. C, Barbir, A., Barbir, M. Ruptured ovarian granulosa celí tumors as a cause of the acute abdomen. Archives of Gynecology & Obstetrics, 267(3), 2003, s. 175–176.
10. Heim, D., Ruchti, C, Negri, M. Acute abdomen caused by a perforated inflammatory myofibroblastic tumor of the jejunum. International Surgery, 91(2), 2006, s. 63–67.
11. Heinzerling, J. H., Huerta, S. Bowel perforation from bevacizumab for the treatment of metastatic colon cancer. Current Surgery, 63(5), 2006, s. 334–337.
12. Huťan, M., Šalapa, M., Bandžák, J., Baláž, P. Pokročilosť nádorov GIT-u v súčasnosti. Rozhl. Chir., 2000, 79, č. 10, s. 480–483.
13. Chan, M. K., Tse, H. W., Mok, F. P. Ruptured phaeochromocytoma – a lesson in acute abdomen. Hong Kong Medical Journal, 9(3), 2003, s. 221–223.
14. Jones, D. B., Wu, J. S., Soper, N. J. Laparoscopic Surgery. Principles and Procedures. Marcel Dekker Inc., New York - Basel, 2004, 595 s.
15. Kelemen, K., Yu, Q. Q., Howard, L. Small intestine angiosarcoma leading to perforation and acute abdomen: a case report and review of the literature. Archives of Pathology & Laboratory medicine, 128(1), 2004, s. 95–98.
16. Krober, S. M. Intravascular lymphoma causing acute abdomen. Pathologe, 28(1), 2007, s. 51–54.
17. Norton, J. A., Bollinger, R. R., Chang, A. E., Lowry, S. F., Mulvihill, S. J., Pass, H. I., Thompson, R. W. Surgery - Basic Science and Clinical Evidence. Springer Verlag, New York, 2001, 2170 s.
18. Porta, M., Fernandez, E., Belloc, J., Malats, N., Gallen, N., Alonso, J. Emergency admission for cancer: a matter of survival? Br. J. Cancer, 77, 1998, s. 477–484.
19. Pratap, A., Tiwari, A., Pandey, S., Yadav, R. P., Agrawal, A., Sah, B. P., Bajracharya, T., Ghimere, A. Ganglioneuroma of small bowel mesentery presenting as acute abdomen. Journal of Pediatrie Surgery, 42(3), 2007, s. 573–575.
20. Pumberger, W., Wiesbauer, P. Bleeding into retroperitoneal cavernous lymphangioma following blunt abdominal trauma. Unfallchirurg, 106(6), 2003, s. 522–524.
21. Salemis, N. S., Tsiambas, E., Gourgiotis, S., Mela, A., Karameris, A., Tsohataridis, E. Peritoneal mesothelioma presenting as an acute surgical abdomen due to jejunal perforation Journal of Digestive Diseases, 8(4), 2007 s. 216–221.
22. Schmutzhard, J., Schwentner, I., Krugmann, J., Sprinzl, G. M. Acute abdomen and carcinoma of the glandulae parotis. HNO, 54(8), 2006, s. 616–618.
23. Takeshita, T., Takeshita, K., Tagawa, Y., Horie, S., Furui, S. Ruptured pheochromocytoma presenting with acute abdomen and pulmonary edema. Internal medicine, 45(15), 2006, s. 933–934.
24. Townsend, C. M., Beauchamp, R. D., Evers, B. M., Mattox, K. L. Sabiston Textbook of Surgery. 17th edition, Elsevier Saunders, Philadelphia, 2004, 2387 s.
25. Varras, M., Tsikini, A., Polyzos, D., Samara, Ch., Akrivis, Ch. Internal hemorrhage caused by twisted malignant ovarian dysgerminoma: ultrasonographic findings of a rare case and review of the literature . Clinical & Experimental Obstetrics & Gynecology, 31(1), 2004, s. 73–78.
26. Wiliams, N., Scott, A. D. N. Neutropenic colitis. A continuing surgical challenge. Br. J. Surg., 84, 1997, s. 1200–1205.
27. Wong, Z. W., Leong, S. S., Tan, T., Mancer, K. A case of metastatic squamous celí carcinoma of the hypopharynx manifesting as acute abdomen. Annals of Academy of Medicine, Singapore, 33(3), 2004, s. 356–358.
28. Yau, K. K., Siu, W. T., Li, M. K. Unusual cause of acute abdomen – ruptured retroperitoneal paraganglioma. Asian Journal of Surgery, 31(1), 2008, s. 32–35.
29. Zganjer, M., Cizmic, A., Stepan, J., Butkovic, D., Zupancic, B., Bartolek, F. Ovarian dysgerminoma and acute abdomen. Brat. Lekárske Listy, 107(6–7), 2006, s. 253–255.
30. Žiak, M., Simo, J., Hrbatý, B. Diagnostika kolorektálneho karcinómu. Brat. Lekárske Listy, 100(6), 1999, s. 327–329.
Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2009 Issue 7
Most read in this issue
- Septic Shock in a Patient with the Fourniér Gangrene with Fatal Outcome
- Complications of IPOM Plasty – Our Experience
- The Complication of a Periproctal Abscess – Fourniér’s Gangrene or Necrotizing Fasciitis? A Case Report
- Anti- biotic Prophylaxis in Urology