Publications by authors named "Antonio Di Muria"

A case of acute colonic obstruction in an elderly patient is presented, with a brief discussion about peculiar aspects to pseudo-obstruction and particularly chronic idiopathic intestinal pseudo-obstruction (CIIP), in which it was classified by pathologists. Clinical and therapeutic implications of this classification are also discussed. In authors'opinion, interesting aspects of the reported case are represented by the acute presentation, without previous symptoms at medical history and above all by the evidence of a recto-sigmoid junction intraoperatively palpable mass, mimicking ring-like neoplastic disease.

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Article Synopsis
  • The study compares surgical outcomes for elective versus emergency procedures in patients with obstructing colorectal cancer.
  • Operative mortality is significantly higher in emergency surgeries (7%) compared to elective ones (1%), with complications leading to a notable portion of perioperative deaths.
  • Immediate resection with primary anastomosis is recommended for low-risk patients, while alternative procedures are suggested for those at higher risk, highlighting the variable approaches based on individual patient conditions.
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A case of intestinal obstruction due to mesh migration is described. A 61 year old patient affected by BPCO and chronic atrial fibrillation is admitted for mechanical intestinal obstruction. He underwent a umbilical hernia repair with mesh and omphalectomy 6 years before.

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Inferior vena-cava (IVC) injuries are uncommon but mortality is high, despite the improved organization and technical skills. The most important prognostic factors are the grade of hemorragic shock, the anatomical level of caval injury and the associated vascular lesions. Supra and retro-hepatic lacerations have the worst prognosis and their management is more difficult, as it's sometimes necessary performing complicated and high mortality related procedures, such as atrio-caval shunt and total vascular occlusion.

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