Pancreatoblastoma in an adult patient. A case report.

Context: Preoperative diagnosis of a pancreatoblastoma in adults is challenging because of its rarity. Furthermore, difficulties increase since pancreatoblastomas share radiological findings similar to those found in other masses of the pancreas.

Case Report: A 36-year-old woman was studied with ultrasonography and CT for a mass of the pancreatic head causing obstructive jaundice.

[Pregnancy after kidney transplantation. Case load of the Transplantation Center of Vicenza].

Background: Pregnancy after kidney transplant has become possible thanks to recent surgical and pharmacological breakthroughs.

Materials And Methods: We performed a retrospective study including all pregnant women transplanted in our center after 1997. The following variables were analyzed.

Role of antigenemia assay in the early diagnosis and treatment of CMV infection in renal transplant patients.

Aim: CMV antigenemia by direct pp65 antigen detection and quantification was monitored on a weekly basis during the first 3 months after kidney transplantation.

Subjects And Methods: Preemptive therapy with ganciclovir was started according to the following criteria: any positive antigemia in CMV-NEG subjects, a single determination > or = 30 cell or a two fold increase of positive cells in two consecutive specimens in CMV-POS and continued until pp65 was cleared. Overall, 109 patients were monitored.

[Surgical anatomy, diagnosis and treatment of spigelian hernia].

In reporting 11 cases of Spigelian hernia observed, the Authors describe pathological findings of this rare disease. Aetiopathogenesis as well as indication for surgery and surgical technique are stressed.

[Hematomas of the abdominal rectus muscle].

The authors report their experience in relation to a series of 12 cases of hematoma of the rectus abdominis (ER) observed over the course of 13 years at the 2nd Division of General Surgery at Vicenza Hospital: 7 were spontaneous, 2 post-traumatic, 1 occurred during anti-coagulant treatment, 1 in a patient with altered coagulation levels due to liver cirrhosis, and 1 was post-operative. Clinical symptoms were sub-acute in 8 cases and were characterised by abdominal pain in all cases, the appearance of an abdominal mass in 4 cases and by ecchymosis in 3 cases. Symptoms were acute in 4 cases with signs of impaired general conditions and anemia.