I metodi a punteggio di valutazione ambientale quale strumento volontario nell’ambito della certificazione energetica degli edifici

Use of BICAP in a case of colon angiodysplasia

This paper reports on a case of colonic bleeding from an angiodysplastic lesion of the ascending colon in a 71-year-old diabetic woman, resulting in severe anemia in the patient, who was treated using the BICAP electrocoagulation system. The present report includes a description of this technique, which involves the use of a 7-F hemostatic probe connected to a 25-W BICAP source.

LOCAL EXCISION ANORECTAL MELANOMA SIMULATING HEMORROIDAL MASS BY LIGASURE

AA. report an extremely rare case of anorectal melanoma s imul a t ing an hemor rhoida l ma s s in a s ixty- four ye a r old woman. The first symptom was anal pain attributed to an anal fissure, easily bleeding, unsuccessfully treated with ointments. It was confused with hemorrhoids andthe patient a underwent to operation. Dur ing thi s proc edur e , us ing Liga sur e™ (Va l l e y l a b , California, S.U.A.) the surgeon suspected the presence of malignancy togheter too rmorroidal mass. Extemporaneous istological exam shos the presenceof the melanoma. Instrumental examination to staging disease demonstred bilateral inguinal linfoadenectomy. The linfonodes excised veren’t metastatic.

I metodi a punteggio per la valutazione energetica ed ambientale degli edifici

"Ottimizzazione energetica ed ambientale nell'edilizia sostenibile"