RESUMO
A 66-year-old male patient with no specific prior medical history consulted due to constipation without other associated symptoms. A colonoscopy was performed and multiple pseudonodular lesions were detected from the sigmoid to splenic angle in the form of air bubbles with normal-appearing mucosa and a preserved vascular pattern. Gas was released when the biopsies were being taken. An abdominal computed tomography (CT) scan was performed due to the suspicion of an idiopathic or primary intestinal pneumatosis, in which the findings confirmed the diagnosis.
Assuntos
Pneumatose Cistoide Intestinal , Idoso , Biópsia , Colonoscopia , Humanos , Intestinos , Masculino , Pneumatose Cistoide Intestinal/diagnóstico por imagem , Tomografia Computadorizada por Raios XRESUMO
The identification of IgG4-related disease as a distinct immune-mediated condition encompassing disorders that were traditionally seen as idiopathic has been a revolution in the diagnostic and therapeutic algorithm in several medical fields. This condition usually involves multiple organs (isolated organ involvement is uncommon except in the pancreas) with characteristic histopathological findings. We report a case that was assessed due to abdominal pain and subsequently diagnosed with IgG4-related sclerosing mesenteritis. A comprehensive work-up of the case ruled out other conditions and a diagnosis of IgG4-related sclerosing mesenteritis was made according to radiographic and histopathological criteria.
Assuntos
Dor Abdominal/etiologia , Dor Abdominal/imunologia , Doenças do Sistema Imunitário/complicações , Doenças do Sistema Imunitário/imunologia , Imunoglobulina G/imunologia , Mesentério , Doenças Peritoneais/complicações , Doenças Peritoneais/imunologia , Dor Abdominal/cirurgia , Adipócitos/patologia , Corticosteroides/uso terapêutico , Adulto , Diagnóstico Diferencial , Humanos , Doenças do Sistema Imunitário/cirurgia , Masculino , Doenças Peritoneais/cirurgia , Tomografia Computadorizada por Raios XRESUMO
Supportive transfusion represents a basic tool in the management of gastrointestinal (GI) bleeding. However, the use of hemoderivatives is not exempt from risks such as development of hemolysis. We report a case of post-transfusion hyperhemolysis syndrome in a female patient with prehepatic portal hypertension.
Assuntos
Hemorragia Gastrointestinal/complicações , Hemorragia Gastrointestinal/etiologia , Hemólise , Hipertensão Portal/complicações , Corticosteroides/uso terapêutico , Adulto , Transfusão de Sangue , Feminino , Hemorragia Gastrointestinal/sangue , Humanos , SíndromeRESUMO
The potential hepatotoxic effects of products containing medicinal herbs, which are increasingly used without adequate control by health authorities, is well known. We report a case of toxic hepatic veno-occlusive disease (HVOD) presumably associated with the use of such herbal remedies.