RESUMO
We report a case of massive pulmonary embolism during cyanoacrylate glue endoscopic injection in a patient with gastric varices from portal hypertension. A review of the literature and results in an animal model show the physiopathology and risk factors associated with this endoscopic procedure.
Assuntos
Cianoacrilatos/efeitos adversos , Varizes Esofágicas e Gástricas/terapia , Embolia Pulmonar/induzido quimicamente , Doença Aguda , Cianoacrilatos/administração & dosagem , Evolução Fatal , Humanos , EscleroterapiaRESUMO
Bleeding from a pseudoaneurysm is a rare complication of chronic pancreatitis. We present two cases of ruptured pseudoaneurysms of the hepatic arteries. The first case involved a pancreatic pseudocyst that ruptured in the duodenum and the second resulted in an intrahepatic hematoma that compressed the bile tract causing secondary hemobilia. Angiographic embolization was the primary treatment in both cases, with surgery for the first patient and later radiological drainage in the second. The hemorrhage was controlled in both cases despite the severe prognosis and high mortality in these cases.
Assuntos
Falso Aneurisma/etiologia , Artéria Hepática/patologia , Pancreatite Crônica/complicações , Adulto , Aneurisma Roto/etiologia , Úlcera Duodenal/etiologia , Embolização Terapêutica , Hematoma/etiologia , Hemobilia/etiologia , Humanos , Hepatopatias/etiologia , Masculino , Pessoa de Meia-Idade , Pseudocisto Pancreático/complicações , Pancreaticoduodenectomia , Úlcera Péptica Hemorrágica/etiologiaRESUMO
Hepatocellular carcinoma and other tumours of the liver are extremely rare in Wilson's disease. We report a patient who presented with a cholangiocarcinoma associated with Wilson's disease. The literature review underlines that patients with Wilson's disease should be considered at risk of hepatocellular carcinoma, cholangiocarcinoma and undifferentiated carcinoma in the liver. Risk factors seem to be long disease duration and probably a poor observance to therapy. A liver imaging should be included in the follow-up of patients with Wilson's disease.