RESUMO
A 38-year-old man was admitted to our hospital because of right chest pain and high fever. Chest X-ray and computed tomography scan revealed right pleural effusion and pleural thickness. Diagnosis of malignant mesothelioma was established by pleural biopsy. Serum level of granulocyte colony stimulating factor (G-CSF) was high. We performed extrapleural pneumonectomy which improved high fever and inflammation, however the patient died three months after surgery.
Assuntos
Fator Estimulador de Colônias de Granulócitos/sangue , Mesotelioma Maligno , Mesotelioma , Neoplasias Pleurais , Adulto , Humanos , Masculino , Mesotelioma/diagnóstico por imagem , Mesotelioma/cirurgia , Neoplasias Pleurais/diagnóstico por imagem , Neoplasias Pleurais/cirurgiaRESUMO
Clinicians should be careful when examining a case with endobronchial hamartoma with concurrent malignant disease because radiographic imaging and symptoms cannot clearly differentiate between both diseases.
Assuntos
Doenças da Aorta/etiologia , Dermatomiosite/complicações , Calcificação Vascular/etiologia , Doenças da Aorta/diagnóstico por imagem , Dermatomiosite/diagnóstico , Dermatomiosite/tratamento farmacológico , Progressão da Doença , Feminino , Humanos , Imunossupressores/uso terapêutico , Pessoa de Meia-Idade , Índice de Gravidade de Doença , Esteroides/uso terapêutico , Fatores de Tempo , Calcificação Vascular/diagnóstico por imagemAssuntos
Espondilartrite/diagnóstico , Adulto , Dor nas Costas/etiologia , Colite Ulcerativa/epidemiologia , Diagnóstico Diferencial , Feminino , Humanos , Ligamentos/patologia , Imageamento por Ressonância Magnética , Espondilartrite/complicações , Espondilartrite/epidemiologia , Espondilartrite/patologiaRESUMO
Portal vein stenosis (PVS) after living donor liver transplantation (LDLT) is a serious complication that can lead to graft failure. Few studies of the diagnosis and treatment of late-onset (> or = 3 months after liver transplantation) PVS have been reported. One hundred thirty-three pediatric (median age 7.6 years, range 1.3-26.8 years) LDLT recipients were studied. The patients were followed by Doppler ultrasound (every 3 months) and multidetector helical computed tomography (once a year). Twelve patients were diagnosed with late-onset PVS 0.5-6.9 years after LDLT. All cases were successfully treated with balloon dilatation. Five cases required multiple treatments. Early diagnosis of late-onset PVS and interventional radiology therapy treatment may prevent graft loss.