Assuntos
Ribavirina , Resposta Viral Sustentada , Antivirais , Hepacivirus , Hepatite C , Hepatite C Crônica , Humanos , Linfoma , Resultado do TratamentoRESUMO
The standard treatment of chronic hepatitis C, pegylated interferon and ribavirin (pegI/R), has many limitations in both effectiveness and secondary effects, which makes it unsuitable or even contraindicated for some patients. In hepatitis C virus-infected cystic fibrosis patients this treatment could increase respiratory infections with subsequent pulmonary function deterioration. On the contrary, hepatitis C virus (HCV) infection may make lung transplant (LT) unfeasible. We present the case of a cystic fibrosis-young man diagnosed with HCV infection during LT assessment who was treated with pegI/R. In spite of the lung function worsening and respiratory infections, he managed to complete treatment and even sustained virological response (SVR). At present he is on LT waiting list.
Assuntos
Fibrose Cística/complicações , Fibrose Cística/cirurgia , Hepatite C Crônica/tratamento farmacológico , Transplante de Pulmão/fisiologia , Adulto , Antivirais/uso terapêutico , Quimioterapia Combinada , Hepatite C Crônica/complicações , Humanos , Interferons/uso terapêutico , Fígado/patologia , Masculino , Sistema Porta/patologia , Ribavirina/uso terapêuticoAssuntos
Doença Hepática Induzida por Substâncias e Drogas/diagnóstico por imagem , Inseticidas/intoxicação , Intoxicação por Organofosfatos , Doença Hepática Induzida por Substâncias e Drogas/complicações , Doença Hepática Induzida por Substâncias e Drogas/cirurgia , Hemoperitônio/etiologia , Hemoperitônio/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Necrose/induzido quimicamente , Necrose/diagnóstico por imagem , Tomografia Computadorizada por Raios XRESUMO
A 65-year-old man was admitted to our hospital with gastrointestinal bleeding. Seventeen years previously, he had a Billroth II procedure for a bleeding duodenal ulcer. A gastroscopy performed on admission showed a stomal ulcer with signs of recent haemorrhage. In the proximal end of the afferent loop, we saw retained gastric mucosa. Histological evaluation confirmed the existence of antrum gastric mucosa. Other diagnostic test for retained gastric antrum were normal. The different approaches in the diagnosis of retained gastric antrum, the importance of our findings and the clinic implications are discussed. We conclude that endoscopic management may be the first diagnostic method in the assessment of retained gastric antrum, and it's possible to find gastric mucosa in the proximal end of the afferent loop (antrum retained), without clinic manifestations.
Assuntos
Síndromes Pós-Gastrectomia/diagnóstico , Antro Pilórico , Idoso , Biópsia , Úlcera Duodenal/diagnóstico , Úlcera Duodenal/etiologia , Hemorragia Gastrointestinal/diagnóstico , Hemorragia Gastrointestinal/etiologia , Gastroscopia , Humanos , Masculino , Síndromes Pós-Gastrectomia/etiologia , Antro Pilórico/patologia , RecidivaRESUMO
We present a patient with acute and severe abdominal pain, fever and mild tenderness elicited on deep palpation in the right lower quadrant. X-ray films of the chest and abdomen were normal. The ultrasonographic study, barium enema examination and colonoscopic study avoided a diagnostic laparotomy. A purified protein skin test (PPD) and the cultures on Lowestein medium were negative. The final diagnosis was ulcero-hipertrophic tuberculosis of the ascending colon, and was confirmed by the finding of positive acid fast facilli and granulomas with Langerhans cells in the colonic biopsy material. The colonic lesions disapplared at the end of the antituberculous treatment.