RESUMO
Lichen planus (LP) is an idiopatic inflammatory disorder of mucocutaneous tissue, most frequently involving the skin or oral cavity, and rarely the esophagus, resulting in symptomatic dysphagia. Esophageal lichen planus most commonly presents in middle-aged women and the endoscopic finding are not specific; erosions, exudates, pseudomembranes and even stenosis can be found. Treatment generally starts with oral glucocorticoid. The risk of malignant transformation justifies endoscopic follow-up.
Assuntos
Transtornos de Deglutição , Doenças do Esôfago , Líquen Plano , Feminino , Humanos , Pessoa de Meia-Idade , PeleAssuntos
Doença de Crohn/complicações , Pneumonia em Organização Criptogênica/etiologia , Adalimumab/uso terapêutico , Corticosteroides/uso terapêutico , Adulto , Doença de Crohn/diagnóstico , Doença de Crohn/tratamento farmacológico , Pneumonia em Organização Criptogênica/diagnóstico por imagem , Pneumonia em Organização Criptogênica/tratamento farmacológico , Quimioterapia Combinada , Obstrução Duodenal/etiologia , Úlcera Duodenal/etiologia , Humanos , Hospedeiro Imunocomprometido , Imunossupressores/uso terapêutico , Atresia Intestinal/etiologia , MasculinoRESUMO
Pancreaticopleural fistula is a rare complication of acute or chronic pancreatitis, requiring medical (somatostatin), endoscopic or surgical treatment, with medical treatment being the first option. We describe the case of a 64-year-old man who showed complete disruption of Wirsung's duct that was diagnosed through ultrasound endoscopy and was complicated by the development of a subphrenic collection, diaphragm perforation and subsequent empyema. Medical therapy was attempted without success, and anatomical restoration of the duct was achieved after endoscopic treatment. The patient also required surgery to evacuate the pleural collection.