RESUMO
An intramural hematoma of the duodenum was first reported in an article in the Lancet in 1838. At least, 90% of cases are caused by blunt abdominal trauma, typically accidents involving bicycles or motor vehicles. Intramural duodenal hematoma is a rare complication of anticoagulant therapy. It occurs in patients who receive excessive anticoagulation with warfarin or who have some other risk factor for bleeding. CT characteristics include circumferential wall thickening, intramural hyperdensity, luminal narrowing, and intestinal obstruction. Early diagnosis is crucial because most patients are treated nonoperatively with a good outcome.
Assuntos
Anticoagulantes/efeitos adversos , Duodenopatias/induzido quimicamente , Hematoma/induzido quimicamente , Obstrução Intestinal/etiologia , Idoso , Duodenopatias/etiologia , Feminino , HumanosRESUMO
We report a case of ischemic cholangitis that occurred after ligation of the hepatic artery performed to remove a celiac neurofibroma. At seven weeks in a septic setting, the patient developed ischemic cholangitis. Ligation of the hepatic artery and dissection of the hepatic hilum to remove a neurofibroma have played a role in the development of ischemic cholangitis. Our case demonstrates that supplying peribiliary arteries are important for the biliary vascularization of the epithelium.
Assuntos
Ductos Biliares/irrigação sanguínea , Artéria Celíaca/cirurgia , Colangite/etiologia , Artéria Hepática/cirurgia , Isquemia/etiologia , Ligadura/efeitos adversos , Neurofibromatose 1/cirurgia , Neoplasias Vasculares/cirurgia , Dor Abdominal/etiologia , Adulto , Colangite/diagnóstico , Colangite/cirurgia , Hepatectomia , Humanos , Isquemia/diagnóstico , Isquemia/cirurgia , Imageamento por Ressonância Magnética , Masculino , Neurofibromatose 1/complicações , Tomografia Computadorizada por Raios X , Neoplasias Vasculares/complicaçõesRESUMO
We report a case of traumatic atlantooccipital dislocation in a 31 year old woman, with regressive quadriparesia after orthopedic stabilization.
Assuntos
Articulação Atlantoccipital/lesões , Luxações Articulares/complicações , Quadriplegia/etiologia , Adulto , Feminino , HumanosRESUMO
We report a case of isolated gallbladder contusion with hemobilia. Isolated gallbladder injury following blunt trauma is rare and early diagnosis is difficult. However, ultrasonography and computed tomography are valuable for investigating gallbladder injuries.