الملخص
Secondary involvement of the gallbladder by systemic lymphoma is exceedingly rare and relapsed diffuse large B cell lymphoma of the gallbladder has not been reported. A 78-year-old man was admitted to the hospital due to epigastric pain and jaundice. His past medical history was remarkable for diagnosis with diffuse large B-cell lymphoma of the ileum 5 years ago. He underwent right hemicolectomy and three cycles of adjuvant chemotherapy and had complete remission. Abdominal computed tomography showed choledocholithiasis and focal thickening at fundus of the gallbladder. The patient underwent open cholecystectomy. Pathologic examination revealed diffuse large B-cell lymphoma. We report a case of solitary, relapsed diffuse large B-cell lymphoma of the gallbladder with literature review.
الموضوعات
Aged , Humans , B-Lymphocytes , Chemotherapy, Adjuvant , Cholecystectomy , Choledocholithiasis , Diagnosis , Gallbladder , Ileum , Jaundice , Lymphoma , Lymphoma, B-Cell , Lymphoma, Non-Hodgkin , Recurrenceالملخص
We present a patient with type 2 diabetes mellitus and metastatic renal cell carcinoma who developed severe hypoglycemia and metabolic encephalopathy after sunitinib treatment. Sunitinib, a multi-target tyrosine kinase inhibitor, is used to treat metastatic renal cell carcinoma. Sunitinib-induced hypoglycemia has been reported and there are rare case reports of severe hypoglycemia due to sunitinib. Therefore, glycemic control should be monitored closely in diabetic patients treated with sunitinib.
الموضوعات
Humans , Brain Diseases, Metabolic , Carcinoma, Renal Cell , Coma , Diabetes Mellitus, Type 2 , Hypoglycemia , Protein-Tyrosine Kinasesالملخص
Percutaneous renal biopsy is essential in the diagnosis of renal parenchymal disease, providing diagnostic and prognostic information to nephrologists. Percutaneous renal biopsy is considered to be a relatively safe procedure, and catastrophic complications are rare. The post-biopsy care of patients typically consists of bed rest and observation for 24 hours. Additionally, recent reports have suggested that most complications after percutaneous renal biopsy are apparent within 24 hours; however, perinephric hematomas have been demonstrated at 24 to 72 hours after percutaneous renal biopsy in over 90% of cases. We report an unusual case of delayed perirenal hematoma that occurred 5 days after percutaneous renal biopsy.
الموضوعات
Humans , Bed Rest , Biopsy , Hematoma , Hemorrhage , Kidney , Needlesالملخص
A 61-year-old woman was admitted to the emergency department with acute chest pain. Echocardiography showed transient cardiomyopathy with akinesia of the basal and midportions of the left ventricle and hyperkinesia of the apex. No evidence of ischemic cardiomyopathy on myocardial SPECT or ergonovine stress echocardiography was observed. The patient's condition at discharge had improved, but she later was diagnosed as having pheochromocytoma. The findings of transient cardiomyopathy revealed inverted Takotsubo cardiomyopathy related to pheochromocytoma. The recognition of such a rare cardiac manifestation should be considered in the diagnosis of pheochromocytoma.
الموضوعات
Female , Humans , Middle Aged , Cardiomyopathies , Chest Pain , Echocardiography , Echocardiography, Stress , Emergencies , Ergonovine , Heart Ventricles , Hyperkinesis , Pheochromocytoma , Takotsubo Cardiomyopathy , Tomography, Emission-Computed, Single-Photonالملخص
Hemobilia is a status of bleeding into the biliary tract, which is caused by abnormal communication between the intrahepatic blood vessels and biliary tract, and is a rare cause of upper gastrointestinal hemorrhage. Most cases of the hemobilia originating in the gallbladder are related to gallstones. However, hemobilia is a rare complication of calculous cholecystitis. We report a case of hemobilia as a complication of calculous cholecystitis in a patient given continuous aspirin medication.
الموضوعات
Humans , Aspirin , Biliary Tract , Blood Vessels , Cholecystitis , Gallbladder , Gallstones , Gastrointestinal Hemorrhage , Hemobilia , Hemorrhageالملخص
Many drugs have been known to induce lupus-like syndrome, composing approximately 10% of all SLE cases. Isoniazid-induced lupus erythematosus affects either sex equally and the most common presenting feature is arthralgia or arthritis with anemia. Fever and pleuritis occur in approximately half of the cases, and pericarditis in approximately 30% of cases. We discribe a 28-year-old woman receiving antituberculous medications including isoniazid for one month. She was hospitalized with fever, arthralgia and newly developed pleural effusion The analysis of pleural fluid and serum revealed an elevated level of antinuclear antibody. We suspected of drug induced lupus and stopped isoniazid medication. After discontinuation of isoniazid and short course of prednisolone treatment, her symptoms and pleural effusion disappeared. This case is to our knowledge, the fist report of isoniazid induced SLE in Korea.
الموضوعات
Adult , Female , Humans , Anemia , Antibodies, Antinuclear , Arthralgia , Arthritis , Fever , Isoniazid , Korea , Lupus Erythematosus, Systemic , Pericarditis , Pleural Effusion , Pleurisy , Prednisoloneالملخص
Common metastaic sites of hepatocellular carcinoma include lung, peritoneum, adrenal gland and bone, but rarely, skin can be metastatic sites. Although hepatocellular carcinoma is the third commonest malignancy in Korea, cutaneous metastasis from hepatocellular carcinoma was rarely reported. Cutaneous metastasis from malignant neoplasm of the internal organ occur at the variable stage and the growth pattern of cutaneous lesions is nonspecific and various, so the differential diagnosis of skin lesions must be considered to other malignant condition. We report a case of cutaneous metastasis from recurrent hepatocellular carcinoma that was confirmed by skin biopsy with immunohistochemical stain.