Asunto(s)
Suministros de Energía Eléctrica , Fístula Esofágica , Cuerpos Extraños , Humanos , Fístula Esofágica/etiología , Fístula Esofágica/diagnóstico , Cuerpos Extraños/complicaciones , Masculino , Suministros de Energía Eléctrica/efectos adversos , Enfermedades de la Aorta/etiología , Enfermedades de la Aorta/diagnóstico , Lactante , Fístula Vascular/etiología , Fístula Vascular/diagnósticoRESUMEN
Polycystic liver disease (PCLD) is a rare autosomal dominant disorder which usually occurs in association with autosomal dominant polycystic kidney disease. Biliary obstruction is a rare complication of PCLD. Treatment options include percutaneous aspiration and sclerosis, surgical deroofing of cysts, liver resection or liver transplantation. Medical treatment involves the use of somatostatin analogues or mTOR inhibitors. We present a case of PCLD presenting for the first time with longstanding pruritus as the only symptom.
RESUMEN
Symptomatic gastric malignancy usually presents with symptoms which mimic peptic ulcer disease.Usual presenting features include weight loss and abdominal pain. Other symptoms include nausea, vomiting, dysphagia, melena and early satiety. Gastric malignancy presenting with hemetemesis, macular skin lesions of DIC and low backache due to bone metastasis from the primary is rare. Also bone metastasis in gastric cancer in the absence of hepatic metastasis is also rare.