RESUMEN
Two patients are presented as new cases of secondary syphilitic hepatitis. The closely resemble descriptions in the literature with the same clinical and laboratory "profile" and the same course spectaculary influenced by anti-syphilitic penicillin therapy. The presence of treponemes in the liver, which would definitely confirm the diagnosis, was not demonstrated. This is a particularly important diagnosis, which should not be missed since it leads to treatment of fundamental importance to the patient's future.
Asunto(s)
Hepatitis/etiología , Sífilis/complicaciones , Adulto , Hepatitis/tratamiento farmacológico , Hepatitis/patología , Humanos , Hígado/patología , Masculino , Persona de Mediana Edad , Penicilina G Benzatina/uso terapéutico , Sífilis/tratamiento farmacológico , Sífilis/patologíaRESUMEN
The authors report 3 cases of intestinal bleeding either micro- or macroscopic induced by ulcers in blind loops. The blind loops developed in all 3 cases on side-to-side ileocolic anastomoses. In one of the patients, the ulcers were demonstrated by colonoscopy. The 3 cases reported are quite comparable to the 18 cases found in the world literature. These hemorrhages may become severe by their abundance or repetition, but a cure is easily obtained by resection of the intestinal blind loops and restoration of the continuity by end-to-end anastomosis.