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4.
Rev Esp Enferm Dig ; 114(4): 231-232, 2022 04.
Artículo en Inglés | MEDLINE | ID: mdl-34315214

RESUMEN

An 87-year-old female was admitted for endoscopic retrograde cholangiopancreatography (ERCP) due to obstructive jaundice. On admission, total bilirubin was 15 mg/dl at the expense of direct bilirubin, GOT 356 U/l mg/dl, GPT 174 U/l, FA 2,358 U/l and GGT 1,089 U/l. The ERCP showed a prominent, irregular, non-cannulable papilla, so a fistulotomy was performed, emitting a clear, non-mucous fluid. Biliary localization was verified after inserting the guidewire. Cholangiography showed dilatation of the intra-extra hepatic bile duct (common bile duct 18-20 mm). An uncoated metal prosthesis was implanted and a biopsy was performed, confirming papillary adenocarcinoma.


Asunto(s)
Enfermedades de los Conductos Biliares , Ictericia Obstructiva , Anciano de 80 o más Años , Bilis , Bilirrubina , Colangiopancreatografia Retrógrada Endoscópica , Femenino , Conducto Hepático Común , Humanos , Ictericia Obstructiva/etiología
6.
Rev Esp Enferm Dig ; 113(10): 734, 2021 10.
Artículo en Inglés | MEDLINE | ID: mdl-33866792

RESUMEN

Wereport the case of a 59-year-old male with cholelithiasis, choledocholithiasis, and biliary obstruction due to enolic chronic pancreatitis. He was treated 7 years previously with cholecystectomy, ERCP, and a fully-coated biliary metal stent for 6 months.


Asunto(s)
Coledocolitiasis , Conducto Cístico , Colangiografía , Colangiopancreatografia Retrógrada Endoscópica , Colecistectomía , Coledocolitiasis/complicaciones , Coledocolitiasis/diagnóstico por imagen , Coledocolitiasis/cirugía , Conducto Cístico/diagnóstico por imagen , Humanos , Masculino , Persona de Mediana Edad
11.
Rev Esp Enferm Dig ; 109(8): 596-597, 2017 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-28648088

RESUMEN

The esophageal ulcer us a common complication in people affected by the acquired human immunodeficiency virus (HIV), especially in the final stages and in patients who develop an acute retroviral syndrome. Although, it can be caused by various infectious agents, such as species of candida, cytomegalovirus (CMV) and herpes simplex virus (HSV), no aetiological agent is successfully identified in a large proportion of patients and it is classified as idiopathic. We report the case of an idiopathic esophageal ulcer associated with the initial diagnosis of HIV-1.


Asunto(s)
Enfermedades del Esófago/etiología , Infecciones por VIH/complicaciones , Úlcera/etiología , Adulto , Terapia Antirretroviral Altamente Activa , Enfermedades del Esófago/diagnóstico por imagen , Infecciones por VIH/diagnóstico por imagen , Infecciones por VIH/tratamiento farmacológico , Humanos , Masculino , Úlcera/diagnóstico por imagen
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