RESUMEN
The authors relate two cases of peritonitis secondary to jejunal perforation by a fish bone. Clinically, the first patient presented signs and symptoms of acute diverticulitis and the second had signs of duodenal perforation. In both cases, the diagnosis was made by the CT-scan revealing a linear radio-opaque object suggestive of a fish bone perforating the jejunum. At laparotomy of the first case, we found a perforation located above several loops of small bowel densely adhered to the nonabsorbable intra-abdominal mesh. Removal of the fish bone, suture of the jejunal perforation, washing and drainage of the abdominal cavity were performed. The mesh was removed and replaced by a polyglycolic acid mesh. In the second case, jejunal perforation occurred in an unaltered small bowel loop and a short intestinal resection was performed. The postoperative course was uneventful for both patients. These clinical cases allow us to discuss the several fish bone perforation site and our patients precipitating factors.
Asunto(s)
Cuerpos Extraños , Perforación Intestinal/etiología , Enfermedades del Yeyuno/etiología , Peritonitis/etiología , Anciano , Huesos , Diagnóstico Diferencial , Femenino , Humanos , Perforación Intestinal/diagnóstico por imagen , Perforación Intestinal/cirugía , Enfermedades del Yeyuno/diagnóstico por imagen , Enfermedades del Yeyuno/cirugía , Masculino , Persona de Mediana Edad , Peritonitis/diagnóstico por imagen , Peritonitis/cirugía , Alimentos Marinos , Tomografía Computarizada por Rayos X , Resultado del TratamientoRESUMEN
Portal vein aneurysm is a rare entity. We present two cases of extrahepatic portal vein aneurysms, which were incidentally discovered in patients with no evidence of liver disease. Those were assumed to be congenital lesions. Diagnosis was made by Doppler ultrasound. Both patients were managed expectantly.
Asunto(s)
Aneurisma/diagnóstico por imagen , Vena Porta/diagnóstico por imagen , Ultrasonografía Doppler , Anciano , Aneurisma/diagnóstico , Femenino , Humanos , Imagen por Resonancia Magnética , Masculino , Tomografía Computarizada EspiralRESUMEN
Paragangliomas are rare tumors that arise from neuroepithelial cells. They are most frequently located in the para-aortic region and they may be confused with other retroperitoneal tumors, especially pancreatic tumors. We present a case of a secreting preaortic paraganglioma in a young patient which was mimicking a hypervascular tumor of the pancreas, and that was completely resected 5 years after the failure of a first attempt to remove the tumor.