ABSTRACT
Hydatidosis is a zoonosis caused by the larval stage of the genus Echinococcus. Humans are an accidental intermediate host. The main organ affected is the liver (70%). The incidence increases in endemic regions such as North Africa, Eastern Europe and South America. We present a descriptive series of cases treated in our hospital in the last 5 years. Demographic variables, cyst characteristics, as well as preoperative and postoperative variables are collected.(AU)
Subject(s)
Humans , Animals , Male , Female , Middle Aged , Echinococcosis/surgery , Cysts , Albendazole/administration & dosage , Epidemiology, Descriptive , Retrospective Studies , EchinococcosisABSTRACT
Hydatidosis is a zoonosis caused by the larval stage of the genus Echinococcus. Humans are an accidental intermediate host. The main organ affected is the liver (70%). The incidence increases in endemic regions such as North Africa, Eastern Europe and South America. We present a descriptive series of cases treated in our hospital in the last 5 years. Demographic variables, cyst characteristics, as well as preoperative and postoperative variables are collected.
Subject(s)
Cysts , Echinococcosis , Echinococcus , Animals , Humans , Prevalence , Echinococcosis/epidemiology , Echinococcosis/surgeryABSTRACT
Streptococcus constellatus is a Gram-positive commensal bacterium of the oropharyngeal, gastrointestinal and urogenital flora. It can cause abscesses in different parts of the body, especially in immunocompromised patients. We present the clinical case of a 33-year-old female patient with a previous history of one anastomosis gastric bypass, among others. The patient was hospitalized two years after surgery for peritonitis secondary to a perforation in the biliopancreatic loop, underwent laparoscopic surgery and was hospitalised for two weeks. Fifteen days after being discharged from the hospital, she went to the emergency service for abdominal pain and fever. An abdominal and pelvic computerized tomography (CT) scan showed a multiloculated pelvic collection with thickened and hypercapillary walls (AU)
Subject(s)
Humans , Female , Adult , Immunocompetence , Immunocompromised Host , Streptococcus constellatus , Streptococcal Infections/complications , Streptococcal Infections/diagnosis , Abdominal Abscess/microbiologyABSTRACT
Streptococcus constellatus is a Gram-positive commensal bacterium of the oropharyngeal, gastrointestinal and urogenital flora. It can cause abscesses in different parts of the body, especially in immunocompromised patients. We present the clinical case of a 33-year-old female patient with a previous history of one anastomosis gastric bypass, among others. The patient was hospitalized two years after surgery for peritonitis secondary to a perforation in the biliopancreatic loop, underwent laparoscopic surgery and was hospitalised for two weeks. Fifteen days after being discharged from the hospital, she went to the emergency service for abdominal pain and fever. An abdominal and pelvic computerized tomography (CT) scan showed a multiloculated pelvic collection with thickened and hypercapillary walls.
Subject(s)
Abdominal Abscess , Peritonitis , Streptococcus constellatus , Female , Humans , Adult , Abdominal Abscess/diagnostic imaging , Abdominal Abscess/surgery , Abscess/diagnostic imaging , Abscess/surgery , Abscess/etiology , Abdominal Pain/etiology , Peritonitis/diagnostic imaging , Peritonitis/etiology , Peritonitis/surgeryABSTRACT
We present the exceptional case of a 76-year-old woman with an incidental finding of a liver tumor compatible with an epithelioid angiomyolipoma, a rare neoformation about which there is still controversy regarding its management, due to its presumed potential for malignancy.
Subject(s)
Angiomyolipoma , Kidney Neoplasms , Liver Neoplasms , Female , Humans , Aged , Angiomyolipoma/diagnosis , Kidney Neoplasms/pathology , Liver Neoplasms/diagnostic imaging , Liver Neoplasms/pathology , Tomography, X-Ray ComputedABSTRACT
BACKGROUND: Liver transplantation (LT) is a curative treatment for patients with hepatocellular carcinoma who are not candidates for resection. Despite the generalized use of the Milan criteria and up-to-seven criteria, new markers have been proposed to predict recurrence after LT. Biomarkers such as neutrophil-lymphocyte ratio (NLR) and platelet-lymphocyte ratio (PLR), and scores such as the Model of Recurrence After Liver transplantation (MORAL) are used as predictors of post-LT recurrence. OBJECTIVE: We aim to compare NLR, PLR, and MORAL score with Milan criteria and up-to-seven criteria. METHODS: A descriptive study of 99 patients who underwent LT for hepatocellular carcinoma in our hospital between April 2010 and April 2016. The 5 prognostic models were applied to the patients to stratify them into risk groups. We used a Kaplan-Meier survival plot to measure recurrence-free survival in each model. Receiver operative curves were used to compare the models. RESULTS: Three-year recurrence-free survival in MORAL was 91.1% for the low-risk group, 89.8% for the moderate-risk group, 60% for the high-risk group, and 75% for the very high-risk group (P = .003). The combined MORAL score was superior in predicting 1- and 3-year recurrence with the area under the curve 0.684 (95% confidence interval [CI]: 0.52-0.85) compared with Milan (0.536 [95% CI: 0.37-0.70]), up-to-seven (0.601 [95% CI: 0.43-0.77]), PLR (0.452 [95% CI: 0.30-0.61]), and NLR (0.542 [95% CI: 0.37-0.71]). CONCLUSIONS: A model based only on pre-LT radiological signs leads to underdiagnosis of tumor load; therefore, the risk of recurrence must be recalculated after LT. The combined MORAL score was the best prognostic model of 1- and 3-year recurrence after LT in our study.
Subject(s)
Carcinoma, Hepatocellular/blood , Liver Neoplasms/blood , Liver Transplantation/adverse effects , Neoplasm Recurrence, Local/etiology , Postoperative Complications/etiology , Severity of Illness Index , Adult , Biomarkers, Tumor/blood , Carcinoma, Hepatocellular/surgery , Female , Humans , Liver Neoplasms/surgery , Lymphocytes/pathology , Male , Middle Aged , Neutrophils/pathology , Postoperative Period , Preoperative Period , Prognosis , Retrospective Studies , Risk Assessment/methods , Risk Factors , Tumor BurdenABSTRACT
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