ABSTRACT
55-year-old male with a history of cholecystectomy complicated by perforation of the common bile duct, contained with placement of a plastic biliary stent. He presented several subsequent episodes of recurrent cholangitis secondary to biliary lithiasis and residual benign stenosis of the common bile duct, resolved with the implantation of plastic biliary prostheses. Finally, given the recurrent episodes of cholangitis, it was agreed to perform a hepaticojejunostomy. During the operation, the last implanted stent was not detected, which was identified by CT scan of the abdomen, causing a fistulous tract between the duodenum and the ascending colon. The stent was removed endoscopically, without complications, and the fistulous tract was resolved.(AU)
Subject(s)
Humans , Male , Middle Aged , Prostheses and Implants , Intestinal Fistula , Cholecystectomy , Cholangiopancreatography, Endoscopic Retrograde , Cholangitis/diagnostic imaging , Biliary Tract , Inpatients , Physical Examination , Treatment Outcome , Digestive System Diseases , Cholangitis/etiology , Cholangitis/surgeryABSTRACT
Pancreatic pseudocysts are very common cystic lesions after any inflammatory process of the pancreas. The majority are asymptomatic and only a small minority present complications or produce compression symptoms. However, this small minority must receive treatment, which depending on the clinical situation must be endoscopic, surgical or interventional radiology. We present the case of a patient with a ruptured pseudocyst for whom we avoided surgical treatment and opted for conservative treatment, with good evolution.
ABSTRACT
55-year-old male with a history of cholecystectomy complicated by perforation of the common bile duct, contained with placement of a plastic biliary stent. He presented several subsequent episodes of recurrent cholangitis secondary to biliary lithiasis and residual benign stenosis of the common bile duct, resolved with the implantation of plastic biliary prostheses. Finally, given the recurrent episodes of cholangitis, it was agreed to perform a hepaticojejunostomy. During the operation, the last implanted stent was not detected, which was identified by CT scan of the abdomen, causing a fistulous tract between the duodenum and the ascending colon. The stent was removed endoscopically, without complications, and the fistulous tract was resolved.
Subject(s)
Biliary Tract , Cholangitis , Male , Humans , Cholangiopancreatography, Endoscopic Retrograde/adverse effects , Cholecystectomy/adverse effects , Cholangitis/diagnostic imaging , Cholangitis/etiology , Cholangitis/surgery , Stents/adverse effectsABSTRACT
Eagle's syndrome is a little known entity defined as the elongation of the stylohyoid process and/or calcification of the stylohyoid ligament. It is a rare pathology that due to its presentation and possible complications should be taken into consideration in the differential diagnosis of oropharyngeal dysphagia. We present the case of a patient with Eagle's syndrome as well as essential aspects in the diagnosis and treatment of this entity.
Subject(s)
Calcinosis , Deglutition Disorders , Ossification, Heterotopic , Humans , Deglutition Disorders/complications , Ossification, Heterotopic/complications , Ossification, Heterotopic/diagnostic imaging , Temporal Bone/diagnostic imagingSubject(s)
Humans , Male , Young Adult , Bezoars/diagnostic imaging , Bezoars/surgery , Endoscopy , Enteral Nutrition/adverse effects , Esophagus , PatientsABSTRACT
Juxtapyloric perforation is one of the most common digestive tract complications associated with cocaine use. We present the case of an habitual user of cocaine who goes to the Emergency Department due to epigastric pain due and intolerance of days of evolution. An endoscopic finding of a large antral ulcer with an ischemic appearance; in which it is not possible to show pylorus. (AU)
Subject(s)
Humans , Cocaine , Duodenal Ulcer/complications , Peptic Ulcer/chemically induced , Peptic Ulcer/diagnostic imaging , Peptic Ulcer/surgery , Pylorus , PatientsSubject(s)
Humans , Female , Middle Aged , Candidiasis/complications , Candidiasis/drug therapy , Deglutition Disorders/complications , Esophageal Diseases/complications , Esophageal Diseases/diagnostic imaging , Esophageal Diseases/drug therapy , Esophagitis/complications , Esophagitis/drug therapy , Fluconazole/therapeutic use , PatientsABSTRACT
Enteral feed bezoars are a rare and difficult to treat complication of enteral feeding. In our case, we report the case of a young man with prolonged admission at the intensive care unit; who requires enteral nutrition. This doesn't run properly after a week; which is why we performed an endoscopy with the finding of an esophageal bezoar that didn't respond to endoscopic treatment at first; being finallay resolved with a second endoscopic therapy after treatment with solvent substances.
Subject(s)
Bezoars , Bezoars/diagnostic imaging , Bezoars/surgery , Endoscopy , Enteral Nutrition/adverse effects , Esophagus , Humans , MaleABSTRACT
Juxtapyloric perforation is one of the most common digestive tract complications associated with cocaine use. We present the case of an habitual user of cocaine who goes to the Emergency Department due to epigastric pain due and intolerance of days of evolution. An endoscopic finding of a large antral ulcer with an ischemic appearance; in which it is not possible to show pylorus.
Subject(s)
Cocaine-Related Disorders , Cocaine , Duodenal Ulcer , Peptic Ulcer Perforation , Stomach Ulcer , Cocaine-Related Disorders/complications , Duodenal Ulcer/complications , Humans , Peptic Ulcer Perforation/chemically induced , Peptic Ulcer Perforation/diagnostic imaging , Peptic Ulcer Perforation/surgery , Pylorus , Stomach Ulcer/chemically induced , Stomach Ulcer/complicationsABSTRACT
No disponible
Subject(s)
Humans , Middle Aged , Aged , Aged, 80 and over , Acalculous Cholecystitis , Cholecystitis, Acute , Coronavirus Infections , Epidemiology , Pandemics , Hospitalization , Ambulatory CareABSTRACT
We present the case of a 53-year-old smoker woman without any relevant medical history who was attended as an outpatient due to several-month persistent odynophagia. An upper gastrointestinal endoscopy was performed, showing white cotton-like plaques throughout the esophagus, suggestive of candidiasis. An esophageal brushing plus biopsy sampling were done, empirically prescribing oral fluconazole for 21 days. A viral serology was also requested, with negative results. Clinical improvement was present until the suspension of antifungal treatment, with an odynophagia relapse afterwards. Cultures were positive for C.albicans sensitive to fluconazole.
Subject(s)
Candidiasis , Deglutition Disorders , Esophageal Diseases , Esophagitis , Candidiasis/complications , Candidiasis/drug therapy , Deglutition Disorders/complications , Esophageal Diseases/complications , Esophageal Diseases/diagnostic imaging , Esophageal Diseases/drug therapy , Esophagitis/complications , Esophagitis/drug therapy , Female , Fluconazole/therapeutic use , Humans , Middle AgedABSTRACT
In relation to the article published in this journal by Guzmán describing a case of ampulla of Vater carcinosarcoma, we present a case of extrahepatic bile duct carcinosarcoma. A neoplasm described in different anatomical locations with an exceptional origin in the bile duct.
Subject(s)
Ampulla of Vater , Bile Duct Neoplasms , Bile Ducts, Extrahepatic , Carcinosarcoma , Common Bile Duct Neoplasms , Jaundice, Obstructive , Bile Duct Neoplasms/complications , Bile Duct Neoplasms/diagnostic imaging , Bile Duct Neoplasms/surgery , Bile Ducts, Extrahepatic/diagnostic imaging , Bile Ducts, Extrahepatic/surgery , Carcinosarcoma/complications , Carcinosarcoma/diagnostic imaging , Carcinosarcoma/surgery , Common Bile Duct Neoplasms/complications , Common Bile Duct Neoplasms/diagnostic imaging , Common Bile Duct Neoplasms/surgery , Humans , Jaundice, Obstructive/etiologyABSTRACT
No disponible
Subject(s)
Humans , Female , Middle Aged , Carcinoma, Squamous Cell/diagnostic imaging , Carcinoma, Squamous Cell/therapy , Hepatic Duct, Common/diagnostic imaging , Hepatic Duct, Common/pathology , Cholangiocarcinoma/diagnostic imaging , Anorexia/complications , Weight Loss , Abdomen/diagnostic imaging , Abdomen/pathology , Cholelithiasis/complications , Biopsy , Endoscopy, Digestive System , Cholangiocarcinoma/mortalitySubject(s)
Bile Duct Neoplasms/diagnostic imaging , Bile Ducts, Extrahepatic/diagnostic imaging , Carcinoma, Squamous Cell/diagnostic imaging , Aged , Bile Duct Neoplasms/pathology , Bile Ducts, Extrahepatic/pathology , Carcinoma, Squamous Cell/pathology , Female , Humans , Image-Guided Biopsy/methods , Magnetic Resonance ImagingABSTRACT
No disponible
Subject(s)
Humans , Male , Adult , Echinococcosis, Hepatic/complications , Hypertension, Portal/physiopathology , Magnetic Resonance Spectroscopy/methods , Computed Tomography Angiography/methods , Gastrointestinal HemorrhageABSTRACT
No disponible
Subject(s)
Humans , Male , Aged , Aneurysm, False/complications , Aneurysm, Ruptured/complications , Hepatic Artery/injuries , Gastrointestinal Hemorrhage/etiology , AngiographyABSTRACT
Hepatic artery pseudoaneurysm is a rare cause of upper gastrointestinal bleeding. Traumatic etiology is frequent (vascular anastomosis or iatrogenesisia), although it is also related to infectious or inflammatory diseases. We report the case of a 65-year-old patient, with hematemesis due to hepatic artery branch pseudoaneurysm rupture, in the context of infectious endocarditis. The diagnosis was made by angioTC, using arteriography for embolization.
Subject(s)
Aneurysm, False/complications , Aneurysm, Ruptured/complications , Hemobilia/etiology , Hepatic Artery , Aged , Humans , MaleSubject(s)
Echinococcosis, Hepatic/complications , Hypertension, Portal/etiology , Adrenergic beta-Antagonists/therapeutic use , Adult , Albendazole/therapeutic use , Anthelmintics/therapeutic use , Computed Tomography Angiography , Echinococcosis, Hepatic/diagnostic imaging , Echinococcosis, Hepatic/surgery , Elective Surgical Procedures , Esophageal and Gastric Varices/etiology , Gastrointestinal Hemorrhage/etiology , Hepatectomy , Humans , Magnetic Resonance Imaging , Male , RecurrenceABSTRACT
No disponible