Subject(s)
Education, Medical, Graduate/methods , General Surgery/education , Mentoring , Telemedicine , COVID-19 , Humans , Remote Consultation , SARS-CoV-2ABSTRACT
Biliary tract intraductal papillary mucinous neoplasms (BT-IPMN) are a rare entity that develop within the bile duct lumen and are recognized as a precursor of invasive carcinoma in up to 40-80 % of cases.
Subject(s)
Bile Duct Neoplasms , Biliary Tract Neoplasms , Biliary Tract , Pancreatic Neoplasms , Bile Duct Neoplasms/diagnostic imaging , Bile Ducts , HumansABSTRACT
We present the case of a 58-year-old female with no relevant medical or surgical history, who was referred to our hospital with a solitary hepatic lesion. She presented a slightly abnormal liver function in a routine blood test: ALT 71 U/l (range 0-33), AST 40 U/l (range 0-32) and GGT 71 U/l (range 0-40), with no symptoms. Ultrasound imaging showed a 3-cm-size focal lesion with a peripheral hypoechoic rim in the right hepatic lobe. Abdominal computed tomography (CT) scan after contrast injection revealed a subcapsular hypodense lesion in segment VII with capsular retraction. Other extrahepatic lesions were not seen.
Subject(s)
Hemangioendothelioma, Epithelioid , Liver Neoplasms , Vascular Neoplasms , Female , Hemangioendothelioma, Epithelioid/diagnostic imaging , Humans , Liver Neoplasms/diagnostic imaging , Middle Aged , Tomography, X-Ray Computed , UltrasonographyABSTRACT
No disponible
Subject(s)
Humans , Female , Middle Aged , Ischemia/pathology , Ischemia/etiology , Stomach/blood supply , Acute Disease , Fatal Outcome , NecrosisABSTRACT
BACKGROUND: Anatomic variations are well known in the liver hilum. A rare precholecystic, preduodenal, prepancreatic portal vein is described as found in a liver transplant candidate. Precholecystic location of portal vein is an exceptional finding and does not seem to have been previously described. It is associated with a preduodenal portal vein. Its position is challenging, as its surface can be mistaken with the gallbladder wall. We present the case of a patient candidate to liver transplantation. In the preoperative studies, a portal thrombosis was suspected, with recanalization by collaterals, but also a malformation was suggested. The patient had a primary biliary cirrhosis. Other findings included agenesis of inferior vena cava on the right side. During operation, the portal vein was found over the gallbladder and fixed to it, making it at first difficult to distinguish one from the other. CONCLUSIONS: A precholecystic portal vein is a rare finding that poses a challenge for the surgeon. It must be ruled out in the preoperative workout.
Subject(s)
Gallbladder/surgery , Liver Transplantation/methods , Pancreas/surgery , Portal Vein/abnormalities , Portal Vein/surgery , Anatomic Variation , Female , Gallbladder/anatomy & histology , Humans , Liver Diseases/complications , Liver Diseases/surgery , Middle Aged , Pancreas/anatomy & histology , Vena Cava, Inferior/surgery , Venous Thrombosis/congenital , Venous Thrombosis/surgeryABSTRACT
No disponible
Subject(s)
Humans , Coronavirus Infections/prevention & control , Pneumonia, Viral/prevention & control , Pandemics , Telesurgery , Telemedicine/methods , Telemedicine/trendsABSTRACT
No disponible
