ABSTRACT
RESUMEN El pseudotumor inflamatorio hepático es una lesión muy infrecuente, sin una etiología ni patogenia claras. Su diagnóstico preoperatorio no es habitual pero, en caso de realizarse, puede evitar la cirugía. Presentamos el caso de un paciente joven, con antecedente de lupus cutáneo que, tras debutar con una pancreatitis aguda, presenta episodios de colangitis y cuyos hallazgos radiológicos no permiten descartar la presencia de un colangiocarcinoma, por lo que se realiza hepatectomía izquierda, siendo el diagnóstico histológico final de pseudotumor inflamatorio hepático.
ABSTRACT Inflammatory pseudotumors of the liver are rare and lack clear etiology and pathogenesis. The preoperative diagnosis is seldom made but it avoids unnecessary surgery. We report the case of a young male patient with a history of cutaneous lupus and episodes cholangitis after an acute pancreatitis. As the imaging tests could not rule out cholangiocarcinoma, a left liver resection was performed, and the final histologic diagnosis was inflammatory pseudotumor of the liver.
Subject(s)
Humans , Male , Adult , Granuloma, Plasma Cell/surgery , Liver Diseases , Cholangitis/complications , Cholangiopancreatography, Endoscopic Retrograde , Granuloma, Plasma Cell/pathology , Granuloma, Plasma Cell/diagnostic imaging , HepatectomySubject(s)
Adenoma/diagnostic imaging , Adrenal Gland Neoplasms/diagnostic imaging , Ampulla of Vater/diagnostic imaging , Carcinoma, Signet Ring Cell/diagnostic imaging , Pancreatic Neoplasms/diagnostic imaging , Positron Emission Tomography Computed Tomography , Adenoma/pathology , Adrenal Gland Neoplasms/pathology , Adrenal Glands/diagnostic imaging , Carcinoma, Signet Ring Cell/pathology , Endosonography , Female , Humans , Magnetic Resonance Imaging , Middle AgedABSTRACT
No disponible
Subject(s)
Humans , Male , Middle Aged , Pulmonary Embolism/complications , Pulmonary Embolism/diagnostic imaging , Echinococcosis, Pulmonary/etiology , Pulmonary Embolism/therapy , Immunoglobulin E , Anaphylaxis , Edema/complications , Edema/drug therapy , Echinococcosis, Pulmonary/diagnostic imagingABSTRACT
No disponible
Subject(s)
Humans , Male , Female , Adult , Echinococcosis/diagnostic imaging , Echinococcosis, Hepatic/diagnostic imaging , Pelvic Infection/parasitology , Echinococcosis/surgery , Echinococcosis, Hepatic/surgery , Multidetector Computed Tomography/methodsABSTRACT
Hydatid disease is a zoonosis, still endemic in some Spanish geographical areas. Extrahepatic-extrapulmonary lesions account for only 10%, with pelvic lesions being exceptional. We present two patients with pelvic hydatidosis, with or without concomitant liver injury. Treatment depends on the cyst, location and symptoms. Surgery is mandatory if there is any complication.
Subject(s)
Echinococcosis/diagnostic imaging , Pelvic Infection/diagnostic imaging , Adult , Echinococcosis, Hepatic/diagnostic imaging , Female , Humans , Male , Multidetector Computed Tomography , Pelvis/diagnostic imagingSubject(s)
Echinococcosis/diagnosis , Pulmonary Embolism/etiology , Echinococcosis/complications , Humans , Male , Middle AgedABSTRACT
No disponible
Subject(s)
Humans , Male , Middle Aged , Thrombophlebitis/drug therapy , Thrombophlebitis/microbiology , Staphylococcus aureus , Staphylococcal Infections/drug therapy , Defibrillators, Implantable , Bacteremia/drug therapy , Jugular Veins/microbiologySubject(s)
Anti-Bacterial Agents/therapeutic use , Defibrillators, Implantable/microbiology , Jugular Veins/microbiology , Prosthesis-Related Infections/drug therapy , Staphylococcal Infections/drug therapy , Teicoplanin/analogs & derivatives , Thrombophlebitis/etiology , Anti-Bacterial Agents/administration & dosage , Bacteremia/drug therapy , Bacteremia/etiology , Bacteremia/microbiology , Defibrillators, Implantable/adverse effects , Humans , Jugular Veins/diagnostic imaging , Male , Middle Aged , Positron Emission Tomography Computed Tomography , Prosthesis-Related Infections/etiology , Prosthesis-Related Infections/microbiology , Pulmonary Embolism/etiology , Staphylococcal Infections/microbiology , Staphylococcus aureus , Teicoplanin/administration & dosage , Teicoplanin/therapeutic use , Thrombophlebitis/diagnostic imaging , Thrombophlebitis/microbiologyABSTRACT
No disponible
Subject(s)
Humans , Female , Aged, 80 and over , Intestinal Obstruction/etiology , Ileus/diagnosis , Cholelithiasis/complications , Multidetector Computed Tomography/methods , Gallstones/complicationsABSTRACT
No disponible