RESUMEN
Pancreas divisum is a genetic defect associated with recurrent acute pancreatitis due to insufficient drainage of the accessory pancreatic duct. Seven young patients diagnosed with pancreatic divisum and thickening of the gallbladder bile as shown on magnetic resonance cholangio-pancreatography without pancreatic ductal changes underwent laparoscopic cholecystectomy. During the mean follow-up of 32 months no episode of pancreatitis was reported. There is an association between PD and higher concentration of bile in the gallbladder. Cholecystectomy can be considered curative in patients with PD in the absence of indications for major surgery.
Asunto(s)
Pancreatocolangiografía por Resonancia Magnética , Colecistectomía , Cálculos Biliares/etiología , Cálculos Biliares/cirugía , Páncreas/anomalías , Pancreatitis/etiología , Adulto , Pancreatocolangiografía por Resonancia Magnética/métodos , Femenino , Estudios de Seguimiento , Cálculos Biliares/diagnóstico , Humanos , Masculino , Estudios Prospectivos , Recurrencia , Resultado del TratamientoRESUMEN
This case report is about a 70-years-old female patient, suffering from discal hernia, with compression of the iliac vein, that led to the formation of deep vein thrombosis of the lower limbs. The angio-CT scan revealed the starting point of the L4- L5 compression where a voluminous discal hernia caused deep vein thrombosis, with the involvement the femoro-popliteal venous axis. Blood samples and PET-CT scans excluded other possible etiologic factors. This case demonstrates how a voluminous discal hernia can cause venous thrombosis.
