RESUMEN
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Asunto(s)
Humanos , Femenino , Persona de Mediana Edad , Derivación Portocava Quirúrgica/métodos , Vena Cava Inferior/cirugía , Equinococosis/diagnóstico por imagen , Equinococosis/cirugía , Colangiopancreatografia Retrógrada Endoscópica/métodos , Esfinterotomía Endoscópica/métodos , Hepatomegalia/complicaciones , Tomografía Computarizada de Emisión/métodos , Streptococcus oralis/aislamiento & purificación , Vena Cava Inferior/efectos de la radiación , Venas Hepáticas/efectos de la radiación , Venas Hepáticas/cirugíaRESUMEN
Congenital or acquired obstruction of the inferior vena cava may lead to the development of collateral pathways with tributary vein to portal system. We present a patient with intrahepatic cavoportal collateral pathway due to hepatic hydatid cyst.
Asunto(s)
Equinococosis Hepática/diagnóstico por imagen , Hígado/diagnóstico por imagen , Sistema Porta/diagnóstico por imagen , Vena Cava Inferior/diagnóstico por imagen , Arteriopatías Oclusivas/diagnóstico por imagen , Arteriopatías Oclusivas/patología , Arteriopatías Oclusivas/cirugía , Colangiopancreatografia Retrógrada Endoscópica , Circulación Colateral , Equinococosis Hepática/patología , Equinococosis Hepática/cirugía , Femenino , Infecciones por VIH/complicaciones , Humanos , Hígado/patología , Hígado/cirugía , Persona de Mediana Edad , Sistema Porta/patología , Sistema Porta/cirugía , Vena Cava Inferior/patología , Vena Cava Inferior/cirugíaRESUMEN
BACKGROUND: Cystic echinococcosis is a zoonosis caused by larvae of the parasite Echinococcus that is endemic in many countries of the Mediterranean area. It can affect any organ, with the most common sites being liver (70%) and lung (20%). Splenic hydatid disease, despite being rare, is the third most common location. Other locations such as bone, skin, or kidney are exceptional. OBJECTIVE: To present our experience in extrahepatic and extrapulmonary hydatidosis. MATERIAL AND METHODS: Period: May 2007-December 2014. Health area: 251,000 inhabitants. During that period, a total of 136 patients with hydatid disease were evaluated in our Hepato-pancreatic-biliary Surgery Unit. Extrahepatic and extrapulmonary hydatid disease was found in 18 (13%) patients. A retrospective review was performed on all medical records, laboratory results, serology, diagnostic methods, and therapeutic measurements of all patients. An abdominal ultrasound and CT, as well as hydatid serology was also performed on all patients. RESULTS: The mean age of the patients was 44.5 years, with a range of 33-80 years. Half the patients (50%) had concomitant hepatic echinococcosis. Of the 18 patients with hydatid disease, 13 underwent surgery (radical surgery in 12 cases), and one underwent (endoscopic retrograde cholangiopancreatography)+puncture, aspiration, injection and re-aspiration. The remaining 4did not have surgery due to patient refusal (3), or advanced cancer (1). No recurrences have been observed. CONCLUSION: The best surgical treatment in these cases is closed total cystectomy to prevent recurrence, except in the spleen where splenectomy is preferred. Conservative techniques are indicated in cases of multiple hydatid disease and in patients with high surgical risk.
Asunto(s)
Equinococosis , Adulto , Anciano , Anciano de 80 o más Años , Estudios Transversales , Equinococosis/diagnóstico , Equinococosis/terapia , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estudios RetrospectivosRESUMEN
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Asunto(s)
Humanos , Masculino , Adulto , Linfadenitis/cirugía , Linfadenitis , Tuberculosis/complicaciones , Tuberculosis/tratamiento farmacológico , Tuberculosis , Laparotomía/métodos , Laparotomía , Escisión del Ganglio Linfático/métodos , Diagnóstico Diferencial , Infecciones por VIH/tratamiento farmacológico , Linfoma de Burkitt/tratamiento farmacológico , Linfoma de Burkitt/patología , Cefuroxima/uso terapéutico , Levofloxacino/uso terapéutico , Ecocardiografía/métodos , Ensayo del Nódulo Linfático Local , Granuloma/patología , Granuloma/cirugía , GranulomaRESUMEN
No disponible