RESUMO
Malignant mesothelioma usually originates from the pleura or peritoneum, and has a poor prognosis. The incidence of this type of tumor is increasing worldwide, which is probably a result of occupational or environmental exposure to asbestos. In 90% dyspnea, chest pain or a combination of both are usually the initial symptoms. Dysphagia only occurs in 1.4% and is very rare as the initial symptom. We present the case of a middle-aged patient, in whom the initial symptom was dysphagia, so an endoscopy was performed. This showed extrinsic compression of the esophagus that was demonstrated when performing the chest X-ray, in which it was revealed a posterior mediastinal mass surrounding the esophagus concentrically without mucosal invasion.
Assuntos
Transtornos de Deglutição/etiologia , Mesotelioma/complicações , Neoplasias Pleurais/complicações , Idoso , Humanos , MasculinoRESUMO
No disponible
Assuntos
Humanos , Masculino , Idoso , Neoplasias Pleurais/complicações , Mesotelioma/diagnóstico por imagem , Transtornos de Deglutição/etiologia , Neoplasias Pleurais/diagnóstico por imagem , Amianto/efeitos adversos , Asbestose/complicaçõesRESUMO
No disponible
Assuntos
Humanos , Feminino , Idoso de 80 Anos ou mais , Fístula Cutânea/diagnóstico por imagem , Fístula Biliar/diagnóstico por imagem , Pseudomonas aeruginosa/isolamento & purificação , Morganella morganii/isolamento & purificação , Dor Abdominal/etiologia , Imipenem/uso terapêutico , Colelitíase/complicaçõesRESUMO
Spontaneous external biliary fistula or cholecystocutaneous fistula is defined as the rupture of the gallbladder through all layers of the abdominal wall, with development of a fistulous tract to the skin without prior biliary surgery or trauma. We report the case of an octogenarian woman with debilitating comorbidities and consequently immunosuppression who presented with spontaneous external biliary fistula and a history of ERCP three months before, a procedure that was carried out with no apparent immediate complications.
Assuntos
Fístula Biliar/diagnóstico por imagem , Fístula Cutânea/diagnóstico por imagem , Doenças da Vesícula Biliar/diagnóstico por imagem , Idoso de 80 Anos ou mais , Feminino , HumanosRESUMO
No disponible