RESUMO
We report a patient with a common hepatic artery pseudoaneurism secondary to pancreatitis treated with direct percutaneous embolization as an alternative when transcatheter embolotherapy cannot be performed. Examination of the specimen revealed that the pseudoaneurism was completely trombosed with signs of embolization of its lumen.
Assuntos
Aneurisma/etiologia , Aneurisma/terapia , Embolização Terapêutica , Artéria Hepática , Pancreatite/complicações , Idoso , Aneurisma/diagnóstico , Doença Crônica , Feminino , HumanosRESUMO
PURPOSE: The authors report their 5-year experience with percutaneous transluminal angioplasty (PTA) for treatment of stenoses related to Takayasu arteritis. PATIENTS AND METHODS: Twenty patients were treated; 12 patients had renovascular hypertension at presentation, three patients had abdominal aortic coarctation syndrome, and five patients had aortoiliac occlusive disease. RESULTS: The initial success rate for patients with renovascular hypertension was 83%, with a 5-year patency of 33.3%. In patients with abdominal aortic coarctation, initial success rate was 100% but 5-year patency was 33.3%. In patients with aortoiliac occlusive disease, the initial success rate was 100%, with a 5-year patency of 60%. CONCLUSION: Despite the high initial success rate for PTA in these patients, the disease recurs in a substantial number of the, due to the fact that this technique does not treat the disease itself but only its consequences.
Assuntos
Angioplastia com Balão , Arterite de Takayasu/terapia , Adolescente , Adulto , Aorta Abdominal/diagnóstico por imagem , Doenças da Aorta/diagnóstico por imagem , Doenças da Aorta/etiologia , Doenças da Aorta/terapia , Criança , Pré-Escolar , Feminino , Humanos , Artéria Ilíaca/diagnóstico por imagem , Masculino , Pessoa de Meia-Idade , Radiografia , Obstrução da Artéria Renal/diagnóstico por imagem , Obstrução da Artéria Renal/etiologia , Obstrução da Artéria Renal/terapia , Arterite de Takayasu/diagnóstico por imagemAssuntos
Abscesso/diagnóstico por imagem , Celulite (Flegmão)/diagnóstico por imagem , Gastrite/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Abscesso/microbiologia , Doença Aguda , Idoso , Animais , Celulite (Flegmão)/microbiologia , Cricetinae , Infecções por Escherichia coli/diagnóstico por imagem , Gastrite/microbiologia , Humanos , Masculino , Infecções por Proteus/diagnóstico por imagem , Proteus mirabilis/isolamento & purificaçãoRESUMO
The essential feature of the MIrizzi syndrome is partial common hepatic duct obstruction due to an impacted cystic duct stone. This entity has rarely been reported but is apparently more common than previously thought. Our review of the world literature shows 42 proven cases in 18 publications from 7 different countries. We are adding 11 further cases with surgical proof. The preoperative x-ray diagnosis of the Mirizzi syndrome was established in 10 of the 42 previously reported cases. This diagnostic problem was probably due to limitations of plain film and intravenous cholangiography techniques. The preoperative diagnosis was possible in 8 of our 11 cases, primarily with the use of transhepatic cholangiography. The preoperative diagnosis is important and can lead to a decrease in surgical complications, particularly if stone penetration, fistula formation, and adjacent inflammatory masses are demonstrated.
