RESUMO
Haemoperitoneum following rupture of hepatocellular carcinoma (HCC) is unusual. Two patients with secondary massive intraperitoneal haemorrhage due to spontaneous rupture of HCC diagnosed by Computed Tomography (TC) are discussed. The most important clinical and imagiological features of this pathology are presented.
Assuntos
Carcinoma Hepatocelular/diagnóstico por imagem , Hemoperitônio/diagnóstico por imagem , Neoplasias Hepáticas/diagnóstico por imagem , Radiografia Abdominal , Tomografia Computadorizada por Raios X , Carcinoma Hepatocelular/complicações , Carcinoma Hepatocelular/cirurgia , Emergências , Evolução Fatal , Hemoperitônio/etiologia , Hemoperitônio/cirurgia , Humanos , Neoplasias Hepáticas/complicações , Neoplasias Hepáticas/cirurgia , Masculino , Pessoa de Meia-Idade , Ruptura EspontâneaRESUMO
The authors report two cases of primary hyperaldosteronism (Conn's adenoma and hyperplasia). Based on available data, the authors discuss clinical laboratory and imagiologic evaluation, the factors influencing prognosis, strategy and the results of the proposed therapies.
Assuntos
Hiperaldosteronismo , Feminino , Humanos , Hiperaldosteronismo/diagnóstico , Hiperaldosteronismo/terapia , Masculino , Pessoa de Meia-IdadeRESUMO
McNeal and Blevins published the first report of Streptococcus bovis infective endocarditis in 1945. In 1951, McCoy suggested, for the first time, that an association could exist between Group D Streptococcus infective endocarditis and colon carcinoma; this association would be demonstrated later (1977) by Klein and unquestionably confirmed by several posterior works. Due to a clinical case of Streptococcus bovis infective endocarditis, which we had the opportunity of diagnosing, a review is made of the existent literature about the association between infection by this agent and the presence of lesions in the colon. Some recommendations are made in what respects the diagnosis and evaluation of patients with Streptococcus bovis infective endocarditis. Finally, the implications and therapeutic strategies in these patients are discussed.