RESUMO
Behçet's disease is a chronic, recurrent, systemic disease characterized by orogenital ulcers and oculocutaneous inflammatory lesions. Cardiovascular, pulmonary, neurological, articular, and GI involvement are common features, but pancreatic involvement is very rare. We present a case of Behçet's disease with both chronic pancreatitis and abdominal aorta pseudoaneurysm.
Assuntos
Falso Aneurisma/complicações , Aneurisma da Aorta Abdominal/complicações , Síndrome de Behçet/complicações , Pancreatite/complicações , Adulto , Falso Aneurisma/diagnóstico por imagem , Falso Aneurisma/cirurgia , Aorta Abdominal , Aneurisma da Aorta Abdominal/diagnóstico por imagem , Aneurisma da Aorta Abdominal/cirurgia , Doença Crônica , Humanos , Masculino , Pancreatite/diagnóstico por imagem , Pancreatite/cirurgia , Tomografia Computadorizada por Raios XRESUMO
Penetration of a recurrent ulcer into the anterior abdominal wall after surgical treatment of peptic ulcer disease is a rare surgical emergency. Early diagnosis is essential, but there are no specific radiographic or endoscopic features. We report 2 cases of recurrent ulcer penetration into the anterior abdominal wall diagnosed preoperatively with transabdominal sonography. The ulcers appeared as cavity lesions, with hyperechoic bases that had destroyed the continuity of the stomach wall. Associated findings were a minimal amount of fluid around the ulcer cavity and a hypoechoic area considered secondary to inflammation or edema. The diagnoses were confirmed at laparotomy.
Assuntos
Músculos Abdominais/diagnóstico por imagem , Úlcera Péptica/diagnóstico por imagem , Humanos , Masculino , Pessoa de Meia-Idade , Úlcera Péptica/prevenção & controle , Recidiva , UltrassonografiaRESUMO
Both hereditary hemorrhagic telangiectasia (HHT) and portal vein aneurysm are rare disorders. We described the first documented case of HHT associated with portal vein aneurysm. As the portal vein aneurysm in this patient associated with HHT, the pathogenesis in this patient seems to have been a congenital anomaly of the vasculature.
Assuntos
Malformações Arteriovenosas/genética , Veia Porta/anormalidades , Telangiectasia Hemorrágica Hereditária/genética , Idoso , Malformações Arteriovenosas/diagnóstico por imagem , Feminino , Humanos , Veia Porta/diagnóstico por imagem , Portografia , Telangiectasia Hemorrágica Hereditária/diagnóstico por imagemRESUMO
PURPOSE: The aim of this study was to evaluate the sonographic appearances of noncirrhotic portal fibrosis (NCPF). METHODS: Between 1983 and 1996, 12 patients between the ages of 16 and 60 years were diagnosed with NCPF on the basis of medical history and clinical, imaging, and biopsy findings. RESULTS: Sonograms for all patients showed hyperechoic bands surrounding the portal vein branches, which were separated from adjacent liver parenchyma by a hypoechoic stripe. All liver biopsy specimens showed nonspecific changes and no cirrhosis. Histologic findings included fibrosis and some obliteration of the intrahepatic portal veins. CONCLUSIONS: If sonography of the liver shows increased echogenicity of the walls of the portal vessels with a hypoechoic stripe between the wall and the adjacent liver parenchyma in a patient who has portal hypertension and normal liver function tests, NCPF should be considered.
