RESUMO
We present the case of a male patient with posttraumatic retroperitoneal fibrosis whose main clinical expression was low-back pain. Diagnosis was establis hedusing CAT-scan and MRI, which revealed a largemass of soft tissue that almost entirely enveloped the abdominal aorta. Treatment with 40 mg of prednisone every 24 hours was established. This dose was reduced gradually, and progressive remission of clinical sign sand symptoms was achieved, with a significant improvement of subsequent imaging-test results. Treatment was continued for one year. Two and a half years later the patient remains symptom-free, with no recurrence of his condition (AU)
Se presenta el caso de un paciente varón afecto de una fibrosis retroperitoneal postraumática, a cuyo diagnóstico se llegó a partir de dolor lumbar como síntoma principal. El diagnóstico se efectuó en base a los estudios mediante CT y RM, los cuales demostraron una gran masa de tejido de partes blandas que rodeabanla aorta. El tratamiento consistió en dosis de prednisonaque inicialmente se instauró a 40 mg cada 24 horas, y posteriormente se fue reduciendo de forma gradual hasta la remisión de los signos y síntomas, y consecuentemente de los estudios de imagen. El tratamiento con corticoides se mantuvo durante un año. Dos años y medio el paciente está libre de síntomas sin recidivade su proceso (AU)
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Fibrose Retroperitoneal/complicações , Dor Lombar/etiologia , Traumatismos da Coluna Vertebral/complicações , Corticosteroides/uso terapêuticoRESUMO
We present the case of a male patient with post traumatic retroperitoneal fibrosis whose main clinical expression was low-back pain. Diagnosis was established using CAT-scan and MRI, which revealed a large mass of soft tissue that almost entirely enveloped the abdominal aorta. Treatment with 40 mg of prednisone every 24 hours was established. This dose was reduced gradually, and progressive remission of clinical signs and symptoms was achieved, with a significant improvement of subsequent imaging-test results. Treatment was continued for one year. Two and a half years later the patient remains symptom-free, with no recurrence of his condition.
Assuntos
Lesões nas Costas/complicações , Dor Lombar/etiologia , Fibrose Retroperitoneal/complicações , Humanos , Masculino , Pessoa de Meia-Idade , Fibrose Retroperitoneal/diagnóstico , Fibrose Retroperitoneal/etiologiaRESUMO
We present a case of retropneumoperitoneum , pneumoperitoneum , pneumomediastinum and subcutaneous emphysema in a caquectic 17 years old young man with an important depressive disorder . Several possible etiopathogenic factors are discussed, as well as the pathways of transmission of the pulmonary , mediastinic and abdominal gas.
Assuntos
Depressão/complicações , Enfisema/complicações , Enfisema Mediastínico/complicações , Pneumoperitônio/complicações , Enfisema Subcutâneo/complicações , Adolescente , Humanos , MasculinoRESUMO
Computed tomography (CT) was used to evaluate 50 cases of hydatid disease of the liver. It was definite in 49 cases and negative in one case. Pre- and postcontrast scans were performed. CT may reveal the exact location and extension of cysts and possible complications. However, a false-negative case was found in a hydatid cyst located in a fatty liver.
