RESUMO
We present a case of non-Hodgkin's lymphoma of B cells in a patient with cirrhosis by hepatitis C virus. Our patient presented scarce symptomatology related with non-Hodgkin's lymphoma. A notable hyperbilirrubinaemia with hypoalbuminaemia were the only features that allowed us to suspect the diagnosis. The diagnostic was proved by necroscopic study. There are several factors involved in the etiology of non-Hodgkin's lymphoma, including infectious agents. Recent Italian studies have suggested an association between C virus infection and non-Hodgkin's lymphoma. We have carried out a bibliographical revision of this association to conclude that important geographical differencies must be pointed out.
Assuntos
Hepatite C/complicações , Cirrose Hepática/complicações , Linfoma não Hodgkin/complicações , Agamaglobulinemia/etiologia , Feminino , Hepatite C/diagnóstico , Hepatite C/patologia , Humanos , Hiperbilirrubinemia/etiologia , Cirrose Hepática/diagnóstico , Cirrose Hepática/patologia , Linfoma não Hodgkin/diagnóstico , Linfoma não Hodgkin/patologia , Pessoa de Meia-IdadeRESUMO
Acute hemorrhage from pancreatic pseudoaneurysm is the most rapidly fatal complication of pancreatitis, with a reported mortality rate of > 90% in untreated patients. The diagnosis of pancreatic pseudoaneurysm requires a high index of suspicion and the abdominal angiography is the gold standard. Transcatheter embolization is an alternative to surgery for treatment in selected patients. Early diagnosis and treatment decrease the mortality dramatically. We describe a patient with a gastrointestinal bleeding from a ruptured pancreatic pseudoaneurysm, with an angiography diagnosis and transcatheter embolization. We treated the pseudocyst with an endoscopic drainage. A review of literature is presented.
Assuntos
Falso Aneurisma/complicações , Hemorragia Gastrointestinal/etiologia , Pâncreas/irrigação sanguínea , Pancreatite Alcoólica/complicações , Falso Aneurisma/terapia , Embolização Terapêutica , Hemorragia Gastrointestinal/terapia , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
Abdominal pain is the most frequent symptom of chronic pancreatitis and may, on occasions, lead to great treatment problems. The case of a 35-years-old patient diagnosed with chronic calcifying pancreatitis of enolic etiology who showed dilatation of the main pancreatic duct and intracanalicular lithiasis is reported. Medical, endoscopic and surgical alternatives failed but fragmentation of the lithiasis by extracorporeal lithotripsy was successful.