Progresión de la polineuropatía amiloidótica familiar tras el trasplante hepático / The progression of familial amyloidotic polyneuropathy following a liver transplant

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[Nonalcoholic steatohepatitis associated with ovarian stromal hyperplasia]. / Esteatohepatitis no alcohólica asociada a hiperplasia estromal ovárica.

Alterations in liver function tests have previously been reported in patients with ovarian disease. We report the case of a woman with prolonged hypertransaminasemia, significant hirsutism and android phenotype who was diagnosed with nonalcoholic steatohepatitis and ovarian stromal hyperplasia.

Esteatohepatitis no alcohólica asociada a hiperplasia estromal ovárica / Nonalcoholic steatohepatitis associated with ovarian stromal hyperplasia

Se han documentado alteraciones en las pruebas de función hepática en pacientes con enfermedad ovárica. El caso que presentamos es el de una paciente con hipertransaminasemia prolongada, hirsutismo importante y fenotipo androide, que es diagnosticada de esteatohepatitis no alcohólica e hiperplasia estromal ovárica

Alterations in liver function tests have previously been reported in patients with ovarian disease. We report the case of a woman with prolonged hypertransaminasemia, significant hirsutism and android phenotype who was diagnosed with nonalcoholic steatohepatitis and ovarian stromal hyperplasia

[Probable hypersensitivity reaction to parenteral nutrition: report of a case]. / Probable reacción de hipersensibilidad a la nutrición parenteral: a propósito de un caso.

A probable case of hypersensitivity reaction to Total Parenteral Nutrition (TPN) in a 55 years old patient diagnosed with gastric adenocarcinoma is presented. Onset of TPN infusion coincides with the time of the onset of a disseminated pruritic cutaneous eruption that repeats after a second exposure to nutrition. The likely causes of this hypersensitivity reaction are analyzed.

Probable reacción de hipersensibilidad a la nutrición parenteral: a propósito de un caso / Probable hypersensitivity reaction to parenteral nutrition: apropos of a case

Se presenta un caso probable de reacción de hipersensibilidad a Nutrición Parenteral Total (NPT) en un paciente de 55 años diagnosticado de adenocarcinoma gástrico. El inicio de la infusión de la NPT coincide en el tiempo con la aparición de una erupción cutánea pruriginosa diseminada que se repite tras una segunda exposición a la nutrición. Se analizan las causas probables de esta reacción de hipersensibilidad (AU)

A probable case of hypersensitivity reaction to Total Parenteral Nutrition (TPN) in a 55 years old patient diagnosed with gastric adenocarcinoma is presented. Onset of TPN infusion coincides with the time of the onset of a disseminated pruritic cutaneous eruption that repeats after a second exposure to nutrition. The likely causes of this hypersensitivity reaction are analyzed (AU)

[A case of non Hodgkin Lymphoma in a patient with hepatic cirrhosis by the hepatitis C virus]. / Un caso de linfoma no hodgkiniano en una paciente con cirrosis hepática por el virus de la hepatitis C.

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.

[Gastrointestinal hemorrhage secondary to a pancreatic pseudoaneurysm]. / Hemorragia digestiva secundaria a un seudoaneurisma pancreático.

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.

[Chronic calcifying pancreatitis and extracorporeal pancreatic lithotripsy]. / Pancreatitis crónica calcificante y litotripsia pancreática extracorpórea.

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.