RESUMO
We report the case of a middle-aged man who had undergone two diagnostic laparoscopies with no significant findings after he was attended at the emergency department with cramping pain, abdominal distention and vomiting, with radiological images simulating a small bowel obstruction. After multiple hospitalisations and an extensive set of tests, including a genetic study, he was diagnosed with chronic pseudo-obstruction, an uncommon, unrecognides syndrome with high morbidity. Being aware of this pathology can make it easier to diagnose, and thereby, we can avoid unnecessary surgical interventions, because its management and treatment are mainly based on pharmacological therapy. After a proper diagnosis our patient's progression was satisfactory due to the treatment introduced, with no further hospitalisations.(AU)
Assuntos
Humanos , Masculino , Adulto , Obstrução Intestinal/diagnóstico por imagem , Laparoscopia , Pseudo-Obstrução Intestinal/diagnóstico por imagem , Apendicectomia , Intestino Delgado , Vômito , Dor Abdominal , Pacientes Internados , Exame Físico , Resultado do TratamentoRESUMO
Endoscopic retrograde cholangiopancreatography (ERCP) is one of the most frequently performed procedures in the treatment of biliary-pancreatic diseases. Hematoma after ERCP is an infrequent and highly serious complication. We present three cases with hepatic hematoma after a CPRE.
Assuntos
Sistema Biliar , Doenças da Vesícula Biliar , Hepatopatias , Pancreatopatias , Humanos , Colangiopancreatografia Retrógrada Endoscópica/efeitos adversos , Colangiopancreatografia Retrógrada Endoscópica/métodos , Hepatopatias/etiologia , Pancreatopatias/complicações , Hematoma/diagnóstico por imagem , Hematoma/etiologiaRESUMO
We report the case of a middle-aged man who had undergone two diagnostic laparoscopies with no significant findings after he was attended at the emergency department with cramping pain, abdominal distention and vomiting, with radiological images simulating a small bowel obstruction. After multiple hospitalisations and an extensive set of tests, including a genetic study, he was diagnosed with chronic pseudo-obstruction, an uncommon, unrecognides syndrome with high morbidity. Being aware of this pathology can make it easier to diagnose, and thereby, we can avoid unnecessary surgical interventions, because its management and treatment are mainly based on pharmacological therapy. After a proper diagnosis our patient's progression was satisfactory due to the treatment introduced, with no further hospitalisations.
Assuntos
Obstrução Intestinal , Laparoscopia , Masculino , Pessoa de Meia-Idade , Humanos , Obstrução Intestinal/diagnóstico por imagem , Obstrução Intestinal/etiologia , Obstrução Intestinal/cirurgia , Dor , Intestino Delgado , Vômito/etiologia , Laparoscopia/efeitos adversosRESUMO
Colonic lymphoma involving the mucosa-associated lymphoid tissue (MALT) is an uncommon pathology, with an unknown pathogenesis and varied endoscopic appearance. We present the case of a 78-year-old female with challenging endoscopic findings that resulted in the diagnosis of a colonic MALT lymphoma.
Assuntos
Neoplasias do Colo , Linfoma de Zona Marginal Tipo Células B , Feminino , Humanos , Idoso , Linfoma de Zona Marginal Tipo Células B/diagnóstico por imagem , Linfoma de Zona Marginal Tipo Células B/cirurgia , Endoscopia , Neoplasias do Colo/diagnóstico por imagem , Neoplasias do Colo/cirurgia , Neoplasias do Colo/patologiaAssuntos
Humanos , Masculino , Idoso , Anemia , 16595 , Endoscopia , Neoplasias Gastrointestinais/diagnóstico por imagem , Linfoma não Hodgkin , PacientesRESUMO
We present the case of a 77-year-old male patient with iron deficiency anemia. His personal medical history is: dyslipidemia, high-grade diffuse centrofollicular lymphoma localized in the tonsil in 1984 and metastatic prostate cancer treated with hormone therapy.
