RESUMO
Hypertriglyceridemia is the third cause of acute pancreatitis after lithiasis and alcohol. When triglycerides are >2000 mg/dL the risk increases to 20%. Acute pancreatitis is an important cause of morbidity in patients infected with human immunodeficiency virus (HIV), especially in those treated with lamivudine, due to hypertriglyceridemia.
RESUMO
El pólipo mioglandular inflamatorio o de Nakamura es un pólipo muy infrecuente, habiendose descrito en la literatura unos 100 casos. Posee unas características tanto endoscópicas como histológicas específicas, cobrando gran importancia su conocimiento para su diagnóstico adecuado. Es de vital importancia su diagnóstico diferencial con otro tipo de pólipos tanto histológicamente como respecto a su seguimiento endoscópico. Presentamos el caso clínico de un pólipo de Nakamura como hallazgo incidental en una colonoscopia de cribado.(AU)
Assuntos
Humanos , Feminino , Idoso , Diagnóstico Diferencial , Pólipos do Colo/diagnóstico por imagem , Pacientes Internados , Exame Físico , PóliposRESUMO
Febuxostat is a drug from the group of xanthine dehydrogenase inhibitors and is used in the treatment of hyperuricemia and gouty arthritis. However, it is not free of adverse effects, including alteration of liver profile tests. This is why we must pay attention to this type of adverse events in case it is necessary to suspend treatment. We present a clinical case of acute hepatitis secondary to Febuxostat.
RESUMO
Duodenal-type follicular lymphoma is a clinical variant of follicular lymphoma located in the intestine, presenting as multiple small polyps. The estimated frequency is 1/7000 people and extraduodenal involvement is rare. It predominantly affects middle-aged women, although some cases of young patients have been published in the literature. They are usually located in the second periampullary portion of the duodenum. It is diagnosed incidentally or after performing an imaging test due to non-specific digestive symptoms (abdominalgia, diarrhea or hyporexia). The prognosis is usually favorable without specific treatment5.
Assuntos
Colestase , Neoplasias Colorretais , Neoplasias Duodenais , Linfoma Folicular , Pessoa de Meia-Idade , Humanos , Feminino , Linfoma Folicular/complicações , Linfoma Folicular/diagnóstico por imagem , Linfoma Folicular/patologia , Neoplasias Duodenais/complicações , Neoplasias Duodenais/diagnóstico por imagem , Duodeno/patologia , Prognóstico , Neoplasias Colorretais/patologiaRESUMO
We present the case of 67 years-old man with unremarkable medical history. He was admitted to our department for abdominal pain compatible with choledocholithiasis associated with acute cholecystitis. ERCP was performed but direct papillary canulation attempts failed by means of conventional sphincterotome. So, pre- cut papillotomy was successfully attempted getting free access to distal choledochus and retrieving a small lithiasis. Unfortunately, the patient developed severe post-ERCP acute pancreatitis.
Assuntos
Colangiopancreatografia Retrógrada Endoscópica , Pancreatite , Masculino , Humanos , Idoso , Pancreatite/complicações , Pancreatite/diagnóstico por imagem , Pancreatite/cirurgia , Doença Aguda , Cateterismo , Ultrassonografia de Intervenção , Esfinterotomia EndoscópicaRESUMO
The inflammatory myoglandular or Nakamura polyp is a very rare polyp, with about 100 cases having been described in the literature. It has specific endoscopic and histological characteristics, making its knowledge of it very important for its proper diagnosis. Its differential diagnosis with other types of polyps is of vital importance, both histologically and with respect to its endoscopic follow-up. We present the clinical case of a Nakamura polyp as an incidental finding in a screening colonoscopy.
Assuntos
Pólipos do Colo , Humanos , Pólipos do Colo/diagnóstico , Pólipos do Colo/patologia , Colonoscopia/métodos , Diagnóstico DiferencialRESUMO
MALS, also called celiac artery compression syndrome, celiac axis syndrome, or Dunbar syndrome, is a rare entity caused by progressive stenosis of the celiac trunk secondary to extrinsic compression of the fibers of the median arcuate ligament. The prevalence is unknown, but it is estimated that it is a casual finding in up to a third of autopsies2,3, being more prevalent in women between 30 and 50 years of age4. Symptoms and signs include postprandial abdominal pain, exercise-induced pain, nausea, vomiting, and weight loss3. However, most cases are asymptomatic. The case that we present was a 56-year-old man, with a history of dyslipidemia, type 2 diabetes mellitus, and chronic ischemic heart disease. He was a former smoker. He reported a history of recurrent abdominal pain, especially postprandial.
Assuntos
Diabetes Mellitus Tipo 2 , Síndrome do Ligamento Arqueado Mediano , Masculino , Humanos , Feminino , Pessoa de Meia-Idade , Síndrome do Ligamento Arqueado Mediano/complicações , Síndrome do Ligamento Arqueado Mediano/diagnóstico por imagem , Diabetes Mellitus Tipo 2/complicações , Artéria Celíaca/diagnóstico por imagem , Vômito/etiologia , Dor Abdominal/etiologiaRESUMO
GIST tumors are mesenchymal tumors that are usually positive for the CD-117 marker. They present mostly at middle ages of life and although the most frequent locations are the stomach, small intestine and rectum/colon, they can appear in unusual places such as the retroperitoneum. The case that we present reflects the diagnostic process with imaging tests such as echo-endoscopy with puncture, of a retroperitoneal GIST tumor.
Assuntos
Tumores do Estroma Gastrointestinal , Neoplasias Retroperitoneais , Endossonografia , Tumores do Estroma Gastrointestinal/patologia , Neoplasias Retroperitoneais/patologia , Dor Abdominal/etiologia , Redução de Peso , Tomografia Computadorizada por Raios X , Biópsia por Agulha Fina , Humanos , Feminino , Idoso de 80 Anos ou maisRESUMO
DRESS syndrome is a multisystem disorder that appears in the context of an adverse drug reaction, characterized by fever, rash and peripheral eosinophilia with involvement of other organs such as the liver. The typical liver involvement is acute toxic hepatitis (DILI), showing improvement and a tendency to resolution when corticotherapy is started. We must not forget this manifestation in the clinical context of a DRESS syndrome.