RESUMO
We report the case of a 52-year-old male diagnosed with primary sclerosing colangitis, mainly of the extrahepatic bile duct, with a long evolution. After liver transplantation, the explanted liver showed necrosis of the bile duct wall, with fungal structures inside the bile duct that was compatible with Candida. The patient was treated with mesalazine and ursodeoxycholic acid and does not have a stent in the bile duct.
Assuntos
Ductos Biliares Extra-Hepáticos/microbiologia , Candidíase/microbiologia , Colangite Esclerosante/microbiologia , Ductos Biliares Extra-Hepáticos/patologia , Candida/isolamento & purificação , Colangite Esclerosante/patologia , Humanos , Transplante de Fígado , Masculino , Pessoa de Meia-IdadeRESUMO
Presentamos el caso de un varón de 67 años con una úlcera gástrica de 9 años de evolución, con clínica de hematemesis y melenas, que a nivel histológico mostró lesiones de fibrosis y acúmulos de células plasmáticas con positividad para inmunoglobulina G4, sin evidencia de malignidad. Esta lesión alcanzaba al páncreas, donde se observaron lesiones histológicas superponibles a las gástricas. El diagnóstico final fue el de pseudotumor gástrico ulcerado con afectación pancreática por enfermedad relacionada con inmunoglobulina G4 (AU)
We report the case of a 67 year old male who presented with a nine year history of a gastric ulcer with symptoms of hematemesis and melena. Histological analysis identified fibrotic lesions and the accumulation of immunoglobulin G4-positive plasma cells with no evidence of malignancy. The lesion extended into the pancreas, where histological lesions and gastric lesions were also observed. This is a case of an ulcerated gastric ulcer and pseudo-tumor with pancreatic affection that is associated with immunoglobulin G4-related disease (AU)
Assuntos
Humanos , Masculino , Idoso , Úlcera Gástrica/complicações , Granuloma de Células Plasmáticas/diagnóstico , Imunoglobulina G/análise , Pancreatite/etiologia , Hematemese/etiologia , Melena/etiologia , Autoimunidade , Hipergamaglobulinemia/etiologia , Neoplasias Gástricas/diagnóstico por imagemRESUMO
We report the case of a 67 year old male who presented with a nine year history of a gastric ulcer with symptoms of hematemesis and melena. Histological analysis identified fibrotic lesions and the accumulation of immunoglobulin G4-positive plasma cells with no evidence of malignancy. The lesion extended into the pancreas, where histological lesions and gastric lesions were also observed. This is a case of an ulcerated gastric ulcer and pseudo-tumor with pancreatic affection that is associated with immunoglobulin G4-related disease.
