RESUMO
Esophageal pseudodiverticulosis is a rare endoscopic finding in eosinophilic esophagitis. We report a case of a 32-year-old male who presented with dysphagia and gastroesophageal reflux disease and was found to have esophageal pseudodiveritcula along with esophageal rings. The patient was subsequently treated with endoscopic balloon dilation and a diagnosis of eosinophilic esophagitis (EoE) with pseudodiverticulosis was made based upon the endoscopic and biopsy findings. This case provides evidence of the unusual finding of pseudodiverticulosis associated with EoE and further understanding of its pathogenesis is required.
Assuntos
Diverticulose Esofágica/etiologia , Esofagite Eosinofílica/complicações , Adulto , Esofagite Eosinofílica/diagnóstico , Humanos , MasculinoAssuntos
Acalasia Esofágica/diagnóstico , Junção Esofagogástrica/diagnóstico por imagem , Linfadenopatia/diagnóstico por imagem , Linfoma de Células T Periférico/diagnóstico por imagem , Corticosteroides/uso terapêutico , Idoso , Transtornos de Deglutição/etiologia , Diagnóstico Diferencial , Endossonografia , Humanos , Linfadenopatia/complicações , Linfadenopatia/patologia , Linfoma de Células T Periférico/complicações , Linfoma de Células T Periférico/tratamento farmacológico , Linfoma de Células T Periférico/patologia , Masculino , Tomografia Computadorizada por Raios XRESUMO
Transjugular intrahepatic portosystemic shunt (TIPS) is an important therapeutic tool available to decrease portal vein pressure in patients with cirrhosis and portal hypertension. TIPS is associated with various complications, and fistula formation is an important one to be noted. We present an unusual and interesting case of a patient who developed right-sided heart failure 5 months after TIPS placement. Diagnostic workup revealed an uncommon fistula between the celiac artery trunk and portal vein that was successfully treated with angiography-guided embolization, resulting in clinical improvement.
RESUMO
Ibuprofen is a commonly used medication in the United States and is used both by prescription and over the counter, while hypokalemia is a life-threatening condition caused by various etiologies, one of which is the side effect of medications. Ibuprofen is well-known for its various nephrotoxic side effects, including hyperkalemia as a common electrolyte abnormality, however, renal tubular acidosis leading to hypokalemia with the use of ibuprofen has been reported rarely. We present here two cases of life-threatening hypokalemia due to over-the-counter use of large doses of ibuprofen and describe its management.
