RESUMO
55-year-old male with a history of cholecystectomy complicated by perforation of the common bile duct, contained with placement of a plastic biliary stent. He presented several subsequent episodes of recurrent cholangitis secondary to biliary lithiasis and residual benign stenosis of the common bile duct, resolved with the implantation of plastic biliary prostheses. Finally, given the recurrent episodes of cholangitis, it was agreed to perform a hepaticojejunostomy. During the operation, the last implanted stent was not detected, which was identified by CT scan of the abdomen, causing a fistulous tract between the duodenum and the ascending colon. The stent was removed endoscopically, without complications, and the fistulous tract was resolved.
Assuntos
Sistema Biliar , Colangite , Masculino , Humanos , Colangiopancreatografia Retrógrada Endoscópica/efeitos adversos , Colecistectomia/efeitos adversos , Colangite/diagnóstico por imagem , Colangite/etiologia , Colangite/cirurgia , Stents/efeitos adversosRESUMO
El síndrome del conducto pancreático desconectado (SCPD) es debido a la interrupción del conducto pancreático (CP) principal o sus ramas secundarias, complicación presente entre un 30-80% de las pancreatitis agudas necrotizantes. La secreción de enzimas pancreáticas por el tejido pancreático aislado funcionante puede facilitar la recurrencia de colecciones necróticas encapsuladas, por lo que su manejo endoscópico sigue siendo un tema controvertido en la práctica diaria. Exponemos un caso de síndrome de ducto pancreático desconectado resuelto tras colocación de prótesis pancreática. (AU)
Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Pancreatite , Unidades de Terapia Intensiva , Pacientes , Trato GastrointestinalRESUMO
Disconnected pancreatic duct syndrome (DPCS) is due to disruption of the main pancreatic duct (PC) or its secondary branches, a complication present in 30-80% of acute necrotizing pancreatitis. The secretion of pancreatic enzymes by isolated functioning pancreatic tissue can facilitate the recurrence of encapsulated necrotic collections, so its endoscopic management remains a controversial issue in daily practice. We present a case of disconnected pancreatic duct syndrome resolved after placement of a pancreatic stent.
Assuntos
Ductos Pancreáticos , Pancreatite Necrosante Aguda , Humanos , Pâncreas , Pancreatite Necrosante Aguda/complicações , Endoscopia , Drenagem , Síndrome , Stents , Colangiopancreatografia Retrógrada EndoscópicaRESUMO
No disponible
Assuntos
Humanos , Masculino , Adulto , Doença de Chagas/complicações , Impacção Fecal/etiologia , Megacolo/etiologiaRESUMO
We present the case of a 37-year-old male with constipation refractory to medical treatment, in the context of megacolon due to Chagas disease. The entire gastrointestinal tract may be affected but the digestive form is characterized by megaesophagus and megacolon. There is altered peristalsis due to the destruction of the neurons of the enteric nervous system caused by the parasite. Although the mortality rate is low, the disease can have a considerable impact upon quality of life. Chagas disease is poorly recognized and undertreated by healthcare providers in non-endemic regions.
Assuntos
Doença de Chagas , Sistema Nervoso Entérico , Acalasia Esofágica , Megacolo , Adulto , Doença de Chagas/complicações , Acalasia Esofágica/etiologia , Humanos , Masculino , Megacolo/diagnóstico por imagem , Megacolo/etiologia , Qualidade de VidaRESUMO
No disponible
Assuntos
Humanos , Feminino , Idoso , Colecistite/diagnóstico , Neoplasias da Vesícula Biliar/diagnóstico , Imageamento por Ressonância Magnética , Diagnóstico Diferencial , Doença Crônica , Doença Aguda , Ultrassonografia , BiópsiaRESUMO
We present the images of ultrasound, magnetic resonance and histology of a patient with suggestive findings of xanthogranulomatous cholecystitis. Gallbladder cancer cannot be completely ruled out until the histological study of the surgical sample is performed.
Assuntos
Colecistite/diagnóstico , Neoplasias da Vesícula Biliar/diagnóstico , Xantomatose/diagnóstico , Doença Aguda , Idoso , Colecistite/patologia , Diagnóstico Diferencial , Feminino , Humanos , Imageamento por Ressonância Magnética , Ultrassonografia , Xantomatose/patologiaRESUMO
No disponible
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Perfuração Intestinal/diagnóstico por imagem , Pseudocisto Pancreático/diagnóstico por imagem , Pancreatite Necrosante Aguda/diagnóstico por imagem , Perfuração Intestinal/etiologia , Pseudocisto Pancreático/complicações , Colo/lesõesRESUMO
We present a computed tomography image of a patient with acute necrotizing pancreatitis due to alcohol, who developed several pseudocysts, one of which fistulized into the colon.