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1.
Rev Esp Enferm Dig ; 114(2): 122-123, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-34595930

RESUMO

A 62-year-old male presented with severe post-endoscopic retrograde cholangiopancreatography (post-ERCP) acute pancreatitis. He required admission to the Intensive Care Unit (ICU) twice due to respiratory and renal failure and neurological deterioration. On the hospitalization ward, he presented a fluctuating alteration of the level of consciousness, with bradypsychia, disorientation and somnolence, which persisted after hemodynamic, metabolic and renal stabilization. A brain magnetic resonance imaging (MRI) was performed showing focal lesions due to small vessel disease, some with cavitations due to necrosis, and mild to moderate subcortical atrophy. A diagnosis of pancreatic encephalopathy was made given the clinical and radiological findings. The patient recovered full cognitive capacity after one week with adequate nutrition supported by protein supplementation.


Assuntos
Encefalopatias , Pancreatite , Doença Aguda , Encefalopatias/complicações , Encefalopatias/etiologia , Colangiopancreatografia Retrógrada Endoscópica/efeitos adversos , Humanos , Masculino , Pessoa de Meia-Idade , Pâncreas , Pancreatite/complicações , Pancreatite/diagnóstico por imagem
2.
Rev Esp Enferm Dig ; 104(2): 94-7, 2012 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-22372805

RESUMO

Hepatoportal sclerosis (HPS) is characterized by presinusoidal intrahepatic portal hypertension associated with splenomegaly and anemia in patients with non-cirrhotic liver. Liver biopsy is essential, especially to rule out other processes. Being a disease of unknown etiology, the majority of cases have been described in eastern countries. However, it may be an underdiagnosed disease in the West. Symptoms are related to portal hypertension and the clinical spectrum is wide, ranging from anemia with normal liver function tests to bleeding due to esophageal varices. Treatment is directed to the complications and the prognosis is better than in patients with cirrhosis.We report three cases of HPS presenting at different clinical stages and the findings of liver biopsies, the clinical outcomes and a review of scientific literature.


Assuntos
Hipertensão Portal/diagnóstico , Cirrose Hepática/diagnóstico , Pancitopenia/diagnóstico , Esplenomegalia/diagnóstico , Adulto , Biópsia , Humanos , Hipertensão Portal/patologia , Fígado/patologia , Cirrose Hepática/patologia , Masculino , Pessoa de Meia-Idade , Pancitopenia/patologia , Esplenomegalia/patologia , Hipertensão Portal não Cirrótica Idiopática
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