RESUMO
A 67-year-old man was admitted because of suspected deep venous thrombosis of the right leg. At sonography, CT of the abdomen and aortography it became obvious that compression of the right iliac vein by an abdominal aortic aneurysm was responsible for the deep venous thrombosis. This has only been reported before twice. In the case of deep venous thrombosis or oedema of the legs an abdominal aortic aneurysm needs to be excluded.
Assuntos
Aneurisma da Aorta Abdominal/complicações , Tromboflebite/etiologia , Idoso , Constrição Patológica , Humanos , Veia Ilíaca/patologia , Perna (Membro)/irrigação sanguínea , Masculino , Tromboflebite/diagnósticoAssuntos
Infecções Oportunistas Relacionadas com a AIDS/diagnóstico por imagem , Pneumonia por Pneumocystis/diagnóstico por imagem , Infecções Oportunistas Relacionadas com a AIDS/tratamento farmacológico , Adulto , Fármacos Anti-HIV/uso terapêutico , Lavagem Broncoalveolar , Diagnóstico Diferencial , Humanos , Masculino , Pneumonia por Pneumocystis/tratamento farmacológico , Radiografia Torácica , Tomografia Computadorizada por Raios XRESUMO
A previously healthy man had a carcinoid tumor that caused obstruction and dilatation of the appendiceal lumen, with subsequent inflammation of the appendix. He had acute pain in the lower right abdomen, loss of appetite, constipation, pyrexia, and an increased erythrocyte sedimentation rate without leukocytosis. Although his clinical signs and symptoms subsided, the persistent pathologic finding of a large dilated appendix at examination with ultrasound warranted surgery, which, with microscopy, established the correct diagnosis.