ABSTRACT
We present a case of acute hepatitis caused by dengue virus, with a significant increase in aspartate transferase and alanine transferase levels in a chronic hepatitis patient attended at the Cane Sugar Planters Hospital of Campos dos Goytacazes, RJ.
Subject(s)
Aged , Humans , Male , Dengue/complications , Hepatitis, Viral, Human/virology , Liver Cirrhosis/pathology , Transaminases/blood , Acute Disease , Biomarkers/blood , Chronic Disease , Dengue/blood , Dengue/pathology , Hepatitis, Viral, Human/enzymology , Hepatitis, Viral, Human/pathologyABSTRACT
Tuberculosis infrequently involves pancreas. The clinical features in patients with pancreatic tuberculosis are usually non-specific. The radiological features mimic pancreatic malignancy or pancreatitis. Ultrasound or CT scan guided fine needle aspiration cytology or biopsy may show caseating granulomatous inflammation. The present report includes two cases of pancreatic tuberculosis and review of relevant literature. One of our patients was diagnosed at laparotomy and the other with a CT scan guided fine needle aspiration cytology. Both patients responded well to anti tubercular chemotherapy and are now asymptomatic.
Subject(s)
Adult , Antitubercular Agents/therapeutic use , Drug Therapy, Combination , Humans , Male , Pancreatic Diseases/drug therapy , Tomography, X-Ray Computed , Tuberculosis/drug therapyABSTRACT
AIM: Our objective was to document the clinical and pathological findings in eight patients with gastric carcinoids seen in our institution over a 16-year period (1980-96). METHODS: All cases reported during this period as microcarcinoids, atypical carcinoids and mixed carcinoid-carcinoma of the stomach were retrieved from pathology records. Eight cases with typical histologic features of carcinoid were studied. RESULTS: Seven cases were men (median age 53 years, range 35-55). Four patients presented with upper abdominal pain. Serum gastrin level was elevated in two cases. The endoscopic appearances and the endoscopic biopsy histology were not diagnostic. Surgical treatment ranged from simple nodule excision to partial, subtotal or extended gastrectomy and Whipple's pancreatico-duodenectomy. Lymph node and liver metastasis were seen in four patients each. The median duration of follow-up was one year. CONCLUSION: Gastric carcinoids have varied etiopathogenesis. These may arise in a background of hypergastrinemic conditions or may be sporadic. Most appear to be slow growing but aggressive neoplasms are capable of distant metastasis.
Subject(s)
Adult , Carcinoid Tumor/diagnosis , Endoscopy, Gastrointestinal , Female , Humans , Immunohistochemistry , Male , Middle Aged , Sex Factors , Stomach Neoplasms/diagnosisABSTRACT
An unusual isolated metastatic carcinoma to the head of pancreas following modified radical mastectomy for operable breast cancer (T2NOMO) done three years earlier is reported. Patient remains free of disease at 27 months following whipple's pancreaticoduodenectomy.