ABSTRACT
Although most of pseudocysts as one of complications of pancreatitis occur primarily within the pancreas, the extrapancreatic locations of pseudocysts, especially in the liver, are rare events. With advanced technology of imaging studies including abdominal computed tomography, ultrasonography, and magnetic resonance imaging, their frequency seems to be increasing. We report here a case of left intrahepatic pancreatic pseudocyst following acute pancreatitis. Percutaneous puncture revealed a high level of amylase and lipase in the collection, confirming the diagnosis of intrahepatic pseudocyst. Symptomatic intrahepatic pseudocysts can be managed surgically, transcutaneously or endoscopically, and asymptomatic intrahepatic pseudocysts can be treated conservatively. We report this case with a review of literature.
Subject(s)
Aged , Humans , Male , Acute Disease , Liver Diseases/diagnosis , Magnetic Resonance Imaging , Pancreatic Pseudocyst/diagnosis , Pancreatitis, Alcoholic/complications , Tomography, X-Ray ComputedABSTRACT
Adenocarcinoma of the appendix is a rare neoplasm. Metastatic adenocarcinoma of the appendix from stomach adenocarcinoma is also a very rare finding. A 72-year-old man complained of right lower quadrant abdominal pain for 10 days, and he was diagnosed with acute appendicitis. Appendectomy was performed by a general surgeon. Adenocarcinoma was found on the postoperative biopsy. Subsequently, gastric adenocarcinoma was diagnosed on the gastroscopy with biopsy, and this was proven to be the original site of the appendiceal adenocarcinoma.
Subject(s)
Aged , Humans , Abdominal Pain , Adenocarcinoma , Appendectomy , Appendicitis , Appendix , Biopsy , Gastroscopy , StomachABSTRACT
SIADH was first described by Schwartz and colleagues in 2 patients with bronchogenic lung carcinoma as early as 1957. The main features of the syndrome consist of hyponatremia and hypotonicity, absence of fluid volume depletion, inappropriate urinary osmolality, increased urinary sodium excretion while on normal salt and water intake, and absence of thyroid, adrenal, pituitary or renal dysfunction. The Guillain-Barre Syndrome (GBS) is an acute inflammatory demyelinating polyradiculoneuropathy of unknown etiology. It occurs frequently one to three weeks after a banal antecedent respiratory or gastrointestinal infection. SIADH is associated with various condition such as malignant tumors, infection, central nervous system disorders, and different pharmacological agents. SIADH is observed in up to 26% of patients with Guillain-Barre Syndrome (GBS). We report a case of GBS with SIADH.