RESUMEN
A 46-year-old lady presented with itching, five years after a primary common bile duct repair following cholecystectomy. Prior to this she underwent an interno-external biliary drainage. At laparotomy the horizontal limb of a T-tube was found in the common hepatic duct. Eleven months after a Roux loop hepatico-jejunostomy she is asymptomatic.
Asunto(s)
Conducto Colédoco , Drenaje/instrumentación , Femenino , Cuerpos Extraños , Humanos , Intubación/instrumentación , Persona de Mediana EdadRESUMEN
Primary cystic lesions of the liver are very rare. Most of the solid tumours are hepatocellular carcinomas (HCC) with a smaller number being cholangiocarcinomas. The association of HCC with other primary liver malignancies is also extremely rare. This case report is about a 27 year old male patient who presented with a giant cystic lesion of the left liver. A CT scan showed a cystic lesion with internal septations and a thrombus in the main portal vein. The patient underwent an extended left hepatectomy and a portal venotomy with removal of the thrombus. Coexistent hepatocellular and cystadenocarcinoma were reported on histopathological examination. The patient was put on 5-FU postoperatively. He is doing well 11 months after surgery.
Asunto(s)
Adulto , Carcinoma Hepatocelular/diagnóstico , Cistadenocarcinoma/diagnóstico , Quistes/diagnóstico , Diagnóstico Diferencial , Humanos , Hepatopatías/diagnóstico , Neoplasias Hepáticas/diagnóstico , MasculinoRESUMEN
A rare complication following ileo-anal pouch procedure is the occurrence of superior mesenteric artery syndrome. We report a patient with ulcerative colitis who developed vascular compression of the duodenum following J-pouch construction.
Asunto(s)
Adulto , Colitis Ulcerosa/cirugía , Humanos , Masculino , Proctocolectomía Restauradora/efectos adversos , Síndrome de la Arteria Mesentérica Superior/etiologíaRESUMEN
Simple cysts of the liver rarely have a biliary communication. We record the development of a biliary communication following laparoscopic deroofing of a segment IV simple cyst of liver and document its successful sclerosis with tetracycline.