Résumé
Although gallbladder (GB) perforation due to acalculous cholecystitis after kidney transplantation is rarely observed, it can be life threatening and result in cholecystectomy. Coronary artery aneurysm (CAA) is also rare and may require invasive therapy depending on its diameter. We report herein the case of a 69-year-old female who developed GB perforation due to acalculous cholecystitis after kidney transplantation and underwent cholecystectomy. The patient was later invasively treated when CCA was detected by coronary angiography.
Sujets)
Femelle , Humains , Cholécystite alithiasique , Anévrysme , Cholécystectomie , Coronarographie , Vaisseaux coronaires , Vésicule biliaire , Rein , Transplantation rénaleRésumé
No abstract available.
Sujets)
Sujet âgé , Humains , Mâle , Anémie/diagnostic , Cellules de la moelle osseuse/anatomopathologie , Chromosomes humains de la paire 11 , Électrophorèse , Glomérulonéphrite à dépôts d'IgA/complications , Hématurie/anatomopathologie , Hémoglobine A/analyse , Hétérozygote , Insuffisance rénale/diagnostic , Globines bêta/génétique , bêta-Thalassémie/diagnosticRésumé
Retroperitoneal sarcoma is a rare tumor accounting for 1-2% of all solid malignancies. These tumors are usually large when diagnosed because of their typically silent nature and should be distinguished from other retroperitoneal masses for adequate management. In spite of an apparent complete resection which is the only potential curative treatment, the high rate of local recurrence is the major problem of retroperitoneal sarcoma; therefore, patients with high-grade tumors should undergo regular and continuous follow-ups. Postrenal acute kidney injury (AKI) results from a urinary outflow tract compression due to the mass effect of retroperitoneal sarcoma, which is one of less common causes of postrenal AKI and has not been reported in Korea. We report a case that an 81-year-old-woman with undifferentiated retroperitoneal sarcoma presented with postrenal AKI and improved after complete resection.
Sujets)
Humains , Comptabilité , Atteinte rénale aigüe , Études de suivi , Corée , Récidive , Tumeurs du rétropéritoine , SarcomesRésumé
Hepatocellular carcinoma(HCC) of unknown origin presents unusually in the elderly as a huge abdominal mass. Though most commonly associated with viral infections, about 10% of HCC in Korea arise from an unknown cause. HCC of unknown origin has a varying clinical picture and prognosis. It is known to have relatively good reserve liver function and rarely complications with previous cirrhosis or active hepatitis. Its pathogenesis may be not associated with an inflammation-dysplasia-carcinoma sequence. We recently managed an unusual case of moderately differentiated hepatocellular carinoma of unknown origin presenting with a huge abdominal mass. The 82-year-old female patient had no history of viral hepatitis and no other metabolic diseases were diagnosed. She received palliative care.