RESUMO
This is a case report of a 29 year old woman who presented with painless and progressive obstructive jaundice. Imaging investigations of the abdomen revealed a tumour of the common bile duct. She was treated by complete excision of the bile duct and hepaticojejunostomy. The histopathology report of the tumour read as benign schwannoma.
Assuntos
Adulto , Neoplasias do Ducto Colédoco/complicações , Feminino , Humanos , Icterícia Obstrutiva/etiologia , Neurilemoma/complicaçõesRESUMO
We report the case of a paraduodenal hernia treated by reduction of the hernia and closure of the hernial orifice.
Assuntos
Dor Abdominal/etiologia , Adulto , Doença Crônica , Duodenopatias/complicações , Hérnia/complicações , Humanos , MasculinoRESUMO
Cavernous haemangioma of the rectum is an uncommon cause of rectal bleeding. Initial diagnosis is often elusive because of lack of awareness. For accurate diagnosis, investigations such as endoscopy, plain X-ray of the abdomen, barium enema and selective angiography of the inferior mesenteric artery are required. Complete surgical excision of the haemangioma and colo-anal sleeve anastomosis is the most favoured operative procedure to eradicate the disease. We report a case of cavernous haemangioma of the rectum and discuss its salient clinical features, investigations and management.
Assuntos
Adolescente , Hemorragia Gastrointestinal/etiologia , Hemangioma Cavernoso/complicações , Humanos , Masculino , Neoplasias Retais/complicaçõesRESUMO
Primary hyperaldosteronism was detected in 1% of patients evaluated for secondary hypertension in a referral hospital in Southern India. The presence of hypokalemia with inappropriate kaliuresis (24 hr. urine K > 20mEq) was an important diagnostic clue. High resolution CT scans were found to be useful for localising the tumour. Preoperatively nifedipine and spironolactone were employed to correct hypertension and hypokalemia. The same drugs were also found to be excellent for long-term control of hypertension and hypokalemia in patients who had bilateral adrenal hyperplasia and aldosteronism.
Assuntos
Adulto , Feminino , Seguimentos , Humanos , Hiperaldosteronismo/diagnóstico , Hipopotassemia/etiologia , Masculino , Pessoa de Meia-Idade , Nifedipino/uso terapêutico , Potássio/sangue , Espironolactona/uso terapêutico , Tomografia Computadorizada por Raios XRESUMO
A case of pancreatitis of filarial origin is reported for the first time. The patient presented with chronic pancreatic pain. Laparotomy revealed an inflammed pancreas and fine needle aspiration cytology confirmed pancreatitis. Imprint of a peripancreatic lymphnode revealed a microfilaria. He was successfully treated with Diethyl Carbamazine.