RESUMO
Kostmann's disease is a rare hematologic disease entity which is characterized by persistent neutropenia and recurrent bacterial infections since early in infancy. The authors experienced a 2-month-old female infant with disseminated bacterial skin infection since 3 weeks of age and persistent neutropenia. Diagnosis was made by neutropenia in the peripheral blood, maturation arrest of myeloid hemopoiesis at myelocyte stage in the finding of bone marrow aspiration and improving response of neutropenia with G-CSF administration. She had experienced 4 episodes of sepsis and one episode of acute otitis externa during follow-up until 14 months of age.
Assuntos
Feminino , Humanos , Lactente , Infecções Bacterianas , Medula Óssea , Transplante de Medula Óssea , Diagnóstico , Seguimentos , Fator Estimulador de Colônias de Granulócitos , Células Precursoras de Granulócitos , Doenças Hematológicas , Neutropenia , Otite Externa , Sepse , PeleRESUMO
Aneurysm of the pulmonary artery is a rate entity. A neonate was seen with cyanosis and tachypnea. There was a grade 4/6 systolic murmur along the left sternal border. The chest X-ray showed a round mass shadow in the left parahilar region. Echocardiogram showed large Ventricular Septal Defect and mild Pulmonary Stenosis. The cardiac angiogram showed giant aneurysm of pulmonary artery. Surgical intervention was advised. However, the patient was discharged against operative plan. And the patient died two weeks later.
Assuntos
Humanos , Recém-Nascido , Aneurisma , Cianose , Comunicação Interventricular , Artéria Pulmonar , Estenose da Valva Pulmonar , Sopros Sistólicos , Taquipneia , TóraxRESUMO
It has been thought for many years that gastric adenocarcinoma almost never crosses the pylorus. Although this theory was generally accepted, several studies have refuted it. We report three cases of gastric adenocarcinoma direct spreading into the duodenum that was diagnosed by endoscopic duodenal biopsy and review the literature.
Assuntos
Adenocarcinoma , Biópsia , Duodeno , Endoscopia , PiloroRESUMO
While anomalies of the pancreaticobiliary system are not uncommon, drainage of the common bile duct into the bulb of the duodenum has rarely been reported. The awareness of ectopic drainage of the CBD is stressed to prevent surgical damage and improve medical management in this area. We reported one case of anomalous drainage of the CBD and pancreatic duct associated with nonvisible gallbladder or agenesis of gallbladder and cystic duct diagnosed by ERCP, ultrasonography and upper abdominal CT.
Assuntos
Colangiopancreatografia Retrógrada Endoscópica , Ducto Colédoco , Ducto Cístico , Drenagem , Duodeno , Vesícula Biliar , Ductos Pancreáticos , Tomografia Computadorizada por Raios X , UltrassonografiaRESUMO
While anomalies of the pancreaticobiliary system are not uncommon, drainage of the common bile duct into the bulb of the duodenum has rarely been reported. The awareness of ectopic drainage of the CBD is stressed to prevent surgical damage and improve medical management in this area. We reported one case of anomalous drainage of the CBD and pancreatic duct associated with nonvisible gallbladder or agenesis of gallbladder and cystic duct diagnosed by ERCP, ultrasonography and upper abdominal CT.