Assuntos
Anemia Falciforme/diagnóstico , Terapia Combinada , Diagnóstico Diferencial , Endoscopia do Sistema Digestório , Varizes Esofágicas e Gástricas/diagnóstico , Humanos , Hipertensão Portal/diagnóstico , Hepatopatias/complicações , Veia Esplênica , Trombose/diagnóstico , Ultrassonografia DopplerRESUMO
Various endoscopic methods have been used successfully to treat Dieulafoy lesions. We describe our experience at one center of successful band ligation of Dieulafoy lesions in 7 patients.
Assuntos
Malformações Arteriovenosas/complicações , Endoscopia Gastrointestinal , Feminino , Mucosa Gástrica/irrigação sanguínea , Hemorragia Gastrointestinal/etiologia , Hemostase Endoscópica , Humanos , Ligadura/métodos , Masculino , Pessoa de Meia-IdadeRESUMO
Torsion of the greater omentum is an uncommon cause of acute abdomen, often diagnosed only intraoperatively. We report a 30-year-old man with torsion of the greater omentum in association with inguinal hernia, diagnosed on CT scan and managed conservatively.
Assuntos
Adulto , Anti-Inflamatórios não Esteroides/uso terapêutico , Diclofenaco/uso terapêutico , Hérnia Inguinal/complicações , Humanos , Masculino , Omento , Doenças Peritoneais/complicações , Anormalidade Torcional/complicaçõesRESUMO
OBJECTIVE: Hepatitis A vaccine has been recommended for patients with chronic liver disease since they have high mortality following acute hepatitis. This study was done to assess the prevalence of antibodies to hepatitis A virus in Indian patients with liver cirrhosis to determine the relevance of this recommendation in India. METHODS: Consecutive patients with cirrhosis of liver seen at two referral hospitals in southern India were tested for antibodies to hepatitis A virus using EIA. Age-matched non-cirrhotic adults attending the OPD served as controls. RESULTS: Of the 52 patients (mean [SD] age 57.1 [11.0] years; 33 men) and 50 control subjects (52.0 [14.8] 5 years; 39 men), 51 patients and all the controls tested positive (p=ns). CONCLUSION: Most patients with liver cirrhosis have antibodies against hepatitis A virus and thus immunization against this infection without screening appears unnecessary in them.