ABSTRACT
Eagle's syndrome is a little known entity defined as the elongation of the stylohyoid process and/or calcification of the stylohyoid ligament. It is a rare pathology that due to its presentation and possible complications should be taken into consideration in the differential diagnosis of oropharyngeal dysphagia. We present the case of a patient with Eagle's syndrome as well as essential aspects in the diagnosis and treatment of this entity.
Subject(s)
Calcinosis , Deglutition Disorders , Ossification, Heterotopic , Humans , Deglutition Disorders/complications , Ossification, Heterotopic/complications , Ossification, Heterotopic/diagnostic imaging , Temporal Bone/diagnostic imagingABSTRACT
El síndrome del conducto pancreático desconectado (SCPD) es debido a la interrupción del conducto pancreático (CP) principal o sus ramas secundarias, complicación presente entre un 30-80% de las pancreatitis agudas necrotizantes. La secreción de enzimas pancreáticas por el tejido pancreático aislado funcionante puede facilitar la recurrencia de colecciones necróticas encapsuladas, por lo que su manejo endoscópico sigue siendo un tema controvertido en la práctica diaria. Exponemos un caso de síndrome de ducto pancreático desconectado resuelto tras colocación de prótesis pancreática. (AU)
Subject(s)
Humans , Female , Middle Aged , Pancreatitis , Intensive Care Units , Patients , Gastrointestinal TractABSTRACT
Disconnected pancreatic duct syndrome (DPCS) is due to disruption of the main pancreatic duct (PC) or its secondary branches, a complication present in 30-80% of acute necrotizing pancreatitis. The secretion of pancreatic enzymes by isolated functioning pancreatic tissue can facilitate the recurrence of encapsulated necrotic collections, so its endoscopic management remains a controversial issue in daily practice. We present a case of disconnected pancreatic duct syndrome resolved after placement of a pancreatic stent.
Subject(s)
Pancreatic Ducts , Pancreatitis, Acute Necrotizing , Humans , Pancreas , Pancreatitis, Acute Necrotizing/complications , Endoscopy , Drainage , Syndrome , Stents , Cholangiopancreatography, Endoscopic RetrogradeABSTRACT
No disponible
Subject(s)
Humans , Male , Middle Aged , Colonic Neoplasms/diagnosis , Adenocarcinoma/diagnosis , Tuberculosis, Gastrointestinal/diagnosis , Diagnosis, DifferentialABSTRACT
A 52-year-old Senegalese male presented due to abdominal pain and fever, with findings suggestive of a stenosing tumor of the right colon. Biopsies during colonoscopy were compatible with adenocarcinoma and infiltration into neighboring organs was observed during the surgery. New biopsies were taken that did not show dysplasia but granulomatous foci that were suggestive of a non-filiated infection. Thus, tuberculosis was ruled out.
Subject(s)
Adenocarcinoma , Tuberculosis, Gastrointestinal , Colon , Colonoscopy , Diagnosis, Differential , Humans , Male , Middle Aged , Tuberculosis, Gastrointestinal/diagnostic imagingABSTRACT
No disponible
Subject(s)
Humans , Female , Aged , Aspergillosis/diagnostic imaging , Brain Diseases/microbiology , Intestinal Diseases/microbiology , Fatal Outcome , Balloon Enteroscopy , Tomography, X-Ray Computed , Brain Diseases/diagnostic imaging , Intestinal Diseases/diagnostic imaging , Pulmonary Aspergillosis/diagnostic imagingABSTRACT
No disponible
Subject(s)
Humans , Male , Aged , Rhabdomyolysis/chemically induced , Sorafenib/adverse effects , Antineoplastic Agents/adverse effects , Sorafenib/therapeutic use , Fatal Outcome , Antineoplastic Agents/therapeutic use , Carcinoma, Hepatocellular/drug therapyABSTRACT
A 72-year-old female presented with abdominal pain and constipation and intestinal dilation was found. Abdominal computed tomography showed two areas of thickening and stenosis in the proximal jejunum and preterminal ileum, with an unknown etiology. Exploratory laparotomy was proposed but the patient suffered a sudden and progressive decrease in consciousness. Cranial computed tomography showed an ischemic area and a midline shift. Brain biopsies suggested infection by Aspergillus Fumigatus. Despite antifungal drugs, the patient had a progressive clinical deterioration and died. The autopsy concluded a systemic infection due to Aspergillus Fumigatus. Invasive aspergillosis is a serious fungal infection and usually occurs in immunocompromised patients. It mainly affects the lungs, followed by the gastrointestinal tract. The most frequent location in gastrointestinal involvement is the small bowel. Gastrointestinal involvement is more frequent in invasive disease. Although, there are case reports of isolated gastrointestinal aspergillosis, even in immunocompetent patients without risk factors. The prognosis is poor.
Subject(s)
Aspergillosis , Aged , Antifungal Agents/therapeutic use , Aspergillosis/complications , Aspergillosis/diagnostic imaging , Aspergillosis/drug therapy , Female , Humans , Immunocompromised Host , Intestine, SmallABSTRACT
We present a case of rhabdomyolysis related to treatment with sorafenib in a patient with multifocal hepatocellular carcinoma. Rhabdomyolysis is a severe situation and potentially fatal. There are no laboratory data that can predict this condition. Early diagnosis is essential for prognosis. Rhabdomyolysis has been described as an adverse reaction of several drugs but it is not frequently related to sorafenib.
Subject(s)
Carcinoma, Hepatocellular , Liver Neoplasms , Rhabdomyolysis , Carcinoma, Hepatocellular/drug therapy , Humans , Liver Neoplasms/drug therapy , Prognosis , Rhabdomyolysis/chemically induced , Sorafenib/adverse effectsABSTRACT
No disponible
Subject(s)
Humans , Female , Aged , Cholecystitis/diagnosis , Gallbladder Neoplasms/diagnosis , Magnetic Resonance Imaging , Diagnosis, Differential , Chronic Disease , Acute Disease , Ultrasonography , BiopsyABSTRACT
We present the images of ultrasound, magnetic resonance and histology of a patient with suggestive findings of xanthogranulomatous cholecystitis. Gallbladder cancer cannot be completely ruled out until the histological study of the surgical sample is performed.
