ABSTRACT
The superposition poliangeitic syndrome involve pathologic aspects of other illnesses. It is superposition of poliartheritis nodose, allergic angeitis, Wegener disease and hypersensitivity vasculitis. It is caracterized to bo ANCA positive with clinical aspects and antibodies of this illnesses.
Subject(s)
Humans , Male , Middle Aged , Antibodies, Antineutrophil Cytoplasmic , VasculitisABSTRACT
The superposition poliangeitic syndrome involve pathologic aspects of other illnesses. It is superposition of poliartheritis nodose, allergic angeitis, Wegener disease and hypersensitivity vasculitis. It is caracterized to bo ANCA positive with clinical aspects and antibodies of this illnesses. (AU)
Subject(s)
Humans , Male , Middle Aged , Antibodies, Antineutrophil Cytoplasmic , VasculitisABSTRACT
The neurogenic tumors in the biliary tract are rare and usually are amputation neuroma that occur after cholecystectomy. We describe a case of isolated neurofibroma of the common bile duct in a young man not cholecystectomized. The patient suffered recurrent episodes of abdominal pain, vomiting and weight loss without clinical signs of Von Recklinghausen's disease or jaundice. The hepatogram was normal. The echography indicated a solid formation with obstruction of the proximal common bile duct. In the ERCP the stenosis was found. Surgical excision of the tumor and anastomosis of bilateral hepatic ducts and jejunum were carried out. At microscopic examination intraparietal neurofibroma of the common bile duct was found. As isolated entity, we know of only one reported case.
Subject(s)
Common Bile Duct Neoplasms/pathology , Neurofibroma/pathology , Adult , Cholangiopancreatography, Endoscopic Retrograde , Common Bile Duct Neoplasms/diagnostic imaging , Humans , Male , Neurofibroma/diagnostic imaging , UltrasonographyABSTRACT
The neurogenic tumors in the biliary tract are rare and usually are amputation neuroma that occur after cholecystectomy. We describe a case of isolated neurofibroma of the common bile duct in a young man not cholecystectomized. The patient suffered recurrent episodes of abdominal pain, vomiting and weight loss without clinical signs of Von Recklinghausens disease or jaundice. The hepatogram was normal. The echography indicated a solid formation with obstruction of the proximal common bile duct. In the ERCP the stenosis was found. Surgical excision of the tumor and anastomosis of bilateral hepatic ducts and jejunum were carried out. At microscopic examination intraparietal neurofibroma of the common bile duct was found. As isolated entity, we know of only one reported case.