ABSTRACT
Las complicaciones hemorrágicas graves asociadas al embarazo suelen ocurrir en el tercer trimestre del mismo y se relacionan frecuentemente con situaciones de preeclampsia y síndrome HELLP. El síndrome HELLP solo incide en el 0,5-0,9% de las gestaciones, pero su elevada morbimortalidad maternofetal nos obliga a tener en cuenta su diagnóstico en sus diversas formas de presentación clínica. Aunque la gran mayoría de las alteraciones hepáticas que ocurren en el embarazo tienen relación con las escasas hepatopatías inherentes al mismo, la duda diagnóstica ocurre con cierta frecuencia. Presentamos un caso de síndrome HELLP incompleto (variante ELLP) tratado efectivamente mediante actitud quirúrgica conservadora y cuyas peculiaridades inciden en diversos aspectos de esta entidad(AU)
Severe hemorrhagic complications associated with pregnancy usually occur within the third trimester and are frequently linked to preeclampsia and HELLP syndrome. HELLP syndrome affects only 0.5-0.9% of pregnancies but, because it causes high maternal-fetal mortality, a correct diagnosis of the various forms of presentation of this syndrome is essential. Although most of the liver alterations observed during pregnancy are related to pregnancy itself, diagnostic doubts are not infrequent. We present a case of incomplete HELLP syndrome (ELLP variant) associated with a subcapsular liver hematoma, which was successfully treated with a conservative surgical approach(AU)
Subject(s)
Humans , Female , Pregnancy , HELLP Syndrome/surgery , Hematoma/complications , Liver Diseases/complications , Pregnancy ComplicationsABSTRACT
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Subject(s)
Humans , Male , Middle Aged , Pleural Diseases/etiology , Pancreatic Cyst/complications , Respiratory Tract Fistula/etiology , Pancreatic Fistula/etiology , Tomography, X-Ray Computed , Rupture, Spontaneous , Pleurodesis , Pleural Effusion/etiology , Pleural Diseases , Pleural Diseases/surgery , Pancreatitis, Alcoholic/complications , Pancreatic Cyst , Pancreatic Cyst/surgerySubject(s)
Pancreatic Fistula/etiology , Pancreatic Pseudocyst/complications , Pleural Diseases/etiology , Respiratory Tract Fistula/etiology , Drainage , Dyspnea/etiology , Humans , Male , Middle Aged , Pancreatic Fistula/diagnostic imaging , Pancreatic Fistula/surgery , Pancreatic Pseudocyst/diagnostic imaging , Pancreatic Pseudocyst/surgery , Pancreatitis, Alcoholic/complications , Pleural Diseases/diagnostic imaging , Pleural Diseases/surgery , Pleural Effusion/etiology , Pleurodesis , Respiratory Tract Fistula/diagnostic imaging , Respiratory Tract Fistula/surgery , Rupture, Spontaneous , Tomography, X-Ray ComputedABSTRACT
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Subject(s)
Adult , Female , Humans , Male , Pancreatic Cyst/diagnosis , Pancreatic Neoplasms/diagnosis , Papilloma/diagnosisABSTRACT
We describe a case of hepatic carcinoid tumor that was diagnosed after right hepatectomy. The tumor was initially believed to be metastases from a rectal adenocarcinoma for which surgery had been performed seven years earlier. We highlight the localization of the tumor in the liver only, its large size and rapid growth, as well as the absence of carcinoid syndrome. Diagnostic studies of function and localization are presented. The absence of neoplasia in other locations suggested that this neoplasm was probably a primary hepatic carcinoid tumor. The association of carcinoid tumors with other neoplasms is well-known. However, because of our patient's history and the absence of symptoms, the preoperative diagnosis was incorrect. The definitive diagnosis was confirmed by pathological analysis, allowing specific studies of function and localization to be performed and therapeutic and follow-up measures to be adopted. Although surgery plays a crucial role in the treatment of these tumors, it should be performed in the context of the multidisciplinary management recommended for this disease.
