Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 14 de 14
Filter
Add more filters










Publication year range
7.
Cir Cir ; 83(2): 151-5, 2015.
Article in Spanish | MEDLINE | ID: mdl-25986975

ABSTRACT

BACKGROUND: Inflammatory pseudotumour is a rare entity, considered benign, and characterised by inflammatory cell mesenchymal proliferation. CLINICAL CASE: The case is presented 70 year-old man with fever of unknown origin syndrome. He was diagnosed with liver abscesses (one segment IV, adjacent to gallbladder fundus and segment VI), who progressed slowly after antibiotic treatment. In the absence of a diagnosis, although fine needle puncture-aspiration and different imaging tests were performed, elective surgery was decided. The intra-operative histopathology reported the existence of an inflammatory pseudotumour. CONCLUSIONS: Inflammatory pseudotumours are clinically classified into different types according to their aetiology, varying therapeutic management based on the same. It is very difficult to diagnose because of the absence of symptoms, blood disorders, or specific radiological findings. Definitive diagnosis often requires histopathological confirmation, in most cases by percutaneous liver puncture, but sometimes exploratory laparotomy or even performing a hepatectomy for confirmation is necessary. The natural history of inflammatory pseudotumour is its regression; thus conservative management may be used through regular checks until resolution, or can be treated with antibiotics, anti-inflammatories and even corticosteroids. Surgical resection is indicated for persistent unresolved systemic symptoms despite medical treatment, in those situations where growth is evident, with or without symptoms, when involving the hepatic hilum, and finally, in case where the possibility of malignancy cannot be ruled out.


Subject(s)
Granuloma, Plasma Cell/pathology , Liver Diseases/pathology , Aged , Granuloma, Plasma Cell/surgery , Humans , Intraoperative Care , Liver Diseases/surgery , Male
11.
Prog. obstet. ginecol. (Ed. impr.) ; 55(4): 196-198, abr. 2012.
Article in Spanish | IBECS | ID: ibc-99714

ABSTRACT

Introducción. Aunque el dispositivo intrauterino es seguro para la mayoría de las mujeres, se ha descrito su asociación con absceso hepático y puede producir sepsis grave. Caso clínico. Presentamos el caso de una paciente portadora de dispositivo intrauterino que acudió a urgencias con abdomen agudo segundario a absceso hepático roto. La paciente requirió laparotomía exploradora para drenaje quirúrgico. Conclusión. El dispositivo intrauterino debe ser considerado como etiología en mujeres con infección intraabdominal (AU)


Background. Although intrauterine device is safe for the most women, its association with liver abscess has been reported and can produce fatal sepsis. Clinical case. We report a case of a patient wearing intrauterine device who arrived at the emergency department with acute abdomen due to ruptured liver abscess. The patient underwent exploratory laparotomy for surgical drainage. Conclusion. Intrauterine device can be considered the etiology in a woman with intraabdominal infection (AU)


Subject(s)
Humans , Female , Middle Aged , Liver Abscess/complications , Liver Abscess/diagnosis , Intrauterine Devices , Pneumoperitoneum/complications , Laparotomy/methods , Laparotomy , Norepinephrine/therapeutic use , Imipenem/therapeutic use , Tobramycin/therapeutic use , Metronidazole/therapeutic use , Liver Abscess , Pneumoperitoneum , Pneumoperitoneum/diagnosis , Intrauterine Devices/trends , /methods , Radiography, Thoracic
SELECTION OF CITATIONS
SEARCH DETAIL
...