Subject(s)
Mesentery , Peritoneal Neoplasms/diagnosis , Adult , Anemia/etiology , Cysts/complications , Cysts/diagnosis , Humans , Lymphangioma/complications , Lymphangioma/diagnosis , Lymphangioma, Cystic , Male , Peritoneal Neoplasms/complications , Retroperitoneal Neoplasms/complications , Retroperitoneal Neoplasms/diagnosis , Thrombocytosis/etiologyABSTRACT
La presencia de neumoperitoneo espontáneo es un hallazgo común en pacientes con enfermedad abdominal. En el 90% de las ocasiones es consecuencia de una perforación de víscera hueca1. La rotura de un absceso hepático piógeno es una complicación infrecuente que acontece entre el 5 y el 15% de los casos, y es una causa extremadamente rara de neumoperitoneo. Existen muy pocos casos descritos en la literatura médica al respecto.Debido a su elevado interés clínico, presentamos el caso de una paciente con neumoperitoneo espontáneo secundario a la rotura de un absceso hepático piógeno(AU)
Spontaneous pneumoperitoneum is a common finding in patients with abdominal disorders. In 90% of cases, this entity results from hollow viscera perforation. Rupture of a pyogenic liver abscess is an infrequent complication occurring in 5 to 15% of cases. Pneumoperitoneum secondary to intraperitoneal rupture of an abscess is extremely rare and very few cases have been reported in the literature. Given its clinical interest, we report a case of pneumoperitoneum due to spontaneous rupture of a gas-containing pyogenic liver abscess (AU)
Subject(s)
Humans , Female , Aged, 80 and over , Abdomen, Acute/etiology , Escherichia coli Infections/complications , Liver Abscess, Pyogenic/complications , Pneumoperitoneum/etiology , Escherichia coli Infections/surgery , Follow-Up Studies , Laparotomy , Liver Abscess, Pyogenic/surgery , Rupture, Spontaneous , Tomography, X-Ray Computed , Treatment OutcomeABSTRACT
BACKGROUND: pylephlebitis is a rare complication of intraabdominal infections. Clinical presentation can be varied; therefore, it is necessary to carry out imaging tests for diagnosis. The treatment of choice is wide-spectrum antibiotic therapy and surgery for the source of infection. CLINICAL CASE: we report the case of a female with acute abdomen who was diagnosed with acute cholecystitis and right portal vein thrombosis. The patient underwent surgery and antibiotic treatment was necessary. CT scan showed hepatic infarction secondary to portal thrombosis. CONCLUSIONS: pylephlebitis presents high mortality rates without treatment; therefore, early diagnosis is necessary in order to initiate appropriate medical and surgical treatment.
Subject(s)
Cholecystitis/complications , Portal Vein , Sepsis/etiology , Thrombophlebitis/etiology , Acute Disease , Aged , Female , HumansABSTRACT
Spontaneous pneumoperitoneum is a common finding in patients with abdominal disorders. In 90% of cases, this entity results from hollow viscera perforation. Rupture of a pyogenic liver abscess is an infrequent complication occurring in 5 to 15% of cases. Pneumoperitoneum secondary to intraperitoneal rupture of an abscess is extremely rare and very few cases have been reported in the literature. Given its clinical interest, we report a case of pneumoperitoneum due to spontaneous rupture of a gas-containing pyogenic liver abscess.
Subject(s)
Abdomen, Acute/etiology , Escherichia coli Infections/complications , Liver Abscess, Pyogenic/complications , Pneumoperitoneum/etiology , Abdomen, Acute/diagnostic imaging , Aged, 80 and over , Cholangiography , Cholangiopancreatography, Magnetic Resonance , Drainage , Emergencies , Escherichia coli Infections/surgery , Female , Follow-Up Studies , Humans , Laparotomy , Liver Abscess, Pyogenic/diagnostic imaging , Liver Abscess, Pyogenic/surgery , Pneumoperitoneum/diagnostic imaging , Radiography, Thoracic , Rupture, Spontaneous , Time Factors , Tomography, X-Ray Computed , Treatment OutcomeABSTRACT
Introducción: Los tumores del intestino delgado representan 25 % de las neoplasias gastrointestinales, de ellos 0.2 y 1 % corresponde a tumores del estroma gastrointestinal. Su presentación clínica más frecuente es la hemorragia digestiva, siendo los tumores del estroma gastrointestinal responsables en 1 % de los casos. Este tipo de neoplasias también puede ser el origen de intususcepción, proceso patológico infrecuente en la edad adulta por representar únicamente 5 % de todas las obstrucciones intestinales. Caso clínico: Mujer que acudió al servicio de urgencias por dolor abdominal y hemorragia digestiva baja. Las pruebas complementarias no resultaron concluyentes. Tras laparotomía exploradora se diagnosticó intususcepción y hemorragia digestiva baja subsecuente a tumor del estroma gastrointestinal. Conclusiones: La cirugía debe ser el último recurso diagnóstico y terapéutico, pero es necesaria en ocasiones debido a la dificultad para determinar la causa etiológica de la hemorragia y la obstrucción intestinal.
BACKGROUND: Small bowel tumors comprise 25% of gastrointestinal (GI) neoplasms, of which only between 0.2 and 1% correspond to gastrointestinal stromal tumors (GIST). GI bleeding is the most common presentation of GIST, being responsible in 1% of the cases. This type of neoplasm can also be the origin of an intussusception, which is an infrequent process during adult age, representing only 5% of all intestinal obstructions. CLINICAL CASE: We report a case of a patient who arrived at the emergency department due to abdominal pain and lower GI bleeding. The diagnostic process was not conclusive. After an exploratory laparotomy, the diagnosis was GI bleeding and intussusception due to GIST. CONCLUSIONS: Surgery must be the last diagnostic and therapeutic resource, but it is sometimes necessary to localize bleeding and intestinal obstruction site.
Subject(s)
Humans , Female , Middle Aged , Jejunal Diseases/etiology , Gastrointestinal Hemorrhage/etiology , Intussusception/etiology , Jejunal Neoplasms/complications , Gastrointestinal Stromal Tumors/complicationsABSTRACT
BACKGROUND: Small bowel tumors comprise 25% of gastrointestinal (GI) neoplasms, of which only between 0.2 and 1% correspond to gastrointestinal stromal tumors (GIST). GI bleeding is the most common presentation of GIST, being responsible in 1% of the cases. This type of neoplasm can also be the origin of an intussusception, which is an infrequent process during adult age, representing only 5% of all intestinal obstructions. CLINICAL CASE: We report a case of a patient who arrived at the emergency department due to abdominal pain and lower GI bleeding. The diagnostic process was not conclusive. After an exploratory laparotomy, the diagnosis was GI bleeding and intussusception due to GIST. CONCLUSIONS: Surgery must be the last diagnostic and therapeutic resource, but it is sometimes necessary to localize bleeding and intestinal obstruction site.
