ABSTRACT
Inflammatory myofibroblastic tumor is an extremely rare neoplastic lesion with a predilection for aggressive local and recurrent behavior. The tumor tends to occur in the lungs of children and young adults, and although it can develop in older patients and other organs, this is extremely rare. Symptoms are nonspecific and depend on the location and size of the tumor. The gastrointestinal tract is rarely this mass's primary site of origin, and the cecum is an even rarer location. We present the case of an otherwise healthy 55-year-old female who presented with an acute abdomen and a mass in her abdomen; after successful surgery, she fully recovered. Inflammatory myofibroblastic tumor causing acute abdomen was the final diagnosis.
ABSTRACT
Gallstone ileus is an uncommon cause of mechanical bowel obstruction in patients with cholecystitis and gallstones who develop a fistula over time. In the post-cholecystectomy patient, the presence of gallstone ileus is extremely rare; these patients have different pathophysiological pathways, such as a spilled gallstone that subsequently erodes into the bowel, subtotal cholecystectomies, and diverticulae that can hold a gallstone for hidden several years. In these patients, the clinical presentations are unique because of their rarity and because the gallbladder had been previously removed. A high index of suspicion by the medical team is needed for diagnosis. We present the case of an 85-year-old male who had a history of cholecystectomy 35 years ago. He presented to the emergency department with intestinal obstruction. Since he had a hernia, it was thought to be the cause of the obstruction; however, during surgery, we were surprised to find a gallstone ileus. After surgery, he fully recovered.
ABSTRACT
A gastrostomy is a common procedure for patients with swallowing problems or inability to maintain regular oral nutrition. These gastrostomy tubes need special attention, as complications can occur if the tubes are left unattended. In rare scenarios, these tubes can migrate and cause severe life-threatening difficulties such as bowel obstruction and pancreatitis. We present the case of a 76-year-old quadriplegic woman who had a gastrostomy tube. Suddenly, the tube was missing, and after urgent medical care, the gastrostomy tube was found within her bowel. After successful surgery, she recovered from this incident.
ABSTRACT
Jejunal diverticula are rare, and small bowel diverticular disease resulting in volvulus can lead to severe complications; as symptoms are non-specific, many patients are misdiagnosed and treated wrongly for other conditions. When a small bowel volvulus is detected, urgent surgical treatment is needed to avoid troublesome difficulties. We present the case of a 36-year-old woman who presented to the emergency room with an acute abdomen due to small bowel obstruction. After further testing, a volvulus was detected and promptly treated. Jejunal diverticula that caused a small bowel volvulus was the final diagnosis.
ABSTRACT
Introducción: La presente guía está enfocada en ayudar al paciente con Enfermedad Inflamatoria Intestinal que asiste a la oficina de farmacia, mediante la oferta de servicios de atención farmacéutica como son la farmacovigilancia y el seguimiento farmacoterapéutico que buscan promover la inclusión del farmacéutico comunitario en el equipo de salud. Objetivo: Elaborar una guía de actuación para el Farmacéutico Comunitario en pacientes con Enfermedad Inflamatoria Intestinal Metodología: El protocolo de revisión sistemática para la elaboración de la presente guía fue desarrollado en base a los criterios en el que se establecen: Identificar la pregunta de investigación, realizar un plan de estrategia en bases de datos electrónicos, utilizar un enfoque de equipo para la extracción de información, realizar un análisis temático y resumir la información. Resultados: La elaboración de algoritmos en la presente guía permite aportar información oportuna para el farmacéutico comunitario acorde a las características individuales que se presenten en cada paciente permitiendo detectar de manera rápida y eficaz los problemas que se pudieren presentar durante la enfermedad para poder prevenirlos e intervenir de manera oportuna. Discusión: La información aportada ayuda a reforzar los conocimientos teórico-prácticos del farmacéutico comunitario, incentivándolo a promover y promocionar servicios de atención farmacéutica enfocados en las necesidades del paciente
Introduction: This guide is focused on helping the patient with Inflammatory Bowel Disease who attends the pharmacy office by offering pharmaceutical care services such as pharmacovigilance and pharmacotherapeutic follow-up that seek to promote the inclusion of the community pharmacist in the team of health. Objective: To develop an action guide for the Community Pharmacist in patients with Inflammatory Bowel Disease Methodology: The systematic review protocol for the development of this guide was developed based on the criteria in which they establish: Identify the research question, make a strategy plan in electronic databases, use a team approach to the extraction of information, perform a thematic analysis and summarize the information. Results: The development of algorithms in this guide allows to provide timely information for the community pharmacist according to the individual characteristics presented in each patient, allowing the rapid and effective detection of problems that may arise during the illness in order to prevent and intervene timely
Subject(s)
Humans , Inflammatory Bowel Diseases/drug therapy , Pharmaceutical Services/organization & administration , Guidelines as Topic , Community Pharmacy Services/organization & administration , Pharmacovigilance , Drug Monitoring/methodsABSTRACT
Although acute cholecystitis in the context of acute hepatitis A virus (HAV) infection is extremely rare, previous cases have been reported. However, this manifestation of HAV infection is little known. In the present article, we briefly review previously documented cases and present a new case. We report the case of a 39-year-old woman with fever, abdominal pain and moderately elevated transaminase levels who developed jaundice and peritoneal irritation. Diagnosis of acute cholecystitis was given by abdominal ultrasound and magnetic resonance imaging. The patient underwent surgery. In the postoperative period, positive IgM antibody titers for HAV were obtained, confirming the diagnosis of HAV infection.
Subject(s)
Cholecystitis/complications , Hepatitis A/complications , Acute Disease , Adult , Female , HumansABSTRACT
La colecistitis aguda en el contexto de una hepatitis A aguda,pese a tratarse de una combinación muy rara, ya ha sidopreviamente descrita. Sin embargo, se conoce muy pocoacerca de esta manifestación de la infección por el virus dela hepatitis A (VHA). En este trabajo presentamos un nuevocaso y repasamos brevemente los anteriormente documentados.Nuestro caso trata acerca de una mujer de 39 años deedad, con fiebre, dolor abdominal y elevación moderada delas transaminasas, que desarrolló ictericia y signos de irritaciónperitoneal. A través de la ecografía abdominal y de laresonancia magnética se llegó al diagnóstico de colecistitisaguda. La paciente fue intervenida y durante el postoperatoriose descubrieron anticuerpos IgM positivos para el VHA,lo que confirmó el diagnóstico de hepatitis aguda A (AU)
Although acute cholecystitis in the context of acute hepatitisA virus (HAV) infection is extremely rare, previous caseshave been reported. However, this manifestation of HAV infectionis little known. In the present article, we briefly reviewpreviously documented cases and present a new case.We report the case of a 39-year-old woman with fever, abdominalpain and moderately elevated transaminase levelswho developed jaundice and peritoneal irritation. Diagnosisof acute cholecystitis was given by abdominal ultrasoundand magnetic resonance imaging. The patient underwentsurgery. In the postoperative period, positive IgM antibodytiters for HAV were obtained, confirming the diagnosis ofHAV infection (AU)
Subject(s)
Humans , Female , Adult , Acalculous Cholecystitis/complications , Hepatitis A/complications , Abdominal Pain/etiology , Cholecystitis, Acute/diagnosisABSTRACT
La colecistitis aguda en el contexto de una hepatitis A aguda,pese a tratarse de una combinación muy rara, ya ha sidopreviamente descrita. Sin embargo, se conoce muy pocoacerca de esta manifestación de la infección por el virus dela hepatitis A (VHA). En este trabajo presentamos un nuevocaso y repasamos brevemente los anteriormente documentados.Nuestro caso trata acerca de una mujer de 39 años deedad, con fiebre, dolor abdominal y elevación moderada delas transaminasas, que desarrolló ictericia y signos de irritaciónperitoneal. A través de la ecografía abdominal y de laresonancia magnética se llegó al diagnóstico de colecistitisaguda. La paciente fue intervenida y durante el postoperatoriose descubrieron anticuerpos IgM positivos para el VHA,lo que confirmó el diagnóstico de hepatitis aguda A
Although acute cholecystitis in the context of acute hepatitisA virus (HAV) infection is extremely rare, previous caseshave been reported. However, this manifestation of HAV infectionis little known. In the present article, we briefly reviewpreviously documented cases and present a new case.We report the case of a 39-year-old woman with fever, abdominalpain and moderately elevated transaminase levelswho developed jaundice and peritoneal irritation. Diagnosisof acute cholecystitis was given by abdominal ultrasoundand magnetic resonance imaging. The patient underwentsurgery. In the postoperative period, positive IgM antibodytiters for HAV were obtained, confirming the diagnosis ofHAV infection
