ABSTRACT
A case of a patient male of 47 years with gastroparesis, gastric bezoar and carcinoma of the amputated gastric rest is presented. Within his precedings figure a trunkular vagotomy and a Billroth I hemigastrectomy, antidepressive treatment and excesive intake of oranges. The sintomatology was unspecific. Barium radiology and endoscopy gave the diagnostic. Medical and endoscopic treatment was not effective, needing a surgical proceeding. We remark the need of periodic revisions and dietary prescriptions for the gastric operated patients, to prevent the late complications appearance (AU)
Se presenta el caso de un paciente varón de 47 años con gastroparesia, bezoar Gástrico y carcinoma de muñón gástrico. Entre sus antecedentes figuraba vagotomía troncular y hemigastrectomía Billroth-I, tratamiento antidepresivo e ingesta excesiva de naranjas. La sintomatología fue inespecífica. La radiología baritada y la endoscopia facilitaron el diagnóstico. El tratamiento médico y endoscópico fue inefectivo, precisando intervención quirúrgica. Resaltamos la necesidad de revisiones periódicas y recomendaciones dietéticas en los pacientes operados de estómago, para prevenir la aparición de complicaciones tardías (AU)
Subject(s)
Humans , Male , Middle Aged , Gastroparesis/complications , Bezoars/complications , Gastric Stump/pathology , Stomach Ulcer/surgery , Gastrectomy , VagotomyABSTRACT
The term hemobilia is used to describe the presence of blood in the biliary tract. We report a case of symptomatic hemobilia associated with chronic cholecystitis in a 57-year-old man with jaundice, gastrointestinal hemorrhage, and epigastric pain. We review the etiology of this condition and highlight the role of abdominal ultrasonography in its diagnosis. In our case, abdominal ultrasonography revealed the presence of clots inside the gallbladder. The clinical condition was resolved by means of a cholecystectomy. The patient had an uneventful recovery.
