ABSTRACT
A pesar de que los seudoquistes constituyen la mayor parte de las lesiones quísticas pancreáticas, es importante realizar un correcto diagnóstico diferencial con las verdaderas neoplasias quísticas, debido fundamentalmente a su potencial maligno. En ocasiones, no es posible establecer un diagnóstico definitivo únicamente mediante tomografía computarizada y resonancia magnética, por lo que se requieren otras pruebas de imagen, como la ecoendoscopia, que además de información morfológica permite, a través de la punción y aspiración del contenido, obtener un análisis citológico y bioquímico de la lesión. La combinación de todos estos hallazgos permite casi siempre una aproximación diagnóstica suficiente para adoptar el abordaje más adecuado en cada caso. En este artículo se describen las características morfológicas específicas de cada una de las neoplasias quísticas pancreáticas, tanto con tomografía computarizada y resonancia magnética como con ecoendoscopia, y se revisan las guías de manejo de este tipo de lesiones (AU)
Although most cystic pancreatic lesions are pseudocysts, it is important to do a thorough differential diagnosis with true cystic tumors because cystic tumors are potentially malignant. Sometimes computed tomography and magnetic resonance imaging cannot establish the definitive diagnosis, making it necessary to perform other imaging tests such as endoscopic ultrasound, which in addition to morphological information, can also enable cytologic and biochemical analysis of the lesion through puncture and aspiration of its contents. Combining all these findings nearly always provides enough diagnostic information to allow the appropriate approach in each case. This article describes the specific morphological characteristics for each cystic pancreatic tumor on computed tomography, magnetic resonance imaging, and endoscopic ultrasound and reviews the guidelines for managing these types of lesions (AU)
Subject(s)
Humans , Pancreatic Cyst , Pancreatic Neoplasms , Diagnostic Imaging/methods , Neoplasms, Cystic, Mucinous, and Serous , Diagnosis, DifferentialABSTRACT
Although most cystic pancreatic lesions are pseudocysts, it is important to do a thorough differential diagnosis with true cystic tumors because cystic tumors are potentially malignant. Sometimes computed tomography and magnetic resonance imaging cannot establish the definitive diagnosis, making it necessary to perform other imaging tests such as endoscopic ultrasound, which in addition to morphological information, can also enable cytologic and biochemical analysis of the lesion through puncture and aspiration of its contents. Combining all these findings nearly always provides enough diagnostic information to allow the appropriate approach in each case. This article describes the specific morphological characteristics for each cystic pancreatic tumor on computed tomography, magnetic resonance imaging, and endoscopic ultrasound and reviews the guidelines for managing these types of lesions.
Subject(s)
Magnetic Resonance Imaging , Pancreatic Cyst/diagnostic imaging , Pancreatic Neoplasms/diagnostic imaging , Tomography, X-Ray Computed , Humans , Pancreatic Cyst/complications , Pancreatic Neoplasms/complicationsABSTRACT
No disponible
Subject(s)
Humans , Female , Middle Aged , Hypotension/complications , Hypotension/diagnosis , Renal Insufficiency/complications , Renal Insufficiency/diagnosis , Rhabdomyolysis/complications , Rhabdomyolysis , Kidney Cortex Necrosis/complications , Kidney Cortex Necrosis/diagnosis , Renal Insufficiency/physiopathology , Renal Insufficiency , Abdominal Pain/diagnosis , Abdominal Pain/etiology , Magnetic Resonance Imaging/methods , /methods , Coronary Vasospasm/complications , Kidney Cortex Necrosis/physiopathology , Kidney Cortex NecrosisABSTRACT
Los síntomas de la reacción disulfiram-alcohol, aunque intensos y desagradables, suelen ser transitorios. La persistencia de las alteraciones hemodinámicas graves o con signos de disfunción orgánica se han descrito de forma excepcional, constituyendo en la actualidad una rareza por la escasa utilización del fármaco. Presentamos el caso de un paciente atendido por un cuadro de shock y síndrome coronario agudo, sus particularidades clínicas, dificultad diagnóstica y de tratamiento, que resultó ser consecuencia de una reacción disulfiram-alcohol inicialmente no advertida (AU)
