ABSTRACT
Symptomatic Meckel's Diverticulum is a rare entity in old patients. The most common complications are gastrointestinal bleeding, intestinal obstruction, acute inflammation, and perforation. Usually those complications occur on the first two decades of life and mostly before the fifth decade. We report an extremely unusual debut of Meckel's Diverticulum, presented as massive spontaneous hemoperitoneum in an 82-year-old man without gastrointestinal bleeding. A literature review of atraumatic hemoperitoneum as presentation of Meckel's diverticulum was made.
Subject(s)
Hemoperitoneum/etiology , Meckel Diverticulum/complications , Aged, 80 and over , Hemoperitoneum/pathology , Humans , Male , Meckel Diverticulum/diagnosisABSTRACT
Diaphragmatic herniation is an uncommon complication in the postquirurgic follow of the liver transplant. The associated symptoms are unspecific and may not suggest the correct diagnosis. It may explain why in many patients the diagnosis remains unmade or it is made only after a long interval of time. We present the case of a fifty-seven-year-old male who required an orthotopic liver transplant in 2010 due to a trifocal hepatocarcinoma. In postoperatory follow-up the patient showed alimentary regurgitation, vomiting, and dyspepsia. The diagnosis was made by an oesophagogastroduodenal transit with barium and an abdominal CT scan that showed a left diaphragmatic herniation with the gastric fundus into the thorax. With these findings we decided to perform a programmed surgery. After takedown of adhesions and replacement of the stomach into the upper abdomen, the palm-sized diaphragmatic opening was closed with a synthetic material. The patient's condition remained stable throughout the entire operation. The postoperative course was uneventful and he was discharged at the fifth day after surgery with a normal digestive intake. In a 12-month follow-up the patient shows no symptoms.
ABSTRACT
This report describes the case of a patient who developed a subcapsular hepatic hematoma 48 hours after endoscopic retrograde cholangiopancreatography. She was treated by embolizing the sites of bleeding and by surgically resecting the area. We review the literature and discuss the potential mechanisms that cause this complication.
Subject(s)
Cholangiopancreatography, Endoscopic Retrograde/adverse effects , Hematoma/etiology , Liver Diseases/etiology , Aged , Female , Hematoma/surgery , Humans , Liver Diseases/surgeryABSTRACT
Resumen Se presenta una paciente que desarrolló un hematoma hepático a las 48 horas de una CPRE. Para su tratamiento se realizó una embolización de los puntos sangrantes y posteriormente una resección quirúrgica de la zona. Se revisa la bibliografía y se discute sus posibles mecanismos de producción (AU)
Abstract This report describes the case of a patient who developed a subcapsular hepatic hematoma 48 hours after endoscopic retrograde cholangiopancreatography. She was treated by embolizing the sites of bleeding and by surgically resecting the area. We review the literature and discuss the potential mechanisms that cause this complication (AU)
