ABSTRACT
A 66-year-old male patient with no specific prior medical history consulted due to constipation without other associated symptoms. A colonoscopy was performed and multiple pseudonodular lesions were detected from the sigmoid to splenic angle in the form of air bubbles with normal-appearing mucosa and a preserved vascular pattern. Gas was released when the biopsies were being taken. An abdominal computed tomography (CT) scan was performed due to the suspicion of an idiopathic or primary intestinal pneumatosis, in which the findings confirmed the diagnosis.
Subject(s)
Pneumatosis Cystoides Intestinalis , Aged , Biopsy , Colonoscopy , Humans , Intestines , Male , Pneumatosis Cystoides Intestinalis/diagnostic imaging , Tomography, X-Ray ComputedABSTRACT
No disponible
Subject(s)
Humans , Female , Middle Aged , Chemical and Drug Induced Liver Injury/complications , Terbinafine/toxicity , Antifungal Agents/adverse effects , Causality , Antifungal Agents/toxicity , Jaundice/chemically induced , Pruritus/chemically induced , Asthenia/chemically induced , Ceruloplasmin/administration & dosageSubject(s)
Antifungal Agents/adverse effects , Chemical and Drug Induced Liver Injury/etiology , Terbinafine/adverse effects , Antifungal Agents/therapeutic use , Chemical and Drug Induced Liver Injury/blood , Cholestasis, Intrahepatic/blood , Cholestasis, Intrahepatic/chemically induced , Cholestasis, Intrahepatic/drug therapy , Female , Humans , Middle Aged , Onychomycosis/complications , Onychomycosis/drug therapy , Spondylitis, Ankylosing/complications , Terbinafine/therapeutic use , Ursodeoxycholic Acid/therapeutic useABSTRACT
La distinción de la enfermedad relacionada con IgG4 como una entidad inmunomediada que engloba patologías consideradas clásicamente como idiopáticas ha supuesto una revolución en el algoritmo diagnóstico y terapéutico en diferentes especialidades médicas. Esta entidad suele implicar a diversos órganos (la afectación de un órgano aislado, a excepción del páncreas, es infrecuente), lo cual determina unos hallazgos histopatológicos característicos. Presentamos el caso de un paciente valorado por dolor abdominal que, tras estudio exhaustivo y habiendo descartado otras etiologías, fue diagnosticado de mesenteritis esclerosante IgG4 cumpliendo criterios radiológicos e histopatológicos (AU)
The identification of IgG4-related disease as a distinct immune-mediated condition encompassing disorders that were traditionally seen as idiopathic has been a revolution in the diagnostic and therapeutic algorithm in several medical fields. This condition usually involves multiple organs (isolated organ involvement is uncommon except in the pancreas) with characteristic histopathological findings. We report a case that was assessed due to abdominal pain and subsequently diagnosed with IgG4-related sclerosing mesenteritis. A comprehensive work-up of the case ruled out other conditions and a diagnosis of IgG4-related sclerosing mesenteritis was made according to radiographic and histopathological criteria (AU)
Subject(s)
Humans , Male , Adult , Mesentery/physiopathology , Hypergammaglobulinemia/complications , Adrenal Cortex Hormones/therapeutic use , Abdominal Pain/etiology , Inflammation/physiopathology , Fibrosis/physiopathologyABSTRACT
The identification of IgG4-related disease as a distinct immune-mediated condition encompassing disorders that were traditionally seen as idiopathic has been a revolution in the diagnostic and therapeutic algorithm in several medical fields. This condition usually involves multiple organs (isolated organ involvement is uncommon except in the pancreas) with characteristic histopathological findings. We report a case that was assessed due to abdominal pain and subsequently diagnosed with IgG4-related sclerosing mesenteritis. A comprehensive work-up of the case ruled out other conditions and a diagnosis of IgG4-related sclerosing mesenteritis was made according to radiographic and histopathological criteria.
Subject(s)
Abdominal Pain/etiology , Abdominal Pain/immunology , Immune System Diseases/complications , Immune System Diseases/immunology , Immunoglobulin G/immunology , Mesentery , Peritoneal Diseases/complications , Peritoneal Diseases/immunology , Abdominal Pain/surgery , Adipocytes/pathology , Adrenal Cortex Hormones/therapeutic use , Adult , Diagnosis, Differential , Humans , Immune System Diseases/surgery , Male , Peritoneal Diseases/surgery , Tomography, X-Ray ComputedABSTRACT
No disponible
Subject(s)
Humans , Male , Middle Aged , Chemical and Drug Induced Liver Injury/complications , Chemical and Drug Induced Liver Injury/pathology , Pyrrolizidine Alkaloids/adverse effects , Pyrrolizidine Alkaloids/toxicity , Cholestasis/complications , Medicine, Chinese Traditional/adverse effects , Hepatocytes/cytology , Hepatocytes/pathology , Drug-Related Side Effects and Adverse Reactions/complicationsABSTRACT
The potential hepatotoxic effects of products containing medicinal herbs, which are increasingly used without adequate control by health authorities, is well known. We report a case of toxic hepatic veno-occlusive disease (HVOD) presumably associated with the use of such herbal remedies.
Subject(s)
Drugs, Chinese Herbal/adverse effects , Hepatic Veno-Occlusive Disease/chemically induced , Hepatic Veno-Occlusive Disease/pathology , Humans , Male , Middle Aged , Pyrrolizidine Alkaloids/adverse effectsABSTRACT
No disponible
Subject(s)
Humans , Female , Adult , Transfusion Reaction/complications , Gastrointestinal Hemorrhage/complications , Gastrointestinal Hemorrhage/diagnosis , Early Diagnosis , Adrenal Cortex Hormones/therapeutic use , Thrombosis/complications , Methylprednisolone/therapeutic use , Iron/therapeutic use , Sucrose/therapeutic use , Prednisone/therapeutic useABSTRACT
Supportive transfusion represents a basic tool in the management of gastrointestinal (GI) bleeding. However, the use of hemoderivatives is not exempt from risks such as development of hemolysis. We report a case of post-transfusion hyperhemolysis syndrome in a female patient with prehepatic portal hypertension.
