ABSTRACT
We report a case of a 60 years old man admitted for infected acute pancreatitis and duodenal fistula with mediastinal extension at admission, successfully treated in a 40-days period with CT-guided percutaneous catheter drainage (Malecot 14F) inserted with Seldinger method, in spite of a colic fistula development during the treatment.
Subject(s)
Bacterial Infections/surgery , Catheter Ablation/methods , Pancreatitis/surgery , Tomography, X-Ray Computed , Acute Disease , Bacterial Infections/microbiology , Drainage , Humans , Male , Middle Aged , Pancreatitis/diagnostic imaging , Pancreatitis/microbiology , Radiography, InterventionalABSTRACT
Se presenta un caso de un paciente de 60 años de edad portador de pancreatitis aguda infectada con extenso absceso peripancreático, que fue exitosamente tratado con un drenage Malecot calibre 14F colocado percutáneamente por medio de guía tomográfica, a pesar de presentarse con fistula al duodeno, extensión mediastinal y posteriormente fístula colónica. (AU)
Subject(s)
Humans , Male , Middle Aged , Catheter Ablation , Pancreatitis/surgery , Tomography, X-Ray , Acute Disease , Pancreatitis/microbiology , Pancreatitis/etiology , Lithiasis/complications , Biliary Tract Diseases/complications , DrainageABSTRACT
Se presenta un caso de un paciente de 60 años de edad portador de pancreatitis aguda infectada con extenso absceso peripancreático, que fue exitosamente tratado con un drenage Malecot calibre 14F colocado percutáneamente por medio de guía tomográfica, a pesar de presentarse con fistula al duodeno, extensión mediastinal y posteriormente fístula colónica.
Subject(s)
Humans , Male , Middle Aged , Catheter Ablation , Pancreatitis/surgery , Tomography, X-Ray , Acute Disease , Biliary Tract Diseases/complications , Drainage , Lithiasis/complications , Pancreatitis/etiology , Pancreatitis/microbiologyABSTRACT
La apendicitis epiploica o también llamada apendagitis epiploica consiste en la inflamación de uno de los aproximadamente 100 apéndices epiploicos del colon, habiendo sido descripta tanto en el ascendente como en el descendente. Su conocimiento es important porque constituye una de las causas del abdomen agudo, cuya única sintomatología es el dolor ya que no cursa con alteración de la fórmula leucocitaria ni fiebre, pero de todas maneras el diagnóstico diferencial debe hacerse con otras causas como diverticulitis o apendicitis en primera instancia. La TC es categórica porque muestra la alteración de la densidad del espacio graso entre el colon y la pared abdominal, a diferencia de la apendicitis que se evidencia por dentro y detrás del colon, y sin mayor alteración de la pared colónica a diferencia de la diverticulitis. El tratamiento es conservador, estando indicados analgésicos en los casos de importante dolor. (AU)
Subject(s)
Humans , Male , Middle Aged , Colitis/diagnostic imaging , Analgesics/therapeutic use , Acute Disease , Tomography, X-Ray Computed , Colitis/drug therapyABSTRACT
La apendicitis epiploica o también llamada apendagitis epiploica consiste en la inflamación de uno de los aproximadamente 100 apéndices epiploicos del colon, habiendo sido descripta tanto en el ascendente como en el descendente. Su conocimiento es important porque constituye una de las causas del abdomen agudo, cuya única sintomatología es el dolor ya que no cursa con alteración de la fórmula leucocitaria ni fiebre, pero de todas maneras el diagnóstico diferencial debe hacerse con otras causas como diverticulitis o apendicitis en primera instancia. La TC es categórica porque muestra la alteración de la densidad del espacio graso entre el colon y la pared abdominal, a diferencia de la apendicitis que se evidencia por dentro y detrás del colon, y sin mayor alteración de la pared colónica a diferencia de la diverticulitis. El tratamiento es conservador, estando indicados analgésicos en los casos de importante dolor.
Subject(s)
Humans , Male , Middle Aged , Analgesics/therapeutic use , Colitis , Acute Disease , Colitis/drug therapy , Tomography, X-Ray ComputedABSTRACT
Primary epiploic appendicitis is a rare but well known intraabdominal inflammatory process that characteristically presents with an onset of symptoms similar to diverticulitis, appendicitis and other abdominopelvic processes. CT findings are pathognomonic, consistent with a pericolonic oval shaped area of increased density with peritoneal thickening, and fat stranding. The condition is self limited and resolves completely within days under non-steroid antiinflammatory therapy.
Subject(s)
Colitis/diagnostic imaging , Acute Disease , Analgesics/therapeutic use , Colitis/drug therapy , Humans , Male , Middle Aged , Tomography, X-Ray ComputedSubject(s)
Humans , Female , Jejunal Neoplasms/pathology , Melanoma/pathology , English Abstract , Intestinal Obstruction/etiology , Intestinal Obstruction/pathology , Intestinal Obstruction/surgery , Intussusception/etiology , Intussusception/pathology , Intussusception/surgery , Jejunal Diseases/etiology , Jejunal Diseases/pathology , Jejunal Diseases/surgery , Jejunal Neoplasms/complicationsSubject(s)
Humans , Female , Jejunal Neoplasms/pathology , Melanoma/pathology , English Abstract , Intestinal Obstruction/etiology , Intestinal Obstruction/pathology , Intestinal Obstruction/surgery , Intussusception/etiology , Intussusception/pathology , Intussusception/surgery , Jejunal Diseases/etiology , Jejunal Diseases/pathology , Jejunal Diseases/surgery , Jejunal Neoplasms/complicationsABSTRACT
A 46-year-old woman presented with abdominal pain, nausea vomiting and abdominal distention. Small bowel x-rays and CT scan of the abdomen revealed small bowel obstruction due to malignant melanoma. The diagnosis of cutaneous melanoma was performed 8 years prior to admission on one lesion in the back. Patient received surgical treatment. Completed resection of an involved jejunal [correction of ileal] segment was performed. Three tumor masses were found at laparotomy. Metastasis from malignant melanoma at the gastrointestinal tract occurs frequently though rarely are these intestinal lesions symptomatic. The efficacy of surgical treatment for symptomatic metastatic melanoma is justified to relief symptoms and prolonged survival.
Subject(s)
Jejunal Neoplasms/pathology , Melanoma/pathology , Female , Humans , Intestinal Obstruction/etiology , Intestinal Obstruction/pathology , Intestinal Obstruction/surgery , Intussusception/etiology , Intussusception/pathology , Intussusception/surgery , Jejunal Diseases/etiology , Jejunal Diseases/pathology , Jejunal Diseases/surgery , Jejunal Neoplasms/complications , Jejunal Neoplasms/secondary , Jejunal Neoplasms/surgery , Jejunum/surgery , Melanoma/complications , Melanoma/secondary , Melanoma/surgery , Middle Aged , Skin Neoplasms/pathology , Time FactorsABSTRACT
A 46-year-old woman presented with abdominal pain, nausea vomiting and abdominal distention. Small bowel x-rays and CT scan of the abdomen revealed small bowel obstruction due to malignant melanoma. The diagnosis of cutaneous melanoma was performed 8 years prior to admission on one lesion in the back. Patient received surgical treatment. Completed resection of an involved jejunal [correction of ileal] segment was performed. Three tumor masses were found at laparotomy. Metastasis from malignant melanoma at the gastrointestinal tract occurs frequently though rarely are these intestinal lesions symptomatic. The efficacy of surgical treatment for symptomatic metastatic melanoma is justified to relief symptoms and prolonged survival.
ABSTRACT
A 46-year-old woman presented with abdominal pain, nausea vomiting and abdominal distention. Small bowel x-rays and CT scan of the abdomen revealed small bowel obstruction due to malignant melanoma. The diagnosis of cutaneous melanoma was performed 8 years prior to admission on one lesion in the back. Patient received surgical treatment. Completed resection of an involved jejunal [correction of ileal] segment was performed. Three tumor masses were found at laparotomy. Metastasis from malignant melanoma at the gastrointestinal tract occurs frequently though rarely are these intestinal lesions symptomatic. The efficacy of surgical treatment for symptomatic metastatic melanoma is justified to relief symptoms and prolonged survival.
