ABSTRACT
Calcification of the gallbladder wall (porcelain gallbladder) is rare. Its appearance is quite characteristic on plain films, ultrasonography and computed tomography. Sporadic cases of cholecystitis have been described in porcelain gallbladders. Enterobiliary fistula may complicate acute or chronic cholecystitis in non-calcified gallbladder. We report a unusual case of acute cholecystitis with cholecystoduodenal fistula in a porcelain gallbladder.
Subject(s)
Biliary Fistula/diagnostic imaging , Calcinosis/diagnostic imaging , Duodenal Diseases/diagnostic imaging , Gallbladder Diseases/diagnostic imaging , Intestinal Fistula/diagnostic imaging , Aged , Biliary Fistula/complications , Calcinosis/complications , Cholecystitis/complications , Cholecystitis/diagnostic imaging , Duodenal Diseases/complications , Female , Gallbladder Diseases/complications , Humans , Intestinal Fistula/complications , RadiographySubject(s)
Gastric Mucosa/microbiology , Gastric Mucosa/pathology , Helicobacter Infections/pathology , Helicobacter pylori/isolation & purification , Urease/analysis , Biopsy, Needle , Culture Media , Helicobacter Infections/microbiology , Helicobacter pylori/enzymology , Humans , Sensitivity and SpecificitySubject(s)
Anti-Ulcer Agents/adverse effects , Anticoagulants/adverse effects , Cimetidine/adverse effects , Coumarins/adverse effects , Gastrointestinal Hemorrhage/chemically induced , Hematoma/chemically induced , Jejunal Diseases/chemically induced , Adult , Drug Interactions , Gastrointestinal Hemorrhage/diagnostic imaging , Gastrointestinal Transit , Hematoma/diagnostic imaging , Humans , Jejunal Diseases/diagnostic imaging , Male , Tomography, X-Ray ComputedABSTRACT
A 32-year-old male patient presenting with huge varices involving the sigmoid colon and the entire rectum down to the dentate line is described. There was no familial history of gastrointestinal bleeding. No particular aetiology was identified. Marked anaemia due to recurrent bleeding required resection of the sigmoid colon and rectum. Restoration of the intestinal continuity was performed by a coloanal anastomosis. The patient did well and bleeding has not recurred. To our knowledge, no similar case of such varices requiring extensive rectal surgery to control bleeding has been described in the literature.
Subject(s)
Anal Canal/surgery , Colon, Sigmoid/surgery , Colon/blood supply , Colon/surgery , Gastrointestinal Hemorrhage/surgery , Rectum/blood supply , Rectum/surgery , Varicose Veins/surgery , Adult , Anastomosis, Surgical , Colostomy , Gastrointestinal Hemorrhage/diagnosis , Gastrointestinal Hemorrhage/etiology , Humans , Male , Radiography , Varicose Veins/diagnostic imaging , Varicose Veins/etiologySubject(s)
Epinephrine/adverse effects , Peptic Ulcer Hemorrhage/therapy , Sclerosing Solutions/adverse effects , Stomach/pathology , Aged , Aged, 80 and over , Epinephrine/therapeutic use , Humans , Male , Necrosis , Polidocanol , Polyethylene Glycols/therapeutic use , Sclerosing Solutions/therapeutic useABSTRACT
A 66-year-old woman presented with abdominal pain and weight loss. Ultrasonography and computed tomography demonstrated a cystic lesion of the pancreas. After surgical resection, the patient's symptoms disappeared. Microscopic examination of the cyst lining showed mature, keratinizing squamous epithelium, surrounded by lymphoid tissue. Only three cases of this type of lesion, called "lymphoepithelial cyst", have been described previously. Histogenesis of this particular type of cyst is not well know, but can be histologically differentiated from other pancreatic cysts.
Subject(s)
Pancreatic Cyst/pathology , Aged , Female , Humans , Pancreatic Cyst/diagnostic imaging , Pancreatic Cyst/surgery , Tomography, X-Ray Computed , UltrasonographyABSTRACT
With reference to a new case of pancreatic cystadenoma, the authors review the literature on the subject. These tumors are a relatively uncommon form of cystic lesion of the pancreas. They find the origin from pancreatic acinar cells or from ductal epithelium. Histologically, there are two different forms: benign, serous, microcystic adenoma and potentially malignant, mucinous, macrocystic adenoma. The type of the tumor is demonstrated by ultrasonography and computed tomography. but these examinations could not make a difference between benign and malignant form. Treatment of choice is complete tumor resection. Internal or external drainage of these cysts should not be done.
Subject(s)
Cystadenoma/surgery , Pancreatic Neoplasms/surgery , Adult , Cystadenoma/diagnosis , Diagnostic Imaging , Female , Humans , Pancreatic Function Tests , Pancreatic Neoplasms/diagnosis , Surgical Procedures, Operative/methodsABSTRACT
A 62-year-old woman presented with massive right-sided hydrothorax associated with cirrhosis of the liver. Chest scintigraphy after intraperitoneal injection of labelled tracer showed movement of the tracer from the peritoneal to the pleural cavity. Medical therapy and thoracocentesis were successful in this case.
Subject(s)
Hydrothorax/diagnostic imaging , Liver Cirrhosis, Alcoholic/complications , Pleural Effusion/diagnostic imaging , Technetium Tc 99m Aggregated Albumin , Female , Humans , Hydrothorax/etiology , Middle Aged , Pleural Effusion/etiology , Radionuclide ImagingABSTRACT
Clinical manifestations of cystic dilation of biliary tracts, a rare affection usually detected in young patients, are described and 2 recent cases reported. Surgical treatment is outlined as a function of morphology of cysts, with emphasis on the high risk of cancerization of biliary tracts, even after bypass operations.