[Idiopathic cholestasis associated with bloody diarrhea as the first manifestation of Hodgkin's lymphoma]. / Colestasis idiopática asociada a diarrea sanguinolenta como primera manifestación de linfoma de Hodgkin.

Jaundice in Hodgkin's disease occurs in 3-13% of the cases reported in the medical literature and can be due to several causes. Cholestatic jaundice associated with ductopenia may be a consequence of an associated paraneoplastic process and can occur several months before the development of Hodgkin's disease. When there is a finding of jaundice of unknown etiology associated with ductopenia, the possible existence of Hodgkin's disease should be investigated. We describe a case of cholestatic jaundice associated with Hodgkin's disease. The first clinical and laboratory manifestations were symptoms of bloody diarrhea months before the development of Hodgkin's disease. We discuss the differential diagnoses considered, given the complexity of the case.

Colestasis idiopática asociada a diarrea sanguinolenta como primera manifestación de linfoma de Hodgkin / Idiopathic cholestasis associated with bloody diarrhea as the first manifestation of Hodgkin’s lymphoma

La ictericia asociada a la enfermedad de Hodgkin (EH) aparece entre un 3 y un 13% de los casos comunicados en la bibliografía médica y puede deberse a diversas causas. Por otro lado, la ictericia colestásica asociada a ductopenia puede ser consecuencia de un proceso paraneoplásico y aparecer varios meses antes del desarrollo de la EH. Ante el hallazgo de ictericia de origen no filiado con presencia de ductopenia se propone la investigación de la existencia de una posible EH. Describimos un caso de ictericia colestásica asociada a EH que se presentó tras un cuadro de diarrea sanguinolenta como primera manifestación clínica y analítica varios meses antes del desarrollo de la EH. Se comentan los diferentes diagnósticos diferenciales planteados ante la complejidad del cuadro clínico

Jaundice in Hodgkin's disease occurs in 3-13% of the cases reported in the medical literature and can be due to several causes. Cholestatic jaundice associated with ductopenia may be a consequence of an associated paraneoplastic process and can occur several months before the development of Hodgkin's disease. When there is a finding of jaundice of unknown etiology associated with ductopenia, the possible existence of Hodgkin's disease should be investigated. We describe a case of cholestatic jaundice associated with Hodgkin's disease. The first clinical and laboratory manifestations were symptoms of bloody diarrhea months before the development of Hodgkin's disease. We discuss the differential diagnoses considered, given the complexity of the case

[Vascular complications of pancreatitis]. / Complicaciones vasculares de la pancreatitis.

Vascular complications of pancreatitis are infrequent but important clinical problems because of their higher mortality. Pseudocysts that appear in 5%-50% patients with pancreatitis can erode adjacent vessels with hemorrhage, venous thrombosis and pseudoaneurysms. Increase in pressure within pseudoaneurysm can give rise to its rupture, that is the most serious complication of pancreatitis. Intracystic and intraperitoneal or retroperitoneal hemorrhage are the other arterial complications that can occur in the natural history of pancreatitis. Most frequent venous complications are splenic thrombosis, splenoportal thrombosis, and mesenteric thrombosis.

Complicaciones vasculares de la pancreatitis / Vascular complications of pancreatitis

Las complicaciones vasculares de la pancreatitis son entidades poco frecuentes pero importantes por su alta tasa de mortalidad. Los pseudoquistes que aparecen en el 5%-50% de las pancreatitis, pueden producir erosión de los vasos adyacentes, dando lugar a hemorragias, desarrollo de trombosis venosas y a la formación de pseudoaneurismas. El aumento de presión en el interior del pseudoaneurisma puede dar lugar a su ruptura, que es la complicación más grave de la pancreatitis. La hemorragia intraquística, intra o retroperitoneal son las otras complicaciones arteriales que pueden ocurrir en el curso de una pancreatitis. Dentro de las complicaciones venosas más frecuentes encontramos la trombosis esplénica, del eje esplenoportal y mesentérica

Vascular complications of pancreatitis are infrequent but important clinical problems because of their higher mortality. Pseudocysts that appear in 5%-50% patients with pancreatitis can erode adjacent vessels with hemorrhage, venous thrombosis and pseudoaneurysms. Increase in pressure within pseudoaneurysm can give rise to its rupture, that is the most serious complication of pancreatitis. Intracystic and intraperitoneal or retroperitoneal hemorrhage are the other arterial complications that can occur in the natural history of pancreatitis. Most frequent venous complications are splenic thrombosis, splenoportal thrombosis, and mesenteric thrombosis

[Amebic colitis in an immunocompetent host]. / Colitis amebiana en pacientes inmunocompetente.

Amebic colitis is a low prevalence illness in developed countries. Its diagnosis is infrequent and is usually made in certain groups of risk. Images studies are not useful in differential diagnosis with other illnesses as Inflammatory Bowel Disease (IBS). Next clinical note shows the problems in the diagnosis of amebic colitis in an immunocompetent host without risk factors.

Colitis amebiana en paciente inmunocompetente / Amebic colitis in an immunocompetent host

La colitis amebiana es una entidad de baja prevalencia en el mundo occidental. Su diagnóstico es infrecuente y se halla restringido a ciertos grupos de riesgo. Los hallazgos de imagen resultan ,en ocasiones, indistinguibles a los obtenidos en otras patologías tales como la Enfermedad Inflamatoria Intestinal Crónica (EIIC). En el siguiente caso se pone de manifiesto la dificultad para realizar el diagnóstico de colitis amebiana en un sujeto inmunocompetente y sin hábitos de riesgo conocidos (AU)