ABSTRACT
The amebic liver abscess in newborns is an uncommon disease. There are few cases reported in the literature. This is a case of a 20 day-old female newborn who presented an abdominal mass, yellowish diarrheic depositions and jaundice. An abdominal CT scan showed a cystic mass located in the right hepatic lobe. The laboratory exams confirmed the amebic etiology. The clinical treatment failed and the surgery was decided. The pathologic results confirmed the diagnosis of an amebic liver abscess. Eight days after the resection the patient died because of a necrotizing enterocolitis.
Subject(s)
Liver Abscess, Amebic/diagnosis , Female , Humans , Infant, Newborn , Liver Abscess, Amebic/surgeryABSTRACT
El abseso Hepático Amebiano (AHA) en neonatos es una patología no muy frecuentes. Existen pocos casos relatados en la literatura mundial. Se trata de un paciente de 20 días de nacido, femenino que presentó una masa abdominal palpable, deposiciones diarreicas amarillentas e ictericia. Una tomografía abdominal demostró una masa quistica localizada en el lóbulo hepático derecho. Los exámenes de laboratorio confirmaron la etiología amebiana. El tratamiento clínico instaurado fracasó y se procedió al tratamiento quirúrgico. Los resultados de patología confirmaron el diagnóstico de (AHA). Ocho días después de la resección quirúrgica el paciente falleció debido a una enterocolitis necrotizante. (AU)
Subject(s)
Humans , Female , Infant, Newborn , Liver Abscess, Amebic/diagnosis , Liver Abscess, Amebic/diagnostic imaging , Liver Abscess, Amebic/surgery , Tomography, X-Ray ComputedABSTRACT
El abseso Hepático Amebiano (AHA) en neonatos es una patología no muy frecuentes. Existen pocos casos relatados en la literatura mundial. Se trata de un paciente de 20 días de nacido, femenino que presentó una masa abdominal palpable, deposiciones diarreicas amarillentas e icte'ricia. Una tomografía abdominal demostró una masa quistica localizada en el lóbulo hepático derecho. Los exámenes de laboratorio confirmaron la etiología amebiana. El tratamiento clínico instaurado fracasó y se procedió al tratamiento quirúrgico. Los resultados de patología confirmaron el diagnóstico de (AHA). Ocho días después de la resección quirúrgica el paciente falleció debido a una enterocolitis necrotizante.
Subject(s)
Humans , Female , Infant, Newborn , Liver Abscess, Amebic/diagnosis , Liver Abscess, Amebic , Liver Abscess, Amebic/surgery , Tomography, X-Ray ComputedABSTRACT
Objetives: Identify the present of biliary sludge (BS) in our patients, since different authors have concluded that this entity may be an etiologic agent of biliary colic, gallbladder stones and some complications such as acute pancreatitis and acalculous cholecystitis. Methods: We reviewed retrospectively the abdominal sonographic reports of 2802 patients of our gastroenterologic unit, with an average age of 40.5 years. The variables of the protocol were: gallbladder stones, BS and acute and chronic gallbladder inflammation. Results: Considering the mentioned criteria, we entered to the study 2682 patients. 17.8 per cent (n=479) had lithiasis, 13.2 per cent (n=356) had BS, 2 per cent (n=54) had acute gallbladder inflammation and 2.3 per cent (n=64) had chronic gallbladder inflammation. Of the group of patients with BS 42.7 per cent (n=152) were female and 57.3 per cent (n=204) were males. 52 per cent of the patients with BS were between the ages of 26 to 45 years. Conclusions: In our study we found an important prevalence of BS that was over 13 per cent which is higher than the results reported by additional series. Its early sonographic detection, follow-up, removal of precipitating factors and treatment are all adequate measures in order to achieve its elimination. (AU)
Subject(s)
Adult , Child , Child, Preschool , Middle Aged , Aged , Humans , Female , Adolescent , Bile/diagnostic imaging , Gallbladder Diseases/diagnostic imaging , Follow-Up Studies , Retrospective Studies , Aged, 80 and over , Risk Factors , Gallbladder Diseases/etiology , PrevalenceABSTRACT
Objetives: Identify the present of biliary sludge (BS) in our patients, since different authors have concluded that this entity may be an etiologic agent of biliary colic, gallbladder stones and some complications such as acute pancreatitis and acalculous cholecystitis. Methods: We reviewed retrospectively the abdominal sonographic reports of 2802 patients of our gastroenterologic unit, with an average age of 40.5 years. The variables of the protocol were: gallbladder stones, BS and acute and chronic gallbladder inflammation. Results: Considering the mentioned criteria, we entered to the study 2682 patients. 17.8 per cent (n=479) had lithiasis, 13.2 per cent (n=356) had BS, 2 per cent (n=54) had acute gallbladder inflammation and 2.3 per cent (n=64) had chronic gallbladder inflammation. Of the group of patients with BS 42.7 per cent (n=152) were female and 57.3 per cent (n=204) were males. 52 per cent of the patients with BS were between the ages of 26 to 45 years. Conclusions: In our study we found an important prevalence of BS that was over 13 per cent which is higher than the results reported by additional series. Its early sonographic detection, follow-up, removal of precipitating factors and treatment are all adequate measures in order to achieve its elimination.
Subject(s)
Adult , Child , Child, Preschool , Middle Aged , Humans , Female , Adolescent , Bile , Gallbladder Diseases , Aged, 80 and over , Follow-Up Studies , Gallbladder Diseases/etiology , Prevalence , Retrospective Studies , Risk FactorsABSTRACT
OBJECTIVES: Identify the present of biliary sludge (BS) in our patients, since different authors have concluded that this entity may be an etiologic agent of biliary colic, gallbladder stones and some complications such as acute pancreatitis and acalculous cholecystitis. METHODS: We reviewed retrospectively the abdominal sonographic reports of 2802 patients of our gastroenterologic unit, with an average age of 40.5 years. The variables of the protocol were: gallbladder stones, BS and acute and chronic gallbladder inflammation. RESULTS: Considering the mentioned criteria, we entered to the study 2682 patients, 17.8% (n = 479) had lithiasis, 13.2% (n = 356) had BS, 2% (n = 54) had acute gallbladder inflammation and 2.3% (n = 64) had chronic gallbladder inflammation. Of the group of patients with BS 42.7% (n = 152) were female and 57.3% (n = 204) were males. 52% of the patients with BS were between the ages of 26 to 45 years. CONCLUSIONS: In our study we found an important prevalence of BS that was over 13% which is higher than the results reported by additional series. Its early sonographic detection, follow-up, removal of precipitating factors and treatment are all adequate measures in order to achieve its elimination.
