ABSTRACT
Presentamos un caso de pileflebitis secundaria a colecistitis aguda en una mujer de 79 años que presentaba dolor en HCD de 3 días de evolución. La trombosis séptica de la vena porta, también llamada pileflebitis, es una complicación infrecuente de procesos infecciosos intraabdominales, generalmente secundaria a procesos supurativos en su área de drenaje, considerándose la diverticulitis aguda la causa más frecuente. Se trata de una entidad con una alta tasa de mortalidad que a pesar de nuevos antibióticos y anticoagulantes se mantiene en torno al 35% (AU)
We report a case of pylephlebitis secondary acute cholecystitis in woman of 79 who had pain in HCD of 3 days duration. Septic thrombosis of the portal vein, also called pylephlebitis, is a rare complication of intra-abdominal infectious processes, usually secondary to suppurative processes in its drainage area, acute diverticulitis considered the most common cause. It is an entity with a high mortality rate despite new antibiotics and anticoagulants remains at around 35% (AU)
Subject(s)
Humans , Female , Aged , Cholecystitis, Acute/complications , Phlebitis/etiology , Portal Vein/physiopathology , Diverticulitis/complications , Risk FactorsABSTRACT
Presentamos un caso de ileo biliar colónico secundario a fístula colecistocolónica en una mujer de 76 años con clínica de obstrucción intestinal. Se denomina íleo biliar a la obstrucción mecánica del intestino delgado o del colon como consecuencia del paso de una o más litiasis a través de una fístula biliodigestiva. Únicamente entre 1-15 % de estas fístulas producen cuadro de obstrucción intestinal siendo la más frecuente la colecistoduodenal (65-77%) (AU)
We report a case of colonic gallstone ileus secondary a cholecystocolonic fistula. An 76-years-old woman was admitted to the hospital because she had been symptoms of intestinal obstruction. Colonic gallstone ileus is a rare cause of mechanical large bowel obstruction. It occurs most commonly of a passage of one or more stones through biliodigestive fistula. Only between 1-15% of these fistulas pruduce bowel obstruction. The most frequent fistula is cholecystoduodenal (65-77%) (AU)
Subject(s)
Humans , Female , Aged , Ileus/etiology , Intestinal Fistula/complications , Intestinal Obstruction/complications , Cholestasis/complicationsABSTRACT
INTRODUCTION: The interindividual variability in cardiorespiratory function during liver transplantation (OLT) has been attributed to various factors, including polymorphisms in immunity genes known to affect the circulation levels of cytokines. AIM: To evaluate polymorphisms of genes encoding for interleukin-6 (IL6) and tumor necrosis factor (TNF) in association with cardiorespiratory function in OLT. DESIGN: Prospective observational study. PATIENTS AND METHODS: We studied 62 consecutive patients who had OLT performed in our hospital between 2004 and 2005. Polymorphisms at positions -308 and -409 of TNF gene, as well as those at -174 and -574 of IL6 gene were determined in all patients by means of PCR-RFLPs. Associations were carried out using chi-square tests and analysis of variance. A bilateral P < .05 was accepted as significant. RESULTS: No statistically significant associations were observed. CONCLUSIONS: A relationship between the polymorphisms studied and respiratory function in OLT was lacking. These results must be interpreted with caution due to the limited sample size.
