ABSTRACT
Cholangiocarcinomas are malignant tumors arising from the bile ducts. One of the factors associated with the development of malignancy is parasitic infections by helminths trematodes that cause liver fluke infections. This association is very common in south-east Asia, but association with liver hydatidosis has not been reported in the scientific literature. We report a case in which these two diseases were associated and required non-radical surgical treatment, since radiological findings were not suspicious for these entities.
Subject(s)
Bile Duct Neoplasms/pathology , Bile Ducts, Intrahepatic/pathology , Cholangiocarcinoma/pathology , Echinococcosis/pathology , Aged , Bile Duct Neoplasms/diagnostic imaging , Bile Duct Neoplasms/surgery , Bile Ducts, Intrahepatic/diagnostic imaging , Bile Ducts, Intrahepatic/surgery , Cholangiocarcinoma/diagnostic imaging , Cholangiocarcinoma/surgery , Echinococcosis/diagnostic imaging , Echinococcosis/surgery , Humans , Male , Tomography, X-Ray ComputedABSTRACT
Los colangiocarcinomas son tumores malignos que se originan en los conductos biliares. Uno de los factores asociados al desarrollo neoplásico es las infecciones parasitarias por helmintos trematodos que causan una inflamación crónica de esos conductos. Esta relación es muy común en el sudeste asiático, pero en la literatura científica no se los ha relacionado con la hidatidosis hepática. Nosotros presentamos un caso clínico en el que estas dos entidades se presentan juntas y motivaron un tratamiento quirúrgico no radical, dado que no se sospechó en el estudio radiológico (AU)
Cholangiocarcinomas are malignant tumors arising from the bile ducts. One of the factors associated with the development of malignancy is parasitic infections by helminths trematodes that cause liver fluke infections. This association is very common in south-east Asia, but association with liver hydatidosis has not been reported in the scientific literature. We report a case in which these two diseases were associated and required non-radical surgical treatment, since radiological findings were not suspicious for these entities (AU)
Subject(s)
Male , Aged , Humans , Bile Ducts, Intrahepatic/parasitology , Echinococcosis, Hepatic/complications , Echinococcosis, Hepatic/diagnosis , Cholangiocarcinoma/complications , Cholangiocarcinoma/diagnosis , Bile Duct Neoplasms/complications , Bile Duct Neoplasms/diagnosis , Cholangiocarcinoma/surgery , Bile Duct Neoplasms/surgeryABSTRACT
Los quistes epidermoides esplénicos son tumoraciones benignas muy poco frecuentes. El tratamiento de éstas ha evolucionado con el tiempo y tiende a ser cada vez menos agresivo y más conservador. Nosotros presentamos a través del caso clínico de una mujer joven con un quiste epidermoide gigante, que requirió la realización de una esplenectomía total vía abierta, una revisión de la bibliografía sobre las tumoraciones congénitas benignas de bazo (AU)
Giant epidermoid splenic cysts are rare benign tumors. Their treatment is becoming increasingly less aggressive and more conservative. We report the case of a young woman with a giant epidermoid cyst, which required open total splenectomy, and review the literature on benign congenital tumors of the spleen (AU)
Subject(s)
Female , Adult , Humans , Epidermal Cyst/diagnosis , Epidermal Cyst/etiology , Epidermal Cyst/surgery , Spleen/pathology , Spleen/surgery , Abdomen, Acute/diagnosis , Abdomen, Acute/pathology , Laparoscopy/methods , Laparoscopy , Splenectomy , Epidermal CystABSTRACT
Giant epidermoid splenic cysts are rare benign tumors. Their treatment is becoming increasingly less aggressive and more conservative. We report the case of a young woman with a giant epidermoid cyst, which required open total splenectomy, and review the literature on benign congenital tumors of the spleen.
Subject(s)
Epidermal Cyst/surgery , Splenic Diseases/surgery , Adult , Epidermal Cyst/diagnostic imaging , Female , Humans , Neoplasm Staging , Splenectomy , Splenic Diseases/diagnostic imaging , Tomography, X-Ray ComputedABSTRACT
El vólvulo gástrico es una entidad poco frecuente y con múltiples formas de presentación que dificultan su diagnóstico. Presentamos distintas expresiones clínicas de vólvulo gástrico y diferentes opciones de tratamiento tanto en el cuadro crónico como en el agudo, también las dificultades que existen en el diagnóstico y como pueden condicionar la actuación terapéutica
