ABSTRACT
El síndrome de HELLP es una entidad rara durante el embarazo que puede ocasionar complicaciones como la formación y rotura de un hematoma subcapsular hepático y sus graves consecuencias materno-infantiles. Se hace un resumen de su etiopatogenia, diagnóstico clínico-analítico y diferencial, sus complicaciones y el manejo médico-quirúrgico. Asimismo se realiza una revisión bibliográfica de esta patología (AU)
HELLP syndrome is a rare entity during pregnancy that can cause the formation and rupture of a subcapsular hepatic hematoma with severe consequences for the mother and newborn. We present a resume of the pathophysiology, diagnosis, complications and medical and surgical treatment. A resume of the literature is also presented (AU)
Subject(s)
Humans , Female , Pregnancy , Adult , HELLP Syndrome/physiopathology , Rupture, Spontaneous/etiology , Liver/injuries , Pregnancy Complications , Abdominal Injuries/etiologyABSTRACT
Diaphragm disease (DD) induced by non-steroidal anti-inflammatory drugs (NSAIDs) and neuromuscular and vascular hamartoma (NMVH) are rare entities that can be difficult to recognize clinically, radiologically and pathologically. Both may cause small bowel obstruction and both reveal annular constrictions macroscopically. However, the 2 entities differ in that the constrictions are purely fibrous in DD whereas they have a hamartomatous histopathology in NMVH. We describe the case of a 76-year-old woman with a history of prolonged NSAID use who developed clinical features and gross pathology consistent with DD and histopathology of NMVH.
Subject(s)
Anti-Inflammatory Agents, Non-Steroidal/adverse effects , Hamartoma/chemically induced , Ileal Diseases/chemically induced , Intestinal Obstruction/etiology , Aged , Female , Hamartoma/pathology , Humans , Ileal Diseases/pathologyABSTRACT
La enfermedad diafragmática intestinal (EDI) asociada a los antiinflamatorios no esteroideos (AINE) y el hamartoma neuromuscular y vascular (HNMV) son 2 entidades raras, de difícil diagnóstico clínico, radiológico y patológico. Ambas pueden ser causa de obstrucción intestinal y macroscópicamente pueden evidenciarse en forma de estenosis intestinales de tipo anular. Sin embargo, difieren en su histología: en la EDI las estenosis son fibrosas y en el HNMV son hamartomatosas. Presentamos el caso de una mujer de 76 años con antecedentes de ingesta prolongada de AINE por artropatía que presentóclínica y macroscopia compatibles con EDI e histología propia del HNMV
Diaphragm disease (DD) induced by non-steroidal anti-inflammatory drugs (NSAIDs) and neuromuscular and vascularhamartoma (NMVH) are rare entities that can be difficult to recognize clinically, radiologically and pathologically.Both may cause small bowel obstruction and both reveal anular constrictions macroscopically. However, the 2 entities differ in that the constrictions are purely fibrous in DD whereas they have a hamartomatous histopathology in NMVH. We describe the case of a 76-year-old woman with a history of prolonged NSAID use who developed clinical features and gross pathology consistent with DD and histopathology of NMVH
Subject(s)
Female , Aged , Humans , Anti-Inflammatory Agents, Non-Steroidal/adverse effects , Hamartoma/chemically induced , Intestinal Obstruction/etiology , Ileal Diseases/chemically induced , Hamartoma/pathology , Ileal Diseases/pathologyABSTRACT
OBJECTIVE: To report a case of primary germ cell testicular tumor that spontaneously remitted after metastasizing to the retroperitoneum, leaving histologically characteristic lesions of a fused tumor. The characteristic testicular ultrasound findings that permitted the diagnosis are described. METHODS/RESULTS: A 21-year-old male consulted for a retroperitoneal mass. The testes were normal on palpation. The testicular ultrasound showed a hyperechoic area with an acoustic shadow suspected as being a tumoral cicatrix. The histological analysis after orchidectomy revealed a mixed non-seminomatous germ cell tumor. CONCLUSIONS: Testicular ultrasound evaluation should be performed on all patients with retrosperitoneal germ cell tumor and normal testes on palpation. In the case described, there was good correlation between the ultrasound and the histological findings.
Subject(s)
Germinoma/diagnosis , Testicular Neoplasms/diagnosis , Adult , Germinoma/surgery , Humans , Male , Orchiectomy , Testicular Neoplasms/surgeryABSTRACT
PURPOSE: To report on an exceptional case of spontaneous, idiopathic, unilateral adrenal gland rupture that caused massive retroperitoneal hemorrhage. METHODS AND RESULTS: US and CT were performed in a patient who presented with acute abdominal pain. Urgent adrenalectomy was required to prevent the blood loss from continuing. The CT findings were correlated with the histological findings. CONCLUSION: CT proved to be an accurate imaging modality by which to diagnose adrenal hemorrhage. The absence of irregular tissue enhancement showed that neoplasia was not the underlying cause of the hematoma.
Subject(s)
Adrenal Gland Diseases/diagnostic imaging , Adrenal Gland Diseases/surgery , Adrenalectomy , Humans , Male , Middle Aged , Rupture, Spontaneous , Tomography, X-Ray ComputedABSTRACT
An unusual case of pharyngeal cyst in a 25-year-old man studied by Magnetic Resonance (MR) is described. Anatomic location and pathological findings indicated the second branchial pouch origin.
