ABSTRACT
55-year-old male with a history of cholecystectomy complicated by perforation of the common bile duct, contained with placement of a plastic biliary stent. He presented several subsequent episodes of recurrent cholangitis secondary to biliary lithiasis and residual benign stenosis of the common bile duct, resolved with the implantation of plastic biliary prostheses. Finally, given the recurrent episodes of cholangitis, it was agreed to perform a hepaticojejunostomy. During the operation, the last implanted stent was not detected, which was identified by CT scan of the abdomen, causing a fistulous tract between the duodenum and the ascending colon. The stent was removed endoscopically, without complications, and the fistulous tract was resolved.
Subject(s)
Biliary Tract , Cholangitis , Male , Humans , Cholangiopancreatography, Endoscopic Retrograde/adverse effects , Cholecystectomy/adverse effects , Cholangitis/diagnostic imaging , Cholangitis/etiology , Cholangitis/surgery , Stents/adverse effectsABSTRACT
El síndrome del conducto pancreático desconectado (SCPD) es debido a la interrupción del conducto pancreático (CP) principal o sus ramas secundarias, complicación presente entre un 30-80% de las pancreatitis agudas necrotizantes. La secreción de enzimas pancreáticas por el tejido pancreático aislado funcionante puede facilitar la recurrencia de colecciones necróticas encapsuladas, por lo que su manejo endoscópico sigue siendo un tema controvertido en la práctica diaria. Exponemos un caso de síndrome de ducto pancreático desconectado resuelto tras colocación de prótesis pancreática. (AU)
Subject(s)
Humans , Female , Middle Aged , Pancreatitis , Intensive Care Units , Patients , Gastrointestinal TractABSTRACT
Disconnected pancreatic duct syndrome (DPCS) is due to disruption of the main pancreatic duct (PC) or its secondary branches, a complication present in 30-80% of acute necrotizing pancreatitis. The secretion of pancreatic enzymes by isolated functioning pancreatic tissue can facilitate the recurrence of encapsulated necrotic collections, so its endoscopic management remains a controversial issue in daily practice. We present a case of disconnected pancreatic duct syndrome resolved after placement of a pancreatic stent.
Subject(s)
Pancreatic Ducts , Pancreatitis, Acute Necrotizing , Humans , Pancreas , Pancreatitis, Acute Necrotizing/complications , Endoscopy , Drainage , Syndrome , Stents , Cholangiopancreatography, Endoscopic RetrogradeABSTRACT
No disponible
Subject(s)
Humans , Male , Adult , Chagas Disease/complications , Fecal Impaction/etiology , Megacolon/etiologyABSTRACT
We present the case of a 37-year-old male with constipation refractory to medical treatment, in the context of megacolon due to Chagas disease. The entire gastrointestinal tract may be affected but the digestive form is characterized by megaesophagus and megacolon. There is altered peristalsis due to the destruction of the neurons of the enteric nervous system caused by the parasite. Although the mortality rate is low, the disease can have a considerable impact upon quality of life. Chagas disease is poorly recognized and undertreated by healthcare providers in non-endemic regions.
Subject(s)
Chagas Disease , Enteric Nervous System , Esophageal Achalasia , Megacolon , Adult , Chagas Disease/complications , Esophageal Achalasia/etiology , Humans , Male , Megacolon/diagnostic imaging , Megacolon/etiology , Quality of LifeABSTRACT
No disponible
Subject(s)
Humans , Female , Aged , Cholecystitis/diagnosis , Gallbladder Neoplasms/diagnosis , Magnetic Resonance Imaging , Diagnosis, Differential , Chronic Disease , Acute Disease , Ultrasonography , BiopsyABSTRACT
We present the images of ultrasound, magnetic resonance and histology of a patient with suggestive findings of xanthogranulomatous cholecystitis. Gallbladder cancer cannot be completely ruled out until the histological study of the surgical sample is performed.
Subject(s)
Cholecystitis/diagnosis , Gallbladder Neoplasms/diagnosis , Xanthomatosis/diagnosis , Acute Disease , Aged , Cholecystitis/pathology , Diagnosis, Differential , Female , Humans , Magnetic Resonance Imaging , Ultrasonography , Xanthomatosis/pathologyABSTRACT
No disponible
Subject(s)
Humans , Male , Middle Aged , Intestinal Perforation/diagnostic imaging , Pancreatic Pseudocyst/diagnostic imaging , Pancreatitis, Acute Necrotizing/diagnostic imaging , Intestinal Perforation/etiology , Pancreatic Pseudocyst/complications , Colon/injuriesABSTRACT
We present a computed tomography image of a patient with acute necrotizing pancreatitis due to alcohol, who developed several pseudocysts, one of which fistulized into the colon.
