RESUMEN
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.(AU)
Asunto(s)
Humanos , Masculino , Persona de Mediana Edad , Prótesis e Implantes , Fístula Intestinal , Colecistectomía , Colangiopancreatografia Retrógrada Endoscópica , Colangitis/diagnóstico por imagen , Sistema Biliar , Pacientes Internos , Examen Físico , Resultado del Tratamiento , Enfermedades del Sistema Digestivo , Colangitis/etiología , Colangitis/cirugíaRESUMEN
Pancreatic pseudocysts are very common cystic lesions after any inflammatory process of the pancreas. The majority are asymptomatic and only a small minority present complications or produce compression symptoms. However, this small minority must receive treatment, which depending on the clinical situation must be endoscopic, surgical or interventional radiology. We present the case of a patient with a ruptured pseudocyst for whom we avoided surgical treatment and opted for conservative treatment, with good evolution.
RESUMEN
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.
Asunto(s)
Sistema Biliar , Colangitis , Masculino , Humanos , Colangiopancreatografia Retrógrada Endoscópica/efectos adversos , Colecistectomía/efectos adversos , Colangitis/diagnóstico por imagen , Colangitis/etiología , Colangitis/cirugía , Stents/efectos adversosRESUMEN
Eagle's syndrome is a little known entity defined as the elongation of the stylohyoid process and/or calcification of the stylohyoid ligament. It is a rare pathology that due to its presentation and possible complications should be taken into consideration in the differential diagnosis of oropharyngeal dysphagia. We present the case of a patient with Eagle's syndrome as well as essential aspects in the diagnosis and treatment of this entity.
Asunto(s)
Calcinosis , Trastornos de Deglución , Osificación Heterotópica , Humanos , Trastornos de Deglución/complicaciones , Osificación Heterotópica/complicaciones , Osificación Heterotópica/diagnóstico por imagen , Hueso Temporal/diagnóstico por imagenAsunto(s)
Humanos , Femenino , Anciano , Osificación Heterotópica/complicaciones , Osificación Heterotópica/diagnóstico por imagen , Trastornos de Deglución/diagnóstico , Trastornos de Deglución/etiología , Tomografía Computarizada por Rayos X , Endoscopía del Sistema Digestivo , Manometría , SíndromeAsunto(s)
Humanos , Masculino , Adulto Joven , Bezoares/diagnóstico por imagen , Bezoares/cirugía , Endoscopía , Nutrición Enteral/efectos adversos , Esófago , PacientesRESUMEN
Juxtapyloric perforation is one of the most common digestive tract complications associated with cocaine use. We present the case of an habitual user of cocaine who goes to the Emergency Department due to epigastric pain due and intolerance of days of evolution. An endoscopic finding of a large antral ulcer with an ischemic appearance; in which it is not possible to show pylorus. (AU)
Asunto(s)
Humanos , Cocaína , Úlcera Duodenal/complicaciones , Úlcera Péptica/inducido químicamente , Úlcera Péptica/diagnóstico por imagen , Úlcera Péptica/cirugía , Píloro , PacientesAsunto(s)
Humanos , Femenino , Persona de Mediana Edad , Candidiasis/complicaciones , Candidiasis/tratamiento farmacológico , Trastornos de Deglución/complicaciones , Enfermedades del Esófago/complicaciones , Enfermedades del Esófago/diagnóstico por imagen , Enfermedades del Esófago/tratamiento farmacológico , Esofagitis/complicaciones , Esofagitis/tratamiento farmacológico , Fluconazol/uso terapéutico , PacientesRESUMEN
Enteral feed bezoars are a rare and difficult to treat complication of enteral feeding. In our case, we report the case of a young man with prolonged admission at the intensive care unit; who requires enteral nutrition. This doesn't run properly after a week; which is why we performed an endoscopy with the finding of an esophageal bezoar that didn't respond to endoscopic treatment at first; being finallay resolved with a second endoscopic therapy after treatment with solvent substances.
Asunto(s)
Bezoares , Bezoares/diagnóstico por imagen , Bezoares/cirugía , Endoscopía , Nutrición Enteral/efectos adversos , Esófago , Humanos , MasculinoRESUMEN
Juxtapyloric perforation is one of the most common digestive tract complications associated with cocaine use. We present the case of an habitual user of cocaine who goes to the Emergency Department due to epigastric pain due and intolerance of days of evolution. An endoscopic finding of a large antral ulcer with an ischemic appearance; in which it is not possible to show pylorus.
Asunto(s)
Trastornos Relacionados con Cocaína , Cocaína , Úlcera Duodenal , Úlcera Péptica Perforada , Úlcera Gástrica , Trastornos Relacionados con Cocaína/complicaciones , Úlcera Duodenal/complicaciones , Humanos , Úlcera Péptica Perforada/inducido químicamente , Úlcera Péptica Perforada/diagnóstico por imagen , Úlcera Péptica Perforada/cirugía , Píloro , Úlcera Gástrica/inducido químicamente , Úlcera Gástrica/complicacionesRESUMEN
No disponible
Asunto(s)
Humanos , Persona de Mediana Edad , Anciano , Anciano de 80 o más Años , Colecistitis Alitiásica , Colecistitis Aguda , Infecciones por Coronavirus , Epidemiología , Pandemias , Hospitalización , Atención AmbulatoriaRESUMEN
We present the case of a 53-year-old smoker woman without any relevant medical history who was attended as an outpatient due to several-month persistent odynophagia. An upper gastrointestinal endoscopy was performed, showing white cotton-like plaques throughout the esophagus, suggestive of candidiasis. An esophageal brushing plus biopsy sampling were done, empirically prescribing oral fluconazole for 21 days. A viral serology was also requested, with negative results. Clinical improvement was present until the suspension of antifungal treatment, with an odynophagia relapse afterwards. Cultures were positive for C.albicans sensitive to fluconazole.
Asunto(s)
Candidiasis , Trastornos de Deglución , Enfermedades del Esófago , Esofagitis , Candidiasis/complicaciones , Candidiasis/tratamiento farmacológico , Trastornos de Deglución/complicaciones , Enfermedades del Esófago/complicaciones , Enfermedades del Esófago/diagnóstico por imagen , Enfermedades del Esófago/tratamiento farmacológico , Esofagitis/complicaciones , Esofagitis/tratamiento farmacológico , Femenino , Fluconazol/uso terapéutico , Humanos , Persona de Mediana EdadRESUMEN
In relation to the article published in this journal by Guzmán describing a case of ampulla of Vater carcinosarcoma, we present a case of extrahepatic bile duct carcinosarcoma. A neoplasm described in different anatomical locations with an exceptional origin in the bile duct.
Asunto(s)
Ampolla Hepatopancreática , Neoplasias de los Conductos Biliares , Conductos Biliares Extrahepáticos , Carcinosarcoma , Neoplasias del Conducto Colédoco , Ictericia Obstructiva , Neoplasias de los Conductos Biliares/complicaciones , Neoplasias de los Conductos Biliares/diagnóstico por imagen , Neoplasias de los Conductos Biliares/cirugía , Conductos Biliares Extrahepáticos/diagnóstico por imagen , Conductos Biliares Extrahepáticos/cirugía , Carcinosarcoma/complicaciones , Carcinosarcoma/diagnóstico por imagen , Carcinosarcoma/cirugía , Neoplasias del Conducto Colédoco/complicaciones , Neoplasias del Conducto Colédoco/diagnóstico por imagen , Neoplasias del Conducto Colédoco/cirugía , Humanos , Ictericia Obstructiva/etiologíaRESUMEN
No disponible
Asunto(s)
Humanos , Femenino , Persona de Mediana Edad , Carcinoma de Células Escamosas/diagnóstico por imagen , Carcinoma de Células Escamosas/terapia , Conducto Hepático Común/diagnóstico por imagen , Conducto Hepático Común/patología , Colangiocarcinoma/diagnóstico por imagen , Anorexia/complicaciones , Pérdida de Peso , Abdomen/diagnóstico por imagen , Abdomen/patología , Colelitiasis/complicaciones , Biopsia , Endoscopía del Sistema Digestivo , Colangiocarcinoma/mortalidadAsunto(s)
Neoplasias de los Conductos Biliares/diagnóstico por imagen , Conductos Biliares Extrahepáticos/diagnóstico por imagen , Carcinoma de Células Escamosas/diagnóstico por imagen , Anciano , Neoplasias de los Conductos Biliares/patología , Conductos Biliares Extrahepáticos/patología , Carcinoma de Células Escamosas/patología , Femenino , Humanos , Biopsia Guiada por Imagen/métodos , Imagen por Resonancia MagnéticaRESUMEN
No disponible
Asunto(s)
Humanos , Masculino , Anciano , Aneurisma Falso/complicaciones , Aneurisma Roto/complicaciones , Arteria Hepática/lesiones , Hemorragia Gastrointestinal/etiología , AngiografíaRESUMEN
Hepatic artery pseudoaneurysm is a rare cause of upper gastrointestinal bleeding. Traumatic etiology is frequent (vascular anastomosis or iatrogenesisia), although it is also related to infectious or inflammatory diseases. We report the case of a 65-year-old patient, with hematemesis due to hepatic artery branch pseudoaneurysm rupture, in the context of infectious endocarditis. The diagnosis was made by angioTC, using arteriography for embolization.
Asunto(s)
Aneurisma Falso/complicaciones , Aneurisma Roto/complicaciones , Hemobilia/etiología , Arteria Hepática , Anciano , Humanos , MasculinoAsunto(s)
Equinococosis Hepática/complicaciones , Hipertensión Portal/etiología , Antagonistas Adrenérgicos beta/uso terapéutico , Adulto , Albendazol/uso terapéutico , Antihelmínticos/uso terapéutico , Angiografía por Tomografía Computarizada , Equinococosis Hepática/diagnóstico por imagen , Equinococosis Hepática/cirugía , Procedimientos Quirúrgicos Electivos , Várices Esofágicas y Gástricas/etiología , Hemorragia Gastrointestinal/etiología , Hepatectomía , Humanos , Imagen por Resonancia Magnética , Masculino , RecurrenciaRESUMEN
No disponible