RESUMO
BACKGROUND: Endoscopic band ligation is considered as the gold standard of treatment for oesophageal varices. Fewer and often mild complications can occur. AIM: To report and to discuss an association between oesophageal variceal endoscopic band ligation and actue pancreatitis. CASE REPORT: We report the original case of a patient with cirrhosis and who had presented an acute pancreatitis 3 days after oesophageal variceal endoscopic band ligation. Common aetiologies of acute pancreatitis was eliminated. The evolution was favourable without specific treatment. CONCLUSION: In the absence of similar case reports, the association between oesophageal variceal endoscopic band ligation and acute pancreatitis observed in our patient remains rather fortuitous even though experimental studies can explain these association.
Assuntos
Varizes Esofágicas e Gástricas/cirurgia , Esofagoscopia/efeitos adversos , Pancreatite/etiologia , Doença Aguda , Feminino , Humanos , Ligadura , Pessoa de Meia-IdadeRESUMO
Tuberculosis of the central nervous system is a major cause of morbidity and mortality in developing nations where it accounts for 10 to 30% of intracranial space-occupying lesions. It preferentially affects young subjects, predominantly male. MRI and in particular new methods, including magnetization transfer and diffusion-weighted imaging, are useful for positive and differential diagnoses of central nervous system tuberculosis and surveillance during treatment.
Assuntos
Imageamento por Ressonância Magnética , Tuberculose do Sistema Nervoso Central/diagnóstico , Abscesso Encefálico/microbiologia , Abscesso Encefálico/patologia , Infarto Encefálico/microbiologia , Infarto Encefálico/patologia , Empiema Subdural/microbiologia , Empiema Subdural/patologia , Humanos , Hidrocefalia/microbiologia , Hidrocefalia/patologia , Mielite/microbiologia , Mielite/patologiaRESUMO
Suppurative pylephlebitis is a rare condition with a significant mortality rate, ranging from 50% to 80%. We report a case of suppurative pylephlebitis complicating acute pancreatitis treated by percutaneous drainage in a 40-year-old woman. The patient had an uneventful recovery.
Assuntos
Drenagem/métodos , Pancreatite/complicações , Veia Porta , Tromboflebite/terapia , Doença Aguda , Adulto , Feminino , Humanos , Abscesso Hepático/complicações , Abscesso Hepático/diagnóstico por imagem , Abscesso Hepático/terapia , Supuração , Tromboflebite/diagnóstico por imagem , Tromboflebite/etiologia , Tomografia Computadorizada por Raios XRESUMO
Hyperdynamic hemangiomas (HH) are atypical hepatic hemangiomas with an incidence of approximately 16% of all hemangiomas in the liver. We report a case of HH in a 47-year-old woman. Multiphase helical CT scan, MRI appearances and differential diagnoses are discussed.
RESUMO
Pituitary-hypothalamic axis Langerhans cell histiocytosis is an uncommon entity. It is a rare disease in adults. The CT and MR study provides us the best anatomo-topographic evaluation and determine the precise size of the lesion which are necessary to the treatment. We report a case of hypothalamic involvement by Langerhans cell histiocytosis accompanied by lesions in bone affecting a 31-year-old woman. The clinical, histiotological and CT/MR findings of histiocytosis X are described in this article.