RESUMO
We report a rare case of amyloidosis of the gallbladder in a 60-year-old man. This amyloidosis was associated with hepatic amyloidosis and pancreatic adenocarcinoma. To our knowledge, this is the second case reported in the literature and the first associated with neoplastic pathology.
Assuntos
Adenocarcinoma/complicações , Amiloidose/complicações , Doenças da Vesícula Biliar/complicações , Neoplasias Pancreáticas/complicações , Adenocarcinoma/patologia , Adenocarcinoma/cirurgia , Amiloidose/patologia , Amiloidose/cirurgia , Evolução Fatal , Doenças da Vesícula Biliar/patologia , Doenças da Vesícula Biliar/cirurgia , Humanos , Neoplasias Hepáticas/secundário , Masculino , Pessoa de Meia-Idade , Neoplasias Pancreáticas/patologia , Neoplasias Pancreáticas/cirurgiaRESUMO
A 26 year-old man presented a hepatic cyst complicated by intracystic bleeding. Clinical and biological features (chronic pancreatitis), ultrasound and computed tomography findings apparent hepatic and splenic location), macroscopic aspects (inflammatory changes, brown-colored fluid) as well as microscopic characteristics (thickened cyst-wall, absence of epithelium) of both cysts suggested the diagnosis of pancreatic pseudocysts. The diagnosis of hepatic cyst was carried out on histological examination showing Meyenburg and neuro-fibrillar complexes. Occurrence of complications (bleeding, size enlargement) may modify typical histological aspect of hepatic cyst.
Assuntos
Cistos/diagnóstico , Hepatopatias/diagnóstico , Adulto , Alcoolismo/complicações , Cistos/etiologia , Cistos/patologia , Diagnóstico Diferencial , Humanos , Laparotomia , Hepatopatias/etiologia , Hepatopatias/patologia , Masculino , Tomografia Computadorizada por Raios X , UltrassonografiaRESUMO
A hemorrhagic pseudo cyst of pancreas, due to a gastro duodenal artery erosion, is presented in a patient presenting a chronic pancreatitis. The diagnosis was suspected by means of clinical, ultrasound, TDM signs and was confirmed by coeliomesenteric angiography. The surgical treatment was successfully performed by local hemostasis and cystojejunal Roux-loop anastomosis.