RESUMO
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.
Assuntos
Calcinose , Transtornos de Deglutição , Ossificação Heterotópica , Humanos , Transtornos de Deglutição/complicações , Ossificação Heterotópica/complicações , Ossificação Heterotópica/diagnóstico por imagem , Osso Temporal/diagnóstico por imagemAssuntos
Humanos , Feminino , Idoso , Ossificação Heterotópica/complicações , Ossificação Heterotópica/diagnóstico por imagem , Transtornos de Deglutição/diagnóstico , Transtornos de Deglutição/etiologia , Tomografia Computadorizada por Raios X , Endoscopia do Sistema Digestório , Manometria , SíndromeRESUMO
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)
Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Pancreatite , Unidades de Terapia Intensiva , Pacientes , Trato GastrointestinalRESUMO
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.
Assuntos
Ductos Pancreáticos , Pancreatite Necrosante Aguda , Humanos , Pâncreas , Pancreatite Necrosante Aguda/complicações , Endoscopia , Drenagem , Síndrome , Stents , Colangiopancreatografia Retrógrada EndoscópicaRESUMO
No disponible
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias do Colo/diagnóstico , Adenocarcinoma/diagnóstico , Tuberculose Gastrointestinal/diagnóstico , Diagnóstico DiferencialRESUMO
A 52-year-old Senegalese male presented due to abdominal pain and fever, with findings suggestive of a stenosing tumor of the right colon. Biopsies during colonoscopy were compatible with adenocarcinoma and infiltration into neighboring organs was observed during the surgery. New biopsies were taken that did not show dysplasia but granulomatous foci that were suggestive of a non-filiated infection. Thus, tuberculosis was ruled out.
Assuntos
Adenocarcinoma , Tuberculose Gastrointestinal , Colo , Colonoscopia , Diagnóstico Diferencial , Humanos , Masculino , Pessoa de Meia-Idade , Tuberculose Gastrointestinal/diagnóstico por imagemRESUMO
No disponible
Assuntos
Humanos , Feminino , Idoso , Aspergilose/diagnóstico por imagem , Encefalopatias/microbiologia , Enteropatias/microbiologia , Evolução Fatal , Enteroscopia de Balão , Tomografia Computadorizada por Raios X , Encefalopatias/diagnóstico por imagem , Enteropatias/diagnóstico por imagem , Aspergilose Pulmonar/diagnóstico por imagemRESUMO
A 72-year-old female presented with abdominal pain and constipation and intestinal dilation was found. Abdominal computed tomography showed two areas of thickening and stenosis in the proximal jejunum and preterminal ileum, with an unknown etiology. Exploratory laparotomy was proposed but the patient suffered a sudden and progressive decrease in consciousness. Cranial computed tomography showed an ischemic area and a midline shift. Brain biopsies suggested infection by Aspergillus Fumigatus. Despite antifungal drugs, the patient had a progressive clinical deterioration and died. The autopsy concluded a systemic infection due to Aspergillus Fumigatus. Invasive aspergillosis is a serious fungal infection and usually occurs in immunocompromised patients. It mainly affects the lungs, followed by the gastrointestinal tract. The most frequent location in gastrointestinal involvement is the small bowel. Gastrointestinal involvement is more frequent in invasive disease. Although, there are case reports of isolated gastrointestinal aspergillosis, even in immunocompetent patients without risk factors. The prognosis is poor.
Assuntos
Aspergilose , Idoso , Antifúngicos/uso terapêutico , Aspergilose/complicações , Aspergilose/diagnóstico por imagem , Aspergilose/tratamento farmacológico , Feminino , Humanos , Hospedeiro Imunocomprometido , Intestino DelgadoRESUMO
We present a case of rhabdomyolysis related to treatment with sorafenib in a patient with multifocal hepatocellular carcinoma. Rhabdomyolysis is a severe situation and potentially fatal. There are no laboratory data that can predict this condition. Early diagnosis is essential for prognosis. Rhabdomyolysis has been described as an adverse reaction of several drugs but it is not frequently related to sorafenib.
Assuntos
Carcinoma Hepatocelular , Neoplasias Hepáticas , Rabdomiólise , Carcinoma Hepatocelular/tratamento farmacológico , Humanos , Neoplasias Hepáticas/tratamento farmacológico , Prognóstico , Rabdomiólise/induzido quimicamente , Sorafenibe/efeitos adversosRESUMO
No disponible
Assuntos
Humanos , Feminino , Idoso , Colecistite/diagnóstico , Neoplasias da Vesícula Biliar/diagnóstico , Imageamento por Ressonância Magnética , Diagnóstico Diferencial , Doença Crônica , Doença Aguda , Ultrassonografia , BiópsiaRESUMO
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.