Assuntos
Aneurisma Infectado/diagnóstico por imagem , Aneurisma Infectado/cirurgia , Endocardite Bacteriana/diagnóstico por imagem , Endocardite Bacteriana/cirurgia , Infecções por Neisseriaceae/diagnóstico por imagem , Infecções por Neisseriaceae/cirurgia , Complicações Pós-Operatórias/diagnóstico por imagem , Complicações Pós-Operatórias/cirurgia , Adulto , Aneurisma Infectado/etiologia , Angiografia , Aneurisma da Aorta Torácica/complicações , Endocardite Bacteriana/etiologia , Humanos , Masculino , Artéria Mesentérica Superior , Neisseria/classificação , Infecções por Neisseriaceae/etiologia , Complicações Pós-Operatórias/etiologia , Tomografia Computadorizada por Raios XRESUMO
Two cases of Dieulafoy's ulcer of the duodenum revealed by a severe digestive bleeding and histologically proved are reported. It is a rare localization of a rare disease which is particular by the presence of an abnormal vessel in the sub-mucosa layer of the digestive wall. Both patients were operated on and successfully treated by excision suture.
Assuntos
Úlcera Duodenal/cirurgia , Úlcera Péptica Hemorrágica/cirurgia , Adulto , Úlcera Duodenal/complicações , Úlcera Duodenal/patologia , Feminino , Humanos , Masculino , Úlcera Péptica Hemorrágica/etiologiaRESUMO
Gastric duplication was diagnosed in a 50 year-old patient who was initially thought to have a pancreatic pseudo-cyst until laparotomy was performed. There are many clinical and radiological similarities between gastric duplication and pancreatic pseudo-cyst. However, the following elements can suggest the diagnosis of gastric duplication in the case of the discovery of a cystic mass in the gastric or pancreatic area: normal pancreatic enzyme levels, ultrasonic identification of a hyperechoic inner rim and a hypoechoic outer rim with peristaltic movements into the cyst, visualization of a communication between the cyst and the gastro-intestinal tract, and detection of associated vertebral abnormalities. Surgical treatment of gastric duplication is only necessary in symptomatic cases.