RESUMO
El drenaje guiado por ecoendoscopia (USE) de colecciones pélvicas es una alternativa al drenaje percutáneo o quirúrgico. Se presenta nuestra experiencia con el uso de prótesis de aposición luminal (LAMS) en el drenaje de abscesos pélvicos posquirúrgicos
Endoscopic ultrasound (EUS) guided drainage of pelvic collections is an alternative to percutaneous or surgical drainage. We present our experience using lumen-apposing metal stents (LAMS) for the drainage of postoperative pelvic abscesses
Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Aspiração por Agulha Fina Guiada por Ultrassom Endoscópico/métodos , Abscesso/cirurgia , Infecção Pélvica/cirurgia , Sucção/métodos , Endossonografia/métodos , Complicações Pós-Operatórias/cirurgiaRESUMO
Endoscopic ultrasound (EUS) guided drainage of pelvic collections is an alternative to percutaneous or surgical drainage. We present our experience using lumen-apposing metal stents (LAMS) for the drainage of postoperative pelvic abscesses.
Assuntos
Abscesso Abdominal/terapia , Drenagem/instrumentação , Drenagem/métodos , Endossonografia , Complicações Pós-Operatórias/terapia , Stents , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
No disponible
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Doença de Crohn/tratamento farmacológico , Granulomatose Linfomatoide/induzido quimicamente , Azatioprina/efeitos adversos , Doença de Crohn/complicações , Transtornos Linfoproliferativos/induzido quimicamente , Fatores Imunológicos/efeitos adversos , Imunomodulação/efeitos dos fármacosRESUMO
No disponible
Assuntos
Humanos , Masculino , Idoso , Icterícia Obstrutiva/diagnóstico por imagem , Icterícia Obstrutiva/etiologia , Adenoma de Células Hepáticas/complicações , Ductos Biliares/diagnóstico por imagem , Ductos Biliares/patologia , Adenocarcinoma Papilar/complicações , Adenocarcinoma Papilar/diagnóstico por imagemRESUMO
Lymphomatoid granulomatosis is a rare lymphoproliferative disorder associated with immunosuppressive therapy in inflammatory bowel disease. We present the case of a patient with Crohn's disease and treated azathioprine that develops lymphomatoid granulomatosis, as well as its diagnostic process and the chosen treatment. Lymphomatoid granulomatosis is a serious disease barely described and whose suspicion is essential for its prognosis.
Assuntos
Azatioprina/efeitos adversos , Doença de Crohn/tratamento farmacológico , Imunossupressores/efeitos adversos , Granulomatose Linfomatoide/induzido quimicamente , Neoplasias Cutâneas/induzido quimicamente , Azatioprina/uso terapêutico , Humanos , Imunossupressores/uso terapêutico , Masculino , Pessoa de Meia-IdadeRESUMO
Introduction: the appearance of the lumen-apposing metal stent (LAMS) has meant an authentic revolution. To date, the results are promising but it is necessary to note the technical incidents and LAMS-related complications. Case report: an EUS-transmural guided drainage using a HotAXIOS was planned for a 36-year-old man with oral intolerance due to a voluminous walled-off necrosis. The distal flange was left in the collection, but a total distal malposition occurred during the proximal flange delivery, despite correct apposition with visualization of the black mark. A rescue technique was performed inserting a second LAMS over-the-guidewire salvaging the initial failed transmural drainage. Discussion: This case is a reminder that in similar scenarios, extreme tension of the echoendoscope can cause a malfunction of the AXIOS stent delivery system, and lead to a total distal malposition. This "LAMS-in-LAMS" technique is feasible, effective, and a very helpful rescue technique in cases of dislodged LAMS
No disponible
Assuntos
Humanos , Masculino , Adulto , Stents/efeitos adversos , Drenagem/instrumentação , Obstrução Duodenal/cirurgia , Atresia Intestinal/cirurgia , Pancreatite/etiologia , Doença Aguda , Drenagem/métodos , Suco Pancreático/fisiologiaRESUMO
INTRODUCTION: the appearance of the lumen-apposing metal stent (LAMS) has meant an authentic revolution. To date, the results are promising but it is necessary to note the technical incidents and LAMS-related complications. CASE REPORT: an EUS-transmural guided drainage using a HotAXIOS was planned for a 36-year-old man with oral intolerance due to a voluminous walled-off necrosis. The distal flange was left in the collection, but a total distal malposition occurred during the proximal flange delivery, despite correct apposition with visualization of the black mark. A rescue technique was performed inserting a second LAMS over-the-guidewire salvaging the initial failed transmural drainage. DISCUSSION: This case is a reminder that in similar scenarios, extreme tension of the echoendoscope can cause a malfunction of the AXIOS stent delivery system, and lead to a total distal malposition. This "LAMS-in-LAMS" technique is feasible, effective, and a very helpful rescue technique in cases of dislodged LAMS.
Assuntos
Drenagem/instrumentação , Obstrução Duodenal/terapia , Duodeno/patologia , Atresia Intestinal/terapia , Pancreatite/complicações , Terapia de Salvação/métodos , Stents , Doença Aguda , Adulto , Drenagem/métodos , Humanos , Masculino , Necrose/complicações , Suco PancreáticoRESUMO
No disponible
