Assuntos
Pancreatopatias/diagnóstico , Neoplasias Pancreáticas/diagnóstico , Tuberculose/diagnóstico , Adulto , Biópsia por Agulha , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pancreatopatias/diagnóstico por imagem , Pancreatopatias/patologia , Neoplasias Pancreáticas/diagnóstico por imagem , Neoplasias Pancreáticas/patologia , Radiografia , Tuberculose/diagnóstico por imagem , Tuberculose/patologiaRESUMO
We report the case of a 65-year-old patient who was diagnosed with large-cell lymphoma arising and remaining localized in the porta hepatis, causing obstructive jaundice, and resulting into ascending cholangitis, septicemia, and acute renal failure. We discuss how jaundice can be a manifestation of both Hodgkins and non-Hodgkins lymphoma.
Assuntos
Colestase/etiologia , Neoplasias Hepáticas/complicações , Linfoma Anaplásico de Células Grandes/complicações , Injúria Renal Aguda/etiologia , Idoso , Colangite/etiologia , Humanos , Neoplasias Hepáticas/diagnóstico , Neoplasias Hepáticas/patologia , Linfoma Anaplásico de Células Grandes/diagnóstico , Linfoma Anaplásico de Células Grandes/patologia , Masculino , Sepse/etiologiaRESUMO
We report two cases of Kaposi's sarcoma (KS) after orthotopic liver transplantation for cirrhosis of the liver related to hepatitis C virus. Both cases were Saudi-born Arabs who were negative for human immunodeficiency virus; one patient was receiving FK506 plus prednisolone, and the other patient was receiving FK506. One patient died of fulminant multicentric KS. The other patient, with lesions confined to the lower limbs, is still alive. These are the first case reports of KS in liver transplant recipients in the Kingdom of Saudi Arabia and, to our knowledge, these are the first case reports of KS in liver transplant recipients on FK506. All previous reports were related to either cyclosporine or conventional immunosuppressive therapy, i.e., azathioprine plus prednisolone.
Assuntos
Imunossupressores/uso terapêutico , Transplante de Fígado/imunologia , Sarcoma de Kaposi/complicações , Tacrolimo/uso terapêutico , Idoso , Humanos , Transplante de Fígado/estatística & dados numéricos , Masculino , Prevalência , Sarcoma de Kaposi/epidemiologia , Arábia Saudita/epidemiologiaRESUMO
A 43-year old man presented with a clinical picture compatible with cholestatic jaundice. ERCP was suggestive of cholangiocarcinoma. Liver biopsy showed non-caseating granuloma. The diagnosis was a rare presentation of hepatic sarcoidosis causing obstruction to the biliary tract. Obstruction was alleviated with corticosteroids.
