RESUMO
La necrosis esofágica aguda, también conocida como esófago negro, es una patología poco común que se diagnostica mediante endoscopia que muestra una mucosa esofágica de aspecto negro. Presentamos 3 casos de necrosis esofágica aguda cuya patogénesis multifactorial correspondió a nuestros pacientes, especialmente la hipoperfusión; que es probablemente el factor clave de las lesiones esofágicas. Los pacientes presentaron las mismas características endoscópicas, y las biopsias esofágicas de 2 pacientes tenían un patrón histológico de inflamación severa y necrosis, uno de ellos asociado con infección micótica. Aunque la evolución fue favorable en todos, uno se complicó con estenosis esofágica
Acute esophageal necrosis also known as black esophagus is a rare disease diagnosed by endoscopy esophageal mucosa showing a black appearance. We present three cases of acute esophageal necrosis, the multifactorial pathogenesis was in our patients, especially hypoperfusion being probably the key factor for esophageal lesions. Patients had the same characteristics and samples endoscopic esophageal biopsies from two patients had a histological pattern of severe inflammation and necrosis, one associated with fungal infection. All had a favorable outcome, and presented as a complication esophageal stenosis in one of the cases presented.
Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Endoscopia Gastrointestinal , Doenças do Esôfago , NecroseRESUMO
Resumen Durante 11 años un varón de 38 años de edad, residente en una región subtropical de Ecuador, había sido diagnosticado de anemia crónica y tratado con transfusiones de sangre en un hospital de la provincia de Cotopaxi, Ecuador. Fue transferido a Quito por una anemia grave, con hemoglobina de 4 g/dL. Se realizó una duodenoscopia en que se observaron nemátodos adultos, identificados posteriormente como Ancylostoma duodenale. El paciente fue tratado exitosamente con albendazol durante cinco días consecutivos y transfusiones de sangre. En el seguimiento a los ocho meses, no se encontró anemia ni huevos de anquilostomas en el examen de heces.
For 11 years, a 38-year-old male residing in a subtropical region of Ecuador, was repeatedly diagnosed with chronic anemia, and treated with blood transfusions in a hospital of province of Cotopaxi, Ecuador. He was transferred to Quito for severe anemia, having hemoglobin of 4 g/dL. Duodenoscopy was performed and adult nematodes, identified later as Ancylostoma duodenale, were observed. The patient was successfully treated with albendazole for five consecutive days and given blood transfusions. In the control visit at eight months, without anemia and no hookworm ova in the stool examined were found.
Assuntos
Humanos , Animais , Masculino , Adulto , Duodenopatias/parasitologia , Ancylostoma , Ancilostomíase/complicações , Anemia/parasitologia , Enteropatias Parasitárias/parasitologia , Biópsia , Doença Crônica , Duodenoscopia/métodos , Equador , Ancilostomíase/diagnóstico , Mucosa Intestinal/parasitologia , Mucosa Intestinal/patologiaRESUMO
For 11 years, a 38-year-old male residing in a subtropical region of Ecuador, was repeatedly diagnosed with chronic anemia, and treated with blood transfusions in a hospital of province of Cotopaxi, Ecuador. He was transferred to Quito for severe anemia, having hemoglobin of 4 g/dL. Duodenoscopy was performed and adult nematodes, identified later as Ancylostoma duodenale, were observed. The patient was successfully treated with albendazole for five consecutive days and given blood transfusions. In the control visit at eight months, without anemia and no hookworm ova in the stool examined were found.
Assuntos
Ancylostoma , Ancilostomíase/complicações , Anemia/parasitologia , Duodenopatias/parasitologia , Enteropatias Parasitárias/parasitologia , Adulto , Ancilostomíase/diagnóstico , Animais , Biópsia , Doença Crônica , Duodenoscopia/métodos , Equador , Humanos , Mucosa Intestinal/parasitologia , Mucosa Intestinal/patologia , MasculinoRESUMO
Resumen: En la revisión retrospectiva se contabilizó un total de 57 casos de cáncer colorrectal (CCR) atendidos en esta casa de salud: 32 (56%) hombres y 25 (44 %) mujeres; el grupo etario con mayor frecuencia es de >40 años; el sitio predominante es el recto (15 casos = 26%). Según el tipo histológico son: adenocarcinomas 47 casos (82%); de acuerdo a la diferenciación histológica la mayoría son moderadamente diferenciados: 24 casos (42%) y, finalmente, según el estadiaje de piezas quirúrgicas, la mayoría son CCR avanzados en estadio T4 (48%).
Abstract: In the retrospective review, a total of 57 cases of RCC attended in this health home were counted, of which 32 (56%) men and 25 (44%) women; The age group is most often 40 years or older. The predominant site is the rectum with 15 cases corresponding to 26%. According to the histological type, adenocarcinomas with 47 cases (82%); according to the histological differentiation of the most moderately differentiated cases with 24 cases (42%); and finally in relation to the set of surgical pieces, most of their children CCR advanced stage T4 (48%).
Assuntos
Humanos , Neoplasias Retais , Colonoscopia , Neoplasias do Colo , Endoscopia , Exame Retal DigitalRESUMO
La neoplasia endocrina múltiple tipo 1 (NEM1) es un raro síndrome hereditario, autosómico dominante, clásicamente caracterizado por tumores en varias glándulas (paratiroides, adenohipófisis e islotes pancreáticos). La prevalencia del NEM1 es de aproximadamente 2 por 100.000 habitantes.El síndrome de Zollinger Ellison (SZE) es una de las 3 neoplasias que forman parte del NEM1 y corresponde al 20 a 60%. A continuación se presenta el caso clínico de un paciente de sexo masculino, 66 años de edad, con cuadro clínico de síndrome de Zollinger Ellison que, en investigación posterior, evidencia alteración funcional de las glándulas paratiroides, cumpliendo criterios diagnósticos de neoplasia endocrina múltiple tipo 1 (NEM1).(AU)
Multiple endocrine neoplasia type 1 (MEN1) is a rare autosomal dominant hereditary syndrome, classically characterized by the presence of tumors in several glands (parathyroid, anterior pituitary and pancreatic islets) The prevalence of MEN 1 is approximately 2 per 100,000 inhabitants. The Zollinger Ellison syndrome (ZES) is one of the three neoplasias that form part of the MEN 1, and corresponds to 20 to 60%. The clinical case of a 66-year-old male patient, with a clinical of Zollinger Ellison Syndrome, who in a subsequent investigation shows functional abnormality of the parathyroid glands, fulfilling diagnostic criteria of Multiple Endocrine Neoplasia type 1 (NEM1) (AU)