RESUMO
Peritoneal hydatidosis secondary to liver hydatid disease is not uncommon but peritoneal hydatidosis herniating to the inguinal canal is rare, with fewer than five cases reported in the literature. We describe a 54-year-old man who presented with a progressively enlarging soft, cystic swelling in the right inguinal region. Clinical examination suggestive of irreducible right inguinal hernia and ultrasonography revealed it to be a cystic swelling within the hernial sac. The swelling was excised en bloc and open mesh hernioplasty was performed. Cyst biopsy revealed hydatid disease; hence, the patient was put on adjunctive albendazole chemotherapy for 3 months.
Assuntos
Equinococose/diagnóstico , Doenças Peritoneais/diagnóstico , Diagnóstico Diferencial , Equinococose/tratamento farmacológico , Equinococose/cirurgia , Hérnia Inguinal/diagnóstico , Hérnia Inguinal/cirurgia , Herniorrafia , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Peritoneais/tratamento farmacológico , Doenças Peritoneais/cirurgiaAssuntos
Falso Aneurisma/etiologia , Cálculos Biliares/complicações , Hemobilia/etiologia , Artéria Hepática/patologia , Falso Aneurisma/diagnóstico por imagem , Angiografia , Cálculos Biliares/diagnóstico por imagem , Hemobilia/diagnóstico por imagem , Artéria Hepática/diagnóstico por imagem , Humanos , Masculino , Pessoa de Meia-Idade , Tomografia Computadorizada por Raios XRESUMO
Roux-en-Y gastric bypass is a commonly performed bariatric procedure worldwide. Gastric remnant dilatation is an uncommon early complication of this procedure that can be fatal if treatment is delayed, as it can cause peritonitis and death. Herein we report a gastric bypass patient who presented with profound shock 3 months after the surgery. After resuscitation and evaluation, she was diagnosed as having a massive dilatation of gastric remnant, which we managed with percutaneous drainage.
