RESUMO
In this case report we describe a case of meseriental thrombangitis obliterans in a 39-year-old, previously healthy female smoker. She was referred to hospital because of abdominal pains, nausea and diarrhoea. All tests where normal. One year later the patient was admitted due to fever and acute abdominal pain. Initial diagnostic laparoscopy was normal. The patient deteriorated and laparotomy was performed. Inflammation and gangrene was found in the small intestine. The pathological examination of the resected specimen determined that the diagnosis was mesenterial thrombangitis obliterans.
Assuntos
Tromboangiite Obliterante/diagnóstico , Abdome Agudo/diagnóstico , Dor Abdominal/diagnóstico , Adulto , Diagnóstico Diferencial , Feminino , Humanos , Intestino Delgado/irrigação sanguínea , Intestino Delgado/patologia , Isquemia/diagnóstico , Laparoscopia , Laparotomia , Tromboangiite Obliterante/patologia , Tromboangiite Obliterante/cirurgiaAssuntos
Trombose do Corpo Cavernoso/complicações , Colite Ulcerativa/complicações , Vasculite/complicações , Trombose Venosa/complicações , Adulto , Trombose do Corpo Cavernoso/tratamento farmacológico , Trombose do Corpo Cavernoso/patologia , Feminino , Humanos , Necrose , Vasculite/tratamento farmacológico , Vasculite/patologia , Trombose Venosa/tratamento farmacológico , Trombose Venosa/patologiaRESUMO
A case of peliosis hepatis in a 64-year-old woman treated with azathioprine because of a lung transplantation is described. The patient was admitted owing to epigastric pain and jaundice. Sixteen months before admission the patient had had a lung transplantation because of pulmonary emphysema. A liver biopsy showed multiple, dilated, blood-filled liver sinusoids consistent with peliosis hepatis. Besides azathioprine, the patient was treated with cyclosporine and prednisolone, but none of these drugs are known to be responsible for the development of peliosis hepatis. This rare condition, which causes liver affection in patients treated with azathioprine, should be kept in mind.