RESUMO
Echinococcosis/hydatidosis is common in societies where agriculture and livestock are frequent, and represents a public health problem. The therapeutic management depends on the cyst's characteristics, the patient, and surgical contraindications. Endoscopic retrograde cholangiopancreatography is a valuable tool in the diagnosis and treatment of complicated hepatic hydatid disease. Ultrasonography is a useful diagnostic, therapeutic and follow-up tool. The authors report a case of a 56 years old patient who was diagnosed with a hepatic hydatid cyst in the IVa/VIII segments, describe the therapeutic options and 50 months of disease-free follow-up.
A equinococose/hidatidose é comum em sociedades onde predominam a agricultura e a criação de gado, sendo um problema de saúde pública. As várias opções terapêuticas dependem das caraterísticas do quisto, do doente e da eventual presença de contraindicações cirúrgicas. A colangiopancreatografia retrógrada endoscópica constitui uma válida ferramenta no diagnóstico e tratamento da doença hidática hepática complicada. A ecografia é um instrumento útil no diagnóstico, na terapêutica e seguimento. Os autores apresentam um caso de uma doente de 56 anos a quem foi diagnosticado um quisto hidático hepático nos segmentos IVa/VIII, descrevem as opções terapêuticas e o seguimento de 50 meses livres de doença.
Assuntos
Feminino , Humanos , Pessoa de Meia-Idade , Equinococose Hepática/terapia , Colangiopancreatografia Retrógrada Endoscópica , Equinococose Hepática/diagnóstico , Seguimentos , Tomografia Computadorizada por Raios X , Resultado do TratamentoRESUMO
Echinococcosis/hydatidosis is common in societies where agriculture and livestock are frequent, and represents a public health problem. The therapeutic management depends on the cyst's characteristics, the patient, and surgical contraindications. Endoscopic retrograde cholangiopancreatography is a valuable tool in the diagnosis and treatment of complicated hepatic hydatid disease. Ultrasonography is a useful diagnostic, therapeutic and follow-up tool. The authors report a case of a 56 years old patient who was diagnosed with a hepatic hydatid cyst in the IVa/VIII segments, describe the therapeutic options and 50 months of disease-free follow-up.
Assuntos
Equinococose Hepática/terapia , Colangiopancreatografia Retrógrada Endoscópica , Equinococose Hepática/diagnóstico , Feminino , Seguimentos , Humanos , Pessoa de Meia-Idade , Tomografia Computadorizada por Raios X , Resultado do TratamentoRESUMO
The malignant melanoma is the most common cause of metastatic lesion in the gastrointestinal tract, representing about 33% of all the metastatic malignant tumors of the digestive tract. In 35% of patients the small bowel is impaired, and lower gastrointestinal bleeding is a rare form of presentation. The authors report a case of a 81-year-old male with a history of malignant skin melanoma excised in 1994. Underwent middle lobectomy due right pulmonary metastasis of melanoma in 2002. In 2005, in the context of gastrointestinal bleeding is diagnosed metastases of malignant melanoma in the small bowel, and underwent a segmentary enterectomy. At present the follow-up is without symptoms.
