RESUMO
Biliary papillomatosis is a rare entity, characterized by single or multiple lesions arising from the biliary epithelium, leading to relapsing attacks of obstructive jaundice and cholangitis. Usually considered a benign disease, progression to malignancy has though been reported. In this paper the case of a 72 year old patient, with a single papilloma of the left hepatic duct treated by left hepatectomy, is discussed. The main histological, clinical and therapeutic aspects of this unusual pathology are then examined, with a complete review of the Literature.
Assuntos
Neoplasias dos Ductos Biliares , Cistadenoma Papilar , Idoso , Neoplasias dos Ductos Biliares/diagnóstico , Neoplasias dos Ductos Biliares/cirurgia , Cistadenoma Papilar/diagnóstico , Cistadenoma Papilar/cirurgia , Feminino , HumanosRESUMO
Significant signs of uremic osteodystrophy were found at Rx examination of the pelvis in 29 out of 72 uremic patients (40%) undergoing maintenance hemodialysis. It is therefore thought that Rx of the pelvis, although it is more significant for some signs (brown tumors, alterations of the trabecular structure, enlargement of Ward's triangle) than for others, such as subperiosteal resorption, should not be neglected in these patients.
Assuntos
Falência Renal Crônica/terapia , Pelve/diagnóstico por imagem , Diálise Renal/efeitos adversos , Uremia/terapia , Adolescente , Adulto , Idoso , Doenças Ósseas/diagnóstico por imagem , Neoplasias Ósseas/diagnóstico por imagem , Doença Crônica , Feminino , Glomerulonefrite/complicações , Humanos , Falência Renal Crônica/complicações , Falência Renal Crônica/etiologia , Masculino , Pessoa de Meia-Idade , Radiografia , Assistência Terminal , Uremia/complicações , Uremia/etiologiaRESUMO
The authors describe damage to the spine observed by x-ray in patients on maintenance hemodialysis. They stress the importance of including x-ray examination of the spine among the routine checks performed in these patients.
Assuntos
Glomerulonefrite/terapia , Falência Renal Crônica/terapia , Pielonefrite/terapia , Diálise Renal/efeitos adversos , Doenças da Coluna Vertebral/diagnóstico por imagem , Adolescente , Adulto , Idoso , Nefropatias Diabéticas/terapia , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Osteoporose/diagnóstico por imagem , Osteoporose/etiologia , Osteosclerose/diagnóstico por imagem , Osteosclerose/etiologia , RadiografiaRESUMO
The authors report a case of chronic splenic tuberculosis. They underline the diagnostic difficulties, notwithstanding the remarkable progresses in radiological technics, essentially related to the rarity of this tubercular site and they outlined the exact surgical indication to the splenectomy.