RESUMO
Bronchobiliary fistula was first described by Peacock in 1850 and is a rare clinical finding. Bronchobiliary fistula is usually a result of hydatid cyst disease or a congenital abnormality. Hepatic intervention is the most common cause in American adults. Other reports have described bronchobiliary fistula, but the number of cases is relatively small, and little consensus on treatment exists. This report describes a patient presenting with bronchobiliary fistula after hepatic resection for metastatic colon cancer; the fistula was treated by thoracic surgical intervention.
Assuntos
Fístula Biliar/diagnóstico , Fístula Brônquica/diagnóstico , Adenocarcinoma/secundário , Fístula Biliar/cirurgia , Fístula Brônquica/cirurgia , Neoplasias do Colo/patologia , Feminino , Humanos , Neoplasias Hepáticas/secundário , Neoplasias Pulmonares/secundário , Pessoa de Meia-Idade , Tomografia Computadorizada por Raios XRESUMO
A 60-year-old woman with a massive left intra-thoracic lipoma presented with worsening dyspnea. A computed tomographic scan revealed an 18 x 10 x 24 cm intra-thoracic mass, which was compressing the left lung and shifting the mediastinum to the right. At operative resection, a large, well-encapsulated, intrathoracic lipoma was discovered that weighed 2,556 grams. Histologic evaluation confirmed that the mass consisted of benign adipose tissue.
Assuntos
Lipoma/diagnóstico por imagem , Lipoma/cirurgia , Neoplasias Torácicas/diagnóstico por imagem , Neoplasias Torácicas/cirurgia , Meios de Contraste , Diagnóstico Diferencial , Feminino , Humanos , Pessoa de Meia-Idade , Tomografia Computadorizada por Raios XRESUMO
Polymyositis revealing myasthenia gravis and malignant thymoma: a case report. The increased frequency of thymoma associated with autoimmune diseases has been well documented in the literature. However the association of polymyositis (PM) and myasthenia gravis (MG) revealing a malignant thymoma is rare. We report a case of a gentleman whose presenting symptoms were those of polymyositis.
Assuntos
Miastenia Gravis/fisiopatologia , Polimiosite/fisiopatologia , Timoma/fisiopatologia , Neoplasias do Timo/fisiopatologia , Idoso , Humanos , Masculino , Miastenia Gravis/complicações , Miastenia Gravis/diagnóstico , Polimiosite/complicações , Polimiosite/diagnóstico , Timoma/complicações , Timoma/cirurgia , Neoplasias do Timo/complicações , Neoplasias do Timo/cirurgiaRESUMO
Embolus-in-transit leading to a paradoxical embolus or a pulmonary embolus is an uncommon phenomenon that requires a high degree of suspicion to make a clinical diagnosis. We present three interesting cases that have been encountered in our practice and describe the surgical treatment undertaken to correct the problem.