RESUMEN
We present the clinical case of a 21-year-old male with abdominal pain in the left hypochondrium radiating to the ipsilateral lumbar area and a weight loss of 2kg over a month, secondary to a large palpable intra-abdominal mass in the examination. TAC revealed a large solid mass with necrotic-cystic component which depended of the pancreas, infiltrated the spleen, enveloped the celiac trunk and affected to the splenic vases. Inmunohistochemical and molecular study confirmed the diagnosis extraosseus Ewing sarcoma (EES).
Asunto(s)
Humanos , Masculino , Anciano , Tumores Neuroendocrinos/complicaciones , Tumores Neuroendocrinos/diagnóstico por imagen , Neoplasias Esofágicas/complicaciones , Neoplasias Esofágicas/diagnóstico por imagen , Trastornos de Deglución/etiología , Tomografía Computarizada por Rayos X , Endoscopía del Sistema DigestivoRESUMEN
We present two clinical cases, a 68-year-old male and a 55-year-old female, who are being studied for progressive solid food dysphagia. The initial gastroscopy revealed a polypoid lesion in the first case and a partially stenosing lesion in the second case. Both lesions were located in the mid-esophagus and presented a normal mucosa. Histological diagnosis confirmed an esophageal neuroendocrine carcinoma (NEC) of large cell and small cell types, respectively.
Asunto(s)
Carcinoma Neuroendocrino , Trastornos de Deglución , Neoplasias Esofágicas , Masculino , Femenino , Humanos , Persona de Mediana Edad , Anciano , Trastornos de Deglución/complicaciones , Carcinoma Neuroendocrino/complicaciones , Carcinoma Neuroendocrino/diagnóstico por imagen , Neoplasias Esofágicas/complicaciones , Neoplasias Esofágicas/diagnóstico por imagen , Neoplasias Esofágicas/patologíaRESUMEN
No disponible
Asunto(s)
Humanos , Femenino , Persona de Mediana Edad , Equinococosis Hepática/diagnóstico por imagen , Equinococosis Hepática/cirugía , Albendazol/administración & dosificación , Polipéptido alfa Relacionado con Calcitonina , Abdomen/diagnóstico por imagen , Abdomen/patología , Duodeno/patología , Duodeno/cirugía , Equinococosis Hepática/complicacionesRESUMEN
No disponible
Asunto(s)
Humanos , Femenino , Adulto , Inmunodeficiencia Variable Común/complicaciones , Infecciones por Citomegalovirus/diagnóstico , Infecciones por Citomegalovirus/tratamiento farmacológico , Infliximab/uso terapéutico , Linfocitos B , Linfocitos T , Factor de Necrosis Tumoral alfa/uso terapéuticoAsunto(s)
Inmunodeficiencia Variable Común/complicaciones , Infecciones por Citomegalovirus/complicaciones , Fármacos Gastrointestinales/uso terapéutico , Infliximab/uso terapéutico , Enfermedades Intestinales/tratamiento farmacológico , Enfermedades Intestinales/etiología , Adulto , Femenino , Humanos , Índice de Severidad de la EnfermedadAsunto(s)
Aneurisma Falso/diagnóstico por imagen , Colecistitis/complicaciones , Enfermedades Duodenales/etiología , Vesícula Biliar/irrigación sanguínea , Hemorragia Gastrointestinal/etiología , Xantomatosis/complicaciones , Anciano , Aneurisma Falso/complicaciones , Arterias/diagnóstico por imagen , Enfermedades Duodenales/diagnóstico por imagen , Vesícula Biliar/diagnóstico por imagen , Hemorragia Gastrointestinal/diagnóstico por imagen , Gastroscopía , Humanos , Imagen por Resonancia Magnética , Masculino , Tomografía Computarizada MultidetectorRESUMEN
No disponible
Asunto(s)
Humanos , Masculino , Aneurisma Falso/sangre , Aneurisma Falso/patología , Hemorragia Gastrointestinal/sangre , Hemorragia Gastrointestinal/genética , Colecistitis/patología , Hemobilia/sangre , Espectroscopía de Resonancia Magnética , Aneurisma Falso/genética , Aneurisma Falso/metabolismo , Hemorragia Gastrointestinal/metabolismo , Hemorragia Gastrointestinal/patología , Colecistitis/metabolismo , Hemobilia/patología , Espectroscopía de Resonancia Magnética/instrumentaciónRESUMEN
INTRODUCTION: Partially covered self-expanding metal stents (SEMS), have been suggested as an alternative to surgery in the treatment of esophageal fistulas of benign etiology. Nevertheless, uncomplicated removal remains difficult. The use of fully covered (FC) SEMSs could solve this problem. OBJECTIVES: To review our experience with FC-SEMS placement in patients with benign upper gastrointestinal leaks or perforations. We wanted to assess successful closure of the perforations and short-term and long-term complications. MATERIALS AND METHODS: Multicenter study, including 3 tertiary centers. Retrospective review of patients who underwent FC-SEMS placement for benign perforations. RESULTS: Eighty-eight stents were placed in 56 patients. We achieved leak closure in 44 patients (78.6%). There were 18 migrations. All of them could be solved endoscopically. A severe septic situation was associated with a higher mortality rate (27.6% vs. 7.4%; P=0.049) and a lower success rate (34.5% vs. 7.4%; P=0.088), compared with those patients who did not present severe sepsis. However, these differences could not be confirmed by multivariable analysis. The results in the subgroup of 11 patients with leaks after sleeve gastrectomy were also good (73% success without surgery and 0% mortality). CONCLUSIONS: Temporary placement of FC-SEMS for benign perforations, fistulas, and leaks is feasible in sealing the leaks. All migrations could be solved endoscopically. It is very important to insert the stent before sepsis is established. This article also would be an addition to the growing body of literature supporting stenting as a good alternative if not standard approach to controlling these leaks.