RESUMEN
We report the case of a middle-aged man who had undergone two diagnostic laparoscopies with no significant findings after he was attended at the emergency department with cramping pain, abdominal distention and vomiting, with radiological images simulating a small bowel obstruction. After multiple hospitalisations and an extensive set of tests, including a genetic study, he was diagnosed with chronic pseudo-obstruction, an uncommon, unrecognides syndrome with high morbidity. Being aware of this pathology can make it easier to diagnose, and thereby, we can avoid unnecessary surgical interventions, because its management and treatment are mainly based on pharmacological therapy. After a proper diagnosis our patient's progression was satisfactory due to the treatment introduced, with no further hospitalisations.(AU)
Asunto(s)
Humanos , Masculino , Adulto , Obstrucción Intestinal/diagnóstico por imagen , Laparoscopía , Seudoobstrucción Intestinal/diagnóstico por imagen , Apendicectomía , Intestino Delgado , Vómitos , Dolor Abdominal , Pacientes Internos , Examen Físico , Resultado del TratamientoRESUMEN
Endoscopic retrograde cholangiopancreatography (ERCP) is one of the most frequently performed procedures in the treatment of biliary-pancreatic diseases. Hematoma after ERCP is an infrequent and highly serious complication. We present three cases with hepatic hematoma after a CPRE.
Asunto(s)
Sistema Biliar , Enfermedades de la Vesícula Biliar , Hepatopatías , Enfermedades Pancreáticas , Humanos , Colangiopancreatografia Retrógrada Endoscópica/efectos adversos , Colangiopancreatografia Retrógrada Endoscópica/métodos , Hepatopatías/etiología , Enfermedades Pancreáticas/complicaciones , Hematoma/diagnóstico por imagen , Hematoma/etiologíaRESUMEN
We report the case of a middle-aged man who had undergone two diagnostic laparoscopies with no significant findings after he was attended at the emergency department with cramping pain, abdominal distention and vomiting, with radiological images simulating a small bowel obstruction. After multiple hospitalisations and an extensive set of tests, including a genetic study, he was diagnosed with chronic pseudo-obstruction, an uncommon, unrecognides syndrome with high morbidity. Being aware of this pathology can make it easier to diagnose, and thereby, we can avoid unnecessary surgical interventions, because its management and treatment are mainly based on pharmacological therapy. After a proper diagnosis our patient's progression was satisfactory due to the treatment introduced, with no further hospitalisations.
Asunto(s)
Obstrucción Intestinal , Laparoscopía , Masculino , Persona de Mediana Edad , Humanos , Obstrucción Intestinal/diagnóstico por imagen , Obstrucción Intestinal/etiología , Obstrucción Intestinal/cirugía , Dolor , Intestino Delgado , Vómitos/etiología , Laparoscopía/efectos adversosRESUMEN
Colonic lymphoma involving the mucosa-associated lymphoid tissue (MALT) is an uncommon pathology, with an unknown pathogenesis and varied endoscopic appearance. We present the case of a 78-year-old female with challenging endoscopic findings that resulted in the diagnosis of a colonic MALT lymphoma.
Asunto(s)
Neoplasias del Colon , Linfoma de Células B de la Zona Marginal , Femenino , Humanos , Anciano , Linfoma de Células B de la Zona Marginal/diagnóstico por imagen , Linfoma de Células B de la Zona Marginal/cirugía , Endoscopía , Neoplasias del Colon/diagnóstico por imagen , Neoplasias del Colon/cirugía , Neoplasias del Colon/patologíaAsunto(s)
Humanos , Masculino , Anciano , Anemia , 16595 , Endoscopía , Neoplasias Gastrointestinales/diagnóstico por imagen , Linfoma no Hodgkin , PacientesRESUMEN
We present the case of a 77-year-old male patient with iron deficiency anemia. His personal medical history is: dyslipidemia, high-grade diffuse centrofollicular lymphoma localized in the tonsil in 1984 and metastatic prostate cancer treated with hormone therapy.