RESUMEN
La unión biliopancreática anómala es una malformación congénita caracterizada por un canal común pancreatobiliar largo queimpide el adecuado funcionamiento del esfínter de Oddi. El conducto colédoco (CC) y el conducto pancreático principal (CPP) sondos estructuras anatómicas tubulares de naturaleza fibromuscular que drenan la bilis y las secreciones pancreáticas, respectivamente, en la cara posterolateral de la segunda porción del duodeno mediante un orificio llamado carúncula o papila mayor.En la mayoría de los casos, los conductos se dilatan conformando una cavidad que se conoce como Ampolla de Váter, que protruyeen la cara luminal de la pared duodenal con aspecto de bulbo. El objetivo de este artículo es la descripción de las anomalías de launión biliopancreática y actualización de las mismas. (AU)
Anomalous biliopancreatic junction is a congenital malformation characterized by a long common pancreaticobiliary duct thatprevents the proper functioning of the sphincter of Oddi. The common bile duct (CC) and the main pancreatic duct (PPC) are twotubular anatomical structures of fibromuscular nature that drain bile and pancreatic secretions, respectively, into the posterolateralaspect of the second portion of the duodenum through an orifice called the caruncle or major papilla. In most cases, the ducts dilateforming a cavity known as the Ampulla of Vater, which protrudes into the luminal aspect of the duodenal wall with the appearanceof a bulb. The aim of this article is to describe the anomalies of the biliopancreatic junction and to update them. (AU)
Asunto(s)
Humanos , Conductos Pancreáticos , Conducto Colédoco , Anomalías Congénitas , Anomalías del Sistema Digestivo , Literatura de Revisión como AsuntoRESUMEN
We report a case of hepatocarcinoma in a non-cirrhotic patient with secondary haemochromatosis. A 61-year-old man, who had been a coal miner for 36 years, presented with a well differentiated hepatocarcinoma without cirrhosis. The patient had a haemochromatosis with no family history of liver disease and a normal genetic study. Right hepatectomy was performed and 15 months later there has been no recurrence. This case confirms the possibility of hepatocarcinoma occurring in haemochromatosis patients without cirrhosis. The recognition of populations at risk of haemochromatosis is a necessity, and this should include coal miners.
Asunto(s)
Carcinoma Hepatocelular/etiología , Hemocromatosis/etiología , Hierro/efectos adversos , Neoplasias Hepáticas/etiología , Minería , Exposición Profesional/efectos adversos , Dolor Abdominal/etiología , Carcinoma Hepatocelular/diagnóstico , Carcinoma Hepatocelular/cirugía , Carbón Mineral/efectos adversos , Supervivencia sin Enfermedad , Hemocromatosis/diagnóstico , Hepatectomía , Humanos , Neoplasias Hepáticas/diagnóstico , Neoplasias Hepáticas/cirugía , Masculino , Persona de Mediana EdadRESUMEN
We report a case of a mucin-producing tumor of the pancreas, a rare neoplasm of which only a few cases have been described in Europe. The finding of progressive hyperamylasemia without abdominal pain suggests the presence of this type of tumor. At endoscopic retrograde cholangio-pancreatography (ERCP), mucinous excretion and ductal dilation were found. Its prognosis is better than adenocarcinoma.
Asunto(s)
Adenocarcinoma Mucinoso/metabolismo , Mucinas/metabolismo , Neoplasias Pancreáticas/metabolismo , Adenocarcinoma Mucinoso/diagnóstico , Adenocarcinoma Mucinoso/cirugía , Colangiopancreatografia Retrógrada Endoscópica , Humanos , Masculino , Persona de Mediana Edad , Páncreas/diagnóstico por imagen , Neoplasias Pancreáticas/diagnóstico , Neoplasias Pancreáticas/cirugía , Pancreaticoduodenectomía , Pronóstico , UltrasonografíaRESUMEN
We report the case of a 57-year-old woman with celiac disease of long standing, who developed episodes of intestinal obstruction during two months. They were misdiagnosed as intestinal obstructions caused by adhesions. The barium meal and follow-through examination disclosed several jejunal stenoses. Therefore, the patient underwent early surgery where an intestinal resection was carried out. The histological examination showed the presence of benign ulcers at the stenoses. After surgery, the patient began to gain weight and her nutritional state improved remarkably.