RESUMEN
We present a case of focal hepatic steatosis, presenting with longstanding and poorly defined discomfort. The exploratory methods could not exclude the presence of a tumor mass in the liver; for this reason the patient was submitted to surgery, which allowed the histological diagnosis. We call attention to the existence of this lesion and the convenience of using all the available diagnostic methods to obtain the diagnosis in order to avoid the risks of an unnecessary major surgical procedure.
Asunto(s)
Hígado Graso/patología , Adulto , Humanos , MasculinoRESUMEN
The authors present two cases of hepatic echinococcus cyst with destruction of the biliary confluent. The severity of this exceptional lesion requires uncommon treatment. Experience with treatment of biliary fistulas when there is a residual cystic cavity, provides arguments for and against primary suture of these fistulas. In these cases, the required treatment consists in reconstruction of the hepatic biliary ducts destroyed (right, left and common) by using the pericystic envelope itself as a plastic neoformative element. The result has demonstrated its efficacy after many years of use, as we have indicated in this article. "Echinococcus granulosus" itself is only rarely a problem in the host, but a hepatic echinococcus cyst does not only pose a spatial problem, except insofar as it often involves the biliary tree. In the cases reported here, the hepatic echinococcus cyst causes biliary problems in over 60% of the cases (1). These biliary problems were as follows: Compression of the common bile duct by the cys; More often, compression of the intrahepatic bile ducts causes the cyst to open inside the biliary duct and to fissure, leading to a biliocystic fistula.
Asunto(s)
Colestasis Intrahepática/etiología , Equinococosis Hepática/complicaciones , Conducto Hepático Común , Adulto , Anciano , Enfermedades de los Conductos Biliares/etiología , Enfermedades de los Conductos Biliares/cirugía , Colecistectomía , Colestasis Intrahepática/cirugía , Equinococosis Hepática/cirugía , Femenino , Humanos , Técnicas de SuturaRESUMEN
One patient with a colonic perforation associated with secondary amyloidosis and ankylosing rheumatoid spondylitis was treated successfully. To our knowledge, this is the first case described of colonic perforation in amyloidosis.
Asunto(s)
Amiloidosis/complicaciones , Enfermedades del Colon/etiología , Perforación Intestinal/etiología , Adulto , Enfermedades del Colon/patología , Humanos , Perforación Intestinal/patología , Masculino , Espondilitis Anquilosante/complicacionesAsunto(s)
Eritrocitos/diagnóstico por imagen , Hemorragia Gastrointestinal/diagnóstico por imagen , Neoplasias del Yeyuno/diagnóstico por imagen , Leiomioma/diagnóstico por imagen , Adulto , Femenino , Hemorragia Gastrointestinal/etiología , Humanos , Neoplasias del Yeyuno/complicaciones , Neoplasias del Yeyuno/patología , Leiomioma/complicaciones , Leiomioma/patología , Cintigrafía , TecnecioAsunto(s)
Apéndice , Divertículo , Adulto , Anciano , Enfermedades del Ciego/etiología , Enfermedades del Ciego/patología , Enfermedades del Ciego/cirugía , Diverticulitis/etiología , Diverticulitis/patología , Diverticulitis/cirugía , Divertículo/etiología , Divertículo/patología , Divertículo/cirugía , Femenino , Humanos , Masculino , Persona de Mediana EdadRESUMEN
We report the case of a 67-year-old man with a granular, cauliflower-pink lesion on the skin of the thigh. Histopathological study showed a typical verrucous carcinoma associated with a syringadenoma papilliferum. To our knowledge this association has not been previously reported.