Asunto(s)
Conducto Colédoco/anomalías , Duodeno/anomalías , Adulto , Colangiopancreatografia Retrógrada Endoscópica , Colangitis/diagnóstico por imagen , Colangitis/etiología , Úlcera Duodenal/diagnóstico por imagen , Úlcera Duodenal/etiología , Femenino , Humanos , Masculino , Persona de Mediana EdadAsunto(s)
Abdomen Agudo/diagnóstico , Enfermedades Renales/diagnóstico , Poliarteritis Nudosa/diagnóstico , Rotura Espontánea/diagnóstico , Adolescente , Diagnóstico Diferencial , Hematoma/etiología , Hematoma/patología , Hematoma/cirugía , Humanos , Enfermedades Renales/complicaciones , Enfermedades Renales/cirugía , Masculino , Poliarteritis Nudosa/complicaciones , Poliarteritis Nudosa/cirugía , Rotura Espontánea/complicaciones , Rotura Espontánea/cirugía , Tomografía Computarizada por Rayos XRESUMEN
Behçet's disease is a chronic, recurrent, systemic disease characterized by orogenital ulcers and oculocutaneous inflammatory lesions. Cardiovascular, pulmonary, neurological, articular, and GI involvement are common features, but pancreatic involvement is very rare. We present a case of Behçet's disease with both chronic pancreatitis and abdominal aorta pseudoaneurysm.
Asunto(s)
Aneurisma Falso/complicaciones , Aneurisma de la Aorta Abdominal/complicaciones , Síndrome de Behçet/complicaciones , Pancreatitis/complicaciones , Adulto , Aneurisma Falso/diagnóstico por imagen , Aneurisma Falso/cirugía , Aorta Abdominal , Aneurisma de la Aorta Abdominal/diagnóstico por imagen , Aneurisma de la Aorta Abdominal/cirugía , Enfermedad Crónica , Humanos , Masculino , Pancreatitis/diagnóstico por imagen , Pancreatitis/cirugía , Tomografía Computarizada por Rayos XRESUMEN
Duodenal duplication cysts are distinctly uncommon and most often present in infancy or early childhood. The clinical presentation is generally duodenal obstruction, hemorrhage, or pancreatitis. Duodenal duplication cysts rarely cause biliary obstruction in adults. So far, duodenal duplication cysts have been almost exclusively treated by surgical intervention. This report describes both endoscopic diagnosis and treatment of a large periampullary duodenal duplication cyst associated with biliary obstruction in an adult patient.
Asunto(s)
Colestasis/etiología , Quistes/cirugía , Enfermedades Duodenales/cirugía , Endoscopía , Adulto , Colangiopancreatografia Retrógrada Endoscópica , Quistes/complicaciones , Quistes/diagnóstico , Enfermedades Duodenales/complicaciones , Enfermedades Duodenales/diagnóstico , Humanos , MasculinoRESUMEN
BACKGROUND/AIMS: The cases in the present study were reviewed retrospectively with the aim to demonstrate the characteristics of these strictures as well as the effectiveness of endoscopic stenting and to discuss the possible mechanisms of stricture formation. METHODOLOGY: Thirteen cases of postoperative benign biliary strictures secondary to hepatic hydatid disease (HHD) surgery were diagnosed between 1989 and 1994. All of these cases had had surgery for HHD one or more times. Endoscopic stenting was performed in 11 of the cases. Eight cases were followed-up. RESULTS: In 3 (29%) of the 8 cases, the stents were removed after a mean period of 35.6 months, and the patients were considered cured. These cases have been followed-up for 28 months. The remaining 5 cases have been followed-up for a mean period of 14.2 months. The overall morbidity was 18%, and there were no mortalities. The postoperative benign biliary strictures secondary to HHD were long, multiple, and located proximally. Due to these properties, surgical repair was not indicated for these cases. CONCLUSION: Endoscopic stenting is a safe method in the treatment of postoperative benign biliary strictures secondary to hepatic hydatid disease.