RESUMEN
INTRODUCTION: Portal vein in healthy subjects and in patient with chronic diffuse liver disease was investigated by the combination of real-time technique and Doppler impulsive system. PATIENTS AND METHODS: Control group consisted of 99 healthy subjects of median age of 36,8, and with life raging span from 14 to 77 yrs. Experimental group consisted of 55 patients with histologically proved liver disease approximately aged 48,1 yrs. And with life span from 11 to 77 yrs. In 15 patients, portal hypertension was proved, by the measurement of Wedged hepatic venous pressure (WXVP). RESULTS: VP diameter was normally distributed in healthy subjects, variable with E(X) = 11,202 mm and SD = 1, 2534. The mentioned variable was also normally distributed in experimental group with E(X) = 10, 8 mm and SD = 1, 4832. VP diameter in healthy subjects did not statistically significantly differ from that one of the patient with chronic diffuse liver disease, which in contradictory to the generally accepted concepts. According to our results, portal vein diameter should not be taken as a parameter of portal hypertension.
Asunto(s)
Hepatopatías/fisiopatología , Vena Porta/diagnóstico por imagen , Adolescente , Adulto , Anciano , Estudios de Casos y Controles , Niño , Enfermedad Crónica , Femenino , Humanos , Circulación Hepática/fisiología , Masculino , Persona de Mediana Edad , Ultrasonografía Doppler , Adulto JovenRESUMEN
UNLABELLED: Celiac disease is the most common chronic gastroenterological autoimmune disease characterized by gluten intolerance. The diagnosis of celiac disease and enteropathy-associated T cell lymphoma is often made when it is too late.Case report describes a 35-year-old female patient managed for one year under the diagnosis of inflammatory bowel disease and admitted to our hospital for exacerbation of the underlying disease. However, inflammatory bowel disease was ruled out by diagnostic work-up, while the clinical picture and the findings obtained raised suspicion of lymphoma. The patient's condition was additionally complicated by fulminant course of the disease and ileus. CONCLUSION: Early diagnosis and appropriate treatment of the disease, and follow up of family members are crucial to prevent intestinal lymphoma development.