13 research outputs found
Undifferentiated giant cell type carcinoma of the gallbladder with sarcomatoid dedifferentiation: a case report and review of the literature
Endoscopic management of a relapsing hepatic hydatid cyst with intrabiliary rupture: A case report and review of the literature
Hydatid disease, although endemic mostly in sheep-farming countries, remains a public health issue worldwide, involving mainly the liver. Intrabiliary rupture is the most frequent complication of the hepatic hydatid cyst. Endoscopy is advocated, preoperatively, to alleviate obstructive jaundice caused by intracystic materials after a frank rupture and is also a useful and well-established adjunct in locating postoperative biliary fistulas
Endoscopic management of a relapsing hepatic hydatid cyst with intrabiliary rupture: A case report and review of the literature
Hydatid disease, although endemic mostly in sheep -farm ing countries,
remains a public health issue worldwide, involving mainly the liver.
Intrabiliary rupture is the most frequent complication of the hepatic
hydatid cyst. Endoscopy is advocated, preoperatively, to alleviate
obstructive jaundice caused by intracystic materials after a frank
rupture and is also a useful and well-established adjunct in locating
postoperative biliary fistulas.
Endoscopic retrograde cholangiography with sphincterotomy has been
Successful as the sole and definitive means of treatment of intrabiliary
ruptured hydatid cysts. A case of an elderly woman with frank rupture is
presented, where the rupture was definitively managed endoscopically in
conjunction with sphincterotomy to remove the intrabiliary obstructive
daughter cysts and to achieve decontamination of the biliary tree.
Endoscopic retrograde cholangiography provided an excellent diagnostic
and therapeutic modality in the present case and, thus, it Should be
considered as definitive treatment in similar cases especially if
Surgical risk is anticipated to be high
Schwannoma of thigh mimicking pseudoaneurysm of the profunda femoral artery
Femoral and popliteal artery aneurysms constitute the majority of
peripheral arterial aneurysms. However, aneurysm of the profunda femoral
artery is highly uncommon, being mainly of traumatic and mycotic origin.
Diagnosis is usually straightforward with clinical and radiological
examination, and such aneurysms are only rarely misdiagnosed as tumors.
We herein report a case of preoperatively diagnosed pseudoaneurysm of
the profunda femoral artery that was intraoperatively found to be a soft
tissue tumor and finally revealed to be a schwannomma, by pathology. Our
case’s unusual presentation considerably confounded both diagnosis and
management, thus providing a salutary clinical lesson
Vertical rotation and impaction to the choledochal duct of a migrated biliary self-expanding metal stent
Self-expanding metal stent (SEMS) placement is a well accepted and
highly effective method for both treating and palliating obstructive
lesions of the biliary tree, still complications may occur including
premature occlusion and stent migration. Migration can occur either
proximally or distally, usually early after SEMS placement and almost
exclusively in covered ones. Distal migration is the most common type
and is reported in 5.8% to 6% of cases. In our case, proximal
migration of the stent occurred and surprisingly it rotated and impacted
to the common bile duct transversally. This precluded any attempt to
reposition or remove the SEMS. We effectively treated this unusual
complication by placing an additional plastic stent into the common bile
duct that restored biliary drainage
Heparin-Induced Thrombocytopenia and Phlegmasia Cerulea Dolens of the Upper Limb Successfully Treated with Fondaparinux
Primary gastric melanoma: A case report
Melanoma accounts for 1-3 per cent of all malignant tumors. Except
cutaneous, other less common melanomas include, among others, those in
the GI tract. However, their primary or secondary nature is often
difficult to establish. Referring to the stomach, scattered cases of
primary melanomas have been reported in the literature.
We report a case of a man with an ulcerated submucosal mass at the
antrum of the stomach, manifested with dull upper abdominal pain,
nausea, vomiting, fatigue and anemia. This lesion was histologically
proved to be melanoma. A detailed clinical and laboratory investigation
revealed no primary site elsewhere.
To our knowledge, very few cases of primary gastric melanoma have been
reported. Our case is the fourth ever published and the first located at
the antrum of the stomach. The debate upon the primitive nature of such
lesions still persists. Thus, specific diagnostic criteria have been
proposed. (C) 2,006 The WJG Press. All rights reserved