8 documents found, page 1 of 1

A Gastric Lesion Revealing a Small-Cell Lung Cancer: A Rare Case

A Rare Cause of Acute Liver Failure: Diffuse Liver Metastization of Merkel Cell...

The authors describe a case of a 76-year-old male with a medical history of Merkel cell carcinoma (MCC) of the right lower eyelid. He was admitted to the emergency department due to abdominal pain in the right hypochondrium, nauseas, asthenia, and choluria with 3 days of evolution. Biochemical liver workup revealed a cytocholestase pattern as well as a prolonged prothrombin time. After admission, the patient de...

How SpyGlassTM May Impact Endoscopic Retrograde Cholangiopancreatography Practi...

Introduction: Cholangiopancreatoscopy with SpyGlassTM Direct Visualization System (SGDVS) is being used in specialized centers for improving the sensitivity of endoscopic retrograde cholangiopancreatography (ERCP) in patients with indeterminate pancreatobiliary strictures (PBS). The aims of this study were to report our initial experience with SGDVS in the evaluation of indeterminate PBS, and discuss the improv...

Diagnostic Accuracy of Controlled Attenuation Parameter for Detecting Hepatic S...

Introduction: Controlled attenuation parameter (CAP), measured by transient elastography, has been suggested as a noninvasive method for the detection and quantification of steatosis. We aimed to assess the accuracy of CAP to detect steatosis in patients with chronic liver disease (CLD) compared with liver histology and to evaluate factors that correlate with the CAP value. Methods: Patients with CLD who underw...

Endoscopic Mucosectomy in a Child Presenting with Gastric Heterotopia of the Re...

Gastric mucosal heterotopia has been described in all levels of the gastrointestinal tract. Its occurrence in the rectum is uncommon. We report the case of a 4-year-old boy referred to Pediatric Gastroenterology for intermittent rectal bleeding for the past 2 years. Total ileocolonoscopy revealed a flat, well-circumscribed lesion of 4 cm, with elevated margins, localized at 10 cm from the anal verge. Histologic...

Tracheitis: A Rare Extra-Intestinal Manifestation of Ulcerative Colitis in Chil...

Introduction: Inflammatory bowel disease may cause both intestinal and extraintestinal manifestations. Respiratory symptoms in ulcerative colitis are rare and tracheal involvement is exceedingly rare in children. Case 1: Sixteen year-old female with a 4-week-complaint of abdominal pain, bloody diarrhea, fever and cough. The investigation was consistent with the diagnosis of concomitant ulcerative colitis/coinfe...

Colangiolocarcinoma em doente com hemocromatose hereditária

A hemocromatose hereditária (HH) tem risco aumentado de cirrose, que, por sua vez, é um fator de risco para carcinoma hepatocelular (CHC) e está igualmente associada a um risco 10 vezes maior de desenvolvimento de colangiocarcinoma (CC), comparando com a população em geral. Descrevemos o caso de um doente com cirrose por HH, no qual foi diagnosticada lesão hepática hipoecoica de 3 cm. O doseamento da alfafetopr...

Caso II: adulto do sexo masculino, 20 anos, com diarreia não-sanguinolenta

As doenças hepatobiliares são manifestações extra-intestinais comuns da doença inflamatória intestinal (DII). As alterações das provas hepáticas poderão estar presentes em até 30 porcento dos doentes com DII, não parecendo estarem associadas com a actividade ou gravidade da doença e podendo ser relacionáveis com doença hepática específica (autoimune ou não) ou medicação concomitante. Neste sentido, alterações p...