Introduction: Foreign-body ingestion is a common event, but in only less than 1% of the cases complications occur. Hepatic abscesses induced by foreign-body penetration are rare. To date, there are only 62 reported cases of hepatic abscess secondary to fish bone perforation of the gastrointestinal tract. Case Presentation: A 78-year-old male patient was admitted due to high fever and vomiting for 2 days, along ...
The authors report a case of Trousseaus syndrome presenting in a previously asymptomatic 58-year-old man diagnosed with pancreatic adenocarcinoma and liver metástases during a workup prompted by migratory venous thrombosis and pulmonary embolism. It was followed by an ischaemic stroke that occurred while the patient was just one day off anticoagulante therapy with low-molecular-weight heparin to allow for live...
A schwannomatose é uma rara forma genética de neurofibromatose, recentemente descrita, na qual os doentes apresentam dois ou mais schwannomas não-vestibulares diagnosticados histologicamente. O diagnóstico implica a exclusão de neurofibromatose tipo 2 (NF2), com a qual partilha alguns aspectos em comum, através da realização de uma RMN crâneo-encefálica de alta resolução em doentes com mais de 18 anos de idade ...
CLINICAL REPORT: A patient diagnosed Wilsons disease (WD) 22 years previously, successfully treated initially with zinc, developed neuropsychiatric disease after years of irregular therapy. Reassuming zinc therapy was successful. After a normal pregnancy, she had two therapeutic abortions for corpus callosum agenesis, and a missed abortion. We review the genetics, physiopathology, clinics and imagiologic resp...
Malignant peritoneal mesothelioma mesothelioma is associated with a long a exposure to asbestos and usually has a poor prognosis. Short survival is due to late diagnosis, as patients are frequently pauci-symptomatic until advanced stage. Since the tumor is usually confined to the peritoneal cavity, extensive peritonectomy and hypertermic intraoperative intraperitoneal chemotherapy are associated with increased ...
A religious nurse at Mayo Clinic, firstly noticed the relationship of umbilical metastatic nodes (Sister Mary Josephs nodule) with advanced inoperable intraabdominal malignancy (ovary, colon, stomach, pancreas, uterus), meaning an unfavourable prognosis. We present a patient with disseminated colonic neoplasm with umbilical metastasis, initially diagnosed as umbilical hernia. A review is performed of: umbilicu...