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Revista Española de Enfermedades Digestivas

Óscar Caso Maestro, Iago Justo Alonso, Alberto Marcacuzco Quinto, Jorge Calvo Pulido, Carlos Jiménez Romero
Intraductal papillary neoplasm of the bile duct (IPNB) or biliary papillomatosis (BP) is a premalignant entity with high risk of malignant transformation. When the disease extends widely from the intrahepatic to the extrahepatic biliary tree, liver transplantation (LT) is the only option available. We present the case of a 43-year-old male who was admitted in our hospital with an acute cholangitis. He was diagnosed of diffuse biliary and pancreatic papillomatosis. Firstly, we performed a cephalic pancreaticoduodenectomy, then we completed a total pancreatectomy, and finally, after confirming the absence of foci of carcinoma infiltration or lymph nodes involvement, a LT was performed...
June 25, 2018: Revista Española de Enfermedades Digestivas
Carmelo Diéguez Castillo, Alicia Martín-Lagos Maldonado, Rosa María Ríos Pelegrina, María Del Mar Díaz Alcázar, Amparo Roa Colomo, Elena Ruiz Escolano
Sarcoidosis is a systemic granulomatous disease with an uncertain etiology, characterized by the production of non-necrotizing granulomas. The most frequent presentation is pulmonary and mediastinal, although it might affect any other organ. Hepatic alterations occur in 50 to 65% of the cases. Nevertheless, it is commonly subclinical or detected during a study of the alteration of liver enzymes. It is very unusual that disease onset occurs as an isolated hepatic tumor. A hepatic biopsy is usually required to confirm the diagnosis...
June 22, 2018: Revista Española de Enfermedades Digestivas
Boris Revollo, Sebastià Videla, David Parés
In reference to the interesting article published by Silva et al., we believe it is important to comment on some aspects related to anal cytology as a tool for the screening of anal intraepithelial neoplasia (AIN) in at risk patients.
June 22, 2018: Revista Española de Enfermedades Digestivas
Marta Paniagua García-Señoráns, María Reyes Meléndez Villar, Paula Senra Del Río, Eva María García Fontán, Fabio Ausania
Several types of thoracic complications can be associated with severe acute pancreatitis. Some are very common, such as pleural effusion, whilst some others are very rare although life threatening, such as enzymatic mediastinitis (EM). Only a few cases of EM (when related to acute pancreatitis) have been described in the literature. Here we describe the case of a 76-year-old female who developed acute respiratory failure and atrial fibrillation during the postoperative period after an open pancreatic necrosectomy, due to an EM episode...
June 22, 2018: Revista Española de Enfermedades Digestivas
Gabriel Mosquera Klinger, Andrea Holguín-Cardona
Surgical management has been the main approach for enteral fistulae. This approach is usually complex due to comorbidities, a wasted nutritional state and anatomical difficulties related to prior multiple interventions. Therefore, endoscopic methods such as clips, self-expanding metal stent (SEMS) and recently, the over scope clip (OTSC®) are increasing in popularity and use. Herein, we present the case of a patient with a HIV infection who was admitted due to respiratory symptoms. Radiological and microbiological studies documented a tracheoesophageal fistula due to tuberculosis (TB) and cytomegalovirus (CMV) infection...
June 22, 2018: Revista Española de Enfermedades Digestivas
Helena Moreira Silva, Gisela Silva, Rosa Lima
Dysphagia lusoria (lusus naturae, latin for "freak of nature") describes dysphagia because of vascular compression of the esophagus. Symptoms, when present, occur at the two extremes of life. Owing to the more flexible and compressible nature of the trachea, children usually present with respiratory symptoms, in contrast to adults, who more often present with dysphagia. Here, we report the case of a six-year-old child presenting with a history of progressive dysphagia without respiratory symptoms...
June 22, 2018: Revista Española de Enfermedades Digestivas
Edson Guzmán Calderón, Augusto Vera Calderón, Ramiro Díaz Ríos, Ronald Arcana López, Edgar Alva Alva
We report the case of a 60-year-old Peruvian female who was admitted with abdominal pain and jaundice. Cholangioscopy revealed a leaf-like trematode, Fasciola hepatica. This trematode was extracted with a Dormia's basket via endoscopic retrograde cholangiopancreatography (ERCP).
June 22, 2018: Revista Española de Enfermedades Digestivas
Carlos Alventosa Mateu, Génesis Aurora Castillo López, Cecilia Albert Antequera
Schwannoma is a mesenchymal tumor that is mainly located in the peripheral nerves or the central nervous system. Its retroperitoneal location is rare and commonly asymptomatic. Thus, it is usually diagnosed when imaging tests are performed for other purposes. The clinical course of Schwannoma is benign but it also has malignant potential. Therefore, surgical resection is the treatment of choice. The definitive diagnosis is anatomopathological. In this context, we present a patient with retroperitoneal Schwannoma...
June 22, 2018: Revista Española de Enfermedades Digestivas
Zhipeng Liu, Silin Huang, Zhengyu Chen, Xinying Wang
Lymphoid follicular proctitis (LFP) is an uncommon inflammatory disease that is characterized by rectal bleeding, congested and granular mucosa without ulceration and abnormal and coalescing hyperplastic lymphoid follicles without acute inflammatory changes. The lesions are usually confined to the rectal mucosa. LFP therapy is not well defined. Herein, we present a case of LFP that was resolved with a rapid administration of mesalazine enemas. A 35-year-old male was admitted to our hospital due to intermittent rectal bleeding associated with stools...
June 22, 2018: Revista Española de Enfermedades Digestivas
Marco Silva, Rosa Coelho, Guilherme Macedo
In our previous study, we stated that anorectal cytology (ARC) should not be used as the sole method for anal dysplasia screening (ADS). We read with great interest the letter of Revollo et al. and we would like to respond to some points.
June 22, 2018: Revista Española de Enfermedades Digestivas
Andrea Núñez Ortiz, Claudio Trigo Salado, María Dolores de la Cruz Ramírez, José Manuel Herrera Justiniano, Eduardo Leo Carnerero
Mesalazine is a drug routinely used in ulcerative colitis and usually has few side effects. There have been reports of uncommon cases of severe mucocutaneous damage, such as Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN), induced by salicylates. It is important to diagnose these promptly due to the high morbidity and mortality rates. We describe the case of a 46-year-old female with ulcerative proctitis, who developed SJS following topical mesalazine use. The lesions responded well to intravenous corticosteroids after discontinuation of the drug...
June 22, 2018: Revista Española de Enfermedades Digestivas
Cristina Alonso Madrigal, Manuela Dobón Rebollo, Viviana Laredo de la Torre, Luis Palomera Bernal, Francisco Agustín García Gil
INTRODUCTION: infection with the hepatitis C virus (HCV) causes significant morbidity and mortality in patients with hemophilia. Finally, patients are considered for a liver transplantation (LT) due to cirrhosis and/or hepatocellular carcinoma (HCC). MATERIAL AND METHODS: we report the cases of congenital coagulopathy and HCV infection that underwent LT in our institution. There were three patients with hemophilia A and one patient with von Willebrand disease (vWD) type 3...
June 22, 2018: Revista Española de Enfermedades Digestivas
Héctor-Enrique Lozano-Ramírez, Pablo Ramírez-Mendoza, José Luis Beristain-Hernández
Hepatic mucinous cystic neoplasms represent a challenging pathology due to their very low frequency, insidious presentation and unclear demography due to the limited cases reported to date. Surgical treatment is mandatory when possible to prevent recurrence and malignant transformation. The case presented herein has a peculiarity, mainly an increased level of CA 19-9 which has not been previously reported.
June 22, 2018: Revista Española de Enfermedades Digestivas
Antonio M ª Caballero-Mateos, Antonio Damián Sánchez-Capilla, Eduardo Redondo-Cerezo
Due to the increasing intake of raw fish, the appearance of keriorrhea in our environment has become more and more frequent. We present three clinical cases in order to aknowledge this sign and avoid unnecesary diagnostic tests.
June 14, 2018: Revista Española de Enfermedades Digestivas
Antonio Cerezo Ruiz, José Luis Domínguez Jiménez, Antonio Uceda-Vaño
Two cases of a chemical dissolution of gastric phytobezoars are presented. The novel approach of that management is the pharmacological mixture than completely made disappear the bezoars in patients fated to surgery removal.
June 14, 2018: Revista Española de Enfermedades Digestivas
Robin Germán Prieto, Manuel Alejandro Mahler, Gustavo Vidales
Lower gastrointestinal bleeding is a common pathology with diverse causes depending on the patients´ age. The most common causes in adults are polyps, neoplasias, diverticular disease and angiodysplasia. In neonates, necrotizing enterocolitis and volvulus, and anal fissures and bowel intussusception in infants. Polyps are reported as a cause of bleeding only in children of preschool age.
June 14, 2018: Revista Española de Enfermedades Digestivas
Irene Andaluz García, Cristina Suárez Ferrer, Pedro Mora Sanz
We report the case of a male with no medical history with acute cholangitis secondary to a pancreatic head´s mass suggestive of neoplasm. An EUS-FNA was performed where no atypical cells were identified but a granulomatous component did. The patient was finally diagnosed of disseminated tuberculosis with pancreatic involvement. Pancreatic tuberculosis is an infrequent entity that requires a high index of suspicion due to the variability of its forms of presentation and the high morbidity and mortality without targeted therapy...
June 14, 2018: Revista Española de Enfermedades Digestivas
Antonio M ª Caballero-Mateos, Eduardo Redondo Cerezo
We present a number of comments about the recently published paper by Aziz et al. about the epidemiology of Functional Dyspepsia in USA, Canada and UK in comparison with previous studies in our country.
June 14, 2018: Revista Española de Enfermedades Digestivas
Ainara Iriarte Rodríguez, Itziar Frago Marquínez, Gina Patricia de Lima Piña
The coexistence of eosinophilic esophagitis and herpes simplex virus in patients has been published in numerous case reports in the last few years. Both entities can be diagnosed simultaneously or one prior to the other, raising a possible causal relationship. Esophageal eosinophilia is a histological finding, and its underlying cause should be investigated. Eosinophilic esophagitis is one of the most common causes of esophageal eosinophilia. Eosinophilic esophagitis is a clinicopathologic disease, which is characterized by dysphagia and food impaction...
June 14, 2018: Revista Española de Enfermedades Digestivas
Alicia Martín-Lagos Maldonado, Cristina Lozano Cejudo, Antonio Sáenz Lozano
Pneumatosis cystoides intestinalis is characterized by multiple air-filled cysts in the intestine wall. A perforation causes pneumoperitoneum, frequently with minimal clinical affectation and do not require surgery at first in most cases. Recently, some cancer treatments, mainly molecular targeted therapy, have been associated with this complication. For this reason, radiologic findings of intestinal pneumatosis and/or secondary perforation during patient follow-up should be carefully interpreted. The clinical-analytical findings should always be considered...
June 14, 2018: Revista Española de Enfermedades Digestivas
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