Base de datos : IBECS
Búsqueda : "1130-0108" [ISSN]
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  1 / 4613 IBECS  
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Id: 231492
Autor: Zhang, Ding-Guo; Lin, Qiu-Ling; Wang, Lisheng.
Título: Pseudo-submucosal tumor in the colon: seeing is believing
Fuente: Rev. esp. enferm. dig;116(3):177-178, 2024. ilus.
Idioma: en.
doi: 10.17235/reed.2023.9773/2023.
Resumen: A 65-year-old woman was admitted to our hospital with complaints of lower abdominal pain. Her physical examination was unremarkable. The results of routine laboratory testing were within the normal limits. In addition, abdominal CT was normal. Colonoscopy showed a cecum submucosal tumor with a pale yellow surface. Endoscopic ultrasound revealed homogeneous hypoechoic lesions originated from submucosal layer. ESD was subsequently performed to remove the submucosal lesion. During the ESD procedure, fecal outflowed from appendix opening . Yellow fecal-like material was visible after submucosal incision. The trap electrocut surface uplift showed more fecal attachment on the lamina propria surface, and myolayer integrity after clean the fecal (Fig1c), The final pathology of the surface bulge suggested hyperplasia (Fig1d). Patients were discharged with relieved lower abdominal pain. The final diagnosis was submucosal fecalith mimicking a submucosal tumor, eventually leads to chronic appendicitis. Common causes of cecal submucosal tumor include neuroendocrine tumors, lipomas, etc. There was few report about fecalith mimicking a submucosal tumor. ERTA is currently an effective endoscopic method for treating appendicitis combined with fecalith blockage. To our knowledge, this is the first report on a case of cecum submucosal fecalith mimicking a submucosal tumor and was successfully removed using endoscopy. (AU)
Descriptores: apéndice/diagnóstico por imagen
apéndice/cirugía
resección endoscópica de la mucosa/instrumentación
-impactación fecal/diagnóstico por imagen
impactación fecal/cirugía
Límites: seres humanos
femenino
anciano
Tipo de Publicación: carta
informes de casos
Responsable: ES15.1 - BNCS


  2 / 4613 IBECS  
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Id: 231491
Autor: Dai, Cong; Huang, Yu-Hong.
Título: Infliximab-induced psoriasis in an ulcerative colitis patient successfully treated with guselkumab
Fuente: Rev. esp. enferm. dig;116(3):176-177, 2024. ilus.
Idioma: en.
doi: 10.17235/reed.2023.9745/2023.
Resumen: Ulcerative colitis (UC) is a chronic inflammatory disorder of the gastrointestinal tract. Tumor necrosis factor (TNF) inhibitors such as infliximab (IFX) are used to treat UC. But TNF inhibitors can induce psoriasis, which was characterized by IL-17/IL-22 expressing Th17 cells and IFN-γ expressing Th1 cells, with increased expression of Th17 cells correlated with more severe skin lesions and a need for Ustekinumab (UST) therapy1. UST is a monoclonal antibody that binds to the p40 subunit of the interleukin (IL)-12 and IL-23. It has shown remarkable efficacy in psoriasis and UC2. Guselkumab, a subcutaneously administered fully human IgG1 monoclonal antibody that selectively inhibits the p19 subunit of IL-23, is approved for the treatment of patients with moderate-to-severe plaque psoriasis3. It was shown to be efficacious in patients with prior failure of other biologics such as UST and was also observed in the treatment of psoriasis localized in difficult-to-treat body regions including the scalp, palms, soles, and fingernails. We report a case of successful use of guselkumab to treat a UC patient with IFX-induced psoriasis that was refractory to UST therapy. (AU)
Descriptores: colitis ulcerosa/farmacoterapia
psoriasis/farmacoterapia
infliximab/uso terapéutico
Límites: seres humanos
masculino
adulto
Tipo de Publicación: carta
informes de casos
Responsable: ES15.1 - BNCS


  3 / 4613 IBECS  
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Id: 231490
Autor: Gutiérrez-Rios, Laura; Vayreda, Eva; Calafat, Margalida; Mañosa, Míriam; Domènech, Eugeni; Cañete, Fiorella.
Título: Hepatosplenic T-cell lymphoma and inflammatory bowel disease
Fuente: Rev. esp. enferm. dig;116(3):175-176, 2024.
Idioma: en.
doi: 10.17235/reed.2023.9472/2023.
Resumen: A 48-year-old man with a diagnosis of ulcerative colitis 18 years ago, under immunosuppressive treatment with azathioprine in the last 6 years due to corticosteroid dependence, was admitted to the Emergency Department due to fever of one week's evolution. Blood tests showed thrombocytopenia, CRP 96.9mg/L, ferritin 3021ng/mL and hypertriglyceridemia. Blood and urine cultures were negative. Viral serologies (hepatitis B and C, HIV, parvovirus, CMV, HSV), atypical bacteria (Borrelia, Chlamydia, Coxiella) and screening for latent tuberculosis were also negative. Thoracoabdominal CT scan only showed splenomegaly. The bone marrow aspirate revealed immature lymphoid cells and a hemophagocyte figure, fulfilling the criteria for hemophagocytic syndrome, starting corticosteroid therapy at a dose of 1mg/Kg. Subsequently, the existence of an intrasinusoidal CD3 + CD5- lymphoid infiltrate and a FISH study with isochromosome 7q was reported, a characteristic pattern of hepatosplenic T-cell lymphoma (HSTCL). The study was completed with liver biopsy appreciating a 70% infiltration of T lymphocytes (50% gamma-delta) therefore the diagnosis was confirmed. Chemotherapy (cyclophosphamide, doxorubicin, vincristine, etoposide) was started with the aim of considering hematopoietic stem cell transplantation. Unfortunately, the patient died 6 months later. (AU)
Descriptores: linfoma de células T/complicaciones
linfoma de células T/farmacoterapia
enfermedad inflamatoria intestinal/diagnóstico
-huésped inmunodeprimido
TERAPIA INMUNOSUPRESORA
Límites: seres humanos
masculino
persona de mediana edad
Tipo de Publicación: carta
informes de casos
Responsable: ES15.1 - BNCS


  4 / 4613 IBECS  
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Id: 231489
Autor: Xing, Yiming; Ma, Yimin; Qiu, Shanshan; Qiao, Zhenguo.
Título: Endoscopic observation of a rare duodenal tumor
Fuente: Rev. esp. enferm. dig;116(3):174-175, 2024. ilus.
Idioma: en.
doi: 10.17235/reed.2023.9679/2023.
Resumen: A 30-year-old young previously healthy man presented to our hospital with middle and upper abdominal discomfort. Abdominal computerized tomography (CT) showed no significant abnormalities. White light endoscopy showed the local mucosa in the descending part of the duodenum had granuloid uplift, some of which were fused into pieces with red color, and some other areas showed fading tone. Magnifying endoscopy with indigo-carmine staining and narrow-band imaging showed a finger-like, loose villous structure with irregular microvessels on the surface. Pathological examination of biopsy specimens showed that lymphocytes were diffused and dispersed in the mucosa with relatively simple morphology, no lymphoid follicles were observed, and local compression was obvious. Immunohistochemical staining revealed a lymphoid population highly positive for CD20 and CD10. These results were consistent with duodenal-type follicular lymphoma (D-FL). (AU)
Descriptores: neoplasias/diagnóstico por imagen
endoscopia
linfoma folicular/diagnóstico por imagen
linfoma folicular/patología
Límites: seres humanos
adulto joven
Tipo de Publicación: carta
informes de casos
Responsable: ES15.1 - BNCS


  5 / 4613 IBECS  
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Id: 231488
Autor: Antón Rodriguez, Ángela; Odriozola Herrán, Aitor; Echavarría Rodríguez, Víctor José; Alonso Fernández, Sara.
Título: Secondary sclerosing cholangitis induced by systemic chemotherapy
Fuente: Rev. esp. enferm. dig;116(3):173-174, 2024. ilus.
Idioma: en.
doi: 10.17235/reed.2023.9653/2023.
Resumen: There are multiple causes of secondary sclerosing cholangitis (SSC), including mechanical obstruction, ischemia, congenital abnormalities, cholangiopathy of the critically ill patient and rarely, chemotherapy (1,2). We present the case of a 52-year-old female with a history of left breast invasive ductal carcinoma treated with neoadjuvant chemotherapy (adriamycin, cyclophosphamide and paclitaxel), surgery and radiotherapy in March 2021. She was admitted in July 2022 due to painless jaundice and pruritus with marked serum cholestasis. Magnetic resonance cholangiopancreatography showed multiple strictures and dilatations involving the intra and extrahepatic bile ducts (Figure 1.A), without any extrinsic stenotic cause. Findings were confirmed by endoscopic retrograde cholangiopancreatography (ERCP) with cholangioscopy (Figure 1.B). Biopsies were negative for malignancy and IgG4 disease. In addition, autoantibodies were negative and serum IgG4 levels were normal. Due to these findings and the history of recent chemotherapy, the patient was diagnosed with paclitaxel-induced sclerosing cholangitis, initiating treatment with ursodeoxycholic acid. Over the following two months, she suffered two episodes of Klebsiella Pneumoniae bacteraemia due to acute cholangitis. Dilatation and placement of plastic stents in both biliary trees were performed and prophylactic antibiotherapy was started. The patient had a poor evolution and was not candidate for liver transplantation on account of a recent neoplasia. She died six months later due to sepsis secondary to multiple hepatic abscesses. (AU)
Descriptores: colangitis esclerosante/diagnóstico por imagen
farmacoterapia
-efectos colaterales y reacciones adversas relacionados con medicamentos
espectroscopia de resonancia magnética
Límites: seres humanos
femenino
persona de mediana edad
Tipo de Publicación: carta
informes de casos
Responsable: ES15.1 - BNCS


  6 / 4613 IBECS  
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Id: 231487
Autor: Cao, Youhong; Li, Zhuofan; Ma, Ping; Qiao, Zhenguo.
Título: Calcifying fibrous tumor and pathological analysis
Fuente: Rev. esp. enferm. dig;116(3):172-173, 2024. ilus.
Idioma: en.
doi: 10.17235/reed.2023.9739/2023.
Resumen: A 55-year-old male presented to our outpatient department with complaints of upper abdominal dull pain. Gastroscopy revealed a submucosal eminence at the greater curvature of the gastric body, with smooth surface mucosa, and biopsy pathology indicated inflammation. Physical examination showed no obvious abnormalities, and laboratory results were within the normal range. Computerized tomography (CT) showed thickening of the gastric body. Endoscopic submucosal dissection (ESD) was performed,and representative photomicrographs of histologic sections were shown. (AU)
Descriptores: neoplasias/diagnóstico por imagen
neoplasias/diagnóstico
endoscopia
neoplasias abdominales/diagnóstico por imagen
neoplasias abdominales/patología
Límites: seres humanos
masculino
persona de mediana edad
Tipo de Publicación: carta
informes de casos
Responsable: ES15.1 - BNCS


  7 / 4613 IBECS  
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Id: 231486
Autor: Torres-Jurado, Manuel José; López-Sánchez, Jaime; Quiñones-Sampedro, José Edecio; Muñoz-Bellvís, Luis.
Título: Percutaneous cholecystostomy: an unusual route of dissemination of gallbladder carcinoma
Fuente: Rev. esp. enferm. dig;116(3):171-172, 2024. ilus.
Idioma: en.
doi: 10.17235/reed.2023.9646/2023.
Resumen: A 78-year-old male with high-risk surgical presented severe acute cholecystitis and required cholecystostomy. The patient was referred later for assessment of the surgical treatment. A cholangio-MRI revealed a lesion on the gallbladder fundus with hepatic lesions suggestive of metastatic gallbladder carcinoma, which was confirmed in the histological analysis. The tumor progressed despite the chemotherapy through the cholecystostomy tract and developed peritoneal carcinomatosis. The patient did not respond to chemotherapy and he died 12 months later. (AU)
Descriptores: colecistostomía/métodos
carcinoma/cirugía
vesícula biliar
-adenocarcinoma
colecistitis aguda
Límites: seres humanos
masculino
anciano
Tipo de Publicación: carta
informes de casos
Responsable: ES15.1 - BNCS


  8 / 4613 IBECS  
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Id: 231485
Autor: Chen, Shurong; Zhu, Yuandong; Wu, Bo; Xie, Xincheng.
Título: Idiopathic mesenteric phlebosclerotic colitis associated with Chinese herbal medicine
Fuente: Rev. esp. enferm. dig;116(3):170-171, 2024. ilus.
Idioma: en.
doi: 10.17235/reed.2023.9641/2023.
Resumen: Idiopathic mesenteric phlebosclerotic colitis(IMP) is a rare disease. At present, the etiology and pathogenesis are not clear, but the main patients are Asian people, and most of them have a history of taking Chinese herbal medicines. The disease has characteristic endoscopic and imaging manifestations. This paper shares a case of IMP, The patient came to our hospital for one year because of intermittent abdominal pain and diarrhea. It conforms to the typical manifestations of IMP. For patients who take Chinese herbal medicine for a long time, if they have clinical manifestations of gastrointestinal tract, it is necessary to consider the possibility of the disease to avoid serious consequences due to missed diagnosis. (AU)
Descriptores: colitis/diagnóstico por imagen
colitis/terapia
medicamentos herbarios chinos/efectos adversos
-isquemia mesentérica
Límites: seres humanos
femenino
persona de mediana edad
Tipo de Publicación: carta
informes de casos
Responsable: ES15.1 - BNCS


  9 / 4613 IBECS  
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Id: 231484
Autor: García-Calonge, Marta; González-Sánchez, María Helena; Muíño-Domínguez, Daniel; Flórez-Díez, Pablo.
Título: Torsade de pointes secondary to long QT syndrome after intragastric balloon placement. A rare but severe complication
Fuente: Rev. esp. enferm. dig;116(3):169-170, 2024. ilus.
Idioma: en.
doi: 10.17235/reed.2023.9613/2023.
Resumen: The obesity pandemic is becoming one of the most prevalent diseases nowadays. There is a wide spectrum of treatment, ranging from hygienic-dietary measures to bariatric surgery. Endoscopic intragastric balloon placement is becoming increasingly more frequent, due to its technical simplicity, safety and short-term success(1). Although complications are rare some can be severe, so pre-endoscopic evaluation must be carried out carefully. A 43-year-old woman with a history of grade I obesity (BMI 32.7) had an Orbera® intragastric balloon implanted successfully. After the procedure she presented frequent nausea and vomiting, partially controlled with antiemetics. She attended the Emergency Department(ED) with a persistent emetic syndrome - oral intolerance and short-term loss of consciousness(syncope), for which she was admitted. Lab tests showed metabolic alkalosis with severe hypokalemia(K+ 1.8mmol/L), so fluid therapy was initiated for hydroelectrolytic replacement. During the patient's stay in the ED, two episodes of polymorphic ventricular tachychardia ôTorsades de Pointesö (PVT-TDP) occurred, leading to cardiac arrest and requiring electrical cardioversion to restore sinus rhythm, in addition to a temporary pacemaker placement. Telemetry showed a corrected QT interval of >500ms, compatible with Long QT Syndrome(LQTS). Once the patient was hemodynamically stabilized a gastroscopy was performed. The intragastric balloon located in the fundus was removed using an extraction kit, puncturing and aspirating 500ml of saline solution, and extracting the collapsed balloon without any complications. The patient achieved an adequate oral intake afterwards, and no recurrence of emetic episodes were noticed. Previous ECGs revealed a prolonged QT interval and a genetic study confirmed a congenital type 1 LQTS. Treatment was initiated with beta-blockers and a bicameral automatic defibrillator was implanted in order to prevent recurrences. ... (AU)
Descriptores: globo gástrico/efectos adversos
torsades de pointes/diagnóstico
síndrome de QT prolongado/diagnóstico
síndrome de QT prolongado/terapia
Límites: seres humanos
femenino
adulto
Tipo de Publicación: carta
informes de casos
Responsable: ES15.1 - BNCS


  10 / 4613 IBECS  
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Id: 231483
Autor: Xu, Wenli; Zhang, Qian; Chen, Chaowu; Chai, Haina; Sun, Chao; Liu, Jun.
Título: Pancreatic metastasis of extra-skeletal mesenchymal chondrosarcoma diagnosed by ultrasound endoscopy-guided fine-needle aspiration
Fuente: Rev. esp. enferm. dig;116(3):168-169, 2024. ilus.
Idioma: en.
doi: 10.17235/reed.2023.9586/2023.
Resumen: A 47-year-old man with a history of ESMC resection of the left chest wall seven years ago was admitted to our hospital due to mid-upper abdominal pain and jaundice for more than 10 days. Laboratory tests showed elevated direct bilirubin, alanine aminotransferase, gamma-glutamyltranspeptidase, and alkaline phosphatase. Computed tomography (CT) of the abdomen revealed soft tissue mass in the head and body of the pancreas with irregularly shaped calcifications, and an enhanced scan showed heterogeneous enhancement. Combined with the patient's past medical history, the possibility of pancreatic metastasis of ESMC was considered. After anti-inflammatory, hepatoprotective, and cholagogical treatment jaundice improved, and ultrasound endoscopy-guided fine-needle aspiration (EUS-FNA) was performed to clarify the nature of the mass, which showed a 4.1*4.2 cm mixed echogenic area with internal calcification in the head of the pancreas. Aspiration pathology showed proliferation of short spindle and round cells into nests, the immunohistochemistry stain showed CD99 (+); CD34, CD117, Dog-1, and S-100 were negative. Pancreatic metastasis of ESMC was diagnosed. Four months later, endoscopic biliary metal stent drainage (EMBD) was performed when the patient developed obstructive jaundice again due to lesion progression. PET/CT at a 2-year follow-up showed multiple high-density calcifications and abnormally increased FDG metabolism throughout the body. (AU)
Descriptores: metástasis neoplásica/diagnóstico por imagen
metástasis neoplásica/terapia
condrosarcoma mesenquimatoso
aspiración con aguja fina guiada por ecografía endoscópica
neoplasias pancreáticas
Límites: seres humanos
masculino
persona de mediana edad
Tipo de Publicación: carta
informes de casos
Responsable: ES15.1 - BNCS



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