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Journals Revista Española de Enferme...

Revista Española de Enfermedades Digestivas

https://read.qxmd.com/read/38345523/symptomatic-polycystic-liver-disease-a-rare-indication-of-hepatectomy
#1
JOURNAL ARTICLE
José Gabriel Cervantes, Lourdes Mollard, Rodrigo Gasque, Marcelo Lenz, Natalia Ruiz, Magali Chahdi Beltrame, Francisco Juan Mattera, Emilio Gastón Quiñonez
We present the case of forty-four-year-old woman with autosomal dominant Polycystic liver disease (PLD) without kidney disease diagnosed for 18 years ago. She experienced progressive abdominal distension and malnutrition over the previous twelve months. The patient had no other comorbidities. Physical examination revealed an 8 cm hepatomegaly in the right hypochondrium region. Liver function analysis was normal. CT scan showed multiple liver cysts with smooth and regular walls, predominantly in the right lobe which was considered as type III according to Gigot´s classification...
February 12, 2024: Revista Española de Enfermedades Digestivas
https://read.qxmd.com/read/38345522/an-unusual-cause-of-hemorrhagic-shock-in-a-14-year-old-child
#2
JOURNAL ARTICLE
Chang'en Liu, Shuhan Yu, Yaohui Wang, Qide Zhang
A 14-year-old girl underwent colonoscopy due to repeated flesh-washing watery stools and dull pain around the umbilicus for 10 days. She felt tired for 1 month with no other significant discomfort. The hemoglobin (Hb) is 66g/L, and the red blood cell (RBC) count was 3.24*10^12/L in routine blood tests at admission. Abdominal computed tomography (CT) images showed submucosal tumor (SMT) in the descending colon. The abdominal computed tomography (CT) images showed submucosal tumor (SMT) in the descending colon...
February 12, 2024: Revista Española de Enfermedades Digestivas
https://read.qxmd.com/read/38345520/casual-finding-in-colonoscopy-diphyllobothrium-latum
#3
JOURNAL ARTICLE
Javier Pérez-Valenzuela, Herman Aguirre, Gabriel Mezzano
Diphyllobothrium spp., also known as fish tapeworms, is the largest human tapeworm, reaching up to 25 meters of length. Human are considered the definitive host in the Diphyllobothrium lifecycle. Adult tapeworms attach to human intestinal mucosa with to bilateral grooves. There are at least 14 different species of Diphyllobothrium spp. Capable of causing Dyphyllobothriosis, being D. latum and D. nihonkaiense the most frequent etiologic agents in humans. We present the clinical picture and endoscopic images on a patient with incidental finding of Dyphyllobothriosis in a colonoscopy...
February 12, 2024: Revista Española de Enfermedades Digestivas
https://read.qxmd.com/read/38345514/organic-dyspepsia-until-proven-otherwise
#4
JOURNAL ARTICLE
Íñigo Jon Garaizabal Azkue, Horacio Alonso Galán, Paul Gisasola Dorronsoro, Ainara Maiz Arregui
We report the case of a 48-year-old woman who was admitted to hospital because of the worsening of a pain condition she had suffered for the last 3 months. Her personal history was notable for personality disorder under treatment with antidepressants/antipsychotic drugs, and an uncomplicated bariatric gastric bypass surgery procedure in 2015.
February 12, 2024: Revista Española de Enfermedades Digestivas
https://read.qxmd.com/read/38345513/lymphogranuloma-venereum-an-unusual-cause-of-rectal-stenosis
#5
JOURNAL ARTICLE
Alejandro Hueso Mor, Ana Soto Sánchez, María de Armas-Conde, Ricardo Hernández-Alonso, Eduardo Pérez Sánchez, Moisés Hernández Barroso, Julio César Jordán-Balanzá
Lymphogranuloma Venereum (LGV) is a notifiable disease linked to high-risk sexual practices such as cruising, chemsex, or orgies. The anorectal manifestation is associated with receptive anal sex and presents with characteristic symptoms such as proctitis, tenesmus, suppuration, and in advanced cases, anorectal fistulas or stenosis. The case of a 57-year-old man engaging in high-risk sexual practices is presented, showing symptoms such as discharge, fistulizations, rectal stenosis, and a weight loss of 15 kg...
February 12, 2024: Revista Española de Enfermedades Digestivas
https://read.qxmd.com/read/38345510/hemorrhagic-shock-due-to-ileal-varices-a-diagnostic-challenge
#6
JOURNAL ARTICLE
Jorge Barajas, Carolina Delgado, Raquel Lomas, Natalia Arietti, Pedro Barrera, Olga Ramos, Julio Valle, Rafael A Gómez
Gastrointestinal bleeding due to portal hypertension is a major complication in patients with cirrhosis, commonly attributed to esophagogastric varices. However, bleeding from ectopic varices accounts for 5% of variceal bleeding cases and it may occur at lower pressures than esophageal varices. Thus, ectopic varices should be considered in patients with portal hypertension that present with gastrointestinal bleeding lacking evidence of esophagogastric variceal bleeding on upper gastrointestinal endoscopy. We present the case of a patient with cirrhosis that had recurrent hemorrhagic shock due to small intestinal varices that were diagnosed via capsule endoscopy...
February 12, 2024: Revista Española de Enfermedades Digestivas
https://read.qxmd.com/read/38345506/anorectal-melanoma-a-rare-entity
#7
JOURNAL ARTICLE
Luís Miguel Relvas, Tânia Gago, Francisco Velasco, Sónia Barros, Isabel Carvalho, Paulo Caldeira
Anorectal melanoma is a rare malignant tumor with the potential of simulating a benign anorectal disease, making its diagnosis difficult. We describe a case of anorectal melanoma, in which the interpretation of symptoms as hemorrhoidal disease delayed diagnosis and appropriate intervention.
February 12, 2024: Revista Española de Enfermedades Digestivas
https://read.qxmd.com/read/38345504/drug-approach-to-treatment-for-obesity-in-adults-perspectives-and-considerations
#8
JOURNAL ARTICLE
Javier Escalada
Obesity is considered a chronic disease and a serious public-health issue in Spain, as well as in many other countries, primarily because of it being a significant risk factor for multiple chronic conditions, including diabetes mellitus type 2, cardiovascular disease, respiratory disease, metabolic dysfunction-associated fatty liver disease, gastrointestinal conditions (gastroesophageal reflux, diverticulosis), musculoskeletal difficulties, infertility, and even development of some malignancies such as postmenopausal breast cancer, and colorectal, endometrial, renal, esophageal, pancreatic, hepatic, and gallbladder neoplasms...
February 12, 2024: Revista Española de Enfermedades Digestivas
https://read.qxmd.com/read/38345502/diagnostic-value-of-ascites-immunohistochemistry-in-carcinomatosis-of-unknown-origin
#9
JOURNAL ARTICLE
María Marco Gómez, Juan Jesús Rubio García, Francisca María Peiró, Ester Gracia Alegría, Emilio Ruiz de la Cuesta García-Tapia, Manuel Romero Simo, José Manuel Ramia Ángel, Silvia Carbonell Morote
We present the case of a patient diagnosed with carcinomatosis when admitted urgently for an occlusive condition. It is the immunohistochemistry that clarifies which is the primary tumor. Sigma neoplasia was initially suspected to recur due to operative findings. It was surprising that the primary tumor was of pulmonary origin. It became known thanks to the immunohistochemical cytology of the ascetic fluid.
February 12, 2024: Revista Española de Enfermedades Digestivas
https://read.qxmd.com/read/38345500/prolapsed-hyperplastic-gastric-polyp-an-uncommon-cause-of-acute-pancreatitis
#10
JOURNAL ARTICLE
Celia Gómez Labrador, Flor M Fernández-Gordón Sánchez, Lorena Sancho Del Val, Carlos Castaño-Milla
A 68-year-old male presented to the Emergency Department with a one-month history of intermittent epigastrium pain. Laboratory tests revealed leukocytosis and elevated lipase (4129 UI/l), with normal liver function, so he was admitted for its first episode of acute pancreatitis. Abdominal ultrasound showed liver steatosis, without cholelithiasis or bile duct dilatation. A thoraco-abdominal computed tomography was performed, revealing a pedunculated gastric polyp in lesser curvature measuring 64x38mm with no evidence of metastatic disease...
February 12, 2024: Revista Española de Enfermedades Digestivas
https://read.qxmd.com/read/38345488/transverse-colon-volvulus-in-a-young-patient-with-wandering-liver
#11
JOURNAL ARTICLE
Natalia García Gimeno, Alberto Alegre Delgado, Francisco Navarro Vicente, Andrea Marco Marqués, Jesús Manuel Santiago Sánchez
We present the case of a 26-year-old male patient with no history of interest who consulted the emergency department due to occlusive symptoms. Urgent CT showed the presence of a transverse colonic volvulus in the context of a heterotopic liver, located in the left hypochondrium. There were no clinical or radiological signs of perforation or ischemia, so urgent endoscopic decompression was performed with subsequent elective surgery with a favorable resolution of the condition. Transverse colonic volvulus is rare (<1%) and wandering liver is an exceptional predisposing factor, with less than a hundred published cases...
February 12, 2024: Revista Española de Enfermedades Digestivas
https://read.qxmd.com/read/38345486/strongyloides-stercoralis-hyperinfection-presenting-pneumatosis-intestinalis-and-acute-respiratory-distress-syndrome-after-treatment-for-covid-19
#12
JOURNAL ARTICLE
Maki Setake, Kazuhiko Matsuno, Kyoko Arakaki, Akira Hokama
A 91-year-old man was admitted with vomiting and abdominal pain. He had had COVID-19 pneumonia a month before and the treatment had consisted of remdesivir, dexamethasone and baricitinib. CT scans showed pneumatosis intestinalis. His respiratory condition rapidly deteriorated and chest CT scans showed ground-glass opacity and Strongyloides stercoralis was identified in the sputum, making a diagnosis of hyperinfection syndrome associated acute respiratory distress syndrome. Treatment of ivermectin was not achieved in time and he died of multiple organ failure...
February 12, 2024: Revista Española de Enfermedades Digestivas
https://read.qxmd.com/read/38345483/inflammatory-bowel-disease-secondary-to-treatment-with-ixekizumab-in-a-patient-with-difficult-to-manage-psoriasis
#13
JOURNAL ARTICLE
Eugenia Navarro Moreno, Marta Lázaro Sáez, José Luis Vega Sáenz
Both psoriasis and inflammatory bowel disease (IBD) are immunomediated diseases. Some of their therapeutic tools are monoclonal antibodies. Ixekizumab is an interleukin-17 (IL-17) inhibitor approved for the treatment of psoriasis. Cases of IBD onset have been reported in patients treated with this drug. We present the case of a 35-year-old patient with the onset of ulcerative colitis (UC) type of IBD after starting ixekizumab treatment.
February 12, 2024: Revista Española de Enfermedades Digestivas
https://read.qxmd.com/read/38345475/a-long-rectal-foreign-body-successfully-removed-after-colonoscopy
#14
JOURNAL ARTICLE
Carlos Borges Chaves, Luís Santos, Sofia Mendes, Pedro Figueiredo
A man in his 70s, without prior foreign body history, presented to the emergency department 15 days after accidentally inserting a tubular object into his anus. He reported a reduction in normal bowel movements. Initial physical examination was normal. An abdominal X-ray revealed a tubular hypodensity in the pelvic region, without perforation. Subsequently, it was decided to perform a colonoscopy during which a foreign body was visualized in the distal rectum, that was successfully removed with the use of a rat tooth forceps...
February 12, 2024: Revista Española de Enfermedades Digestivas
https://read.qxmd.com/read/38305683/mixed-crawling-type-gastric-adenocarcinoma
#15
JOURNAL ARTICLE
Leticia Ollero Domenche, Miguel Ángel Trigo Cebrián, Lara Luzón Solanas, Carlos Hörndler Argarate
Crawling-type gastric carcinoma is a rare variant of early gastric carcinoma. Endoscopically, it is a poorly defined tumor with a flat appearance and histologically, especially in a small biopsy, mimic intestinal metaplasia with reactive atypia. We present a case in which, due to the finding of foci of signet ring cell carcinoma, correct management of the patient was carried out.
February 2, 2024: Revista Española de Enfermedades Digestivas
https://read.qxmd.com/read/38305682/endoscopic-management-of-pancreatic-collections-endoscopic-ultrasound-group-from-the-spanish-society-of-digestive-endoscopy-gseed-use-clinical-guidelines
#16
JOURNAL ARTICLE
Mariano González-Haba Ruiz, María Teresa Betés Ibáñez, Belén Martínez Moreno, Alejandro Repiso Ortega, Carlos de la Serna Higuera, Julio Iglesias García, Oriol Sendino García, María Moris Felgueroso, Belén Agudo Castillo, José Miguel Esteban López-Jamar, Mayra Dalila Lindo Ricce, María Teresa Soria San Teodoro, Eloísa Moya Valverde, Diego Muñoz López, Laura Uribarri González, Sergio Sevilla Ribota, José Lariño Noia, Manuel Pérez Miranda, José Ramón Aparicio Tormo, Juan José Vila Costas, Enrique Vázquez Sequeiros, José Carlos Subtil Íñigo, Enrique Pérez-Cuadrado-Robles, Andrés Sánchez Yagüe, José Ramón Foruny Olcina
Acute pancreatitis is associated with significant morbidity and mortality. It can develop complications such as fluid collections and necrosis. Infection of necrosis occurs in about 20-40% of patients with severe acute pancreatitis, and is associated with organ failure and worse prognosis. In the past years, the treatment of pancreatic collections has shifted from open surgery to minimally invasive techniques, such as endoscopic ultrasound guided drainage. These guidelines from a selection of experts among the Endoscopic Ultrasound Group from the Spanish Society of Gastrointestinal Endoscopy (GSEED-USE) have the purpose to provide advice on the management of pancreatic collections based on a thorough review of the available scientific evidence...
February 2, 2024: Revista Española de Enfermedades Digestivas
https://read.qxmd.com/read/38305680/russell-body-duodenitis-a-rare-condition
#17
JOURNAL ARTICLE
Helena González Sánchez, Gloria Meijide Santos, Cristina Fuente Díaz, Olegario Castaño Fernández
Russell bodies are accumulations of immunoglobulins within hyperstimulated plasma cells of the intestinal mucosa associated with chronic inflammation of benign progression, but may be confused with lymphoplasmacytic lymphoma, MALT lymphoma, multiple myeloma, or "signet-ring" cells, among others. There are few cases of gastric involvement, but duodenal involvement is even rarer with less than 10 published cases. Endoscopic examination with quality biopsies and anatomopathologic analysis with immunohistochemistry are essential to make an adequate differential diagnosis with other more severe processes...
February 2, 2024: Revista Española de Enfermedades Digestivas
https://read.qxmd.com/read/38305679/infectious-esophagitis-in-immunocompetent-individuals-case-series-in-a-tertiary-care-hospital
#18
JOURNAL ARTICLE
Isabel González Puente, Carolina Broco Fernández, Laura Alcoba Vega, Raisa Quiñones Castro
The prevalence of infectious esophagitis in immunocompetent people is low. The main etiological agent is HSV11,2, affecting mainly young men4 with intense odynophagia and dysphagia. It is unknown whether SARS-CoV-2 infection or its vaccine are predisposing factors. The objective is to determine the clinical, diagnostic, endoscopic and therapeutic characteristics of patients diagnosed with viral esophagitis since the beginning of the pandemic.
February 2, 2024: Revista Española de Enfermedades Digestivas
https://read.qxmd.com/read/38305678/ogilvie-when-medical-and-endoscopic-treatment-fail
#19
JOURNAL ARTICLE
Isabel González Puente, Ana Belén Domínguez Carbajo, Sandra Borrego Rivas, Raisa Quiñones Castro
Ogilvie syndrome is a functional disorder of colonic motility that causes acute and progressive dilation, which can lead to necrosis and perforation. Early diagnosis and management are essential to avoid serious complications. The case of a patient with Ogilvie syndrome refractory to medical and endoscopic treatment that required surgery is presented. This is a 68-year-old man with decreased level of consciousness and abdominal distension for 3 days. Last bowel movement 4 days ago. The data and tests appear in table 1...
February 2, 2024: Revista Española de Enfermedades Digestivas
https://read.qxmd.com/read/38305677/immune-cholangitis-related-to-anti-programmed-cell-death-and-programmed-cell-death-ligand-agents-for-the-treatment-of-intrahepatic-cholangiocarcinoma
#20
JOURNAL ARTICLE
Wenpeng Huang, Yongbai Zhang, Yongshun Liu, Zhaonan Sun
Anti-programmed cell death (anti-PD1) and anti-programmed cell death ligand (anti-PDL1) agents represent a burgeoning field of immunotherapy with an expanding array of indications. In this report, we present the observation of a patient with intrahepatic cholangiocarcinoma exhibiting features of immune-related cholangitis.
February 2, 2024: Revista Española de Enfermedades Digestivas
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