A Rare Benign Pancreatic Lesion Mimicking Malignancy- Eosinophilic Pancreatitis | | Author : Kursat Rahmi Serin, Muharrem Oner, Nadir Adnan Hacim* and Ali Emre | | Abstract | Full Text | Abstract :Background: Eosinophilic infiltration of the pancreas is usually associated with generalized diseases like “sclerosing pancreatitis”, “eosinophylic gastroenteritis” and “systemic mastocytosis”. Most patients have systemic findings such as eosinophilia, elevated IgE levels and gastrointestinal tract infiltration Isolated eosinophilic infiltration of the pancreas is much less common and is usually found in the histological evaluation of pancreatic specimens resected with the misdiagnosis of pancreatic cancer.
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| Portal vein septic thrombosis secondary to complicated appendicitis: Case report | | Author : Jacqueline Vasconcelos Quaresma*, Igor Mizael da Costa Saadi, Rafael José Romero Garcia and Leanne Isadora Vasconcelos Quaresma | | Abstract | Full Text | Abstract :Background: Portal vein septic thrombophlebitis is a rare and serious event of late diagnosis and secondary to intra-abdominal infection.
Case report: A 21-year-old man was admitted to the hospital with loss of weight, fever, chills, hepatosplenomegaly, and history of abdominal pain in the right iliac fossa previously treated with ciprofloxacin. At the entrance physical examination, he was emaciated and had no signs of abdominal pain upon palpation. Computed tomography showed portal vein thrombosis and nodular image in the ileocecal region, initiating antibiotic therapy. After exploratory laparotomy, appendicitis was confirmed and hepatic collections were found. After ten days of the procedure and the end of the antibiotic therapy, he was discharged, keeping well and without complaints.
Conclusions: Septic thrombophlebitis is a rare but serious complication of non-specific signs and symptoms, making diagnosis difficult. Imaging tests are necessary that show the thrombosis to close diagnosis. Treatment should be started early, with the introduction of antibiotics and eradication of the septic focus. |
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