This article describes a case of Caroli’s disease in a 53-year-old female patient who complained nonspecificabdominal pain without cholestasis or cholangitis. Ultrasound and hepatic magnetic resonanceimaging showed segmental saccular dilations connected to intrahepatic bile ducts without hepaticfibrosis. This clinical case shows the possibility of having oligosymptomatic forms in the diffuse formsof Caroli disease, therefore the interest to consider this diagnosis in case of non-specific abdominalsigns and to request a hepatic ultrasound.
Bangladesh J Medicine July 2020; 31(2) : 107-110
Introduction: Eosinophilic pancreatitis is a rare cause of pancreatitis. It is characterized by localized or diffuse infiltration of the pancreatic gland by eosinophilic polymorphonuclear cells. It poses the problem of differential diagnosis with a pancreatic tumor, hence the interest of histological evidence by invasive means. Case report: We present a case of eosinophilic pancreatitis in a 37-year-old man who was diagnosed after an endoscopic biopsy in front of an obstructive mass of the head of the pancreas simulating a pancreatic tumor. In contrast to the data in the literature, our patient had only eosinophilic infiltration of the pancreas with no history of symptoms related to hypereosinophilia or to a high level of immunoglobulins E. The second peculiarity in our patient is the concomitant revelation of ulcerative colitis. Conclusion: Eosinophilic pancreatitis is a rare and often misdiagnosed clinical situation. Correct and precise diagnosis avoids unnecessary interventions. Echo-endoscopy with sample for histological study presents a fundamental means for the diagnosis of eosinophilic pancreatitis.
This article describes the case of CD in a 53-year-old female patient with cystic formations distributed throughout the hepatic parenchyma, fortuitously diagnosed in adulthood, during the etiological investigation of non-specifi c abdominal pain. Case report A 53-year-old femal patient was seen in consultation. She complained of abdominal pain, which had started a year ago. The intensity of the pain was mild to moderate, intermittent, recurrent, located in the upper right quadrant and relieved by taking fi rst-level pain relievers. The patient also reported urinary burns, but no fever or chills. She did not report jaundice, pruritus, vomiting, or weight loss. The patient had no history of personal or family hepatopathy. She was taking no treatment and no toxic habits.
Peutz-jeghers syndrome is a rare inherited disorder with autosomal dominant transmission that manifests primarily as peri-orificial cutaneous-mucous lentiginosis and gastrointestinal hamartomatous polyps with the possibility of other locations in the lungs and reproductive organs. The main complications are gastrointestinal bleeding, bowel obstruction and rectal prolapse. This disease is associated with a high risk of malignant degeneration not only digestive but also pulmonary, mammary, testicular hence the need for a regular long-term codified monitoring. The treatment is most often conservative especially in children in growth period.
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