Gayet-Wernicke encephalopathy (WE) is a serious and acute disease of the central nervous system caused by thiamine (vitamin B1) deficiency. Multiple etiologies are indicated, although alcohol abuse is the most reported cause. If not treated promptly, WE can lead to serious complications such as Korsakoff's syndrome, coma, or death. This diagnosis should be considered even without a history of alcohol dependence. We describe two cases of non-alcohol related WE complicating vomiting caused by different etiologies. The diagnosis was suspected on clinical presentation and confirmed by brain MRI and effective response to parenteral administration of thiamine.
Low phospholipid-associated cholelithiasis (LPAC) is a genetic disease responsible for the development of intrahepatic lithiasis. It is retained in the presence of two of the following three criteria: age of onset of biliary symptoms less than 40 years; echogenic intrahepatic images or microlithiasis; and the recurrence of biliary clinical signs after cholecystectomy. The majority of clinical situations are simple and not serious, but some complicated forms may require more invasive endoscopic or surgical treatments. By presenting two case studies, we illustrated and summarized the different aspects of this entity.
Le kyste hydatique est une zoonose qui touche fréquemment le foie, qui sévit à l´état endémique dans plusieurs pays comme le Maroc. L´hydatidose hépatique peut se compliquer d´une angiocholite dont le traitement de choix est actuellement la cholangio-pancréatographie rétrograde endoscopique avec sphinctérotomie. Nous rapportons deux cas cliniques d´angiocholite sur kyste hydatique hépatique fistulisé dans la voie biliaire principale qui ont été traités par voie endoscopique avec une évolution favorable. Le diagnostic précoce et la prise en charge adéquate permettent l´amélioration du pronostic de ces patients.
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