| Autor: |
J, Aguilar Luque, J, Castro Lorenzo, C, Madrazo Leal, A, Anta Román, R, Sales Ferrer, Y, Rodríguez de Diego |
| Rok vydání: |
1983 |
| Předmět: |
|
| Zdroj: |
Revista espanola de las enfermedades del aparato digestivo. 63(6) |
| ISSN: |
0034-9437 |
| Popis: |
The case is described of a 32-year old woman with an 8 year history of oral contraceptive (OC) use who developed vascular complications. Significant findings in the patient's history included an appendectomy and repeated biliary colic dating back 7 years. The patient sought help for an attack of hepatic colic with vomiting, chills, and fever, dyspepsia, and intolerance of fats. Pain was noted on palpation and the clinical and sonographic findings indicated hepatomegaly. Based on the other clinical and laboratory findings, a preliminary diagnosis of infected hepatic hydatidic cyst was made and the intrahepatic hematoma was drained. The postoperative diagnosis was a large hematoma occupying the greater part of the right hepatic lobe. A pleural hemorrhage occurred during postoperative hospitalization and was treated medically, but 4 days after discharge from the hospital the patient returned with a pleural hemorrhage that required drainage. Hydatidosis is endemic in the region of Spain where the case occurred, and the grounds for differential diagnosis are specified. Several illustrations including sonograms, X-rays, and results of computerized axial tomography are included and explained. With the increasing use of OCs in Spain, it is likely that more such cases will be seen. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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