[Dermatomiositis and evans syndrome associated with HTLV-1 infection].

A 55-year-old female patient, born in Ayacucho, with a history of dermatomyositis for 3 years, who received irregular treatment with prednisone. Two months prior to admission, she presented with autoinmune hemolytic anemia and idiopathic thrombocytopenic purpura. The patient received methylprednisolone pulse therapy and packed red blood cells transfusions.

[Endometriosis of the pancreas].

The case of a 23-year old woman with a history of epigastric pain, a palpable tumor that covered the epigastrium and the left hypochondrium, and an episode of acute pancreatitis was reported. The computerized tomography revealed a pancreatic cyst. The CA-125 increased significantly.

[Hepatic subcapsular hematoma caused by fascioliasis].

Unlabelled: The case of a 22 year old woman from Huaraz is presented herein. She suffered from pain at right hypocondrium, associated to nausea and vomits, which intensified three days prior to admission. Upon examining her, a faded gallbladder murmur was found on the base of the right hemithorax.

[Granulomatous tuberculous hepatitis as cause of fever of unknown origin].

The clinical case of one patient with fever of unknown origin, due to granulomatous hepatitis of tuberculous etiology was presented. The patient was a a 50-year-old woman, with 50 days illness characterized by chills, 39 degrees C fever and heavy diaphoresis. She had a record of seven malaria cases.

[Wilkie's syndrome: vascular duodenal compression].

We present the clinical case of a patient with vascular compression of the duodenum or superior mesenteric artery compression syndrome.A female, 42 years old, with history of two months' evolution characterized by postprandial epigastric colic, without irradiation, accompanied by nausea and intractable vomiting, weight loss and gastric shaking. A double contrast gastric duodenum x-ray showed the duodenal frame with exaggerated dilatation and stenosis close to the Treitz angle, through which the contrast media barely flowed.