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Late onset of biliobronchial fistula - a serious complication of hemihepatectomy for atrophic liver with hepatolithiasis: a case report and review of the literature.
J Cardiothorac Surg
December 2024
Department of Radiology, Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, 310006, China.
Background: Acquired bronchobiliary fistula (BBF) is a rare but life-threatening complication that can occur as a result of oncological processes, inflammatory reactions, parasite infections, thoracoabdominal trauma, or invasive procedures associated with iatrogenic injury. However, the potential etiology of BBF caused by instrumental issues when using ultrasonic scalpels resulting in diathermy burn and its post-burn effects has never been reported.
Case Presentation: Herein, we present a case of a 65-year-old woman who developed BBF one month after hepatectomy and presented with refractory irritating cough accompanied by yellow bitter sputum.
Sarcomatoid hepatocellular carcinoma with subdiaphragmatic metastasis misdiagnosed as liver abscess: A case report.
Medicine (Baltimore)
December 2024
Radiology Department, the People's Hospital of Lezhi, Ziyang, Lezhi, China.
Rationale: Sarcomatoid hepatocellular carcinoma (SHC) is a rare subtype of hepatocellular carcinoma. Its imaging findings often resemble those of liver abscess, making preoperative diagnosis particularly challenging. To date, there have been no documented cases of SHC with subdiaphragmatic metastases.
View Article and Find Full Text PDFSpontaneous bilothorax without previous surgery or trauma, a case report.
J Surg Case Rep
August 2024
Department of Surgery, Faculty of Medicine, Thammasat University, Pathum Thani 12120, Thailand.
Article Synopsis
- - Bilothorax is a rare condition linked to severe infections, often presenting with right-sided pleural effusion, with causes including biliary obstruction and infections; diagnosis is confirmed by a specific pleural fluid to serum bilirubin ratio above 1.
- - A case study involved a 33-year-old Asian woman experiencing progressive shortness of breath due to a pleural effusion, which was identified as a biloma with a bilirubin ratio of 15.9; imaging revealed a nodule linked to a hemorrhagic endometriotic lesion.
- - Treatment for this patient included antibiotics, a tube to drain the pleural effusion, and various procedures to address both the bilothorax and the endometri
Intralobar bronchopulmonary sequestration in an adult: a case report.
Ann Med Surg (Lond)
July 2024
Kathmandu University School of Medical Sciences, Dhulikhel, Kavre.
Article Synopsis
- Bronchopulmonary sequestration (BPS) is a rare congenital condition with non-functioning lung tissue, divided into intralobar and extralobar types.
- A case study highlights a 70-year-old man with intralobar BPS who suffered from recurrent chest infections, identified through a CT scan.
- Diagnosis may be challenging due to varying imaging results, but CT or MRI can effectively reveal abnormal arterial supply often coming from the descending aorta.
Two cases of misleading Epstein-Barr virus infection and the role of EBV-DNA.
IDCases
May 2024
Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties "G D'Alessandro", University of Palermo, Palermo, Italy.
Two atypical cases of infectious mononucleosis in two teenagers with initially negative serology and non-evocative blood examinations are reported. The first patient had recently traveled to Africa, and Epstein-Barr virus negative serology led us to make many extensive investigations. The second patient complained of asthenia for a month, and PET/CT was performed to suspicion of lymphoma.
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