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Biomedical subjects

C González Campos

Publications and source records attributed to C González Campos.

9 recordsLinked to original sources

Esophageal inflammatory fibroid polyp. Endoscopic and radiologic features.

We present the case of a 60-year-old male patient, who had several episodes of melena during the last years. One month ago he had a new episode of digestive bleeding, and an endoscopic study was performed that showed at 35 cm from the dental arcade a polypoid, pedunculated lesion, with a diameter of 5 cm and a submucosal aspect, a few erosions on its surface and a fibrin deposit. Its head reached the cardia, and it bled when touched by the endoscope. The biopsies taken were negative. X-ray and CT studies confirmed the existence of a mass compatible with a submucosal lesion. The patient was operated and the tumor was excised. The histologic study showed an inflammatory fibroid polyp, an entity very rarely described at the level of the stomach, duodenum, small intestine, and colon and exceptionally described at the esophageal level.

Esophageal Neoplasms↗

[Cancer of the middle third of the choledochus: an infrequent diagnosis].

We report the case of an 80-year-old woman with a previous history of HBP, hysterectomy due to cancer of the uterus and cholelithiasis, who was admitted in our hospital because of diffuse abdominal pain, marked jaundice, choluria and acholia during one week, together with anorexia and loss of weight. Blood chemistry results disclosed a total bilirubin of 11 mg/dl, a direct bilirubin of 8 mg/dl, GGTP 826 U/I, alkaline phosphatase 287 U/I, AST 285 U/I, ALT 837 U/I and LDH 242 U/I. The CA 19-9 marker was higher than 500 U/ml. The abdominal ultrasound examination did not show any space-occupying lesions; the extra and intrahepatic bile ducts were very dilated and the gall bladder showed multiple stones within its contents. The endoscopic retrograde cholangiopancreatography (ERCP) showed a homogeneous filiform defect at the middle third of the common bile duct of approximately 1 cm in length and with a marked dilatation of the bile ducts. A percutaneous drainage of the bile tree was performed, but the patient died.

Aged↗

Two cases of Whipple's disease showing clinical and morphological similarity.

Two cases of Whipple's disease are reported in which a parallel course is confirmed between the clinical and ultrastructural findings. This is not so with light microscopy since it takes much longer for these findings to return to normal. In case 1, the presence of bacilli circulating freely in the sinusoid of a lymph node is described. Case 2 demonstrates the existence of special granulomata formed by atypical macrophage histiocytes which appear in coagulative necrosis together with a closely adherent crown of lymphocytes. Furthermore, these histiocytes have moved towards the deepest part of the lamina propria, and have become dissociated from the muscularis mucosae causing a diverticulosis of the small intestine.

Adult↗