Transanal Extrusion of a Ventriculo and Lumboperitoneal Shunt Catheters
Padilla Zegarra ED*, Franco Chacón M, Pavel M, Llàcer-Millán E, Julià Verdaguer E, Estalella Mercade L, Fowler AL, Memba Ikuga R and Jorba Martin R
Background: Intestinal perforation in patients with a ventricular or lumboperitoneal shunt is a rare complication, with potentially fatal consequences.
Study Aim: To present two cases of intestinal perforation secondary to ventricular and lumboperitoneal shunts insertion. Material & Methods: We present two cases of this complication. The first is a 51 years old female with a delayed diagnosis of intestinal perforation, four years after a placement of a lumboperitoneal shunt. The second case was a 82 years old male with a diagnosis of sigmoid colon perforation,...
Pancreatic Neuroendocrine Tumor with Intraductal Growth
Martínez-Gómez A*, Memba R, Llàcer-Millán E, Estalella L, Pavel M, Tully R, García-Fontgivell J, Larios M and Jorba R
Pancreatic neuroendocrine tumors (PanNETs) rarely involve the main pancreatic duct. We report a case of 79-year-old-man, diagnosed with an incidental pancreatic cystic tumor. Abdominal CT scan and MRI were compatible with Main Duct Intraductal Papillary Mucinous Neoplasms (MDIPMN) with “high-risk stigmata” of malignancy. Pancreaticoduodenectomy was performed. Intraoperative histological analysis showed a PanNET instead of an MD-IPMN. We review the literature and discuss this unusual presentation of PanNETs....
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