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Peri-portal lymphedema in association with an acute adrenal insufficiency: case report

INTRODUCTION: We report the case of a patient with peri-portal lymphedema in association with severe adrenal insufficiency. To the best of our knowledge, this association was not previously reported in the literature. Peri-portal lymphedema is usually seen in cases such as blunt abdominal trauma, he...

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Autores principales: Abdelgadir, Elamin Ibrahim Elamin, Bashier, Alaaeldin MK, Al Hameedi, Inas A, Abdulaziz, Azza, Abuelkheir, Sona, Alawadi, Fatheya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3978082/
https://www.ncbi.nlm.nih.gov/pubmed/24661563
http://dx.doi.org/10.1186/1752-1947-8-98
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author Abdelgadir, Elamin Ibrahim Elamin
Bashier, Alaaeldin MK
Al Hameedi, Inas A
Abdulaziz, Azza
Abuelkheir, Sona
Alawadi, Fatheya
author_facet Abdelgadir, Elamin Ibrahim Elamin
Bashier, Alaaeldin MK
Al Hameedi, Inas A
Abdulaziz, Azza
Abuelkheir, Sona
Alawadi, Fatheya
author_sort Abdelgadir, Elamin Ibrahim Elamin
collection PubMed
description INTRODUCTION: We report the case of a patient with peri-portal lymphedema in association with severe adrenal insufficiency. To the best of our knowledge, this association was not previously reported in the literature. Peri-portal lymphedema is usually seen in cases such as blunt abdominal trauma, hepatic congestion and post–liver transplantation. CASE PRESENTATION: We present the case of a 28-year-old Indian man who presented to our hospital with adrenal crisis and was treated accordingly. Computed tomography of his abdomen showed evidence of peri-portal lymphedema (edema) with some free fluid collection. We excluded other causes of this pathology and followed the patient’s condition after steroid replacement therapy. We found no other contributing factors to the patient’s peri-portal lymphedema apart from the adrenal crisis, which was more consolidated when we followed the patient after steroid replacement therapy, during which follow-up computed tomography showed complete resolution of the pathology. CONCLUSIONS: We conclude following an extensive MEDLINE® search that this is the first case to be reported for the association between peri-portal lymphedema and adrenal insufficiency, after having excluded all other causes of peri-portal lymphedema. This signifies reporting of this case as the first one in the medical literature.
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spelling pubmed-39780822014-04-08 Peri-portal lymphedema in association with an acute adrenal insufficiency: case report Abdelgadir, Elamin Ibrahim Elamin Bashier, Alaaeldin MK Al Hameedi, Inas A Abdulaziz, Azza Abuelkheir, Sona Alawadi, Fatheya J Med Case Rep Case Report INTRODUCTION: We report the case of a patient with peri-portal lymphedema in association with severe adrenal insufficiency. To the best of our knowledge, this association was not previously reported in the literature. Peri-portal lymphedema is usually seen in cases such as blunt abdominal trauma, hepatic congestion and post–liver transplantation. CASE PRESENTATION: We present the case of a 28-year-old Indian man who presented to our hospital with adrenal crisis and was treated accordingly. Computed tomography of his abdomen showed evidence of peri-portal lymphedema (edema) with some free fluid collection. We excluded other causes of this pathology and followed the patient’s condition after steroid replacement therapy. We found no other contributing factors to the patient’s peri-portal lymphedema apart from the adrenal crisis, which was more consolidated when we followed the patient after steroid replacement therapy, during which follow-up computed tomography showed complete resolution of the pathology. CONCLUSIONS: We conclude following an extensive MEDLINE® search that this is the first case to be reported for the association between peri-portal lymphedema and adrenal insufficiency, after having excluded all other causes of peri-portal lymphedema. This signifies reporting of this case as the first one in the medical literature. BioMed Central 2014-03-24 /pmc/articles/PMC3978082/ /pubmed/24661563 http://dx.doi.org/10.1186/1752-1947-8-98 Text en Copyright © 2014 Abdelgadir et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.
spellingShingle Case Report
Abdelgadir, Elamin Ibrahim Elamin
Bashier, Alaaeldin MK
Al Hameedi, Inas A
Abdulaziz, Azza
Abuelkheir, Sona
Alawadi, Fatheya
Peri-portal lymphedema in association with an acute adrenal insufficiency: case report
title Peri-portal lymphedema in association with an acute adrenal insufficiency: case report
title_full Peri-portal lymphedema in association with an acute adrenal insufficiency: case report
title_fullStr Peri-portal lymphedema in association with an acute adrenal insufficiency: case report
title_full_unstemmed Peri-portal lymphedema in association with an acute adrenal insufficiency: case report
title_short Peri-portal lymphedema in association with an acute adrenal insufficiency: case report
title_sort peri-portal lymphedema in association with an acute adrenal insufficiency: case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3978082/
https://www.ncbi.nlm.nih.gov/pubmed/24661563
http://dx.doi.org/10.1186/1752-1947-8-98
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