Los casos de Dr. Pepe – Caso de Diploma 12 (Resuelto)

ESP_diploma_case_12

Hola amigos, las imágenes de hoy son las de un varón de 48 años con dolor en hipocondrio derecho, anorexia y pérdida de peso desde hace un mes. Presenta leucocitosis con desviación izquierda. Fosfatasa alcalina y proteína C reactiva elevadas.

¿Cuál sería vuestro diagnóstico?

1. Colangiocarcinoma
2. Actinomicosis hepática
3. Absceso amebiano
4. Nada de lo expuesto

Podéis dar vuestra opinión hasta el viernes, día en el que se publicará la solución.

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Haz click aquí para ver la respuesta

27
Apr 2015
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DISCUSSION 19 Comments

19 Responses to : Los casos de Dr. Pepe – Caso de Diploma 12 (Resuelto)

  1. centro de imagenes says:

    Hola Pepe! para nosotros puede ser una actinomicosis hepática, porque es un cuadro subagudo, con síntomas clínicos y de laboratorio sugerentes de un proceso infeccioso y una imagen ocupante de espacio,redondeada, con realce periférico en la tac y heterogéneo en la RMI.
    El absceso amebiano presenta características mas quisticas y clínica mas aguda y para colangio carcinoma faltaría dilatación de la via biliar e ictericia.

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