Peri-portal lymphedema in association with an acute adrenal insufficiency: case report
Identifieur interne : 006466 ( Ncbi/Merge ); précédent : 006465; suivant : 006467Peri-portal lymphedema in association with an acute adrenal insufficiency: case report
Auteurs : Elamin Ibrahim Elamin Abdelgadir [Émirats arabes unis] ; Alaaeldin Mk Bashier [Émirats arabes unis] ; Inas A. Al Hameedi [Émirats arabes unis] ; Azza Abdulaziz [Émirats arabes unis] ; Sona Abuelkheir [Émirats arabes unis] ; Fatheya Alawadi [Émirats arabes unis]Source :
- Journal of Medical Case Reports [ 1752-1947 ] ; 2014.
Abstract
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.
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.
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.
Url:
DOI: 10.1186/1752-1947-8-98
PubMed: 24661563
PubMed Central: 3978082
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<front><div type="abstract" xml:lang="en"><sec><title>Introduction</title>
<p>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.</p>
</sec>
<sec><title>Case presentation</title>
<p>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.</p>
</sec>
<sec><title>Conclusions</title>
<p>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.</p>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Peri-portal lymphedema in association with an acute adrenal insufficiency: case report</title>
<author><name sortKey="Abdelgadir, Elamin Ibrahim Elamin" sort="Abdelgadir, Elamin Ibrahim Elamin" uniqKey="Abdelgadir E" first="Elamin Ibrahim Elamin" last="Abdelgadir">Elamin Ibrahim Elamin Abdelgadir</name>
<affiliation wicri:level="1"><nlm:aff id="I1">Endocrine Unit, Dubai Hospital, Alkhaleej road, Dubai, P.O.BOX: 7272, United Arab Emirates</nlm:aff>
<country xml:lang="fr">Émirats arabes unis</country>
<wicri:regionArea>Endocrine Unit, Dubai Hospital, Alkhaleej road, Dubai, P.O.BOX: 7272</wicri:regionArea>
<wicri:noRegion>P.O.BOX: 7272</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Bashier, Alaaeldin Mk" sort="Bashier, Alaaeldin Mk" uniqKey="Bashier A" first="Alaaeldin Mk" last="Bashier">Alaaeldin Mk Bashier</name>
<affiliation wicri:level="1"><nlm:aff id="I1">Endocrine Unit, Dubai Hospital, Alkhaleej road, Dubai, P.O.BOX: 7272, United Arab Emirates</nlm:aff>
<country xml:lang="fr">Émirats arabes unis</country>
<wicri:regionArea>Endocrine Unit, Dubai Hospital, Alkhaleej road, Dubai, P.O.BOX: 7272</wicri:regionArea>
<wicri:noRegion>P.O.BOX: 7272</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Al Hameedi, Inas A" sort="Al Hameedi, Inas A" uniqKey="Al Hameedi I" first="Inas A" last="Al Hameedi">Inas A. Al Hameedi</name>
<affiliation wicri:level="1"><nlm:aff id="I2">Radiology Department, Dubai Hospital, Alkhaleej road, Dubai, P.O.BOX: 7272, United Arab Emirates</nlm:aff>
<country xml:lang="fr">Émirats arabes unis</country>
<wicri:regionArea>Radiology Department, Dubai Hospital, Alkhaleej road, Dubai, P.O.BOX: 7272</wicri:regionArea>
<wicri:noRegion>P.O.BOX: 7272</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Abdulaziz, Azza" sort="Abdulaziz, Azza" uniqKey="Abdulaziz A" first="Azza" last="Abdulaziz">Azza Abdulaziz</name>
<affiliation wicri:level="1"><nlm:aff id="I1">Endocrine Unit, Dubai Hospital, Alkhaleej road, Dubai, P.O.BOX: 7272, United Arab Emirates</nlm:aff>
<country xml:lang="fr">Émirats arabes unis</country>
<wicri:regionArea>Endocrine Unit, Dubai Hospital, Alkhaleej road, Dubai, P.O.BOX: 7272</wicri:regionArea>
<wicri:noRegion>P.O.BOX: 7272</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Abuelkheir, Sona" sort="Abuelkheir, Sona" uniqKey="Abuelkheir S" first="Sona" last="Abuelkheir">Sona Abuelkheir</name>
<affiliation wicri:level="1"><nlm:aff id="I1">Endocrine Unit, Dubai Hospital, Alkhaleej road, Dubai, P.O.BOX: 7272, United Arab Emirates</nlm:aff>
<country xml:lang="fr">Émirats arabes unis</country>
<wicri:regionArea>Endocrine Unit, Dubai Hospital, Alkhaleej road, Dubai, P.O.BOX: 7272</wicri:regionArea>
<wicri:noRegion>P.O.BOX: 7272</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Alawadi, Fatheya" sort="Alawadi, Fatheya" uniqKey="Alawadi F" first="Fatheya" last="Alawadi">Fatheya Alawadi</name>
<affiliation wicri:level="1"><nlm:aff id="I1">Endocrine Unit, Dubai Hospital, Alkhaleej road, Dubai, P.O.BOX: 7272, United Arab Emirates</nlm:aff>
<country xml:lang="fr">Émirats arabes unis</country>
<wicri:regionArea>Endocrine Unit, Dubai Hospital, Alkhaleej road, Dubai, P.O.BOX: 7272</wicri:regionArea>
<wicri:noRegion>P.O.BOX: 7272</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j">Journal of Medical Case Reports</title>
<idno type="eISSN">1752-1947</idno>
<imprint><date when="2014">2014</date>
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<front><div type="abstract" xml:lang="en"><sec><title>Introduction</title>
<p>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.</p>
</sec>
<sec><title>Case presentation</title>
<p>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.</p>
</sec>
<sec><title>Conclusions</title>
<p>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.</p>
</sec>
</div>
</front>
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</author>
<author><name sortKey="Sharma, V" uniqKey="Sharma V">V Sharma</name>
</author>
<author><name sortKey="Sharma, S" uniqKey="Sharma S">S Sharma</name>
</author>
</analytic>
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</author>
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</author>
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</author>
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</author>
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</author>
<author><name sortKey="Luengo Herrero, V" uniqKey="Luengo Herrero V">V Luengo-Herrero</name>
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</author>
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</author>
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</author>
<author><name sortKey="Kinloch, Jd" uniqKey="Kinloch J">JD Kinloch</name>
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</author>
<author><name sortKey="Lindgren, A" uniqKey="Lindgren A">A Lindgren</name>
</author>
<author><name sortKey="Zettergren, L" uniqKey="Zettergren L">L Zettergren</name>
</author>
</analytic>
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<author><name sortKey="Holmes, M" uniqKey="Holmes M">M Holmes</name>
</author>
<author><name sortKey="Agarwal, B" uniqKey="Agarwal B">B Agarwal</name>
</author>
<author><name sortKey="Bouloux, P" uniqKey="Bouloux P">P Bouloux</name>
</author>
<author><name sortKey="Shaw, S" uniqKey="Shaw S">S Shaw</name>
</author>
<author><name sortKey="Patch, D" uniqKey="Patch D">D Patch</name>
</author>
<author><name sortKey="Burroughs, A" uniqKey="Burroughs A">A Burroughs</name>
</author>
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</author>
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<author><name sortKey="Choi, Kc" uniqKey="Choi K">KC Choi</name>
</author>
<author><name sortKey="Kim, Cs" uniqKey="Kim C">CS Kim</name>
</author>
<author><name sortKey="Lee, Sy" uniqKey="Lee S">SY Lee</name>
</author>
<author><name sortKey="Chung, Gh" uniqKey="Chung G">GH Chung</name>
</author>
<author><name sortKey="Sohn, Mh" uniqKey="Sohn M">MH Sohn</name>
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<author><name sortKey="Yang, Dh" uniqKey="Yang D">DH Yang</name>
</author>
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<author><name sortKey="Atkinson, Go" uniqKey="Atkinson G">GO Atkinson</name>
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</author>
<author><name sortKey="Berland, Ll" uniqKey="Berland L">LL Berland</name>
</author>
<author><name sortKey="Shin, Ms" uniqKey="Shin M">MS Shin</name>
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<author><name sortKey="Dalton, Sc" uniqKey="Dalton S">SC Dalton</name>
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<author><name sortKey="Kleeman, Cr" uniqKey="Kleeman C">CR Kleeman</name>
</author>
<author><name sortKey="Koplowitz, J" uniqKey="Koplowitz J">J Koplowitz</name>
</author>
<author><name sortKey="Maxwell, Mh" uniqKey="Maxwell M">MH Maxwell</name>
</author>
<author><name sortKey="Dowling, Jt" uniqKey="Dowling J">JT Dowling</name>
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<author><name sortKey="Czaczkes, Jwv" uniqKey="Czaczkes J">JWV Czaczkes</name>
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<author><name sortKey="Cutler, R" uniqKey="Cutler R">R Cutler</name>
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<pubmed><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Peri-portal lymphedema in association with an acute adrenal insufficiency: case report.</title>
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<affiliation wicri:level="1"><nlm:affiliation>Endocrine Unit, Dubai Hospital, Alkhaleej road, Dubai, P,O,BOX: 7272, United Arab Emirates. alaminibrahim@hotmail.com.</nlm:affiliation>
<country xml:lang="fr">Émirats arabes unis</country>
<wicri:regionArea>Endocrine Unit, Dubai Hospital, Alkhaleej road, Dubai, P,O,BOX: 7272</wicri:regionArea>
<wicri:noRegion>BOX: 7272</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Bashier, Alaaeldin Mk" sort="Bashier, Alaaeldin Mk" uniqKey="Bashier A" first="Alaaeldin Mk" last="Bashier">Alaaeldin Mk Bashier</name>
</author>
<author><name sortKey="Al Hameedi, Inas A" sort="Al Hameedi, Inas A" uniqKey="Al Hameedi I" first="Inas A" last="Al Hameedi">Inas A. Al Hameedi</name>
</author>
<author><name sortKey="Abdulaziz, Azza" sort="Abdulaziz, Azza" uniqKey="Abdulaziz A" first="Azza" last="Abdulaziz">Azza Abdulaziz</name>
</author>
<author><name sortKey="Abuelkheir, Sona" sort="Abuelkheir, Sona" uniqKey="Abuelkheir S" first="Sona" last="Abuelkheir">Sona Abuelkheir</name>
</author>
<author><name sortKey="Alawadi, Fatheya" sort="Alawadi, Fatheya" uniqKey="Alawadi F" first="Fatheya" last="Alawadi">Fatheya Alawadi</name>
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<author><name sortKey="Abdelgadir, Elamin Ibrahim Elamin" sort="Abdelgadir, Elamin Ibrahim Elamin" uniqKey="Abdelgadir E" first="Elamin Ibrahim Elamin" last="Abdelgadir">Elamin Ibrahim Elamin Abdelgadir</name>
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<country xml:lang="fr">Émirats arabes unis</country>
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<wicri:noRegion>BOX: 7272</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Bashier, Alaaeldin Mk" sort="Bashier, Alaaeldin Mk" uniqKey="Bashier A" first="Alaaeldin Mk" last="Bashier">Alaaeldin Mk Bashier</name>
</author>
<author><name sortKey="Al Hameedi, Inas A" sort="Al Hameedi, Inas A" uniqKey="Al Hameedi I" first="Inas A" last="Al Hameedi">Inas A. Al Hameedi</name>
</author>
<author><name sortKey="Abdulaziz, Azza" sort="Abdulaziz, Azza" uniqKey="Abdulaziz A" first="Azza" last="Abdulaziz">Azza Abdulaziz</name>
</author>
<author><name sortKey="Abuelkheir, Sona" sort="Abuelkheir, Sona" uniqKey="Abuelkheir S" first="Sona" last="Abuelkheir">Sona Abuelkheir</name>
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<author><name sortKey="Alawadi, Fatheya" sort="Alawadi, Fatheya" uniqKey="Alawadi F" first="Fatheya" last="Alawadi">Fatheya Alawadi</name>
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<front><div type="abstract" xml:lang="en">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.</div>
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