Inflammatory Pseudotumor Causing Small Bowel Obstruction and Mimicking Lymphoma in a Patient with AIDS: Clinical Improvement after Initiation of Thalidomide Treatment A patient with AIDS was diagnosed with inflammatory pseudotumor with small bowel

نویسندگان

  • Stefano De Castro
  • Domenico Cartoni
  • Giulia d’Amati
  • Sergio Beni
  • Jiefen Yao
  • Marco Fiorelli
  • Pietro Gallo
  • Francesco Fedele
  • Natesa G. Pandian
چکیده

Our data suggest that, compared with TEE, TTE has a low diagnostic sensitivity for both aortic VP and valvular aneurysm. Similarly, TEE correctly identified all patients with mitral VP, with and without associated aneurysm, whereas TTE missed this complication in one-third of the cases. In conclusion, early recognition of VP might improve the patient’s prognosis, thus enabling the clinical outcome to be monitored, the appropriate surgical timing to be chosen, and the need for valve repair or prosthesis substitution to be assessed. In the presence of hemodynamic instability, coupled with suspicion of perivalvular extension of the infective process, multiplane TEE should be performed directly. Finally, the presence of valvular aneurysms and/or significant aortic or mitral valve regurgitation requires careful evaluation.

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تاریخ انتشار 2000