• Blöðrur á gallvegum – sjúkratilfelli

      Karl Kristinsson; Kristín Huld Haraldsdóttir; Páll Helgi Möller; Department of Surgery, Landspitali, Iceland (Læknafélag Íslands, Læknafélag Reykjavíkur, 2012-07)
      The clinical manifestation of a choledochal cyst is diverse and can mimic common diseases like gallstones, cholecystitis or pancreatitis. Initial diagnosis is often suspected after ultrasound of the biliary tract and confirmed with more specific studies as magnetic resonance cholangiopancreatography or endoscopic retrograde cholangiopancreatography. The risk of malignant transformation is well documented and the mainstay of therapy is excision of the choledochal cysts along with the gallbladder. Choledochal cysts are a rare phenomenon and only three cases were diagnosed in Iceland in the years 2000-2010. The following is a description of one of these cases along with an overview of the literature.
    • Ehlers-Danlos heilkenni af gerð IV. Sjúkratilfelli og sjúkdómseinkenni

      Signý Ásta Guðmundsdóttir; Páll Helgi Möller; Reynir Arngrímsson; Landspitali The National University Hospital, University of Iceland, Reykjavik, Iceland. (Læknafélag Íslands, Læknafélag Reykjavíkur, 2012-06)
      We describe Ehlers-Danlos syndrome type IV in adult patients with a confirmed diagnosis and a systematic review of expected clinical findings in the disease. Serious complications were found in four individuals, two with gastrointestinal perforation at the age of 32 years, two had died from an aortic rupture (34 and 44 years old) and one has been diagnosed with aortic root dilatation. Most had also less severe clinical features such as varicose veins, easy bruising, thin and translucent skin, chronic joint subluxation or dislocation or pes planus. None of the females had uterine rupture or premature birth. Management and surveillance options were reviewed.
    • Gallsteinn í kviðslitssekk [sjúkratilfelli]

      Guðrún Aspelund; Anna Björg Halldórsdóttir; Helgi J. Ísaksson; Páll Helgi Möller (Læknafélag Íslands, Læknafélag Reykjavíkur, 1999-03-01)
      Sjúkratilfelli: Um er að ræða sextíu og sjö ára karlmann sem var lagður inn á handlækningadeild Landspítalans sumarið 1997 með kviðverki, hita og eymsli um ofanverðan kvið. Hann hafði fyrri sögu um kviðverkjaköst sem samrýmdust gallkveisu. Ómskoðun við komu sýndi þykkveggja gallblöðru sem innihélt um 1 sm stóran stein. Gallkögun var gerð og í aðgerðinni kom gat á gallblöðruna þannig að hún tæmdist af galli. Gangur eftir aðgerð var áfallalaus og sjúklingur útskrifaðist við góða líðan á þriðja degi frá aðgerð.
    • Sjúkratilfelli : meinvarp frá endaþarmskrabbameini í andliti

      Emil Vilbergsson; Helgi J. Ísaksson; Páll Helgi Möller (Læknafélag Íslands, Læknafélag Reykjavíkur, 2010-02-01)
      This case report describes an 82 year old male who sought medical attention for changes in bowel habits. Colonoscopy revealed a tumor located 10 to 15cm from the anus. Biopsy showed signetring cell adenocarcinoma. The tumor was not resected due peritoneal dissemination and a tumor invasion into the urinary bladder, found intraoperatively. During hospital stay a skin lesion of the face was removed at the request of the patient. Biopsy showed metastatic signetring adenocarcinoma. Colorectal metastatic lesions to the skin are rare findings, especially metastasis to the face. Skin examination in patients with suspected or known malignancies is an important part of the clinical examination. Key words: Rectal cancer, metastases, skin.
    • Tilfelli mánaðarins : [margúll í kviðvöðva] [sjúkratilfelli]

      Halla Viðarsdóttir; Páll Helgi Möller; hallavi@landspitali.is (Læknafélag Íslands, Læknafélag Reykjavíkur, 2010-04-01)
      Sextíu og fimm ára kona leitaði á bráðamóttöku eftir nokkurra klukkustunda slæman, stöðugan verk um neðanverðan kvið sem kom í kjölfar kröftugs hósta. Hún hafði ekki fundið fyrir slíkum verk áður. Hún var almennt hraust og tók engin lyf. Við skoðun fannst um fimm cm. fyrirferð í vinstri neðri fjórðungi kviðar og var ávöl 5 cm sem var aum viðkomu. Blóðrannsóknir voru allar eðlilegar, þar á meðal blóðhagur, elektrólýtar, kreatínin og CRP. Strimilspróf af þvagi var einnig eðlilegt. Tekin var tölvusneiðmynd af kvið sem sýnd er á mynd 1.