Revista médica de Chile
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Revista médica de Chile · Apr 2021
Review[The role of intestinal microbiota in the development of non-alcoholic fatty liver disease].
Non-alcoholic fatty liver disease (NAFLD) encompasses a wide spectrum of hepatic pathologies ranging from simple steatosis (SS) to hepatocellular carcinoma. Intestinal microbiota (IM) is composed of trillions of microorganisms existing in the gut. ⋯ In this condition, IM could have a pathogenic role through different mechanisms such as energy salvaging from food, an inflammatory stimulus, a modulation of the innate immune system, regulation of bile acid turnover, alteration of choline metabolism and increasing endogenous ethanol levels. This review is an update on the role of the intestinal microbiota in NAFLD and the possible mechanisms involved.
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Revista médica de Chile · Apr 2021
[Neurology and COVID-19: Case Series of Neurological Complications in 96 patients Admitted at a University Hospital].
There are multisystemic consequences secondary to SARS- CoV-2 infection. ⋯ The spectrum of neurological complications of COVID-19 is wide. There are clinical entities typical of critically ill patients and also diseases associated directly and indirectly with the SARS-CoV2 infection.
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Revista médica de Chile · Apr 2021
Case Reports[Hematocele and hemoperitoneum as initial manifestation of hepatocellular carcinoma. Report of one case].
Hepatocellular carcinoma (HCC) rupture is a rare complication, with a higher prevalence in countries of Asia and Europe. Its clinical manifestations can be nonspecific, from abdominal pain and bloating to hemodynamic involvement. ⋯ A CT of the abdomen and pelvis showed a liver mass with characteristics of hepatocellular carcinoma, associated with extensive hemoperitoneum that drained into the scrotal sac. The patient was treated with embolization of the right hepatic artery and later with surgical resection of the tumor mass, with a good clinical evolution.