A case of ruptured colon and massive faecal contamination of the peritoneal cavity after a difficult bowel movement is presented. A perforated peptic ulcer was suspected but a rupture of the rectosigmoid colon was found at operation. Surgical management included resection of the affected colon, proximal colostomy and closure of ...

We have reported the case of a 26-year-old man who had had intermittent but severe gastrointestinal bleeding over a 30-month period from a Meckel's diverticulum. Meckel's diverticulum should be searched for angiographically, even in the face of normal isotopic scans, in cases of chronic or intermittent gastrointestinal hemorrhage, particularly in ...

Uterine perforation and deep embedding by an intrauterine device (IUD) require exact determination of its location as a necessary step to safe and effective retrieval. Six cases of uterine perforation and four of embedding by an IUD were studied with ultrasonography (US) and hysterography. While US findings suggested the correct ...

Since the original description of solitary rectal ulcer by Cruveilheir in 1830, about 250 cases have been reported (1). The condition most frequently presents in adults between 30 and 50 years of age. There are very few pediatric case reports and none have come from North America. We report here ...

Stercoral perforation of the colon is a direct result of ischemic pressure necrosis by a stercoraceous mass. In over 90 per cent of cases, the perforation will involve either the sigmoid or rectosigmoid colon and is consistently centrally located within a region of mucosal ulceration of varying diameter and magnitude. ...

Complications related to perforations of the upper aerodigestive system carry a 15% mortality. Nine cases of intraluminal injuries to the hypopharynx and cervical esophagus are reviewed. Seven were related to iatrogenic causes and two associated with foreign bodies. This study details the cause and location of the injuries, associated signs ...

Factors affecting gastric and duodenal ulcers in factory workers were examined by a case-control study of 74 male cases of active and inactive ulcers and in the same number of control subjects by the use of our past study materials. The cases were found by mass surveys for gastrointestinal disease ...

Two cases of ulceration of the face following surgical sensory denervation are described. Both patients presented to a geriatric unit because of problems associated with mental impairment. There are relatively few reports of similar ulcers. A review of the literature suggests that mental impairment is an important aetiological factor.

This paper reports the case of a male adult, 47 years old, with a gunshot wound to the right thigh, with no previous history of abdominal or cardiovascular disease, and a consistently satisfactory circulatory state on admission and thereafter. He showed signs of perforation of the caecum on the 10th ...

Scleroderma of the colon is commonly associated with constipation, as was the case in a 70-year-old woman with rectal prolapse described by the authors. The chronic constipation in this patient may have been the cause of her rectal prolapse, but the onset of the prolapse and scleroderma at about the ...

The incidence of bleeding duodenal varices is exceedingly rare. We report a case of a 35-year-old chronic alcoholic who died of severe fatal upper gastrointestinal bleeding from a ruptured duodenal varix located in the second portion of duodenum. This diagnosis was suspected at endoscopy and was confirmed at autopsy. A ...

Gastric emphysema is a rare condition in which gas from a nonbacterial source accumulates within the wall of the stomach. Gastric distension and vomiting frequently precede the formation of the intramural air. Pulmonary disease, instrumentation of the stomach, and obstructing lesions of the antrum and pylorus are also common contributing ...

Perforation of the extraperitoneal part of the rectum during foetal life is an exceptionally rare event. Two cases are reported where this has been associated with a para-rectal defect in the pelvic floor. It is postulated that in these instances, the rectal lesion is due to this abnormality. As a ...

A case of primary gastric actinomycosis presenting as a bleeding gastric tumor is reported. The diagnosis of this infection of the stomach is difficult and may often be established only by histological examination. If the disease is recognized, the prognosis is good because antibiotic treatment is very effective. Recent literature ...

This report describes a patient with a foreign body esophageal perforation in whom the usual clinical symptoms of respiratory distress and severe chest pain as well as obvious abnormalities on x-rays of the chest and esophagus were not present. The possible subtle nature of esophageal perforation is emphasized and the ...

Partial pyloric obstruction causing gastric retention is described in 2 young female horses. Gastric retention was confirmed by contrast radiography of the upper gastrointestinal tract. In both horses a large mass was palpated in the wall of the pyloric antrum at exploratory laparotomy. Post-mortem examination of the first case confirmed ...

In 2436 duodenoscopies performed in 1979-1980, 142 cases of duodenal erosions were found. In 68% of the cases erosions were autonomous, while in the remaining 32% they were associated with peptic ulcer. Either autonomous or associated erosions were mainly present in males with prevalence of the 4th, 5th and 6th ...

Intramural gastric diverticula are true diverticula, entirely contained within the wall of the stomach without deformity of the serosa. All of the 13 known reported cases are at the greater curvature of the distal antrum. This is true of our three cases as well. The unique location and characteristic change ...

An international dataset of 21,610 IUD insertions revealed 41 uterine perforations occurring at the time of, or subsequent to, insertion. Dat were collected on standard forms. Perforations were classified as confirmed, probable, or possible, based on the clinician's judgement and subsequent management. The uterine perforation rate was estimated as between ...

Colonic volvulus is a common condition that affects the sigmoid and rarely involves the more proximal colon. The cecal volvulus is a well-recognized entity, about 270 cases have been reported in the medical literature to our knowledge. A recent case of acute cecal volvulus is described with a Review of ...

Two weeks after gastric partitioning for morbid obesity, a 45-year-old woman experienced persistent vomiting that led to a weight loss of 30 kg over 6 weeks. Wernicke's encephalopathy and peripheral neuropathy developed. The Wernicke's encephalopathy responded well to the administration of thiamine. This is one of very few reported cases ...

A rare, if not unique, case of sigmoid colon perforation by a balloon, self-inserted transanally, is described. Mechanical properties of the sigmoid colon make it prone to rupture by pneumatic distention. Management depends on amount of peritoneal contamination, timing, and associated injury. With prompt surgery, isolated traumatic sigmoid colon perforations ...

Sigmoid, cecal and transverse colon volvulus have been responsible for approximately 3% of all large bowel obstruction in the United States. Transverse colon volvulus is much less frequent, occurring in less than 4% of all reported cases of colonic torsion. In the pediatric age group a review of the literature ...

Although the diagnosis of bowel perforation is frequently straightforward, it may be difficult in the neonate. Clinical signs may be limited to abdominal distension. If the patient is on assisted ventilation, pneumoperitoneum may be due to air tracking down from the chest rather than perforation. The authors report 6 cases ...

A very rare case of calcifying epithelioma of Malherbe (CEM) with a rapid evolution and perforation of the epidermis is reported. Clinical appearance was atypical and did not suggest any diagnosis. Histopathologic examination shows a picture of CEM with some peculiar findings. Furthermore, in the upper dermis there are epithelial ...

Gastric antral mucosal diaphragm is an entity that is probably more common than is reported in the literature. A large number of patients with antral gastric mucosal diaphragms remain asymptomatic. When symptomatic, the diagnostic mainstays at this time consist of barium contrast studies complemented by flexible endoscopy. Awareness of the ...

A case of bleeding cecal typhoid ulcer in a 22-year-old patient demonstrated by superior mesenteric arteriography is described. An attempt to stop hemorrhage using intraarterial vasopressin infusion, failed. However, arteriography proved helpful in locating the bleeding site, and in permitting conservative surgery, namely cecal ulcer suture to achieve hemostasis. On ...

Primary linitis plastica of the colon and rectum is an uncommon entity. Sixty-six cases have been reported in the English literature. Two new cases are reported, one of the transverse colon with widespread metastases and the other of the right colon extending from the appendix to the distal resection margin ...

A case of meconium thorax resulting from spontaneous perforation of the colon associated with a right Bochdalek's foramen, without herniation, is presented. The baby had immediate respiratory distress postpartum resulting from the meconium in the pleural cavity. No fetal distress was detected, in spite of electrode monitoring in labor, to ...

A clinical, endoscopic and histological study of gastritis and duodenitis was carried out in 50 patients. The endoscopic diagnosis of mucosal inflammation was found to be highly reproducible. However there was poor correlation between endoscopic and histological diagnoses of gastritis or duodenitis. Neither endoscopic nor histological gastritis or duodenitis correlated ...

Case records of abomasal ulcers in adult dairy cattle admitted to the University of Pennsylvania during a 12-year period were reviewed. The only records retrieved were those for cases in which the clinical signs were directly associated with gastrointestinal bleeding. Of 6,385 adult cows admitted during the study period, 69 ...

We treated seven cases of bleeding stomal varices and reviewed the literature. The average survival time of conservatively treated patients was 3.9 years. In many cases, other stigmata of liver disease later develop, such as pancytopenia, hepatic encephalopathy, and esophageal varices. Death from stomal bleeding is rare, and such bleeding ...

In 18 of 27 cases a duodenal diverticulum, which usually occurs at "weak" spots in the bowel wall, penetrated the pancreas. Of these, 14 cases (77.8%) extended along the embryological fusion line of the ventral and dorsal components, which is considered to be the so-called "locus minoris resistantiae." In four ...

Twenty-three linear niches in the duodenal bulb were found in 22 patients out of a series of 314 patients with radiographically demonstrated duodenal ulcers (incidence 7%). Double-contrast and single-contrast graded-compression views were effective in depicting the linear niche in four cases. In 14 cases only double-contrast films showed the abnormality, ...

A case of colonic pneumatosis cystoides intestinales (PCI) which occurred three days after a routine colonoscopy is presented. A review of the literature revealed only two other cases of PCI following colonoscopy. The close temporal association to the colonoscopy supports the mechanical hypothesis as the probably mechanism leading to intramural ...

On occasion gastric ulcers may be recognized on plain abdominal radiographs. A case in which a gastric ulcer was diagnosed on the plain abdominal radiograph, illustrating the importance of careful scrutiny of the plain film in all cases of acute abdomen, is presented. The existence of the lesser curvature ulcer ...

The need for colonoscopic examination of the whole colon was determined by evaluating the accuracy of a barium enema X-ray report with particular reference to the right colon. Long colonoscopies were performed on 108 patients. The reports of the barium enema X-ray examination in these patients were compared with the ...

A unique case of granulomatous gastritis of unknown etiology is reported. The patient, a 43-year-old Haitian woman, suffered a gastric perforation from a disease process limited to the stomach. The stomach was markedly enlarged and edematous with transmural, serpiginous granulomatous tracks throughout the gastric wall, but most numerous in the ...

A case of duodenal somatostatinoma is reported. The patient, a 54-year-old male, had complained of an epigastric pain due to gastric ulcer and a duodenal polyp was unexpectedly found at a gastrectomy. The polyp showed basically tubular adenocarcinoma, with negative argyrophil and argentaffin reactions. By an indirect immunofluorescent examination almost ...

Inflammation of a solitary diverticulum of the right colon is uncommon; approximately 500 cases have been reported. A 72-year-old woman underwent laparotomy for possible appendicitis. Unexpectedly, a mass was found in the ascending colon close to the ileocecal junction. Carcinoma was suspected and right hemicolectomy was done. The pathological diagnosis ...

Sixteen cases of spontaneous neonatal gastric perforation seen between January 1969 and March 1979 are reported. There were 13 surgically treated patients and three autopsy cases. This study provides information relative to the incidence among black populations, an incidence 1 per 2,900 live births. The entity is at least four ...

This report describes seven cases of nonspecific colon ulcers and analysis of the additional 120 cases reported in the literature through 1980. The total current series is compared with the two earlier reviews. Our findings showed that nonspecific colon ulcers occur in all age groups, predominantly 40 to 60 years, ...

A case of retroperitoneal air caused by rectal perforation during a double-contrast barium-enema examination is reported. In 9 similar reported cases, radiographic signs included perirectal, mediastinal, and cervical emphysema. Because of the frequent absence of clinical signs, radiographic recognition may be crucial for prompt management. Reported experience suggests that asymptomatic ...

Perforation of the esophagus is potentially the most lethal of any site in the gastrointestinal tract and is also the greatest therapeutic challenge. Although uncommon, esophageal perforation continues to occur even in the hands of very well-trained and experienced endoscopists. The literature reports the incidence of instrumental esophageal perforation to ...

Thirty-four chronic myringitis cases were examined by otoscopy, pure tone audiometry, tympanometry, skull X-rays, and bacteriologic study of otorrhea. Five atypical cases are presented in detail. Three of these five cases had a perforation of the tympanic membrane preceding the appearance of typical chronic myringitis. The remaining two cases showed ...

The first case of pneumopyopericardium secondary to perforation of an ulcer in an intrathoracically placed stomach after esophagogastrostomy was reported in 1965 (Romhilt & Alexander, 1965). A review of the literature reveals that this condition is extremely rare as apparently only three cases have been reported since then (Gago, Chopra, ...

Of 97 patients with genital ulcers attending a special treatment clinic in Nairobi, Kenya, 60 harboured Haemophilus ducreyi, four herpes simplex virus, and five Neisseria gonorrhoeae. Eleven patients had serological evidence of syphilis; of these one case was confirmed by darkfield microscopy. In the remaining cases no aetiological agent was ...

Two cases of tetracycline ulcers of the oesophagus are reported and compared with thirteen other cases from the literature. In most cases, the patients had taken their capsules with little or no fluid just before going to bed. Some hours later they developed retrosternal pain that was intensified by swallowing. ...

A case of stercoral ulceration with perforation in a colostomy patient is presented, and the literature of stercoral ulcers is reviewed. Significant features of this illness include preceding history of constipation, its presentation as an acute abdomen, radiologic signs of a perforated viscus, and a distinctive histologic picture. Treatment of ...

Juvenile polyps are a common cause of rectal bleeding in the pediatric age group. These polyps are usually solitary, but occasionally polyposis can be identified by barium-enema or colonoscopy examinations. The benign nature of a single polyp or even scattered polyposis in childhood has been supported by several authors. A ...