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Results 451 - 500 of 576
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Angel J L - - 1988
Acute abdominal and shoulder pain in association with a pneumoperitoneum are common signs and symptoms of perforation of a hollow viscus. We report a case that describes the development of a postcoital pneumoperitoneum in an otherwise healthy postpartum patient. The literature is discussed, and supports this case as pneumoperitoneum in ...
Forouhar F A - - 1988
Two cases of atheromatous embolism of the small arteries of the stomach are reported. Insofar as has been ascertained, they are the first reported cases in the literature which presented symptoms of severe gastric bleeding and were found to have bleeding gastric ulcers on endoscopy. Both patients were successfully treated ...
Panés J - - 1988
The efficacy and complications of esophageal tamponade as the first procedure in the routine management of acute variceal hemorrhage were evaluated in 151 consecutive bleeding episodes treated at a specialized unit. The Sengstaken-Blakemore tube was employed in the 118 cases in which emergency endoscopy demonstrated bleeding esophageal varices, and the ...
Kirk A D - - 1988
We encountered four cases of toothbrush swallowing and reviewed the literature on this subject. A total of 31 toothbrushes within the gastrointestinal tract have been reported. None have passed spontaneously. Several have caused significant complications related to pressure necrosis, including gastritis, mucosal tears, and perforation. The recommended treatment is endoscopic ...
Hicks G W - - 1988
In this review of 925 cases of total and anterior perforations of the tympanic membrane reconstructed through the use of formaldehyde-formed-fascia (3-F) grafts, the postoperative nonperforation rate is 97.6%; blunting and/or lateralization of the graft was avoided in 93.5% of cases. Closure of the postoperative air-bone gap within 20 dB ...
Tadros S - - 1988
Colorectal perforation during barium enema examination is rare. The authors report the case of an 84-year-old woman in whom retroperitoneal perforation of the rectum occurred during barium enema examination. Potential mechanisms of injury include trauma, overinflation of the balloon, recent instrumentation and associated disease of the rectal mucosa. When the ...
Overby K J - - 1988
A case of asymptomatic pneumomediastinum in a 14-year-old girl with anorexia nervosa and self-induced emesis is reported to emphasize the atypical aspects of this case and the importance of differentiating benign from potentially life-threatening sources of mediastinal air. Individuals who engage in purging behavior are not only at increased risk ...
Hjortrup A - - 1987
Twenty-six cases are reported of ileo-cecal volvulus admitted to three community hospitals over a period of six years. The operative management of ileo-cecal volvulus is discussed. Based on the results and review of the literature the authors recommend a right hemicolectomy in the presence of gangrene or perforation, in other ...
Guillem J G - - 1987
A retrospective analysis was made of 372 consecutive patients who underwent colonoscopy because of rectal bleeding. The three distinct patterns of bleeding studied were chronic (224 cases), recent major (93 cases), and acute bleeders (55 cases). In 50% of the cases, colonoscopy detected a lesion other than diverticula. These lesions ...
Berardi R S - - 1987
The natural histories of stercoraceous and spontaneous perforations of the colon have many similarities which justify their being considered in the same treatise. Both entities are infrequently diagnosed preoperatively, and both entities are associated with a high mortality. Although the incidence of stercoraceous and spontaneous perforations of the colon is ...
Pang J A - - 1987
Surgical emergencies caused by bowel metastases from carcinoma of the lung are very rare. A search of the English literature revealed less than 10 cases of bowel perforation and no case of haemorrhage. In this report, we describe three patients with both bowel perforation due to metastases from primary lung ...
Graffner H - - 1987
Gastric pseudolymphoma (GPL) is a rare entity which closely mimicks malignant lymphoma. Controversy still exists concerning the risk of malignant transformation. In this report a case of GPL occurring 8 years after a gastric resection due to duodenal ulcer is described. The patient has been followed for more than 10 ...
Brill D R - - 1987
Colonic varices is a rare condition, generally associated with portal hypertension, which normally presents as acute, severe, gastrointestinal blood loss. A case is presented in which the varicosities were observed serendipitously in a patient with a pancreatic tumor, in whom the bleeding was not variceal but due to two small ...
Timonen H - - 1987
A rare case of uterine perforation leading to ureter obstruction and ultimately to nephrectomy is presented to emphasize the importance of a careful IUD insertion technique and follow-up of IUD patients. Complications of this kind can be avoided by prompt localization of 'missing' IUDs by ultrasonography of X-ray.
Schroeder W W - - 1987
Ectopic gastric mucosa is a known entity of the mid and lower esophagus which was initially described by Schmidt in 1805. The presence of ectopic gastric mucosa in the cervical esophagus, however, was not described. A review of the literature reveals that ectopic gastric mucosa of the cervical esophagus is ...
Iko B O - - 1987
A radiological diagnosis of gastric volvulus (GV) was made in 11 of 576 consecutive upper gastrointestinal series at the University of Benin Teaching Hospital, Nigeria, over a two-year period. The clinical symptoms were thoracico-abdominal in three and abdominal in eight; these cases were evaluated as acute in three, acute upon ...
Chait M M - - 1986
A unique case of hematemesis is presented. The cause of upper gastrointestinal bleeding was a pyloroduodenal ulcer caused by erosion of a 5-cm gallstone impacted in the duodenal bulb. On review of the world literature of Bouveret's syndrome, this is the first case in which a preoperative diagnosis was well ...
Gudjonsson H - - 1986
We report a patient who developed recurrent massive lower gastrointestinal bleeding after successful obliteration of esophageal varices by sclerotherapy. A radionuclide study was very helpful in establishing diagnosis of the lesion responsible, a varix in the cecal area. Bleeding subsided after creation of a portacaval anastomosis. The literature pertaining to ...
Moore T C - - 1986
A case of high jejunal atresia with midgut deletion in the newborn is reported. The remnant of proximal jejunum near the ligament of Treitz shared a common supporting mesentery/mesocolon with the remaining midtransverse colon. The patient was managed by side-to-side anastomosis of the jejunal and transverse colonic remnants.
Vella-Camilleri F C - - 1986
Varices of the colon are uncommon and when present they are usually segmental. The cause of these segmental varices is usually portal hypertension. Diffuse variceal involvement of the colon is even more uncommon and up until now the two cases described in the literature have had an idiopathic etiology. We ...
McGrath R B - - 1986
Balloon tamponade of esophageal variceal hemorrhage is palliative therapy which is associated with a certain incidence of morbidity, perhaps mortality. Three cases of intrathoracic inflation of the gastric balloon of such tubes are described. The precise mechanism of thoracic placement remains uncertain. Fluoroscopy or chest x-ray should be used to ...
Thomalla J V - - 1986
Perforation of the uterus by an intrauterine device (IUD) is not an uncommon complication of this means of birth control. Comparatively, however, perforation of the bladder is uncommon, having been reported only seven times previously in the literature. This additional case is presented with review of the current literature and ...
Kaiser C W - - 1986
Distant nontraumatic clostridial myonecrosis in association with malignancy is an uncommon disorder, with only 14 well-documented cases previously reported in the English literature. Clostridium perfringens and C. septicum are the most common organisms, usually gaining access to the circulation through an ulcerated lesion of the small bowel or colon. A ...
Grundill W L - - 1986
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 ...
Geelhoed G W - - 1986
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 ...
Rosenblatt R - - 1985
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 ...
Coovadia Y M - - 1985
A case of granuloma inguinale of the oral cavity clinically resembling actinomycosis is reported. This condition should be considered in the differential diagnosis of chronic ulcerative lesions of the mouth, especially in patients with associated genital ulcers.
Sondheimer J M - - 1985
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 ...
Guyton D P - - 1985
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. ...
Shockley W W - - 1985
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 ...
Araki S - - 1985
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 ...
Harper N - - 1985
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.
Young T B - - 1985
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 ...
Amin R - - 1985
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 ...
D'Angelo G - - 1985
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 ...
Lee S - - 1984
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 ...
Davies M R - - 1984
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 ...
Van Olmen G - - 1984
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 ...
Barber G B - - 1984
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 ...
McGill C A - - 1984
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 ...
Cheli R - - 1984
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 ...
Chi I - - 1984
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 ...
Cockrell C H - - 1984
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 ...
Schwarzman M I - - 1984
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 ...
Fawcett S - - 1984
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 ...
Impieri M - - 1984
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 ...
Black R E - - 1984
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 ...
Tsoïtis G - - 1984
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 ...
Pederson W C - - 1984
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 ...
Cohen M D - - 1984
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 ...
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