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Results 301 - 350 of 576
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McNamee C J - - 2000
Spontaneous esophageal perforations are associated with a high mortality and morbidity without surgery. The treatment mortality for early (<24) and late (>24 h) spontaneous esophageal perforations is reviewed as well as all recent cases of chronic spontaneous esophageal perforations. Chronic esophageal perforations with mediastinal cavities may be best treated by ...
Fang M - - 2000
We report the case of a 90-year-old woman, previously diagnosed with jejunal and colonic diverticula, who presented with left lower quadrant abdominal pain suggesting either colonic diverticulitis or ischemic colitis. A computed tomography scan revealed a perforated jejunal diverticulum with abscess formation. The patient promptly was treated surgically without complications. ...
Lorenzana E R - - 2000
BACKGROUND: Certain mucocutaneous diseases present with painful, ulcerative, or erosive oral manifestations. Chronic ulcerative stomatitis is a newly recognized disease of unknown origin which presents clinically with features of desquamative gingivitis. This report marks only the thirteenth case reported in the world literature. A review of previous reports and studies ...
Arnbjörnsson E - - 1999
The authors report the case of a child born with a gastroschisis and an ileal atresia. After surgery, only 100 cm small bowel and the distal one third of his colon remained. Perianastomotic ulcers developed 6 years later. These were treated successfully with ranitidin, a treatment not previously reported in ...
Laskin B L - - 1999
We report a case of juvenile dermatomyositis in which a dilated atonic esophagus was associated with delayed gastric emptying and intestinal mucosal thickening, resulting in a radiographic "stacked coin" appearance. These findings, which can also occur in infectious, neoplastic, or other immune-mediated diseases, broaden the spectrum of gastrointestinal tract manifestations ...
Kidd M - - 1999
BACKGROUND: We conducted a retrospective literature review of all the data published on Helicobacter pylori in Africa in order to test whether the prevalence of diseases associated with this organism differs from that in developed nations. METHODS: Both sero-epidemiological (n = 8) as well as prospective endoscopic studies in subjects ...
Patel S V - - 1999
We present a case of confined duodenal ulcer perforation diagnosed on ultrasound. Locules of gas were visible in the fissure for ligamentum teres along with a small amount of free fluid in Morrison's pouch and thickening of the gall bladder wall. To our knowledge, "free" intraperitoneal gas confined to the ...
Tan M P - - 1999
Alternative medicine is widely publicized in Singapore. To date there are few reports of complications arising as a result of such treatments. However, there is no legislation as yet governing alternative medicine practitioners. We present an unusual case of a patient who developed life-threatening perineal gangrene as a result of ...
Chen C Y - - 1999
Endoscopic sphincterotomy with stone removal is the method of choice for the treatment of choledocholithiasis. The main complications of this procedure are bleeding, pancreatitis, intestinal perforation and cholangitis. Herein, we report on a case of bile peritonitis in a patient who underwent sphincterotomy and stone retrieval. The literature regarding the ...
Jasper D R - - 1999
PURPOSE: Diverticulitis of the transverse colon is a rare disorder and is often confused with other conditions. Previously reported cases of transverse colon diverticulitis were diagnosed and treated by surgical exploration. Four cases are presented that were successfully managed with a nonsurgical approach. METHODS AND RESULTS: Review of the literature ...
Verbeeck N - - 1999
Though duodenal diverticula are frequent and most often asymptomatic, they can cause serious complications. We present a case of duodenal diverticulitis without perforation, diagnosed by CT and treated conservatively by means of endoscopic maneuvers and medical therapy. A review of the recent literature regarding duodenal diverticula, complications, diagnosis and management ...
Liacouras C A - - 1999
Eosinophilic gastroenteritis (EG) was first described over 50 years ago. Despite its long history, it remains an ill-defined and poorly understood entity. EG can present in a number of ways, none of which are exclusive to the disorder. EG has features of allergy and immune dysregulation but does not clearly ...
Tani A - - 1999
We report a case of adult T-cell leukemia (ATL) with gastric involvement visualized by 111In-chloride scintigraphy. A 55-year-old male patient presented with upper abdominal pain and appetite loss. His barium gastric series showed multiple ulcerating polypoid tumors due to gastric involvement of ATL. These lesions accumulated 111In-chloride and were also ...
Nahas S C - - 1999
Colonoscopy is employed in prevention, diagnosis, follow-up and treatment of colorectal diseases. The technological advancement of colonoscopes and supplementary equipment, has broadened indications for colonoscopy. However, since it is an invasive method with potential complications and hazards it should be performed by specialists capable of preventing, recognizing and treating them. ...
Sherman A - - 1999
Pill-induced esophageal injury is a well described clinical entity. In contrast, pill-induced gastric injury has not been well characterized. In this report, we describe two patients with acute gastric ulcers due to pill ingestion and review the available literature on pill-induced gastric injury. The first patient presented with upper gastrointestinal ...
Díaz Candamio M J - - 1999
Colonic amyloidosis is frequent, although rarely radiographically evident. The radiological findings are varied and unspecific. We report a case of perforated giant colonic diverticulum (GCD) diagnosed by helical CT in which amyloid deposition was pathologically demonstrated. The patient was a renal transplant recipient who previously had undergone hemodialysis for 10 ...
Boggi U - - 1999
We report the case of a 38-year-old man who, 2 weeks after a laparoscopic Nissen fundoplication, was referred to our Unit because of acute wrap herniation and intrathoracic gastric perforation. Although both of these complications have already been described, this is the first case in which they have occurred simultaneously ...
Cherney C L - - 1999
Emphysematous gastritis is an often lethal, rare clinical entity referring to air bubbles in the wall of the stomach produced by gas-forming bacteria. Invasive gastrointestinal mucormycosis is an unusual clinical presentation of this invasive fungal disease. We report the first case of invasive gastric mucormycosis occurring with emphysematous gastritis, and ...
Gendeh B S - - 1998
Septal perforation from intranasal cocaine abuse is well recognised. We present a case of progressive septal as well as palatal perforation. Progression from septal perforation to palatal perforation occurred after cessation of intranasal cocaine abuse. This patient had a weakly positive cytoplasmic antineutrophilic cytoplasmic antibody (C-ANCA) but no histologic evidence ...
Joo J H - - 1998
Trichuriasis is an intestinal infection found in human beings which is caused by Trichuris trichiura, more commonly known as whipworm because of its whip-like appearance. It is characterized by the invasion of the colonic mucosa by the adult Trichuris and produces minor inflammatory changes at the sites of localization. It ...
Ferrari Júnior A P - - 1998
OBJECTIVE: To describe a case of esophageal ulcer associated with the use of alendronate. CASE REPORT: This is the fifth case ever described in the literature according to our bibliographic review. In our patient, the association between the drug and the esophageal lesions was masked by the presence of a ...
Ajuluchuku E U - - 1998
We report on a case of total colonic aganglionosis successfully treated by a modified Martin procedure under the specific environmental circumstances of a developing country. The single-approach procedure comprises a preservation of the ileocaecal valve and a long ileum patch for the remaining colon and rectum after left hemicolectomy with ...
Hudson L B - - 1998
BACKGROUND: Two cases of genital ulcerations caused by Epstein-Barr virus have been reported previously, one in a sexually active 23-year-old and another in a 14-year-old practicing cunnilingus. CASE: We report a case of Epstein-Barr virus genital ulcerations in a premenarcheal virgin. Her systemic symptoms were atypical for mononucleosis. Necrotizing genital ...
Khachaturian T - - 1998
Gastric xanthelasma is a benign condition that must be differentiated from early carcinoma. The first descriptions of this condition appeared in the literature >100 yr ago but, to date, no adequate photographs of the gross endoscopic appearance have been published. With the hope of increasing awareness of this condition, we ...
Houshian S - - 1998
Volvulus of the transverse colon is extremely rare in children. A case report of this unusual condition in a 9-year-old girl is presented together with a review of the literature. The transverse colon volvulus was managed operatively by detorsion. Four and half months later, she had a similar attack. Colonoscopic ...
Cervin A - - 1998
The use of intranasal steroids for the treatment of allergic and vasomotor rhinitis has doubled during the past 5 years. The number of reported cases of nasal septum perforation has increased correspondingly. The mechanism behind this is unknown, and steroid-induced septum perforation is rarely described in the literature. In order ...
Lichtstein D M - - 1998
Although Meckel's diverticulum is the most common congenital abnormality of the gastrointestinal (GI) tract, complications in adults are rare, especially in the elderly. Intestinal obstruction is the most common complication in the adult, and inflammation mimicking acute appendicitis may also occur. Lower GI bleeding as a result of Meckel's diverticulum ...
Kessler J L - - 1998
A patient evaluated for otitis media had a bizarre tympanogram with a "sawtooth" configuration. Acute otitis media with a pinpoint perforation was diagnosed. After resolution of the acute infection, a 2-mm diameter perforation remained and the presence of a patulous eustachian tube was documented. Tympanoplasty was eventually required, after which ...
Taylor S - - 1998
To date there have been only five reported cases of females with genital ulceration associated with primary Epstein-Barr virus infection. We describe two further patients and review the clinical features of all seven cases, noting the typical features, particularly purple ulcer margins and systemic symptoms, which should alert the physician ...
Yali Z - - 1998
The presence of Helicobacter pylori (H. pylori) in the stomach is closely associated with histological signs of chronic active gastritis and peptic ulcer. Another spiral organism named Gastrospirillum hominis (G. hominis) has led to further interest in the bacterial pathogenesis of gastritis. Due to the low prevalence of G. hominis, ...
Saltzman D A - - 1998
Hemolytic uremic syndrome (HUS) consists of an acute onset of microangiopathic hemolytic anemia, thrombocytopenia, and renal dysfunction. HUS-associated colitis can be seen in up to 100% of patients and is usually associated with severe abdominal pain and distention. Colonic perforation is a complication of HUS that has a reported incidence ...
Almoudarres M - - 1998
Noncirrhotic portal hypertension results from thrombosis of the extrahepatic portal vein that subsequently is recanalized. Liver function is preserved. In the adult, esophageal variceal hemorrhage is the most common presentation and may occur years after the portal vein thrombosis. We report the case of a 34-year-old man who presented with ...
Fidler J L - - 1998
Intraluminal duodenal diverticulum is a rare congenital anomaly consisting of a saclike projection within the duodenum. Small diverticula may be asymptomatic; however, when these enlarge, patients may develop recurrent episodes of pain, obstruction, or pancreatitis. Normally, the diagnosis is made by barium luminal examination. We report a case where the ...
Paladugu R - - 1998
BACKGROUND: Nontraumatic perforations of the extrahepatic biliary ductal system are a rare albeit recognized occurrence in the cystic duct, choledochus and main hepatic duct; the latter appears to be the rarest. METHODS: Recent experience with such a case prompted a thorough review of 26 similar cases previously reported. RESULTS: It ...
Cohen M E - - 1997
Pneumomediastinum can be caused by gas dissecting along fascial tissue planes into the mediastinum from remote locations, including the retroperitoneum. One potential source of retroperitoneal gas is the colon. We present the third reported case of pneumomediastinum (plus pneumothorax and subcutaneous emphysema) without free intraperitoneal gas developing during an attack ...
Sarkar M R - - 1997
Penetration of vena cava inferior filter spikes through the vessel wall is a frequent but only rarely symptomatic complication of these devices. We report a case of upper gastrointestinal haemorrhage 11 year after implantation of a Mobin-Uddin filter. At gastroduodenoscopy a filter spike protruding from the duodenal mucosa was identified ...
Van Wijngaarden P - - 1997
We report a patient presenting with melena. Endoscopic examination showed gastric fundal varices as well as colonic varices. The latter is rarely encountered and is usually associated with portal hypertension. On angiography there appeared to be a splenic vein thrombosis which is only reported once earlier as a cause of ...
Maurice P D - - 1997
A case of acquired perforating dermatosis associated with diabetic nephropathy is described. The case is unusual in that the dermatosis first developed approximately 1 year after renal transplantation rather than at a time when renal function was more severely impaired or during haemodialysis. There was a partial response to treatment ...
Budhiraja S - - 1997
This is a retrospective study of 27 cases of congenital short colon with anorectal malformation (pouch colon syndrome) treated during the last 5 years (from January 1991 to December 1995). The radiological feature of enormously dilated colonic pouch occupying more than half the width of abdomen was diagnostic in almost ...
Croaker G D - - 1997
Colonic atresia (CA) has been reported in association with Hirschsprung's Disease (HSCR) on 11 previous occasions. In most reported cases the atresia has involved the right side of the colon; but in this, the twelfth case report, the atresia involved the left side of the colon, with aganglionosis of the ...
Miller J T JT - - 1997
Varices in unusual sites constitute a minor but significant cause of gastrointestinal bleeding in patients with liver disease. We report a case of varices across the anastomotic line between the jejunum and gallbladder after cholecystojejunostomy. Although such varices have been demonstrated by angiography, to our knowledge they have never been ...
Zwick A - - 1997
Gastric adenocarcinoma has been previously recognized as a potential complication of familial adenomatous polyposis coli (APC) and attenuated forms of APC (AAPC). This tumor has only been reported to originate from adenomatous polyps of the gastric mucosa in these clinical conditions. There have been no previous case reports of gastric ...
Kaempffe F A - - 1997
A case of a central perforation of the horizontal portion of the triangular fibrocartilage complex in a 17-year-old girl is reported. The age of the patient, along with normal articular surfaces of the ulnar head and ulnar carpus and the lack of an ulnar-positive wrist, made the existence of a ...
Kristopaitis T - - 1997
A 24-yr-old female presented with a giant gastric ulcer and anemia. She suffered from a transient infantile malabsorption syndrome with eosinophilia. The diagnosis of eosinophilic gastroenteritis associated with the gastric ulcer was made by endoscopic biopsy. Ulcer healing was refractory to medical therapy and partial gastrectomy was performed. Histologic examination ...
Deslandres C C Division of Gastroenterology and Nutrition, Hôpital Ste-Justine, Montreal, - - 1997
An 11-year-old boy with eosinophilic gastroenteritis treated by an elimination diet alone presented with a perforated gastroduodenal ulcer subsequent to blunt trauma to the abdomen. Peripheral eosinophilia, chronic iron deficiency, chronic hypoalbuminemia and severe failure to thrive had been present since age 2 years. Immunological work-up revealed food allergies, documented ...
Shekhar K C - - 1997
Strongyloides stercoralis infection is of low prevalence in Malaysia. We report an unusual case presenting primarily with gastric symptoms. The patient was a 72 years old Chinese male admitted for progressive weight loss and abdominal bloating. Gastroscopic examination revealed mucosal prepyloric elevations in the gastric mucosa. Gastric strongyloidiasis was confirmed ...
Schaefer D C - - 1997
Gastric volvulus has been described in the medical literature for centuries. The acute presentation of gastric volvulus is dramatic and not often missed, and it is this type that is usually quoted in the literature and case citations. The subacute or chronic type, however, is frequently not recognized early in ...
Heinicke J M - - 1997
Meckel's diverticulum is the most common congenital abnormality of the gastrointestinal tract. Bleeding of the diverticulum from a peptic ulcer due to ectopic gastric mucosa makes up 25% of all complications in the disease. We report a case of a 20 year old male with chronic anemia, severe hematochezia and ...
Muhammed K - - 1997
Indolent leg ulcertation, which is the rarest manifestation of hereditary spherocytosis, started at the age of 5 years affecting a 15-year-old boy and his mother is reported. Review of literature showed very few reports from India and abroad. The response to oral folic acid was excellent.
Muraoka A - - 1996
Anisakiasis is a disease which occurs following eating raw fish infected with anisakis larvae. Many cases have been reported from Japan and from other countries with increasing opportunities of eating raw fish such as "sushi" and "sashimi." We have reviewed 28 patients with acute gastric anisakiasis during the last 10 ...
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