Behçet's syndrome represents a multisystemic disease with vasculitic changes. We here describe a patient with Dieulafoy's ulcer and oral, genital and bronchial mucosal lesions who met the criteria of incomplete Behçet's syndrome. The rare observation of Behçet's syndrome presenting with Dieulafoy's ulcer in our patient raises the question as to ...

Intestinal perforation in human immunodeficiency virus-positive patients due solely to Kaposi's sarcoma (KS) has rarely been described. A homosexual man with acquired immunodeficiency syndrome-related KS who presented with an acute abdomen is presented. He was found to have a jejunal perforation through a small KS lesion. There were no infectious ...

The solitary rectal ulcer syndrome is an uncommon condition in which a benign ulceration area develops in the rectum. There is evidence that the solitary rectal ulcer syndrome is associated with rectal prolapse either overt or occult. The place of surgery in the management of this condition is not yet ...

BACKGROUND: The aetiology and pathology of rectal prolapse and solitary rectal ulcer are poorly understood. AIMS: To examine the full thickness rectal wall in these two conditions. METHODS: The pathological abnormalities in the surgically resected rectal wall were studied from nine patients with solitary rectal ulcer syndrome, 11 complete rectal ...

OBJECTIVE: Solitary rectal ulcer syndrome is characterized by rectal bleeding, tenesmus, and difficult evacuation. Evacuation proctography can be used in patients with solitary rectal ulcer syndrome to diagnose associated internal or external rectal prolapse and delayed or incomplete rectal emptying. The objective of this study was to determine the proctographic ...

BACKGROUND: There are no previous reports addressing a link between leg ulcers and the reflex sympathetic dystrophy (RSD) syndrome. OBJECTIVE: The purpose of this study was to define the incidence and characteristics of a possible RSD leg ulcer syndrome. METHODS: Leg ulcers encountered in private practice were retrospectively analyzed for ...

The complement system becomes activated during blood-membrane contact in the dialyser. This study was designed to evaluate to what extent the dialyser design, the sterilization method, and the type of dialysate influence complement as measured by C3d. Twelve patients were dialysed three times on each of four different dialysers. Two ...

A dacryocystorhinostomy may fail due to a problem along the canaliculus, at the ostomy site of nasolacrimal sac to nose, due to an intranasal problem or related to the stent. The "sump syndrome" occurs when a residual nasolacrimal sac forms, collects fluids, and leads to tearing. This entity, although uncommon, ...

A 73-year-old woman with a transtracheal oxygen catheter in place developed sudden onset of respiratory distress and subcutaneous emphysema. Bronchoscopy revealed the presence of three posterior tracheal wall perforations and a blind pouch arising from one of the perforations. Subsequent bronchoscopies revealed complete healing of the perforations. We believe that ...

A 15-year-old female suffered from a persistent ulcer which developed in her knee. At the ninth operation, intraarticular knee arthrodesis was performed but the ulcer recurred. The most effective treatment was neither thorough debridement nor a free musculocutaneous flap covering, but the application of a plaster cast. The condition is ...

Solitary Rectal Ulcer Syndrome (Rectal Prolapse Syndrome) is an uncommon and imperfectly understood entity which, however, should be included in the differential diagnosis of ano-rectal symptoms. This article reports on the nine cases so far diagnosed at the University Hospital of the West Indies (UHWI), and offers a brief review ...

Nocardioform actinomycetic organisms were present regularly in, and isolated repeatedly from, different varieties of fish affected with epizootic ulcerative syndrome lesions of dermis, muscle, subcutaneous tissues and internal organs. These acid-fast bacilli, resembling human and rat leprosy bacilli, together with other actinomycotic bodies, appeared to explain the characteristic macrophage granuloma ...

Vasculitis in many forms has been reported rarely in association with ulcerative colitis. We report the occurrence of necrotizing vasculitis in a 48-year-old man 19 years after the onset of ulcerative colitis and 5 years after total colectomy with rectal preservation. The disease was limited to small arteries of skin ...

Acid fast rods, constituting chemoautotrophic nocardioform bacteria, could be repeatedly cultivated and isolated and propagated indefinitely in vitro from fish actinomycotic macrophage granuloma from the massive epizootics of ulcerative disease syndrome of fish in eastern India during 1988-90. The possible human hazards of zoonotic actinomycotic infections as a result of ...

Histological analysis of 33 rectal biopsies from 26 patients of solitary ulcer syndrome (SUS) of rectum was undertaken. Fibrous obliteration and smooth muscle extension into the lamina propria were the characteristic and most constant findings. The limitation of the biopsy procedure in procuring deeper tissue made the detection of colitis ...

Instrumentation is the most common cause of esophageal perforation, usually at or above a stricture. We report an unusual case in which the perforation occurred distal to a proximal esophageal stricture during diagnostic endoscopy. The perforation occurred close to the gastroesophageal junction involving an apparently normal esophagus, in a manner ...

Two patients, one with Sézary syndrome and one with mycosis fungoides are described, in whom lesions on the palms and soles were associated with extensive ulceration and gave rise to diagnostic difficulty. Extensive ulceration of the palms and soles is uncommon; its presence should alert clinicians to the possibility of ...

Scrotal cestodiasis was diagnosed from a surgical biopsy specimen from an 8-year-old Miniature Poodle. Peritoneal cestodiasis with secondary scrotal cestodiasis was suspected and could be explained by migration of the parasite along the vaginal tunics. Subsequent necropsy confirmed severe peritoneal cestodiasis due to Mesocestoides sp. It appears that scrotal cestodiasis ...

The solitary rectal ulcer syndrome is an uncommon entity consisting of a rectal abnormality caused by straining during defecation and characterized by specific histologic changes. Endoscopy may show single or multiple ulcers or a preulcerative phase consisting of mucosal thickening. Findings on barium enema may be normal or nonspecific, consisting ...

We describe a syndrome of fever, pericarditis, and symptomatic pericardial effusion beginning 2 months after transvenous insertion of a permanent pacemaker in a 75-year-old woman. The syndrome improved dramatically following pericardiocentesis and resolved after subsequent administration of indomethacin. Although right ventricular perforation during pacemaker insertion was not recognized, inadvertent perforation ...

Anorectal ulceration was observed in 6 patients who excessively used suppositories containing ergotamine tartrate. The mucosal lesions of the rectum resembled those observed in the "solitary rectal ulcer syndrome." However, characteristic features of ergotamine-induced ulcers are absence of a mucosal prolapse, lack of a history of constipation, and rapid healing ...

Rectal prolapse and solitary rectal ulcer syndrome are both benign conditions affecting the rectum, mainly in women; prolapse tends to occur late in life, while solitary rectal ulcer syndrome has a predilection for the younger adult. Complete rectal prolapse probably starts as a mid-rectal intussusception, although a combination of this ...

A 20-yr-old Japanese man with longstanding Behçet's disease had pyloric stenosis and multiple duodenal ulcers. The pyloric stenosis was due to edematous hypertrophy of the pyloric ring and was unrelated to duodenal ulceration. The evidence suggests that the pyloric stenosis and multiple duodenal ulceration were a manifestation of Behçet's syndrome ...

Forty-three patients with histologically proven solitary ulcer syndrome of the rectum were examined by defaecography and 33 by barium enema. Barium enema showed changes in the rectum in all cases. Thickening of the rectal folds and spasm were most common, followed by ulceration and pseudopolypoid change. None of these changes ...

The solitary rectal ulcer and colitis cystica profunda are different manifestations of the solitary rectal ulcer syndrome. The cause of solitary rectal ulcer syndrome remains unknown. Since defecation disorders are common among patients with solitary rectal ulcer syndrome, defecography is indicated. Defecography was performed on 19 patients with solitary rectal ...

Five probable cases of Meckel's syndrome have been ascertained retrospectively through the Leicestershire Perinatal Mortality Survey for the years 1976 to 1982. All of these babies were born to Hindu parents originating from the Gujarat State in India, suggesting that Meckel's syndrome is particularly common among this ethnic group, with ...

Solitary rectal ulcer syndrome is a benign condition of unknown aetiology, usually found in young adults. The main clinical complaint is of rectal bleeding, often with change in bowel habit. The radiological findings in 17 patients with histologically proven solitary rectal ulcer syndrome, seen at the General Infirmary at Leeds ...

It had been suggested that Dyggve-Melchior-Clausen syndrome may be due to the deficiency of a specific sulfatase and/or a protease involved in proteoglycan degradation. The ability of Dyggve-Melchior-Clausen fibroblasts to endocytose and degrade 3H-leucine- and 35S-sulfate-labelled proteodermatan sulfate and 35S-sulfate-labelled proteokeratan sulfate, respectively, was therefore investigated. The turnover of cell-associated ...

A radiologic study of 4 biopsy-proven cases of the solitary rectal ulcer (S.R.U.) syndrome was undertaken. The radiologic findings of S.R.U. were rectal stenosis (one with ulcer), polypoid rectal mass, and multiple sub-mucosal defects with shallow ulcers. The S.R.U., which is benign and requires only dietetic treatment, must be differentiated ...

For the first time in the literature, a syndrome that leads to ventral penile deviation is described-urethral manipulation syndrome (UMS, Kelâmi). This condition is due to fibrosis and scarring of corpus cavernosum urethrae (spongiosum) after any kind of urethral manipulation. In cases of impossible penetration, reconstructive surgery straightens the penis.

The presence of air in the retropharyngeal and cervical subcutaneous spaces of the neck in association with the acute onset of severe odynophagia and dysphagia is an uncommonly recognized initial feature of pneumomediastinum. Free air in the mediastinum extends into the neck via fascial planes. Spontaneous pneumomediastinum is a self-limited ...

A case of Meckel's diverticulum is presented in a 17-month-old girl following technetium pertechnetate radioisotope scan. The patient had presented 10 months earlier with the first episode of passing bloody stools. A Meckel's diverticulum was resected during surgery. Reasons for the original false-negative examination are presented.

Trauma to hard and soft tissues of the oral and perioral regions occurs due to laryngoscopy. This paper identifies patients predisposed to dental complication preoperatively, explains the course to be taken intra- and post-operatively should such a complication occur and presents a modification of the MacIntosh laryngoscopy blade suitable for ...

The gastrointestinal manifestation of Behçet's syndrome including colitis and esophageal ulceration has been reported in the past few years. However, esophageal ulceration associated with Behçet's syndrome is a rare condition. There appears to be only seven reports of esophageal ulceration associated with Behçet's syndrome. We have recently observed esophageal ulceration ...

Non-polypoid hyperplastic mucosa similar to that adjacent to colorectal carcinomas and adenomas, the so-called "transitional mucosa" (TM), was found in 16 out of 27 cases of solitary ulcer syndrome of the rectum. In 18 cases fully developed hyperplastic (metaplastic) mucosa was also found. It is suggested that chronic ischaemia which ...

In a four-year-old boy perforation of a peptic ulcer occurred in a Meckel's diverticulum located on a duplication of the small intestine. Complications in connection with Meckel's diverticulum and intestinal duplication are discussed, and also the indications for surgery. If the duplication is too large for resection, continuity of passage ...

A patient with Behçet's syndrome manifested by optic atrophy, purulent conjunctivitis and orogenital ulcerations presented with a high fever and pericardial effusion. A mixed cryoglobulinemia (immunoglobulin A (IgA)-immunoglobulin G (IgG)) was observed. Treatment with indomethacin resulted in rapid defervescence, resolution of the pericardial effusion and the orogenital ulcerations, and disappearance ...

Inquiries were made to all oceanaria that maintain killer whales in North America. Causes of death determined at necropsy included mediastinal abscesses, pyometra, pneumonia, influenza, salmonellosis, nephritis, Chediak-Higashi syndrome, fungus infection, ruptured aorta, cerebral hemorrhage and a perforated post-pyloric ulcer. Captive females appear to have a higher rate of mortality ...

Thirteen patients with giant duodenal ulcer manifested with a distinct clinical syndrome. The condition has a characteristic clinical, radiological and endoscopic presentation. It is associated with a high mortality when treated medically, and constitutes a definite indication for surgery. The giant duodenal ulcer forms a high proportion of duodenal ulcers ...

Because of rapid technological advances in endoscopic instrumentation, electrosurgical polypectomy and electrocoagulation has become a reality in the upper gastrointestinal tract. Twenty gastric polyps and three duodenal polyps have been removed. Six additional hyperplastic gastric polyps were electrodesiccated. Nine gastric ulcers, four duodenal ulcers, one hemorrhagic gastritis, one gastric varix ...

Estimation of the concentration of C9, C-reactive protein (CRP) and alpha1-antitrypsin in forty sera from patients with Behcet's syndrome and recurrent oral ulcers showed significantly increased amounts of C9 and CRP in Behcet's syndrome. The concentration of C9 was also significantly raised in recurrent oral ulceration, though to a lesser ...

The intractable ulcer is usually complicated because of posterior penetration, obstruction, or postbulbar or channel location; or it is an atypical ulcer such as those occurring with the ZE syndrome, hyperparathyroidism, and the milk-alkali syndrome. The management of intractability depends upon finding the cause and initiating the appropriate therapy. Many ...

The association of left vocal cord paresis with an esophageal diverticulum pointing to the left at the aorto-bronchial level constitutes a syndrome resulting from mediastinal fibrosis in that region. Demonstration of this type of diverticulum in a case of unexplained left cord paresis establishes mediastinal fibrosis as its cause.

Extrahypothalamic lesions of central trigeminal structures produce a syndrome of aphagia, adipsia, finickiness, and food spillage. The similarity of these effects to the lateral hypothalamic syndrome and the location of trigeminal structures within the diencephalon suggest that some components of the lateral hypothalamic syndrome are due to incidental damage to ...

With the rise in pH of gastric juice that results from vagotomy, there is a high incidence of intraluminal gastric Candida albicans overgrowth in the immediate postoperative period. There appears to be no clear cut correlation between gastric Candida overgrowth and the post-vagotomy diarrhea syndrome. Mycostatin has not had a ...

Despite the increasing number of reports of Yersinia enterocolitica infection in humans, septicemia with this organism has remained a rare complication. A 73-year-old woman presented with fever, jaundice, hepatomegaly and cellulitis. Microorganisms isolated from both skin lesion and blood were biochemically and serologically identified as Yersinia enterocolitica, biotype 4, serotype ...

The case is described of a patient presenting with signs and symptoms of a large bowel obstruction with perforation, who at laparotomy was found to have caecal volvulus but no obvious cause for the air under the diaphragm. On dissection of the lesser sac, he was found to have an ...

Dyspepsia or indigestion is one of the most common disorders that is managed by general practitioners and gastroenterologists. Non-ulcer dyspepsia can be defined as upper abdominal pain or nausea in patients in whom endoscopy reveals no evidence of peptic ulceration or gastric cancer. Non-ulcer dyspepsia is a heterogeneous disorder and ...

It has been found that a ;gastric' type of epithelium tends to develop in the first part of the duodenum in patients with duodenal ulceration and is found in the second part of the duodenum in a patient with the Zollinger-Ellison syndrome. It is likely that ;gastric' epithelium appears when ...

It is well known that in the treatment of tuberculosis with isoniazid the complication of peripheral neuritis may arise. This complication is normally rare when small dosages of the drug are used, but a high incidence of the neuropathy has recently been observed in East Africa in a group of ...