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Case Report
"Strongyloides Stercoralis infection associated with repititive bacterial meningitis and SIADH : a case reportPrice: €10,00 |
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| Abstract
Strongyloidiasis is an infection by the intestinal parasite
Strongyloides Stercoralis, which usually stays asymptomatic. In
some situations a hyperinfection or disseminated disease can occur.
We report a case of a 49-year-old Congolese man with a medical
history of 5 episodes of bacterial meningitis, who presents himself
with a paralytic ileus and a low serum sodium. A Strongyloides
hyperinfection with a syndrome of inappropriate secretion of the
antidiuretic hormone (SIADH) was diagnosed. After treatment
with ivermectine the abdominal symptoms subsided and the serum
sodium returned to normal values. In comparison to other case
reports our patient had no respiratory or gastrointestinal
symptoms during the episodes of bacterial meningitis. Screening
for Strongyloides stercoralis is indicated in patients with unexplained
SIADH, bacterial meningitis or bacterial septicaemia, who
originally come from endemic countries. (Acta gastro enterol. belg.,
2008, 71, 413-417). [Product Details...] |
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An unusual presentation of Tangier disease with gallbladder involvementPrice: €10,00 |
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| Abstract
Tangier disease is a rare, autosomally inherited disorder of
lipoprotein metabolism characterized by absence or marked
deficiency of normal high density lipoprotein (HDL) cholesterol
in plasma resulting in the accumulation of cholesterol esters in
various organs. A 57-year old male with a past medical history of
hypertension, coronary artery disease and splenectomy admitted
to our hospital for rectal bleeding. In routine laboratory tests
thrombocytopenia, hypocholesterolemia and low HDL levels were
detected. Colonoscopy revealed 1-3 mm sized, brownish, spotty
lesions spread throughout the colonic mucosa. Histopathologically
accumulation of foam cells which showed lipid vacuoles and
myeline figures on electron microscopy were observed. Bone
marrow biopsy was also suggestive of lipid storage disease. The
laparoscopic operation performed for acute cholecystitis showed
similar appearances in the gall bladder and liver. The case was
diagnosed as rare presentation of Tangier disease with gallbladder
involvement in view of the low HDL cholesterol level and systemic
lipid deposition. (Acta gastro enterol. belg., 2008, 71, 397-400). [Product Details...] |
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Cytomegalovirus colitis in an apparently immunecompetent host after biliopancreatic diversion for obesityPrice: €10,00 |
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| Abstract
CMV colitis in an immunocompetent host is a rare occurrence.
We report a case of CMV colitis after biliopancreatic diversion
surgery . The diagnosis of primary CMV infection with CMV
colitis was based on histological examination of tissues biopsies
obtained at colonoscopy, serology positive for CMV-IgM and
CMV-IgG antibodies and a good response to systemic gancyclovir
treatment. Malnutrition and colonic mucosal damage, both consequences
of biliopancreatic diversion surgery, were thought to be
predisposing factors.
To our knowledge this is the first report in the English language
literature of an association between CMV colitis and status following
biliopancreatic diversion surgery. (Acta gastro enterol. belg.,
2008, 71, 423-426). [Product Details...] |
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Eosinophilic gastroenteritis observed by double balloon enteroscopy and endoscopic ultrasonography in the whole gastrointestinal tractPrice: €10,00 |
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| Abstract
Eosinophilic gastroenteritis is a chronic inflammatory disorder
of the gastrointestinal tract characterized by the infiltration of
eosinophils. It is a rare disease.There are no reports in the history
of eosinophilic gastroenteritis being consecutively observed in the
whole gastrointestinal tract by esophagogastroduodenoscopy
(EGD), double-balloon enteroscopy (DBE), and endoscopic ultrasonography
(EUS). A 66-year-old woman was admitted to our hospital
because of abdominal pain and diarrhea. Laboratory findings
included peripheral eosinophilia and a high serum immunoglobulin
E level. We observed the whole gastrointestinal tract by EGD,
DBE (antegrade and retrograde approaches), and EUS. DBE
showed slightly edematous and reddish mucosa in the jejunum,
ileum, and ascending colon, respectively. EUS in all portion of the
gastrointestinal tract demonstrated almost normal five-layered
structure without ascites. Histologic examination of the biopsy
specimens from the stomach, duodenum, jejunum, ileum, colon
and rectum revealed eosinophilic infiltration. No evidence of parasites,
granulomas, malignancy, vasculitis or embolism was founded
in any of the biopsy specimens. The patient was diagnosed with
eosinophilic gastroenteritis with predominant mucosal layer form.
She was treated with oral corticosteroid, and her symptoms
subsided . To the best of our knowledge, this is the first case of
eosinophilic gastroenteritis in which the whole gastrointestinal
tract was consecutively observed by EGD, DBE, and EUS. (Acta
gastro enterol. belg., 2008, 71, 418-422). [Product Details...] |
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Jaundice as a misadventure of a green tea (camellia sinensis) lover : a case reportPrice: €10,00 |
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| Abstract
The case of a 76-year-old retired surgeon and lover of green
tea (camellia sinensis) infusions who developed a clinical, serobiochemical
and histological picture of severe subacute hepatitis is
reported. The clinical presentation was that of jaundice with asthenia
and weight loss. Abnormal liver function tests were associated
with hyper-gammaglobulinemia, and the transient presence of
anti-smooth-muscle antibodies and ANCA. Liver histology showed
mixed features of lobular hepatitis with central collapses, portal
inflammatory cells infiltration and interface hepatitis. All other
potential causes of hepatitis were excluded on the basis of clinical,
biochemical and serological data. Herbal preparation withdrawal
resulted in a slow and continuous improvement with a complete
clinical and sero-biochemical resolution after 7 months. (Acta
gastro enterol. belg., 2008, 71, 409-412). [Product Details...] |
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Lymphocytic colitis in a child with non-responsive celiac diseasePrice: €10,00 |
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| Abstract
In celiac disease, symptoms usually improve with strict adherence
to diet. Some patients however do not show improvement
despite of diet therapy. We here report a girl with non-responsive
celiac disease whose diarrhea did not improve despite of a gluten
free diet. A 12-year-old girl with recurrent diarrhea and failure to
thrive was diagnosed with celiac disease. After six months of
gluten-free diet her symptoms persisted. Adherence to diet was
considered as correct and complete by a dietitian evaluation and by
anti-endomysial antibodies that had become negative. Treatment
with pancreatic enzymes, metronidazole or lactose free diet did not
improve her symptoms. Colonoscopy was performed and lymphocytic
colitis was diagnosed on histology from colonic biopsies. After
mesalamine therapy diarrhea ceased, and weight and height z
scores increased. Lymphocytic colitis, which is uncommonly seen
in children compared to adults, should be considered in nonresponsive
celiac disease in children. (Acta gastro enterol. belg., 2008,
71, 393-395). [Product Details...] |
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Primary pancreatic neoplasia or metastasis from colon carcinoma ?Price: €10,00 |
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| Abstract
Introduction : The pancreas is an unusual but occasionally
favored target for metastasis from other primary cancers.
Metastases have been described for various non-hematologic
neoplasms, such as renal-cell carcinoma, pulmonary small-cell
carcinoma , melanoma and gastric carcinoma.
Case report : We report the case of a 77-year old man with a
mass in the pancreatic head five years after anterior resection for
adenocarcinoma of the colon and three years after resection of
a lung metastasis. The patient underwent pylorus-preserving
pancreaticoduodenectomy (Longmire-Traverso) and lymph-node
dissection of compartment II.
Discussion : It is rare to have solitary metastases to the pancreas
which clinically may mimic a primary neoplasm of the pancreas.
Clinical features, as well as MRI and PET findings in patients with
pancreatic metastasis from colon carcinoma are similar to those
of primary pancreatic ductal adenocarcinoma. The diagnosis of
metastasis should be considered when patients have a pancreatic
mass and a history of non-pancreatic malignant lesions. Radical
resection may prolong survival in patients if the pancreas is the
only locus for metastasis at the time of diagnosis. (Acta gastro -
enterol. belg., 2008, 71, 401-408). [Product Details...] |
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Pulmonary embolism due to injection of Histoacryl and Lipiodol during endoscopic sclerotherapy of fundic varicesPrice: €10,00 |
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| Abstract
Pulmonary N-butyl-2-cyanoacrylate embolism is one of the
potential risks associated with endoscopic obliteration of fundic
gastric varices. Due to its uncommon nature, especially in children,
no consensus has been proposed on its optimal management.
Case report : An 11-year-old boy with a longstanding history of
lung- and liver fibrosis with portal hypertension causing haematemesis
underwent endoscopic therapy for fundic varices.
Shortly after injection of 0.5 ml of a N-butyl-2-cyanoacrylate
(Histoacryl®) and lipid soluble ethiodized oil (Lipiodol®) mixture,
he desaturated with secondary hypotension and bradycardia.
Pulmonary embolism was confirmed on chest X-ray. The boy was
successfully treated conservatively. Clinical symptoms subsided
and he was discharged after three days. Pulmonary infiltrations
persisted for two weeks.
Conclusion : Patients including children undergoing obliteration
of gastric varices with Histoacryl and Lipiodol should be subjected
to a close follow-up. Coexisting lung conditions may enhance the
risk of pulmonary embolism and can also influence the outcome.
(Acta gastro enterol. belg., 2008, 71, 387-389). [Product Details...] |
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Solid pseudopapillary tumor of the pancreas as a cause of recurrent pancreatitisPrice: €10,00 |
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| Abstract
Solid pseudopapillary tumor (SPT) of the pancreas is a rare pancreatic
tumor mostly seen in young women. We here report a
twelve-year-old girl presenting with recurrent attacks of pancreatitis.
No history of a systemic disease, trauma, drug usage or infection
was present. All other etiologic factors like familial, hypertriglyceridemia,
hypercalcemia, cystic fibrosis, medications were
excluded. On abdominal ultrasound a heterogeneous mass was
noticed at the tail of pancreas. Computerized tomography and
magnetic resonance imaging proved that the mass was cystic. The
mass was surgically removed. The diagnosis was pancreatic solid
cystic papillary epithelial neoplasm. Although acute pancreatitis
due to SPT was exceptionally reported, this is the first description
of SPT leading to recurrent pancreatitis especially in children.
(Acta gastro enterol. belg., 2008, 71, 390-392). [Product Details...] |
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Printed by Universa Press, Wetteren, Belgium. ©vzw/asbl Acta Gastro-Enterologica Belgica