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A rare complication of Henoch-Schönlein Syndrome : gastrointestinal infarction and perforationPrice: €10,00 |
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We want to report an intestinal perforation with intestinal
ischemia as a result of fatal complication of
Henoch-Schönlein purpura (HSP).
A 39 year old male patient was admitted with 5 days
history of abdominal pain, melena and vomiting.
Abdominal pain was severe and colicky with vomiting.
The patient had respiratory tract infection 2 weeks
before admission. He had also edema and pain in both
ankles a week before admission. On the next day of
admission petechial rashes emerged on posterior of both
legs and in front of each tibias. Biopsy samples from
rashes were taken. Meanwhile, abdominal, knee and
ankle pain worsened. The first laboratory tests revealed
the following results : white blood cells 20.4 × 1000/dl,
haemoglobin 10.2 gr/dl, thrombocytes count 83 ×
1000/L. Abdominal examination disclosed diffuse tenderness
and rebound tenderness. There was severe distension
in the abdomen with reduced bowel sounds. [Product Details...] |
A rare complication of Percutaneous Endoscopic Gastrojejunostomy (PEG-J) : duodenal bulb perforation due to retrograde migrationPrice: €10,00 |
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Jejenum delivery of enteral nutrition with percutaneous
endoscopic gastrojejunostomy (PEG-J) is necessary for
the patients who are complicated by gastro paresis, gastro -
esophageal reflux, gastric resection, pancreatitis, severe
aspiration risk, or gastric feeding intolerance (1). We
present here a patient with esophagomediastinal fistula,
whose nutritional support was maintained through a
PEG-J tube which caused a rare complication.
Sixty-three years old male patient who presented with
shortness of breath, cough, dysphagia and aspiration was
diagnosed lung cancer and esophagomediastinal fistula.
He was hospitalized in our clinic in order to establish
percutaneous enteral access for nutritional support. The
patient was cachectic and had bilateral inspiratory rales
on bases of lungs. [Product Details...] |
Combined endoscopic sphincterotomy and trans-catheter arterial embolization for the treatment and prevention of acute pancreatitis induced by hemobilia from hepatocellular carcinomaPrice: €10,00 |
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Here, we report a case of hepatocellular carcinoma
(HCC) with bile duct invasion and acute pancreatitis.
The patient was successfully treated by endoscopic
sphincterotomy (ES) and bile duct lavage for hemobilia.
Trans-catheter arterial embolization (TAE) was performed
to stop tumor bleeding and recurrent pancreatitis
did not occur anymore during the following 7 years. [Product Details...] |
Dilation of a severe biliary stricture by using a guidewire left in place overnightPrice: €10,00 |
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Endoscopic placement of a biliary stent is frequently
used in the treatment and palliation of benign and malignant
biliary strictures. Dilation of fibrous and tight stenosis
with either a balloon or bougie facilitates stent insertion.
There is a group of patients in which tight stricture
permit passage of only a small caliber guidewire and
attempts to dilate with conventional dilators in order to
place a stent or nasobiliary drain fail. Using a Soehendra
stent retriver or small-caliber angioplasty balloon for
dilation and percutaneous or surgical management of the
stricture are rescue treatment methods in these
patients (1-4). Herein we report the use of a guidewire
traversing the stricture and left in place for 24 hours as a
dilator in two patients with a severe biliary stricture not
traversable by conventional dilators which could be of
interest to interventional endoscopists. [Product Details...] |
Synchronous hepatocellular carcinoma and sigmoid colon metastasis presenting as liver and intra-abdominal abscessesPrice: €10,00 |
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Hepatocellular carcinoma (HCC) is a common malignant
tumor. The reported incidence of clinical HCC with
GI tract invasion is 0.5-2% (1), and direct invasion to the
colon is extremely rare (2). Extrahepatic metastasis to
the distal sigmoid colon has never been reported before and HCC presenting as a liver abscess is also rare (3).
Here, we report an extremely rare case of HCC with
metastasis to the distal sigmoid colon, which initially
presented as liver and intra-abdominal abscesses. [Product Details...] |
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Acta Gastro-Enterologica Belgica is indexed in NCBI/PubMed.
Printed by Universa Press, Wetteren, Belgium. ©vzw/asbl Acta Gastro-Enterologica Belgica
Printed by Universa Press, Wetteren, Belgium. ©vzw/asbl Acta Gastro-Enterologica Belgica