Editor-in-Chief, Deputy Editor 2017-2019

 

Editor-in-Chief:

Tom MOREELS

 

Deputy Editor:

Nicolas LANTHIER

 

Letters



A case of mantle cell lymphoma in the colon


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A 65-year-old man was diagnosed with mantle cell lymphoma, stage IVB, in 2003. He was treated with combination chemotherapy followed by upfront consolidative high-dose chemotherapy and autologous hematopoietic stem cell transplantation. A complete remission was achieved in 2004. Ten years later the disease relapsed with peripheral blood and bone marrow involvement. A thoracic and abdominal CT (computed tomography) scan showed multiple enlarged axillary, mesenterial and retroperitoneal lymph nodes. [Product Details...]



An unusual cause of giant gastric ulcer


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Burkitt’s lymphoma (BL) may involve different gastrointestinal sites, and small bowel is the commonest organ (1). Involvement of the stomach is observed in less than 10% of the patients during the course of the disease (1-3). Primay gastric BL is extremely rare (1). Here we report a case with involvement of stomach by giant BL ulcer presented with gastrointestinal bleeding initially. [Product Details...]



Early detection of Klatskin tumor through the hepaticoduodenostomy


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Hepaticoduodenostomy (HD) is a procedure used for biliary reconstriction in injuries bilary tree during cholecystectomy (1). To our knowledge, no cases of Klatskin tumor early diagnosed through HD are reported in the medical literature. Herein, we firstly report a case of Klatskin tumor early diagnosed through HD. A 70-year-old female was admitted to our hospital with dyspeptic complaints. Upper gastrointestinal endoscopy revealed a surgical anastomosis (hepaticoduodenostomy) in duodenal bulb (Fig. 1) and a papillary polypoid lesion 5 mm in diameter was detected in the biliary tract near the anastomosis (Fig. 2). Histopathological examination of endoscopic biopsy sample from the lesion revealed cholangiocarcinoma (Klatskin tumor). [Product Details...]



Giant gastric tubulovillous adenoma : A rare upper gastrointestinal bleeding


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Polyps are defined as proliferative lesions of the gastrointestinal mucosa growing into the lumen (1). Gastric polyps are typically asymptomatic. These lesions can be seen during approximately 2-6% of endoscopic procedures (2). Rarely adenomas lead to bleeding, and become symptomatic with anemia, abdominal pain and gastric outlet obstruction. Hyperplastic polyps, the most commonly identified histological type, is considered nonneoplastic. The most common types of hyperplastic polyps in the stomach are fundic gland and adenomatous polyps (3). Adenomatous polyps of the stomach constitute 8% to 10 of all polyps and have three different subtypes : tubular, villous and tubulovillous polyps. Villous and tubulovillous adenomas have a high risk of developing malignancy. Also, the risk of malignancy increases proportionally to the diameter of the polyp. [Product Details...]



The MDCT-scan as an important tool in the management of relapsing, overt upper gastrointestinal bleeding : letter to the editor


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Severe life-threatening hemorrhage in the duodenum is nearly always due to an arterial bleeding in peptic- or NSAID-induced ulcerations. In patients with overt arterial duodenal bleeding without visible ulcerations, congenital vascular malformations must be considered, especially in younger patients. [Product Details...]


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