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A rare cause of submucosal lesions in the cardiac region of the stomach

Price: €10,00

A 35-year-old man presented with a 1-month history of dyspeptic complaints and dysphagia against solid food. His medical and family history were unremarkable. He had been smoking for 10 years. On physical examination he was afebrile, with a blood pressure of 125/70 mm/ Hg, and a pulse of 82 beats per minute. The physical examination of the lung was normal on auscultation. The abdominal physical examination revealed soft, distended abdomen with no palpable mass. Blood tests showed a white-cell count of 8100 per cubic millimeter (with normal eosinophils range), the hemoglobin level of 15.1 g/dl (reference range : 13.6-17.2 g/dl), the platelet count of 376000 per cubic millimeter, erythrocyte sedimentation of 18 mm/h, and C-reactive protein level of 2.6 mg/L (reference range: 1.0-3.0 mg/L). Hepatic and renal function tests were all normal. [Product Details...]

An iatrogenic cause of recurrent dysphagia

Price: €10,00

A 76-year old female patient with a history of metastatic breast cancer with known bone metastasis since 3 years was referred to our hospital with progressive dysphagia for solids, weight loss and fatigue during the last month. Physical examination revealed a pale patient, with stable vital signs. There was tenderness to palpation in the epigastric region. Further clinical examination was unremarkable. [Product Details...]

An uncommon cause of coffee ground emesis : necrotizing enteritis with pneumatosis intestinalis

Price: €10,00

Hepatic Portal Venous Gas (HPVG) is a rare imaging finding and it used to be associated with a very high mortality rate of up to 75%, even after urgent laparotomy. In more recent decades abdominal CT and utrasound have resulted in the detection of HPVG in more non-fatal conditions such as diverticulitis, enteritis, colovenous fistulae, gastric dilatation and after endoscopic mucosal dissection (1). [Product Details...]

Diagnosis is Right, But Located in Left: Acute Appendicitis

Price: €10,00

A 69-old man was admitted to emergency service with abdominal pain and nausea which had lasted for three days. He explained that abdominal pain began as periumbilical area and migrated to left side of umbilicus. He denied any history of abdominal surgery or chronic disease. Muscular defense and rebound were found on the left side of umbilicus in abdominal examination. Vital signs were insignificant except for a fever of 38.6°C. Urine analysis was normal. Hemoglobin count was 14.4 g/dL and white blood cell count was 14160/mm3. C reactive protein was 27.39 mg/dL. Abdominal X-ray and ultrasonography (US) was unremarkable. Abdominal computed tomography (CT) scan revealed left-sided caecum with pericaecal inflammatory changes due to acute appendicitis (Figure 1). [Product Details...]

Primary duodenal tuberculosis masquerading as chronic liver disease : an unusual presentation

Price: €10,00

Primary involvement of the duodenum by tuberculosis (TB) occurs infrequently. It poses diagnostic challenges owing to rarity, nonspecific clinical features and equivocal imaging results (1-3). As per literature, the usual presentation is in the lines of gastrointestinal obstruction, upper gastrointestinal bleeding or acidpeptic disorders (2-4). The diagnosis is sometimes established even intra-operatively during exploratory laparotomy (3). The authors describe an unusual case of a 43-years old woman with primary duodenal TB, with features mimicking chronic liver disease (CLD). [Product Details...]

Severe Cytomegalovirus ileitis preceded by acute bacterial enteritis in an immunocompetent patient

Price: €10,00

Cytomegalovirus (CMV) is an important cause of serious disease in immunosuppressed patients, most often as a result of latent viral reactivation (1). CMV ileitis is a rare entity, even among immunosuppressed subjects; in immunocompetent patients, only a few cases have been previously reported (1,2). We present the case of an immunocompetent adult, with an unremarkable previous medical history, who developed an acute severe bacterial ileal infection followed by CMV ileitis. [Product Details...]

Spastic paraparesis revealing celiac disease

Price: €10,00

Celiac disease (CD) is a chronic immune-mediated enteropathy triggered by the ingestion of gluten in genetically susceptible individuals. Neurological symptoms in CD patients remain rare occurring approximately in 6 to 10% of cases (1). They may precede the diagnosis or occur during the course of the disease. They must be sought systematically, given the therapeutic and prognostic implications. Spastic paraparesis is rarely reported during CD. [Product Details...]

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