1,720,998 research outputs found
Intraductal Papillary Mucinous Neoplasm Associated to Pancreas Divisum.
No full textPancreas divisum (PD) is one of the embryologic anomalies of the pancreas, in which the dorsal and the ventral
pancreatic ducts fail to merge together. In this case the ventral pancreatic duct appears small and most of the
pancreatic juice is drained through the minor papilla into the duodenum. Intraductal papillary mucinous neoplasia
(IPMN) represents a heterogeneous group of pancreatic neoplasms. This kind of tumor may have its development in
PD. Recently, owing to the progress in imaging and endoscopic ultrasound (EUS) techniques about the evaluation of the pancreas; the IPMN has been more and more identified and referred by the literature
Biological therapy for dermatological manifestations of inflammatory bowel disease.
No full textUlcerative colitis and Crohn’s disease are the
best known forms of inflammatory bowel disease (IBD)
and are considered immune-mediated disorders of unknown
etiology that primarily affect the gastrointestinal
tract. In addition, other organ systems can be involved,
such as skin. Erythema nodosum, pyoderma gangrenosum
and psoriasis are the dermatological comorbidities
often associated with it. The anti-tumor necrosis factor
(TNF)-α drugs (infliximab and adalimumab) have
significantly changed the management of these conditions.
In this brief review, we provide an overview on
the prevalence and clinical aspects of the more commonly
reported skin manifestations of IBD and the role
of TNF-α inhibitors in their treatment
Hematemesis from esophageal varices associated with esophageal perforation: sclerotherapy and endoscopic clipping.
No full textA 46-year-old man was referred to our Unit for hematemesis. The medical history of the patient revealed an HCV-related cirrhosis, a human immunodeficiency virus (HIV) infection and recent and persistent episodes of emesis. An urgent gastroscopy disclosed evidence of active bleeding from varices of the lower third of the esophagus and a concomitant laceration of the esophageal wall due to the emesis. These two conditions have been endoscopically diagnosed and successfully treated by sclerotherapy and endoscopic clipping.esophagA 46-year-old man was referred
to our Unit for hematemesis. The medical history
of the patient revealed an HCV-related cirrhosis, a
human immunodeficiency virus (HIV) infection
and recent and persistent episodes of emesis. An
urgent gastroscopy disclosed evidence of active
bleeding from varices of the lower third of the
esophagus and a concomitant laceration of the
esophageal wall due to the emesis. These two
conditions have been endoscopically diagnosed
and successfully treated by sclerotherapy and
endoscopic clipping
Simultaneous primary gastric and duodenal MALT lymphoma presenting with gastrointestinal bleeding.
No full textThe gastrointestinal tract, particularly the stomach, is the most common site of mucosa-associated lymphoid tissue lymphoma (MALToma). Many studies describe primary MALT lymphoma arising from the gastric mucosa, especially in association with Helicobacter pylori infection. On the contrary, primary MALT duodenal lymphoma is a very rare neoplasm. We report a case of a patient with gastrointestinal bleeding in whom primary gastric and duodenal MALT lymphoma were occurred simultaneously
Comparison of endoscopic retrograde cholangiopancreatography between elderly and younger patients for common bile duct stones.
No full textBackground. Choledocholithiasis is increasing in elderly subjects.
The introduction of endoscopic retrograde cholangiopancreatography
with biliary sphincterotomy has almost replaced surgery in the treatment
of this condition. The aim of the present study was to evaluate
the rates of successful clearance of common bile duct stones and the
endoscopic techniques used in a population aged 75 years or older
compared with those in a younger age group.
Materials and Methods. A retrospective analysis was made of data
related patients who underwent endoscopic retrograde cholangiopancreatography
for choledocolithiasis in the period 2010-2011. For all
patients, factors such as sex, age at diagnosis, endoscopic treatment
(stone extraction using baskets and balloon, mechanical lithotripsy and
balloon dilatation of the ampulla, placement of a stent or a naso-biliary
tube) and need of surgery were analysed. Two groups of patients were
identified: patients aged <75 years (Group A) and patients aged ≥
Ictero-haemorraghic leptospirosis with pulmonary involvement and acute renal failure: case report.
No full textLeptospirosis is a spirochetal zoonosis with a worldwide distribution affecting both animals and humans. These are infected only occasionally by direct contact with infected animals or through contaminated water and soil. Generally, this disease is commonly found in tropical regions. Infected patients usually present with non-specific features. In fact, the clinical manifestations of leptospirosis are variable, ranging from occult infection to Weil's disease with fatal complications. Often the disease remains underdiagnosed due to the broad spectrum of signs and symptoms. Here we are reporting a case of a woman with an ictero-haemorraghic leptospirosis complicated by acute renal failure and pulmonary involvement that received intensive care unit support including intubation and ventilation and promptly resolved with appropriate therapy
Benign pneumoperitoneum after percutaneous endoscopic gastrostomy (PEG) feeding tube placement: do not be afraid!
No full textIn order to ensure enteral feeding, placement of a percutaneous endoscopic gastrostomy (PEG) is considered a standard care for patients with oropharyngeal malignancies. Benign pneumoperitoneum is a complication of PEG feeding tube placement and it is usually an incidental finding that arises, generally, immediately following the procedure.
We report a case of a benign pneumoperitoneum, developed 48 hours after the procedure, which was treated conservatively
Schwannoma of the rectum: A case report and literature review.
No full textSchwannomas of the colon and rectum are
tumors that are rarely detected. For achieving a definitive
histopathological diagnosis, the use of an appropriate
immunohistochemical panel is request. Although
schwannomas are considered to be benign tumors,
their risks of recurrence must be not ignored. The
best therapeutic option is complete surgical removal.
In the present study, we describe a case of a rectal
schwannoma occured in a 72-year-old man, presented
as a small sessile polypoid lesion, which was successfully
removed in toto by hot-biopsy, during the same
procedure. No recurrence of the lesion was observed
after 6 mo of follow-up
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