ABSTRACT
Pseudopolyposis occurs twice as often in ulcerative colitis as in Crohn's disease. Pseudopolypsis is divided into the followings: localized multiple pseudopolyposis, localized giant pseudopolyposis, generalized pseudopolyposis and long finger-like pseudopolyps. The most serious problem is confusion with carcinoma. Indications for operation are intussusception or obstruction, radiological simulation of carcinoma. The pseudopolyp could be managed by careful follow-up with colonoscopy and multiple biopsies. We report a case of localized giant pseudopolyposis of the cecum associated with Crohn's disease, with review of relevant literature.
Subject(s)
Biopsy , Cecum , Colitis, Ulcerative , Colonoscopy , Crohn Disease , Follow-Up Studies , IntussusceptionABSTRACT
Idiopathic eosinophilic esophagitis is a part of disorders that comprise eosinophilic gastroenteritis, a condition characterized by eosinophilic infiltration of the gastrointestinal tract. Its clinical feature depends on the type of layer and location involved. A 56-year-old man presented with dysphagia and abdominal pain. Endoscopic ultrsonography and esophageal manometry showed definite smooth muscle hypertrophy of the esophagus and vigorous achalasia like motility disturbance. We report a case of eosinophilic eosphagitis that resolved by steroid treatment, with a review of relevant literatures.
Subject(s)
Humans , Middle Aged , Abdominal Pain , Deglutition Disorders , Eosinophilic Esophagitis , Eosinophils , Esophageal Achalasia , Esophagus , Gastroenteritis , Gastrointestinal Tract , Hypertrophy , Manometry , Muscle, SmoothABSTRACT
Gastrointestinal hemangiomas are not common and congenital lesion. Intestinal bleeding is the most common symptom of it. Hemangiomas were classified with capillary, cavernous and mixed type. Cavernous hemangioma is most common. Colonic cavernous hemangioma is rare and are usually arising in the sigmoid colon or/and rectum. Transverse colonic cavernous hemangioma are very rare. Gastrointestinal hemangioma is commonly developed in childhood and in young adults. Fifty eight-year-old man who complained of hematochezia was admitted. Physical examination was unremarkable. Stool occult blood was positive. Abdominal computerized tomography show normal finding. Colonoscopic examination showed giant and bluish-purple colored vascular malformation, 15 cm in length with tough bleeding, on the transverse colon. The patient underwent segmental resection of transverse colon for confirmatory diagnosis and treatment. The final pathologic diagnosis of the resection lesion was cavernous hemangioma of the transverse colon. We report a case of giant hemangioma of the transverse colon associated with hematochezia, with review of relevant literature.
Subject(s)
Humans , Young Adult , Capillaries , Colon , Colon, Sigmoid , Colon, Transverse , Diagnosis , Gastrointestinal Hemorrhage , Hemangioma , Hemangioma, Cavernous , Hemorrhage , Occult Blood , Physical Examination , Rectum , Vascular MalformationsABSTRACT
Spontaneous rupture of the esophagus is an uncommon disease which was first reported by Boerhaave in 1724. This esophageal rupture usually occurs during nausea or vomiting, with incoordinate esophageal contraction. Early diagnosis and prompt surgical repair are critical for survival; however late recognition of esophageal rupture is not unusual. In recent years, a variety of nonsurgical approaches have been proposed, particularily in the case of delayed diagnosis. We have experienced one case of Boerhaave's syndrome concomitantly developed with acute pancreatitis which was successfully treated by nonsurgical measures including endoscopic clipping, antibiotics and hyperalimentation. We review the choice of treatment method in delayed diagnosed Boerhaave's syndrome.