Trans-papillary endoscopic naso-biliary drainage of a hepatic abscess - presumably hydatid in origin

This is a report on a 60-year-old diabetic female with hepatic abscess and obstructive jaundice with cholangitis which was treated endoscopically with sphincterotomy and naso-biliary drainage resulting in complete resolution of cholangitis and substantial decrease in the size of the abscess cavity. We presume that the pathology of the cavity was a ruptured hydatid cyst with secondary obstruction and infection. To our knowledge this is the first case reported from Saudi Arabia

Sclerotherapy for bleeding esophageal varices in schistosomiasis

A prospective study to evaluate the role of sclerotherapy in bleeding oesophageal varices secondary to different aetiological factors in 96 patients was conducted at the Gastroenterology Unit, Armed Forces Hospital, Riyadh, between December 1980 and March 1986. Fifty of these patients had proven schistosomal liver disease, 62% of which were in Group A Child's Classification. Sclerotherapy has a special place in schistosomal liver disease as liver function is usually well preserved. Oesophageal varices have been eradicated in 25[50%] during the mean follow-up period of 38 months [range 3-64 months]. Six patients were referred for surgery because of bleeding gastric varices, three of whom died following operation. Forty-three patients had no recurrence of bleeding following sclerotherapy. Surgical procedures for oesophageal varices carry the risk of peri-operative and post-operative morbidity and mortality, while in our study complications following sclerotherapy were minor. We believe that sclerotherapy is the treatment of choice for bleeding Oesophageal varices in schistosomiasis

Dysphagia in patients with mediastinal tuberculous lymphadenitis: three case reports

Three patients presented with dysphagia which was shown on endoscopic examination to be due to tuberculous mediastinal lymphadenopathy. These case histories emphasize the importance of considering tuberculosis as part of the diagnosis in young patients presenting with dysphagia in countries where tuberculosis is common, and also in immigrants in developed countries