ABSTRACT
In upper gastrointestinal endoscopy, intravenous anesthesia is commonly used due to its safety and improvement in patient's satisfaction and comfort. The aim of this approach is to improve the condition for endoscopy. Although the risks of sedation are reported to be very low with sufficient monitoring, we still have few risks that cannot be overlooked including aspiration pneumonia. There have been two reported cases of aspiration pneumonia after endoscopic submucosal dissection. However, to our knowledge, there has been no reports about aspiration pneumonia developing after endoscopy for a young healthy female. So, we report a first case of unexpected aspiration pneumonia after endoscopy.
Subject(s)
Female , Humans , Anesthesia, Intravenous , Endoscopy , Endoscopy, Gastrointestinal , Pneumonia, AspirationABSTRACT
We report a case of anal squamous cell carcinoma extended to the rectal mucosa that was clinically mistaken for rectal adenocarcinoma and literature reviwed. Sigmoidoscopic finding showed spherical shaped elevated lesion with central ulceration, interpreted as rectal adenocarcinoma in the distal portion of rectum. Anal squamous cell carcinoma is very rare among gastrointestinal cancer. Pathological study of the biopsy specimen demonstrated squamous cell carcinoma and normal rectal glands. Sigmoidoscopic finding of the presented case showed the ulcerarive lesion contineuosly extended from anal verge upward to the rectum. We postulate that the presented case is primarilly originated from the anal squamous cell carcinoma extended proximally to the rectum. Immunohistochemical stain(p-63) of the biopsy specimens showed squamous cell carcinoma. This patient has been completely recovered after treartment of chemoradiation and trans-anal excision. We present a case of anal squamous cell carcinoma invading rectal mucosa clinically mistaken for rectal adenocarcinoma and literature reviewed.
Subject(s)
Humans , Adenocarcinoma , Anus Neoplasms , Biopsy , Carcinoma, Squamous Cell , Gastrointestinal Neoplasms , Mucous Membrane , Rectum , Salt Gland , UlcerABSTRACT
Portal venous aneurysm (PVA) is an unusual venous malformation and its etiology is not fully understood. Most PVAs are diagnosed incidentally by non-invasive abdominal imaging techniques; indeed, recently, PVAs have frequently been discovered in this way. Most PVAs remain stable, without complications, in patients with no clinical symptoms of portal hypertension or intrinsic liver disease. However, if PVA is discovered in these patients by chance, close imaging follow-up of portal vein aneurysms is recommended. In the case of aneurysm growth or the development of complications related to the aneurysm, medical or surgical approaches are advised but there is no consensus on the use of prophylactic antiplatelet or anticoagulation medications. We report a case of incidental PVA identification in a patient without underlying liver disease by routine investigation. A review of the literature is also provided.
Subject(s)
Humans , Aneurysm , Hypertension, Portal , Liver Diseases , Portal VeinABSTRACT
Pericardial abscess is an extremely rare complication of Staphylococcus aureus bacteremia. We report a case of a 72-year-old woman with multiple acupuncture scars on both knees who presented with shortness of breath and general weakness. Transthoracic echocardiography and pericardiocentesis confirmed the presence of pericardial fluid collection. Staphylococcus aureus grew in both pericardial fluid and blood. Although an aggressive medical treatment including intravenous antibiotics and percutaneous drainage, the patient died 2 days after admission.
Subject(s)
Aged , Female , Humans , Abscess , Acupuncture , Acupuncture Therapy , Anti-Bacterial Agents , Bacteremia , Cicatrix , Drainage , Dyspnea , Echocardiography , Knee , Pericardiocentesis , Pericarditis , Sepsis , Shock, Septic , Staphylococcus , Staphylococcus aureusABSTRACT
Cor triatriatum is a rare congenital malformation of the heart characterized by a fibromuscular membrane dividing the atrium into two distinct chambers. In the majority of cases, it is diagnosed in early childhood, whereas adult cases are extremely rare [1,2]. The hemodynamics of cor triatriatum are similar to those of mitral stenosis, which sometimes cause embolic infarction. We describe an unusual case of cor triatriatum sinistrum in a 48-year-old man who presented with relapsed embolic infarction.