RESUMEN
Melanosis ilei is a condition that's characterized by gross greyish-black or brownish-black pigmentation of the mucosa of the terminal ileum. There were several substances that produce gastrointestinal tract pigmentation such as lipofuscin, iron sulphide (FeS), Hemosiderin and exogenous material such as silicates and titanium. We report here on a case of a 58-year-old female who ingested charcoal for a long time, and she was diagnosed with melanosis ilei by colonoscopy. Her condition improved after she stopped ingesting the charcoal.
Asunto(s)
Femenino , Humanos , Persona de Mediana Edad , Carbón Orgánico , Colonoscopía , Tracto Gastrointestinal , Hemosiderina , Íleon , Hierro , Lipofuscina , Melanosis , Membrana Mucosa , Pigmentación , Silicatos , TitanioRESUMEN
Most ingested foreign bodies spontaneously pass through the upper and lower intestinal tract. The impaction of an ingested foreign body in the colon is rare. Foreign bodies swallowed inadvertently often cause serious complications, such as perforation, obstruction, abscess formation, enterocolic fistula, or hemorrhage. Physicians should proceed with routine medical care while considering the possibility of the ingestion of a foreign body In cases where abdominal pain of an unknown origin is observed, particularly in elderly patients who wear dentures, alcoholics, mentally disturbed, or rapid eating, and presenting with altered bowel habits. We report a case of a colonoscopically-removed wooden toothpick that impacted the sigmoid colon and was complicated by the formation of a local abscess with a review of the literature.
Asunto(s)
Anciano , Humanos , Dolor Abdominal , Absceso , Alcohólicos , Colon , Colon Sigmoide , Colonoscopía , Dentaduras , Ingestión de Alimentos , Fístula , Cuerpos Extraños , HemorragiaRESUMEN
Hypereosinophilic syndrome, the disease with continuous over production of eosinophil from bone marrow without any identifiable underlying disorder, causes various symptoms or signs by infiltrating organs. As many as 28,780/mm3 eosinophils in peripheral blood, the eosinophilic hyperplasia in bone marrow and features of hepatic involvement -revealed elevated serum AST, ALT and ultrasonogram of abdomen showed the multiple nodules scattered throughout the liver, we have reached to make a diagnosis of the rare hyper eosinophilic syndrome carrying the eosinophil-rich exudate in pleural effusion. The patient showed improvement of clinical symptoms with oral administration of predinisolone, and we report this case with literature consideration.
Asunto(s)
Humanos , Abdomen , Administración Oral , Médula Ósea , Diagnóstico , Eosinófilos , Exudados y Transudados , Síndrome Hipereosinofílico , Hiperplasia , Hígado , Derrame Pleural , UltrasonografíaRESUMEN
Phacoemulsification in hypermature cataract has not been recommended for routine procedure because of the difficult techniques and the possibility of high complication rates.48 eyes of 48 patients with hypermature cataracts were operated with phacoemulsification by one surgeon.The complications related to the status of continuous circular capsulorrhexis (CCC) were prospectively studied for three years.25 eyes (52.1%)had complete CCC and 23 eyes (47.9%)had incomplete CCC, and in 6 (12.5%)of these 23 eyes, posterior capsular rupture was occurred.Decentration of intraocular lens more than 1mm, occurred in 4 eyes (8.3%)with 3 or more radial tears. These results shows that phacoemulsification in hypermature cataract can be considered relatively safe procedure with recent techniques.CCC is also regarded as one of the most important procedures in hypermature cataract as in normal cataracts in reducing complications during and after the operation.