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1.
The Korean Journal of Helicobacter and Upper Gastrointestinal Research ; : 98-102, 2017.
Artículo en Coreano | WPRIM | ID: wpr-66967

RESUMEN

A rare gastric mucosal lesion characterized by Russell body-containing plasma cell infiltration is termed as Russell body gastritis. This lesion is highly suggested to be correlated with Helicobacter pylori-induced chronic gastritis, and often misdiagnosed as mucosa-associated lymphoid tissue lymphoma, signet ring cell carcinoma, plasmacytoma, or xanthoma. However, Russell body gastritis is easily discriminated by its polyclonal immunoreaction to immunoglobulin light chains contrary to monoclonal immunoreaction of neoplastic disease. We report here a case of Russell body gastritis associated with H. pylori infection, which disappeared after H. pylori eradication.


Asunto(s)
Carcinoma de Células en Anillo de Sello , Gastritis , Helicobacter pylori , Helicobacter , Cadenas Ligeras de Inmunoglobulina , Linfoma de Células B de la Zona Marginal , Células Plasmáticas , Plasmacitoma , Estómago , Xantomatosis
2.
Clinical Endoscopy ; : 548-554, 2016.
Artículo en Inglés | WPRIM | ID: wpr-209984

RESUMEN

BACKGROUND/AIMS: Gastric schwannomas are rare benign mesenchymal tumors that are difficult to differentiate from other mesenchymal tumors with malignant potential, such as gastrointestinal stromal tumors. This study aimed to evaluate the characteristic findings of gastric schwannomas via endoscopic ultrasonography (EUS). METHODS: We retrospectively reviewed the EUS findings of 27 gastric schwannoma cases that underwent surgical excision at Pusan National University Hospital during 2007 to 2014. RESULTS: Gastric schwannomas were mainly located in the middle third of the stomach with a mean tumor size of 32 mm. All lesions exhibited hypoechoic echogenicity, and 24 lesions (88.9%) exhibited heterogeneous echogenicity. Seventeen lesions (63.0%) exhibited decreased echogenicity compared to the normal proper muscle layer. Distinct borders were observed in 24 lesions (88.9%), lobulated margins were observed in six lesions (22.2%), and marginal haloes were observed in 24 lesions (88.9%). Hyperechogenic spots were observed in 21 lesions (77.8%), calcifications were observed in one lesion (3.7%), and cystic changes were observed in two lesions (7.4%). CONCLUSIONS: During EUS, gastric schwannomas appear as heterogeneously hypoechoic lesions with decreased echogenicity compared to the normal proper muscle layer. These features may be helpful for differentiating gastric schwannomas from other mesenchymal tumors.


Asunto(s)
Endosonografía , Tumores del Estroma Gastrointestinal , Neurilemoma , Estudios Retrospectivos , Estómago
3.
Korean Journal of Medicine ; : 366-371, 2011.
Artículo en Coreano | WPRIM | ID: wpr-78409

RESUMEN

A spontaneous pneumoperitoneum is air in the peritoneal space that is detectable radiologically and can be managed successfully by observation alone or a laparotomy. A 73-year-old man was admitted for low back pain. He had a giant bulla in the left upper lung, detected radiologically 7 years earlier. On admission, he had free air in the subphrenic area bilaterally, while the previous giant bulla was not seen. Based on the physical examination, we thought that the new free air did not indicate a surgical abdomen, and performed additional examinations to rule out other disease. There was no abnormal finding linked to the free air. The free air had almost disappeared on a subsequent chest X-ray. We report a rare case of spontaneous pneumoperitoneum caused by a giant bulla, with a literature review


Asunto(s)
Anciano , Humanos , Abdomen , Vesícula , Laparotomía , Dolor de la Región Lumbar , Pulmón , Examen Físico , Neumoperitoneo , Tórax
4.
Korean Journal of Nephrology ; : 650-655, 2010.
Artículo en Coreano | WPRIM | ID: wpr-168911

RESUMEN

The definition of C1q nephropathy has been categorized since 1985. However, the clinical correlation and pathophysiology has not yet been fully revealed. Therefore, the treatment of C1q nephropathy has not been established. Our subject was a 23 year-old female patient with both leg edema and oliguria, who was presented with weight gain. Renal biopsy confirmed C1q nephropathy. Prednisolone and cyclosporine therapy was selected for treatment. After 2 weeks of treatment, the patient lost 8 kg of body weight and all laboratory examination results were normalized. Both leg edema and oliguria were resolved. After 21 weeks of regular follow-up, she stopped the medicine by herself. Eight weeks later, the patient came to the Emergency room because both leg edema recurred. Same regimen was administered for 3 weeks, and complete remission was achieved again.


Asunto(s)
Femenino , Humanos , Biopsia , Peso Corporal , Ciclosporina , Edema , Urgencias Médicas , Estudios de Seguimiento , Pierna , Oliguria , Porfirinas , Prednisolona , Aumento de Peso
5.
Tuberculosis and Respiratory Diseases ; : 457-462, 2009.
Artículo en Coreano | WPRIM | ID: wpr-73515

RESUMEN

While receiving appropriate treatment, patients with tuberculosis occasionally have unusual, paradoxical reactions, with transient worsening of lesions or the development of new lesions. This report is a case of tuberculosis brain abscess and tuberculosis peritonitis with intra-abdominal abscess that developed during appropriate anti-tuberculosis chemotherapy. A 45-year-old male patient had been diagnosed as with all-drug susceptible pulmonary tuberculosis with pleurisy. Subsequently, the patient underwent standard treatment with anti-tuberculosis therapy; the pulmonary lesions improved. Three months after initial treatment, the patient developed brain abscesses and peritonitis. With the addition of corticosteroid treatment, the patient's neurologic symptoms were relieved. Exploratory laparotomy with surgical drainage was performed and a diagnosis of tuberculosis peritonitis was confirmed on biopsy. Anti-tuberculosis therapy was continued for 19 months, the patient improved eventually without further complications, although the therapeutic regimen had not been altered. In this case, the paradoxical response to treatment may have been involved in the pathogenesis of disease.


Asunto(s)
Humanos , Masculino , Persona de Mediana Edad , Absceso Abdominal , Biopsia , Encéfalo , Absceso Encefálico , Drenaje , Laparotomía , Manifestaciones Neurológicas , Peritonitis , Peritonitis Tuberculosa , Pleuresia , Tuberculosis , Tuberculosis Pulmonar
6.
The Korean Journal of Gastroenterology ; : 106-109, 2008.
Artículo en Coreano | WPRIM | ID: wpr-53484

RESUMEN

Brunner's gland adenoma is a rare tumor of duodenum. Patients are usually aymptomatic and most are discovered incidentally during the upper gastrointestinal (GI) series or esophagogastroduodenoscopy. These lesions are most commonly located in the duodenal bulb and clinical manifestations are variable. In symptomatic patients, the most common manifestations are GI hemorrhage and duodenal obstruction. On histologic examination, Brunner's gland adenoma that causes clinical symptoms is composed of hyperplastic Brunner's glands and contains mostly an admixture of glandular, adipose, and muscular tissues. We report a case of large Brunner's gland adenoma causing upper gastrointestinal hemorrhage in a 47-year-old woman which was successfully removed by endoscopic resection without complications such as bleeding or perforation. Microscopically, it was entirely composed of variable Brunner's glands.


Asunto(s)
Femenino , Humanos , Persona de Mediana Edad , Adenoma/complicaciones , Glándulas Duodenales/patología , Neoplasias Duodenales/complicaciones , Duodenoscopía , Hemorragia Gastrointestinal/etiología
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