RESUMO
Angiolipoma is a benign tumor that is mainly observed in the subcutaneous tissue and is composed of mature adipose tissue and proliferative blood vessels. However, the condition is rare in the gastrointestinal tract including the colon. There was a case report of angiolipoma of the proximal ileum but there are no reports of angiolipoma of the colon in Korea. A 47-year-old man, who presented with intermittent left lower quadrant pain and hematochezia, underwent contrast enhancement CT, which revealed a huge mass with inhomogeneous density in the distal descending colon. The colonoscopy viewed a large polypoid mass with vascular engorgement, and a laparotomy was performed urgently due to the persistent abdominal pain, intussusception and hematochezia. The histology examination disclosed a benign angiolipoma. We report this case of symptomatic angiolipoma of the distal descending colon.
Assuntos
Humanos , Pessoa de Meia-Idade , Dor Abdominal , Tecido Adiposo , Angiolipoma , Vasos Sanguíneos , Colo , Colo Descendente , Colonoscopia , Hemorragia Gastrointestinal , Trato Gastrointestinal , Íleo , Intussuscepção , Coreia (Geográfico) , Laparotomia , Tela SubcutâneaRESUMO
We experienced a case of primary gastric tuberculosis presented with melena. A 61-year-old male was admitted with epigastric pain and melena. Upper endoscopy revealed an irregular shaped gastric ulcer on the posterior wall of the body. Histological examination of endoscopic specimen revealed chronic inflammation with fibrosis, granulomas and acid-fast bacilli. Cultures for acid-fast bacilli subsequently grew Mycobacterium tuberculosis. There was no evidence of the tuberculous lesion anywhere else. Primary gastric tuberculosis remains an extremely uncommon clinical entity; the definitive diagnosis is made by biopsy and positive culture for the organism. We report a case of primary gastric tuberculosis with review of the literature.
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Biópsia , Diagnóstico , Endoscopia , Fibrose , Granuloma , Inflamação , Melena , Mycobacterium tuberculosis , Úlcera Gástrica , TuberculoseRESUMO
Leiomyosarcomas make up approximately 1 to 3% of all gastric neoplasms. The most prevalent age group was 6th and 7th decades. The main symptoms and signs were abdominal pain and bleeding. They most frequently involve gastric body and often ulcerate and bleed. Diagnosis can be established only by exploratory operation and histologic examination. Leiomyosarcomas rarely invade adjacent viscera and characteristically do not metastasize to lymph nodes, but they may spread to the liver and lungs. The treatment of choice is surgical resection. We report two cases of gastric leiomyosarcoma which was successfully treated surgically.
Assuntos
Humanos , Dor Abdominal , Diagnóstico , Hemorragia , Leiomiossarcoma , Fígado , Pulmão , Linfonodos , Neoplasias Gástricas , Estômago , Úlcera , VíscerasRESUMO
Cavernous hemangiomas are unusual tumors with a propensity for skin and liver involvement and rarely involving adrenal gland.Adrenal hemangiomas are nonfunctioning tumors, usually discovered at autopsy. In 1955, Johnson and Jeppensen reported the first adrenal hemangioma to be removed surgically.One case of emangioma of the adrenal gland was reported in Korea. We report a case of a cavernous hemangioma of the adrenal gland which was successfully treated surgically.In addition, we review the clinical, radiographic, and pathologic features of this disease. With the advance of diagnostic thchniques in arterography, ultrasound, and computerized tomography, preoperative recognition and diagnosis should be simplified and surgical removal carried out to rule out possible malignancy, preclude traumatic rupture, or relieve symptoms of the mass.
Assuntos
Glândulas Suprarrenais , Autopsia , Diagnóstico , Hemangioma , Hemangioma Cavernoso , Coreia (Geográfico) , Fígado , Ruptura , Pele , UltrassonografiaRESUMO
Ulcerative colitis is a chronic relapsing inflammatory disease localized on the colon. This disease is rare in children under 10 years of age. We experienced a case of ulcerative colitis in a 3-year-old male child. He was admitted due to fever, abdominal pain and diarrhea for 5 days, followed by rectal bleeding for 2 days. The diagnosis was established by clinical features, endoscopic and histologic findings. Taking combined medication of prednisolone and sulfasalazine, he achieved symptomatic remission and remained asymptomatic.
Assuntos
Criança , Pré-Escolar , Humanos , Masculino , Dor Abdominal , Colite Ulcerativa , Colo , Diagnóstico , Diarreia , Febre , Hemorragia , Prednisolona , Sulfassalazina , ÚlceraRESUMO
Although a pathogenic mechanism of hemolytic anemia complicated with viral hepatitis is unknown, it is suggested that there are four mechanisms; 1) In the individual who has predisposition to hemolytic anemia, viral infection accelerates the red cell destruction & hemolysis become obvious. 2) Directly, virus itself injures to the red cell membrane. 3) The serious liver failure & hypersplenism induce the hemolysis. 4) Autoimmune hemolytic anemia because of immunological abnormality caused by viral infection. We experienced a case of autoimmune hemolytic anemia in 33-year-old male patient who was diagnosed as chronic lobular hepatitis B with biopsy. Diagnosis was estabilished by clinical features, blood cell count, routine urinalysis, direct & indirect Coombs test, liver function test, immunoglobulin quantitations, hepatitis B marker, bone marrow aspiration, and liver biopsy. This case was treated with corticosteroid and transfusion. During follow-up, he has been well tolerated.
Assuntos
Adulto , Humanos , Masculino , Anemia Hemolítica , Anemia Hemolítica Autoimune , Biópsia , Contagem de Células Sanguíneas , Medula Óssea , Membrana Celular , Teste de Coombs , Diagnóstico , Seguimentos , Hemólise , Hepatite B , Hepatite , Hiperesplenismo , Imunoglobulinas , Fígado , Falência Hepática , Testes de Função Hepática , UrináliseRESUMO
No abstract available.