RESUMO
Gastritis cystica profunda (GCP) is a rare disease which shows multiple cystic gastric glands within the submucosa of the stomach. GCP lesions mainly develop at the site of gastroenterostomy and exhibit benign behavior. However, there have been a number of debates over its malignant potential. Several reports have documented GCP accompanied by gastric carcinomas, but the relationship between the two conditions remains uncertain. Here we report two cases of GCP with dysplasia accompanied by synchronous multiple early gastric cancers without previous gastric surgery.
Assuntos
Idoso , Humanos , Masculino , Cistos/diagnóstico , Detecção Precoce de Câncer , Mucosa Gástrica/patologia , Gastrite/complicações , Neoplasias Primárias Múltiplas/diagnóstico , Neoplasias Gástricas/complicaçõesRESUMO
Gastritis cystica profunda (GCP) is a rare disease which shows multiple cystic gastric glands within the submucosa of the stomach. GCP lesions mainly develop at the site of gastroenterostomy and exhibit benign behavior. However, there have been a number of debates over its malignant potential. Several reports have documented GCP accompanied by gastric carcinomas, but the relationship between the two conditions remains uncertain. Here we report two cases of GCP with dysplasia accompanied by synchronous multiple early gastric cancers without previous gastric surgery.
Assuntos
Idoso , Humanos , Masculino , Cistos/diagnóstico , Detecção Precoce de Câncer , Mucosa Gástrica/patologia , Gastrite/complicações , Neoplasias Primárias Múltiplas/diagnóstico , Neoplasias Gástricas/complicaçõesRESUMO
Sump syndrome is one of the late complications of a side to side choledochoduodenostomy, but it is a rare malady. The anastomosis of the bile duct and small bowel results in exclusion of the distal limb of the common bile duct from drainage of bile with the potential formation of a sump. Food material and bile sludge may accumulate in distal segment of common bile duct and so this cause recurrent bile duct stones. Bezoars frequently result from disturbed passage of the gastrointestinal tract, especially after surgery, and it may develop various symptoms by irritating or obstructing the gastrointestinal tract. The bezoar accompanied with sump syndrome after choledochoenterostomy has not yet been reported in the literature. We report here on a case of small intestinal obstruction due to bezoars accompanied with sump syndrome.
Assuntos
Bezoares , Bile , Ductos Biliares , Coledocostomia , Ducto Colédoco , Drenagem , Extremidades , Cálculos Biliares , Trato Gastrointestinal , Obstrução Intestinal , Síndrome Pós-Colecistectomia , EsgotosRESUMO
Clostridium sordellii is a gram-positive spore forming anaerobic bacillus, rarely encountered in human infection. It produces several exotoxins which contribute to myonecrosis, pulmonary infection, obstetric infection and bacteremia. C. sordellii bacteremia is very rare and has been reported in few patients with malignancy or immunosuppression. To date, there has been no report in Korea. Mortality is high when deep site infection exists regardless of underlying pathology and immune status. In contrast, superficial skin and subcutaneous tissue infection has a favorable prognosis. We present a case of C. sordellii bacteremia in a patient with osteosarcoma. The patient was admitted for the treatment of the infection at the ulcerative osteosarcoma lesions of the leg, and C. sordellii bacteremia was demonstrated. He was successfully treated with intravenous ampicillin/sulbactam for two weeks.
Assuntos
Humanos , Bacillus , Bacteriemia , Clostridium sordellii , Clostridium , Exotoxinas , Terapia de Imunossupressão , Coreia (Geográfico) , Perna (Membro) , Mortalidade , Osteossarcoma , Patologia , Prognóstico , Pele , Esporos , Tela Subcutânea , ÚlceraRESUMO
Clostridium sordellii is a gram-positive spore forming anaerobic bacillus, rarely encountered in human infection. It produces several exotoxins which contribute to myonecrosis, pulmonary infection, obstetric infection and bacteremia. C. sordellii bacteremia is very rare and has been reported in few patients with malignancy or immunosuppression. To date, there has been no report in Korea. Mortality is high when deep site infection exists regardless of underlying pathology and immune status. In contrast, superficial skin and subcutaneous tissue infection has a favorable prognosis. We present a case of C. sordellii bacteremia in a patient with osteosarcoma. The patient was admitted for the treatment of the infection at the ulcerative osteosarcoma lesions of the leg, and C. sordellii bacteremia was demonstrated. He was successfully treated with intravenous ampicillin/sulbactam for two weeks.
Assuntos
Humanos , Bacillus , Bacteriemia , Clostridium sordellii , Clostridium , Exotoxinas , Terapia de Imunossupressão , Coreia (Geográfico) , Perna (Membro) , Mortalidade , Osteossarcoma , Patologia , Prognóstico , Pele , Esporos , Tela Subcutânea , ÚlceraRESUMO
Emphysematous cystitis is an uncommon life-threatening disease, which often occurs in patients with diabetes mellitus or neurogenic bladder. Bacterial etiologies are common, while cases by Candida species have been very rarely reported. To date, only six cases of Candida albicans related emphysematous cystitis have been reported; two cases resulted in bladder repture and the causative organisms were non-albicans Candida species. We report the first case of emphysematous cystitis caused by Candida albicans accompanying a spontaneous bladder rupture with the review of literatures.
Assuntos
Humanos , Candida albicans , Candida , Cistite , Diabetes Mellitus , Ruptura , Ruptura Espontânea , Bexiga Urinária , Bexiga Urinaria NeurogênicaRESUMO
Emphysematous cystitis is an uncommon life-threatening disease, which often occurs in patients with diabetes mellitus or neurogenic bladder. Bacterial etiologies are common, while cases by Candida species have been very rarely reported. To date, only six cases of Candida albicans related emphysematous cystitis have been reported; two cases resulted in bladder repture and the causative organisms were non-albicans Candida species. We report the first case of emphysematous cystitis caused by Candida albicans accompanying a spontaneous bladder rupture with the review of literatures.
Assuntos
Humanos , Candida albicans , Candida , Cistite , Diabetes Mellitus , Ruptura , Ruptura Espontânea , Bexiga Urinária , Bexiga Urinaria NeurogênicaRESUMO
The bronchial varices in mitral stenosis are uncommon and incidentally discovered during bronchoscopy. Although bronchial varices are primarily associated with bronchial or pulmonary disease, the bronchial vein can be dilated with increased pulmonary venous pressure secondary to mitral stenosis. The bronchial varices may present massive hemoptysis. The hemoptysis can be controlled by mitral commissurotomy or mitral valve replacement in case of mitral stenosis. We report a case of bronchial varies in a patient with severe mitral stenosis. The bronchial varices were found incidentally during bronchoscopy and they were nearly disappeared by mitral valve replacement.