ABSTRACT
We have presented an unusual case of benign lymphoid hyperplasia, which manifested as a cecal deformity in a 15-year-old boy. The clinical manifestation may have been related to partial occlusion of the appendiceal orifice. In future cases of benign lymphoid hyperplasia, colonoscopy may be diagnostic, and if it is used for continuing observation, may avert unnecessary surgical procedures in children and young adults.
Subject(s)
Cecal Diseases/diagnosis , Lymphatic Diseases/diagnosis , Adolescent , Cecal Diseases/pathology , Cecum/pathology , Endoscopy , Humans , Hyperplasia , Lymphatic Diseases/pathology , Lymphoid Tissue/pathology , MaleABSTRACT
A radiographic finding, previously undescribed to our knowledge of a polypoid defect and prominent fold in the region of the esophagogastric junction was seen in 9 patients. We believe this represents a stage in the evolution of chronic esophagitis.
Subject(s)
Esophageal Neoplasms/diagnostic imaging , Esophagogastric Junction/diagnostic imaging , Polyps/diagnostic imaging , Adult , Aged , Esophageal Neoplasms/complications , Esophageal Neoplasms/pathology , Esophagitis/complications , Esophagitis/diagnostic imaging , Esophagogastric Junction/pathology , Humans , Male , Middle Aged , Polyps/complications , Polyps/pathology , RadiographyABSTRACT
A 32-year-old woman was found to have chronic active hepatitis and cirrhosis after exploratory celiotomy resulted in hepatic decompensation. Subsequent investigation confirmed the diagnosis of Wilson's disease. This case demonstrates that Wilson's disease may manifest itself as chronic active hepatitis as late as the fourth decade of life without neurologic symptoms or findings. Wilson's disease should be actively considered in patients with chronic active hepatitis or cirrhosis, even in older age groups and despite the absence of central nervous system manifestations.
Subject(s)
Hepatitis/etiology , Hepatolenticular Degeneration/complications , Liver Cirrhosis/etiology , Adult , Biopsy , Chronic Disease , Female , Hepatitis/pathology , Hepatolenticular Degeneration/pathology , Humans , Liver Cirrhosis/pathologySubject(s)
Malaria/complications , Pancreatitis/complications , Acute Disease , Adult , Humans , Male , Pancreatitis/etiology , Plasmodium falciparumABSTRACT
Alkaline reflux gastritis is by far most common following gastric operations, but its true incidence remains to be determined. It is a distinct postgastrectomy disorder with unique features from other postgastrectomy syndromes. Eight patients with the diagnosis of postoperative alkaline reflux gastritis are presented. Five patients had Henley jejunal loop interposition procedures and two had takedown of their gastroenterostomy and pyloroplasty. One patient had a Roux-en-Y jejunojejunostomy after a vagotomy and pyloroplasty. A Henley jejunal loop failed to relieve the symptoms in one patient and a Roux-en-Y jejunojejunostomy brought complete relief of symptoms. Six of the eight patients had esophagitis. The frequent coexistence of alkaline esophagitis and alkaline gastritis must be considered in both treatment.
