ABSTRACT
Rotor's syndrome is a rare hereditary non hemolytic hyperbilirubinemia. The authors report a new case of a 22-year-old man, with chronic asymptomatic fluctuating jaundice. Liver function tests such as alkaline phosphatase, gammaglutamyl transferase and aminotransferase were normal, the same applying to globulin levels. The diagnosis was confirmed by a typical bromsulphalein clearance test, oral cholecystography, and increased total urinary coproporphyrin as well as coproporphyrin isomer I.
Subject(s)
Hyperbilirubinemia, Hereditary , Adult , Cholecystography , Clinical Enzyme Tests , Coproporphyrins/urine , Diagnosis, Differential , Humans , Hyperbilirubinemia, Hereditary/diagnosis , Male , Sulfobromophthalein , Syndrome , Time FactorsABSTRACT
The authors report a retrospective study of 500 colonoscopies performed on outpatients under general anaesthesia. Anaesthesia protocol associated diluted propofol in continuous titrated infusion and alfentanil. The doses used were relatively low and no serious adverse effects were observed. Therefore this method appears to be appropriate for most outpatients undergoing a colonoscopy provided that usual security rules are respected.
Subject(s)
Alfentanil , Ambulatory Care , Anesthesia, General , Colonoscopy/methods , Propofol , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Retrospective StudiesSubject(s)
Liver Cirrhosis, Alcoholic/complications , Liver Diseases/diagnostic imaging , Waldenstrom Macroglobulinemia/diagnostic imaging , Aged , Humans , Laparotomy , Liver Diseases/etiology , Liver Diseases/pathology , Liver Diseases/surgery , Male , Ultrasonography , Waldenstrom Macroglobulinemia/etiology , Waldenstrom Macroglobulinemia/pathology , Waldenstrom Macroglobulinemia/surgeryABSTRACT
A-79-year old man, treated by thoracic fundoplication for hiatus hernia with symptomatic gastroesophageal reflux, 12 years previously, was examined for persistent cough and left basal pneumonia. Esophagogastroscopy revealed a gastrobronchial fistule which was confirmed by endoscopical fistulograms. Surgical treatment led to complete recovery of the patient. A review of the literature confirms the rarety of this ailment as well as the relevance of preoperative diagnosis by perendoscopical fistulograms.
Subject(s)
Bronchial Fistula/etiology , Gastric Fistula/etiology , Aged , Bronchial Fistula/diagnostic imaging , Bronchial Fistula/surgery , Endoscopy , Gastric Fistula/diagnostic imaging , Gastric Fistula/surgery , Humans , Male , RadiographySubject(s)
Liver Neoplasms/diagnostic imaging , Adenoma/diagnostic imaging , Carcinoma, Hepatocellular/diagnostic imaging , Diagnosis, Differential , Fatty Liver/diagnostic imaging , Hemangioma/diagnostic imaging , Humans , Liver Cirrhosis/diagnostic imaging , Liver Neoplasms/secondary , UltrasonographyABSTRACT
In a young patient, stenosis due to annular pancreas was revealed by an attack of pancreatitis. The patient already had segmental chronic pancreatitis. Etiological considerations are proposed, based on an embryological approach with special attention to duct anomalies.
