ABSTRACT
A 47-year-old woman who was studied for other reasons proved to have abdominal lymphadenopathy, some nodes measuring up to 2 cm. The patient, through biopsy and other studies, was diagnosed with celiac sprue; however, on a gluten-free diet, abdominal computed tomography scans several months later showed marked reduction in the size of the mesenteric nodes.
Subject(s)
Celiac Disease/complications , Lymphatic Diseases/etiology , Abdomen , Female , Humans , Middle AgedSubject(s)
Bronchial Spasm/chemically induced , Meperidine/adverse effects , Adult , Colonoscopy , Crohn Disease/diagnosis , Female , HumansSubject(s)
Endoscopy , Hypertension/drug therapy , Nifedipine/administration & dosage , Premedication , Administration, Buccal , Aged , Humans , Middle AgedSubject(s)
Gastrointestinal Hemorrhage/diagnosis , Gastroscopy , Stomach Diseases/diagnosis , Aged , Humans , Male , Stomach/pathologyABSTRACT
A retrospective review of five patients with Barrett's esophagus revealed three with an associated active duodenal ulcer. Two patients also had adrenocarcinoma of the esophagus. Any patient with prolonged gastroesophageal reflux should have careful radiologic and endoscopic evaluation of the entire upper gastrointestinal tract.
Subject(s)
Adenocarcinoma/complications , Barrett Esophagus/complications , Duodenal Ulcer/complications , Esophageal Diseases/complications , Esophageal Neoplasms/complications , Adult , Aged , Female , Gastroesophageal Reflux/complications , Humans , Male , Middle Aged , Retrospective StudiesABSTRACT
Appendicitis is the most common acute surgical condition affecting the abdomen. The manner of onset and location of pain depend, to a great extent, upon the different anatomical positions of the appendix and its proximity to the parietal peritoneum which senses the location of the inflammatory process. When perforation occurs, abscess formation or diffuse peritonitis may develop. We wish to report an unusually rare case of perforated appendicitis with abscess formation presenting clinically and radiologically as a sigmoid stricture.
Subject(s)
Appendicitis/diagnosis , Colon, Sigmoid , Abscess/etiology , Adult , Appendicitis/complications , Barium Sulfate , Colonic Diseases/diagnosis , Constriction, Pathologic , Diagnosis, Differential , Enema , Humans , Male , Rupture, SpontaneousSubject(s)
Appendectomy/adverse effects , Cecal Diseases/surgery , Endoscopy , Adult , Cecum , Humans , Male , Ulcer/surgerySubject(s)
Adenoma/diagnosis , Parathyroid Neoplasms/diagnosis , Ultrasonography , Adult , Evaluation Studies as Topic , Female , Humans , Male , Middle AgedSubject(s)
Adenoma/diagnosis , Duodenal Neoplasms/diagnosis , Endoscopy , Female , Humans , Middle AgedABSTRACT
Nonspecific duodenitis exists as a clinical entity distinct from duodenal ulcer disease. Duodenoscopic findings take two general forms: 1. nodularity and erythema, 2. erosions and friability. Both forms usually tend to improve with time but do not necessarily disappear. Although frequently a mild illness, the hemorrhagic erosive form of duodenitis is a potentially serious complication causing marked gastrointestinal bleeding and should be considered in patients taking aspirin-alcohol or following severe physiologic stress. Lastly, most patients initially seem to respond to anticholinergic, tranquilizer or antacid therapy but clinical correlation with long-term treatment will require controlled studies.
