ABSTRACT
An elderly white man undergoing evaluation for pyrosis was found to have multiple polyps in the fundus and body of the stomach by endoscopic examination. Histologic examination of the tissue removed for biopsy over a 2-year period showed fundic gland hyperplasia and hyperplastic polyps, the latter containing nests of immature squamous cells. These nests arose within superficial gastric glands and resembled squamous morules seen in benign endometrium. Previous reports of this type of squamous epithelium in gastric mucosa were not encountered in our literature review. This most probably represents a benign process since there is no evidence to support its relationship to the occurrence of either primary squamous cell carcinoma or adenosquamous carcinoma of the stomach.
Subject(s)
Gastric Mucosa/pathology , Polyps/pathology , Stomach Neoplasms/pathology , Aged , Endothelium/pathology , Humans , Hyperplasia , MaleABSTRACT
Acute colitis occurred after a Hibiclens cleanser enema. Endoscopic and histologic features were not helpful in distinguishing this colitis from an infectious or idiopathic colitis, and a careful history proved invaluable. We review the complications of using soapsuds and various chemical-containing enemas; these complications range from mild colitis to death. Because soap and other chemicals are damaging to colonic mucosa, these enemas should be included as a cause of acute colitis.
Subject(s)
Chlorhexidine/analogs & derivatives , Colitis/chemically induced , Enema , Biopsy , Chlorhexidine/adverse effects , Colitis/pathology , Colon/pathology , Female , Humans , Male , Middle Aged , Soaps/adverse effectsABSTRACT
A pedunculated appendiceal polyp containing adenocarcinoma in situ was diagnosed preoperatively by colonoscopy. I emphasize the role of colonoscopy in examining as well as identifying the appendiceal orifice.
Subject(s)
Adenocarcinoma/diagnosis , Appendiceal Neoplasms/diagnosis , Carcinoma in Situ/diagnosis , Intestinal Polyps/diagnosis , Colonoscopy , Female , Humans , Middle AgedABSTRACT
This prospective evaluation of patients presenting with mucoid bloody diarrhea and suspected idiopathic inflammatory bowel disease demonstrated a 38% incidence of infectious colitides. The infectious agents detected were Campylobacter, Salmonella, Shigella, Amoeba, and Clostridium difficile. An increased awareness and the utilization of selective culture media should allow the clinician to definitively diagnose patients who present with signs and symptoms suggestive of idiopathic inflammatory bowel disease.
