ABSTRACT
Acute pericarditis occurs very rarely in association with inflammatory bowel disease (IBD). It has been described both as an extraintestinal manifestation of IBD and as an adverse drug reaction in IBD treatment. We present a case of a 26-year-old female patient with a severe exacerbation of ulcerative colitis, who was previously under long-term treatment with mesalazine and low-dose prednisone. The literature on pericardial involvement in IBD is reviewed.
Subject(s)
Colitis, Ulcerative/complications , Pericarditis/complications , Adult , Colitis, Ulcerative/diagnosis , Colitis, Ulcerative/drug therapy , Echocardiography , Female , Humans , Immunosuppressive Agents/therapeutic use , Pericarditis/diagnostic imaging , Pericarditis/drug therapy , Treatment OutcomeABSTRACT
Carcinoids are rare compared to other tumours of the gastrointestinal tract, but present a significant portion of tumours of the small intestine. The case of a 50-year-old man who suffered perforation of a small-bowel carcinoid after failed diagnostic trials is reported here. Since intestinal perforation is rarely the first sign of the presence of a carcinoid, it is useful to bear this in mind when dealing with unclear pathological changes of the small intestine.
Subject(s)
Carcinoid Tumor/complications , Ileal Neoplasms/complications , Intestinal Perforation/etiology , Intestinal Perforation/surgery , Biopsy, Needle , Carcinoid Tumor/diagnosis , Endoscopy, Digestive System , Follow-Up Studies , Humans , Ileal Neoplasms/diagnosis , Intestinal Perforation/diagnosis , Laparotomy , Male , Middle AgedABSTRACT
Dyspepsia is a common problem in primary health care and involves a great deal of physician's time, if we assume that the prevalence in general population is 25-50%. Since the definition of dyspepsia has been elusive, which has resulted in confusion about diagnosis and therapy, the need for management guidelines that would produce satisfactory results has been manifested. The International Gastro Primary Care Group has developed practical framework, which identifies the predominant symptom of dyspepsia as a guide in the selection of the most appropriate treatment, and is also used as a tool in dealing with common therapeutical dilemmas until new evidence become available.
Subject(s)
Dyspepsia , Adult , Aged , Dyspepsia/diagnosis , Dyspepsia/etiology , Dyspepsia/therapy , Humans , Middle Aged , Primary Health CareABSTRACT
A rare anomaly of the vessels supplying the kidney of a 65 year-old male cadaver was found during a routine dissection. The right kidney received two renal arteries from the aorta that were similar in diameter, both entering through the hilus. The left kidney had three arteries originating from the aorta, one at its usual hilar position and two entering the renal cortex at its upper and lower poles. The upper pole of the left kidney also gave rise to an additional tributary of the renal vein.
Subject(s)
Renal Artery/abnormalities , Aged , Cadaver , Humans , Kidney/anatomy & histology , Kidney/blood supply , Male , Renal Artery/anatomy & histology , Renal CirculationABSTRACT
In order to identify the presence of minor anatomical deformities responsible for the incongruity of the hip joint which causes the degenerative changes, the radiographies of the hips in 332 normal adults were reviewed. The deformities included the acetabular dysplasia and the tilt deformity of the femoral head as the residual condition of epiphyseolysis in adolescence. Using the Wiberg's CE angle acetabular dysplasia was found in 8.6% of cases: the tilt deformity, using the technique by Murray, was confirmed in 9.8%. It is concluded that these minor abnormalities can be recognized from more accurate examination of pelvic radiographies and their presence should indicate the joint incongruity and potential osteoarthritis changes. Earlier recognition of these deformities may permit earlier and simple operative measures and the arrest of the decline of the joint.