ABSTRACT
We describe two patients, brother and sister, with identical pathology, whose only clinical presentation was recurrent massive lower digestive tract bleeding. Haemorrhage was due to a complex form of familial venous vascular malformation in the digestive tract, represented by the existence of varices of colon, small intestine and, to a lesser extent, oesophagus and gastric funcus. We have been able to study, examine and treat both patients for 9 and 3 years respectively.
Subject(s)
Arteriovenous Malformations/genetics , Colon/blood supply , Intestine, Small/blood supply , Varicose Veins/genetics , Adolescent , Colon/pathology , Colonic Neoplasms/pathology , Gastrointestinal Hemorrhage/etiology , Hemangioma, Cavernous/pathology , Humans , Male , Varicose Veins/pathologyABSTRACT
Splenic abscess remains a rare condition which is difficult to diagnose and is usually only an autopsy finding. However, it is a serious situation despite surgical treatment which is curative for most abscesses. The authors report 3 cases of single splenic abscess seen at random over a short period of 9 months. Urinary tract infection and diabetes as favoring factors, with a clinical picture of fever, pain in the left hypochondrium and leucocytosis led to additional investigations (CT scan and echotomography) confirming the diagnosis. Splenectomy with drainage of the splenic bed, as surgical treatment, was successful in all 3 cases.
