ABSTRACT
Extra-nodal localisations of mantle cell lymphomas are most frequently found in the gastrointestinal tract. It is therefore important for an endoscopist to be familiar with the endoscopic image of a mantle cell lymphoma. In this case series of three patients with colonic involvement of mantle cell lymphoma, we discuss the endoscopic diagnosis.
Subject(s)
Lymphoma, Mantle-Cell , Adult , Humans , Lymphoma, Mantle-Cell/diagnosis , Lymphoma, Mantle-Cell/pathology , Colon/diagnostic imaging , Endoscopy , Gastrointestinal Tract/pathologyABSTRACT
Olmesartan, an angiotensin receptor blocker, is a widely spread antihypertensive drug. Seronegative villous atrophy of the small intestine due to olmesartan use was first described in 2012. We present a new case of olmesartan-induced enteropathy and compare it to recent literature. This case might suggest a use of budesonide for treatment.
Subject(s)
Angiotensin II Type 1 Receptor Blockers/adverse effects , Antihypertensive Agents/adverse effects , Budesonide/therapeutic use , Imidazoles/adverse effects , Intestinal Diseases/chemically induced , Intestinal Diseases/drug therapy , Tetrazoles/adverse effects , Diarrhea/chemically induced , Diarrhea/drug therapy , Humans , Hypertension/drug therapyABSTRACT
We present a patient with acute retrosternal pain and dyspnoea. Clinical examination revealed a woman in shock with a loud holosystolic murmur and congested jugular veins. Echocardiography showed severe mitral insufficiency. At transoesophageal echocardiography a large mass was seen in the right atrium. The differential diagnosis was a thrombus or an intracardiac tumour. Subsequent histology revealed a non-Hodgkin lymphoma in the right atrium, the wall of the left atrium extending to the mitral valve and further location in the pelvis and duodenum. The discussion incorporates a brief overview of the literature.
Subject(s)
Heart Failure/diagnostic imaging , Heart Failure/etiology , Heart Neoplasms/complications , Lymphoma, B-Cell/complications , Ventricular Dysfunction/diagnostic imaging , Ventricular Dysfunction/etiology , Aged , Female , Heart Failure/mortality , Heart Neoplasms/mortality , Heart Neoplasms/pathology , Humans , Lymphoma, B-Cell/mortality , Lymphoma, B-Cell/pathology , Ultrasonography , Ventricular Dysfunction/mortalitySubject(s)
Carcinoid Tumor/diagnostic imaging , Duodenal Neoplasms/diagnostic imaging , Biopsy , Carcinoid Tumor/complications , Cholangiopancreatography, Endoscopic Retrograde , Colic/etiology , Duodenal Neoplasms/complications , Female , Flushing/etiology , Humans , Middle Aged , Nausea/etiology , Pain/etiology , Sweating , Tomography, X-Ray Computed , Ultrasonography , Vomiting/etiologyABSTRACT
OBJECTIVE: The purpose of this study was to determine the added diagnostic value of CT for the diagnosis of visceral angioedema. CONCLUSION: Thickening of the small-bowel wall and mucosa with increased contrast enhancement, depiction of more layers of the small-bowel wall than normal, prominent mesenteric vessels, ascites, and fluid accumulation in the small bowel or together in the small bowel and the colon were the most significant CT findings in three patients with visceral angioedema. Findings appear to be transient.
