ABSTRACT
Leiomyomas are rare tumors found as a rule in the stomach (1-2% of all gastric tumor cases) and occasionally in the intestine. Unless they grow large or become ulcerated gastric leiomyomas run a silent course. Otherwise there is epigastric pain, hemorrhage or impaired gastric evacuation. When complicated, the disease presents diagnostic difficulties and is treated surgically. Gastrotomy with dissection of the tumor or local resection of the gastric wall proved a reliable therapeutic means. Gastric resection is indicated in ill-defined tumors or in suspected malignancy.
Subject(s)
Hemangioma/diagnosis , Leiomyoma/diagnosis , Stomach Neoplasms/diagnosis , Adult , Aged , Diagnosis, Differential , Female , Gastrectomy/methods , Hemangioma/surgery , Humans , Leiomyoma/surgery , Male , Middle Aged , Stomach Neoplasms/surgery , Stomach Ulcer/diagnosisSubject(s)
Diverticulum/diagnostic imaging , Intestine, Small , Adult , Aged , Diagnosis, Differential , Diverticulum/diagnosis , Diverticulum, Colon/diagnosis , Diverticulum, Colon/diagnostic imaging , Female , Humans , Ileal Diseases/diagnosis , Ileal Diseases/diagnostic imaging , Jejunal Diseases/diagnosis , Jejunal Diseases/diagnostic imaging , Middle Aged , RadiographyABSTRACT
In the world literature there are descriptions of about 60 cases of the Caroli disease representing a congenital dilatation of intrahepatic bile ducts. Unlike true cysts of the liver the cystoid dilatation of the ducts in Caroli disease contains bile and features of chronic cholangitis prevail in the clinical picture of the disease. The diagnostics is difficult. Intraoperative cholangiography is the most informative method.
