ABSTRACT
Heterotopic pancreas is usually asymptomatic. Associated complications include ulceration, bleeding and obstruction, especially gastric outlet obstruction. Acute and chronic pancreatitis including malignant change have been reported. These lesions are often difficult to differentiate clinically from other gastrointestinal diseases including primary gastric malignancy. Histological examination is mandatory to make a correct diagnosis. Limited surgical excision has been shown to be safe and adequate for heterotopic pancreas. We present a patient with heterotopic pancreas who presented with a non-healing gastric ulcer.
Subject(s)
Choristoma/surgery , Pancreas , Stomach Ulcer/surgery , Choristoma/pathology , Humans , Male , Middle Aged , Stomach Ulcer/pathologySubject(s)
Hemangiopericytoma/diagnosis , Urinary Bladder Neoplasms/diagnosis , Anemia/etiology , Female , Hemangiopericytoma/complications , Hemangiopericytoma/diagnostic imaging , Hemangiopericytoma/pathology , Humans , Middle Aged , Tomography, X-Ray Computed , Ultrasonography , Urinary Bladder Neoplasms/complications , Urinary Bladder Neoplasms/diagnostic imaging , Urinary Bladder Neoplasms/pathology , Weight LossABSTRACT
In the UK, about 2% of the population attend the accident and emergency (A&E) department every year after a head injury. A majority of the patients have minor head injury and are discharged. Studies reveal that patients who reattend the A&E after a minor head injury represent a high-risk group. Concussion injuries are common and not all require treatment at the time of presentation. However, some may worsen after initial presentation and develop signs of serious head injury. A case of minor head injury as a result of head butt during a game of rugby, not associated with alteration in conscious state or focal neurological signs, and subsequent development of frontal lobe abscess a month later is reported. It is important that patients fit to be discharged at the time of consultation are discharged in the care of a responsible adult with clear head injury instruction sheets and are advised to return should their symptoms change. A high index of suspicion should be maintained and an early imaging technique, such as CT scan should be considered in patients reattending the A&E with persistent symptoms even after minor head injury.
Subject(s)
Brain Abscess/etiology , Craniocerebral Trauma/complications , Football/injuries , Streptococcal Infections/etiology , Adult , Craniocerebral Trauma/diagnostic imaging , Craniocerebral Trauma/microbiology , Emergencies , Humans , Male , Radiography , Streptococcus milleri Group/isolation & purificationABSTRACT
In underdeveloped countries, where abortion is still illegal and not easily accessible, the number of unsafe abortions is soaring, as are the associated complications. However, in developed countries, where termination of pregnancy is legal and freely accessible, unsafe methods are uncommonly seen and reported. We report one such case of self induced abortion with instrumentation that presented to an accident and emergency department in the United Kingdom.
