RESUMO
Intestinal obstruction secondary to cocoon formation is not common. We report a case of a patient who had presented with abdominal pain and distension accompanied by vomiting. Investigations, laparotomy and histology together revealed primary peritoneal carcinoma as the cause of the patient's symptoms.
Assuntos
Adenocarcinoma/complicações , Fibrose Peritoneal/etiologia , Neoplasias Peritoneais/complicações , Adenocarcinoma/diagnóstico , Idoso , Feminino , Humanos , Fibrose Peritoneal/diagnóstico , Neoplasias Peritoneais/diagnósticoRESUMO
This report describes the case of a 52-year-old man with an obstructed para-oesophageal hiatus hernia who required a gastropexy, who postoperatively developed gastroparesis which inadequately responded to conventional prokinetics including erythromycin, metoclopramide, ondansetron, and domperidone. The patient's symptoms were relieved rapidly with a trial of mirtazapine. A review of related literature is presented.
RESUMO
BACKGROUND: Inflammatory fibroid polyp of the oesophagus is an uncommon lesion and very rarely it grows rapidly. CASE PRESENTATION: We present the case of a patient with a rapidly growing inflammatory fibroid polyp (IFP) of the oesophagus, which showed up within five months after a normal endoscopy. CONCLUSION: The treatment of IFP is by surgical excision, either open or endoscopic. Laser or other form of ablative treatment like thermo cautery can also be tried.