RESUMO
Diaphragm disease is a condition wherein the bowel lumen is divided into a series of short compartments by circular membranes of mucosa and submucosa, leading to a pinhole lumen and subsequent obstruction. It is a very rare condition commonly attributed to non-steroidal anti-inflammatory drugs (NSAIDs) usage. We present two cases of obstruction secondary to diaphragm disease of the ileum diagnosed on histology of the resected specimen. One patient had no history of chronic NSAID intake.
Assuntos
Entrevistas como Assunto , Corpo Clínico Hospitalar , Adulto , Cirurgia Geral , Humanos , Reino UnidoAssuntos
Mesentério , Doenças Peritoneais/diagnóstico , Adolescente , Diagnóstico Diferencial , Feminino , Fibrossarcoma/diagnóstico , Humanos , Mesentério/patologia , Regressão Neoplásica Espontânea , Doenças Peritoneais/patologia , Neoplasias Peritoneais/diagnóstico , Gravidez , Complicações na GravidezRESUMO
In nine young patients with recurrent attacks of sigmoid volvulus there was a long delay before a correct diagnosis was made, yet volvulus was indicated in most of them by a well-taken history. All were treated successfully by excision of the redundant colon. This condition is not as uncommon in young people as was thought.
Assuntos
Colo Sigmoide , Obstrução Intestinal/diagnóstico , Adulto , Colo Sigmoide/patologia , Colo Sigmoide/cirurgia , Erros de Diagnóstico , Feminino , Humanos , Obstrução Intestinal/patologia , Obstrução Intestinal/cirurgia , Masculino , Pessoa de Meia-Idade , RecidivaRESUMO
The levels of plasma carcinoembryonic antigen (CEA) were estimated in 59 control subjects attending St Mark's Hospital and in 139 patients with uncomplicated ulcerative colitis. There was little difference in the CEA levels in the two groups. In the colitic patients, the actual CEA values could not be correlated with the age of the patient, the activity of the disease, the extent of bowel involvement, or the length of history. In addition, seven colitic patients with severe dysplastic changes in the rectal mucosa and seven patients with established carcinoma in colitis were studied. With one exception in each group, the CEA levels in these patients were within the range shown by the St Mark's Hospital control population.