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Upper GIT bleed

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https://www.readbyqxmd.com/read/27372029/testicular-seminoma-metastasis-to-duodenum-misdiagnosed-as-primary-duodenal-tumor
#1
Amer Hashim Al Ani, Hashim Amer Al Ani
INTRODUCTION: Testicular cancer is the most common malignancy in Males aged 15-35 years. Its incidence comprises 0.8% of all Male cancers worldwide, with a mortality rate of 0.1%. Rarely it metastasizes to the retroperitoneum and invades upper gastrointestinal tract (GIT). Complications like intestinal obstruction, hemorrhage, and perforation are usually present. PRESENTATION OF CASE: We report a 30 year-old male, presented to GIT unit with severe anemia due to upper GIT bleeding...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27170918/a-rare-cause-of-chronic-life-threatening-bleeding-in-a-girl-the-ulcerated-blind-loops
#2
Abhijeet D Sawant, Rasik Shah, Nitin Shah, Tarun Gupta
Ulceration in a blind loop can lead to massive gastrointestinal tract (GIT) bleeding. A 13-year old girl presented with symptomatic melena requiring repeated blood transfusion since childhood. She was an operated case of small bowel atresia in neonatal life. Her upper and lower gastrointestinal endoscopies were normal. Operation showed presence of multiple ulcers in two blind loops (parts of previous side to side anastomosis) and at the anastomotic site. She underwent resection and end-to-end anastomosis of the small bowel leading to complete resolution of melena and anemia...
May 2016: APSP Journal of Case Reports
https://www.readbyqxmd.com/read/26656368/the-value-of-u-s-to-determine-priority-for-upper-gastrointestinal-endoscopy-in-emergency-room
#3
Abd Elrazek Abd Elrazek, Hamdy Mahfouz, Khaled Abd Elazeem, Mohamed Fakhry, Emad Abd Elrazek, Mahmoud Foad, Mohamed Alboraie, Aly Ragab, Shazly Baghdady, Shymaa E Bilasy, Khaled Salama, Ramy Abdel Masseih, Mohamed Omar Amer, Sayed Hassaneen, Akshaya Srikanth Bhagavathula, Asim Ahmed Elnour, Saif K Al Nuaimi, Abdulla Shehab
In countries endemic for liver and GIT diseases, frequent emergency department (ED) patients contribute to a disproportionate number of visits consuming substantial amount of medical resources. One of the most frequent ED visits is patients who present with hypovolemic shock, abdominal pain, or confusion with or without signs of upper gastrointestinal bleeding (UGIB). The use of conventional two-dimensional ultrasound (2D-U/S) may provide immediate and useful information on the presence of esophageal varices, gastrointestinal tumors, and other GIT abnormalities...
December 2015: Medicine (Baltimore)
https://www.readbyqxmd.com/read/26591711/massive-upper-gastrointestinal-bleeding-and-diffuse-benign-gastric-inflammatory-hyperplastic-polyps-in-a-19-year-old-patient-a-case-report
#4
Hyasinta M Jaka, Mariam Mirambo, Peter Rambau, Phillipo L Chalya
Benign gastric inflammatory hyperplasic polyps are benign lesions that rarely occur in young age. We report a case of diffuse benign gastric inflammatory hyperplastic polyps in a 19 year old male patient who presented with cough, nausea, and haematemesis. In the presented case symptoms such as nausea and vomiting are non specific and may complicate in reaching a prompt diagnosis. We also highlight the importance of gastrointestinal tract (GIT) endoscopy in the diagnosis of GIT diseases.
July 2013: Tanzania Journal of Health Research
https://www.readbyqxmd.com/read/25992197/anaemia-in-waldmann-s-disease-a-rare-presentation-of-a-rare-disease
#5
Shahira A El-Etreby, Ahmed Y Altonbary, Mohamed El Sorogy, Wagdi Elkashef, Jehan A Mazroa, Monir H Bahgat
A 32-year-old female presented with 5-year history of iron deficiency anemia, marked pallor and edema of both lower limbs. Laboratory investigations including complete blood count, blood film, iron studies, lipid profile, ascitic fluid analysis, test of stool for occult blood and alpha 1 anti-trypsin. Upper, lower gastrointestinal (GIT) endoscopies, and enteroscopy were performed. Imaging techniques as abdominal ultrasonography and computed tomography were done. Echocardiography, lymph node biopsy and bone marrow examination were normal...
May 16, 2015: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/25507003/a-case-of-synchronous-bleeding-from-esophageal-varices-and-appendixin-a-patient-with-decompensated-liver-cirrhosis
#6
V Daskalov, E Belokonski, G Popivanov, A Milchev, K Denkov, A Fakirova
UNLABELLED: Lower gastrointestinal bleeding is defined as any bleeding localized distally to Treitz's ligament. The massive bleeding from the appendix is extremely rare and only 21 cases described in the English literature. CASE PRESENTATION: We present a 61-years-old patient with decompensated liver cirrhosis and bleeding from esophageal varices. He underwent band ligation by Six Shooter (Cook Medical, USA). Due to a massive bleeding from the lower gastrointestinal tract and a rapid decline of hemoglobin level to 3 g/dL, angiography was performed...
2014: Khirurgiia
https://www.readbyqxmd.com/read/25417275/a-case-of-synchronous-bleeding-from-esophageal-varices-and-appendixin-a-patient-with-decompensated-liver-cirrhosis
#7
V Daskalov, E Belokonski, G Popivanov, A Milchev, K Denkov, A Fakirova
UNLABELLED: Lower gastrointestinal bleeding is defined as any bleeding localized distally to Treitz's ligament. The massive bleeding from the appendix is extremely rare and only 21 cases described in the English literature. CASE PRESENTATION: We present a 61-years-old patient with decompensated liver cirrhosis and bleeding from esophageal varices. He underwent band ligation by Six Shooter (Cook Medical, USA). Due to a massive bleeding from the lower gastrointestinal tract and a rapid decline of hemoglobin level to 3 g/dL, angiography was performed...
2014: Khirurgiia
https://www.readbyqxmd.com/read/23069888/acute-upper-gastrointestinal-bleeding-in-liver-cirrhosis-patients
#8
Pavel Svoboda, Michal Konecny, Arnost Martinek, Vladimir Hrabovsky, Vlastimil Prochazka, Jiri Ehrmann
OBJECTIVES: This study focuses on the etiology of acute upper gastrointestinal (GIT) bleeding in liver cirrhosis patients. METHODS: A prospective examination of 137 liver cirrhosis patients with acute upper GIT bleeding. All patients underwent endoscopic examination and in the case of multiple findings, definition of the source of bleeding was based on the endoscopic report. RESULTS: The most frequent causes of acute bleeding were: oesophageal varices (57...
September 2012: Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia
https://www.readbyqxmd.com/read/22503919/diagnosis-of-small-bowel-metastasis-of-hepatocellular-carcinoma-by-double-balloon-enteroscopy
#9
Masaki Kunizaki, Shigekazu Hidaka, Hajime Isomoto, Hiroaki Takeshita, Atsushi Nanashima, Terumitu Sawai, Toru Yasutake, Takeshi Nagayasu
INTRODUCTION: Hepatocellular carcinoma (HCC) is a major cause of cancer-related deaths around the world. Nearly half of patients with HCC display metastatic disease at the time of initial diagnosis, frequently involving the liver, bone, brain, lungs, and adrenal glands, but gastrointestinal involvement is rare. Melena occurring secondary to a metastatic tumor from HCC is particularly rare. Herein, we present a case of melena secondary to metastatic HCC after chemoradiation to lung and brain metastases from HCC, diagnosed preoperatively by double-balloon enteroscopy...
2012: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/21980783/causes-and-outcome-of-upper-gastrointestinal-bleeding-in-emergency-endoscopy-unit-of-ain-shams-university-hospital
#10
Reda Elwakil, Mohga A Reda, Sara M Abdelhakam, Dalia M Ghoraba, Wesam A Ibrahim
This prospective follow-up study was designed to analyze the causes and outcome of upper gastrointestinal bleeding among patients presenting by hematemesis and/or melena to Emergency Endoscopy Unit, Ain Shams University Hospitals. One thousand patients presented by upper GIT bleeding were subjected to complete clinical evaluation, emergency upper gastrointestinal endoscopy and therapeutic interventions as indicated. Follow up was done for occurrence of re-bleeding or mortality. Variceal causes of bleeding were the most common, representing 70...
August 2011: Journal of the Egyptian Society of Parasitology
https://www.readbyqxmd.com/read/21250489/-a-different-view-of-acute-upper-gastrointestinal-bleeding-in-liver-cirrhosis-patients
#11
P Svoboda, J Ehrmann, P Klvana, E Machytka, M Rydlo, V Hrabovský
OBJECTIVES: The study focuses predominantly on non-varicose sources of acute upper gastrointestinal bleeding in liver cirrhosis patients and aims to determine its mortality. METHODS AND SUBJECTS: The prospective examination included 137 liver cirrhosis patients with acute upper GIT bleeding. All the patients underwent an endoscopic examination. In case of multiple findings, defining the bleeding source was based on the specialist's attitude presented as the conclusion of the endoscopic examination...
November 2010: Vnitr̆ní Lékar̆ství
https://www.readbyqxmd.com/read/21045382/gastrointestinal-stromal-tumors-a-7-year-experience-from-a-tertiary-care-hospital
#12
Vasantha A Lakshmi, Raju T Chacko, Susy Kurian
BACKGROUND: Gastrointestinal stromal tumor (GIST), now the most common mesenchymal tumor of the gastrointestinal tract (GIT), has been frequently studied, especially with regard to its successful targeted therapy using imatinib mesylate. AIM: Our aim was to describe the clinicopathological features of a large number of cases from a tertiary care hospital in India and report on the follow-up after treatment of some of the cases, comparing them with series described in the west...
October 2010: Indian Journal of Pathology & Microbiology
https://www.readbyqxmd.com/read/20919547/-acute-injuries-to-the-upper-gastrointestinal-tract-in-patients-with-multiple-cerebral-arterial-aneurysms
#13
A Iu Lubnin, O A Kirichkova, I A Savin, A V Troitskiĭ, A S Kheĭreddin
The paper describes a case of multiple cerebral arterial aneurysms in a patient with prior subarachnoidal hemorrhage, who developed postoperative acute upper gastrointestinal tract (GIT) lesion manifesting itself as bleeding and requiring multiple endoscopic treatment procedures and eventually a direct surgical intervention. The susceptibility of patients with cerebral pathology to upper GIT lesions and methods of their therapy and prevention are discussed.
July 2010: Anesteziologiia i Reanimatologiia
https://www.readbyqxmd.com/read/20586151/significant-associations-of-acute-gastrointestinal-haemorrhage-and-the-estimation-of-effectiveness-of-the-newly-proposed-acute-abdominal-bleeding-score-aabs-in-emergency-patients
#14
Faruquzzaman, M Moniruzzaman
This study was carried out in different units of surgical wards of Khulna Medical College Hospital, Bangladesh. Among the total number of 284 patients about 88.7% (252) was admitted for the upper GIT pathology and in relation to this, lower GIT bleeding was less common 11.2% (32). In the question of emergency surgical management, 156 (61.9%) patients out of 252 upper GIT bleeding patients needed an emergency surgery, whereas it was only 12 (37.5%) out of the rest of lower GIT bleeding patients. Fortunately, in this study, it was clearly found that, in case of bleeding control, 234 (82...
2010: Bratislavské Lekárske Listy
https://www.readbyqxmd.com/read/20429334/-hemorrhagic-complications-of-warfarin-therapy
#15
R Kostka, L Havlůj, D Jirava, L Novák, B Vach, J Weiss
INTRODUCTION: Introduction of warfarin use in prevention and treatment of thromboembolic diseases resulted in lower rates of thromboembolic complications, however, on the other hand, it has been associated with increased incidence of hemorrhagic complications,which often require surgical management. AIM, MATERIAL, METHODS: The aim of the study was a retrospective analysis of hemorrhagic complications in 184 patients, hospitalized in the FNKV (Královské Vinohrady Faculty Hospital) Surgical Clinic during 2000-2008, following warfarin overdose...
February 2010: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
https://www.readbyqxmd.com/read/19409093/exsanguinating-upper-gi-bleeds-due-to-unusual-arteriovenous-malformation-avm-of-stomach-and-spleen-a-case-report
#16
Mohammad Iqbal Khan, Muhammad Tariq Baqai, Mohammad Fahd Baqai, Naveed Mufti
BACKGROUND: In this paper we are reporting one case of exsanguinating upper gastrointestinal tract (GIT) bleed requiring massive blood transfusion and immediate life saving surgery. CASE PRESENTATION: A 30 years old female, 12 weeks pregnant was referred to our hospital from the earth-quake affected area of Kashmir with history of upper abdominal pain, haematemesis and melaena for one week. After stabilizing the patient, upper gastro-intestinal endoscopy was performed...
May 1, 2009: World Journal of Emergency Surgery: WJES
https://www.readbyqxmd.com/read/19209771/gastrointestinal-stromal-tumors-gists-clinical-presentation-diagnosis-surgical-treatment-and-its-outcome
#17
Mohamed Abbas, Youssef Farouk, Maged M Nasr, Magdy M Elsebae, Ahmed Farag, Maha Mahmud Akl, Olfat Hammam
This study included 13 selected patients treated by surgical excision for lesions that proved postoperatively to be gastrointestinal stromal tumors (GISTs) by histopathological and immunohistochemistry studies. The demographic, clinical and operative reports data were collected. Eight cases were gastric GISTs, four cases were small bowel GISTs (jejunum 1 & ileum, 3) and GIST of the sigmoid colon was in one patient. Eight cases presented at the emergency department due to hematemesis (3), gastrointestinal obstruction (3), bowel perforation (1) and severe bleeding per rectum (1)...
December 2008: Journal of the Egyptian Society of Parasitology
https://www.readbyqxmd.com/read/19195269/-mesoatrial-shunt-in-budd-chiari-syndrome
#18
Darko Mirković, Nebojsa Stanković, Miodrag Jevtić, Miroslav Mitrović, Milan Jovanović
BACKGROUND: Budd-Chiari syndrome (BCS) represents partial or total occlusion of the hepatic veins with or without simultaneous obstruction of vena cava inferior (VCI). The symptoms of BCS are abdominal pain, hepatomegaly, ascites, varices of the abdominal wall, sometimes bleeding from the upper part of gastointestinal tract (GIT), lower limbs swelling and jaundice. Primary BSC is a relatively rare condition occuring in one per 100,000 of the population worldwide. CASE REPORT: A male patient, 25-year-old, facing tooth postextraction complications, was presented with acute BCS...
January 2009: Vojnosanitetski Pregled. Military-medical and Pharmaceutical Review
https://www.readbyqxmd.com/read/19147656/endoscopy-findings-in-hiv-infected-children-from-sub-saharan-africa
#19
M L Cooke, E A Goddard, R A Brown
BACKGROUND: The causes of persistent gastro-intestinal symptoms in HIV-infected children from sub-Saharan Africa remain poorly documented. METHODS: The clinical, radiological and endoscopic findings of all HIV-infected children who underwent upper GI endoscopy at Red Cross Children's Hospital, Cape Town, South Africa, from February 2003 to October 2005 were documented. RESULTS: Twenty-six HIV-infected children underwent endoscopy; median age 1 year (range: 0...
August 2009: Journal of Tropical Pediatrics
https://www.readbyqxmd.com/read/18480529/the-role-of-computerized-tomography-in-the-evaluation-of-gastrointestinal-bleeding-following-negative-or-failed-endoscopy-a-review-of-current-status
#20
REVIEW
H Stunell, O Buckley, I D Lyburn, G McGann, M Farrell, W C Torreggiani
Gastrointestinal bleeding remains an important cause for emergency hospital admission with a significant related morbidity and mortality. Bleeding may relate to the upper or lower gastrointestinal tracts and clinical history and examination may guide investigations to the more likely source of bleeding. The now widespread availability of endoscopic equipment has made a huge impact on the rapid identification of the bleeding source. However, there remains a large group of patients with negative or failed endoscopy, in whom additional techniques are required to identify the source of bleeding...
April 2008: Journal of Postgraduate Medicine
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