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Samit S Jain, Piyush O Somani, Rajeshkumar C Mahey, Dharmesh K Shah, Qais Q Contractor, Pravin M Rathi
Esophageal tuberculosis is rare, constituting about 0.3% of gastrointestinal tuberculosis. It presents commonly with dysphagia, cough, chest pain in addition to fever and weight loss. Complications may include hemorrhage from the lesion, development of arterioesophageal fistula, esophagocutaneous fistula or tracheoesophageal fistula. There are very few reports of esophageal tuberculosis presenting with hematemesis due to ulceration. We report a patient with hematemesis that was due to the erosion of tuberculous subcarinal lymph nodes into the esophagus...
November 16, 2013: World Journal of Gastrointestinal Endoscopy
Jeffey George, Deepak Kochummen Johnson, Rajneesh Anugraha Rajan, Sandesh Kolassery, Ramachandran Mavali Thazhath
Symptomatic gastric malignancy usually presents with symptoms which mimic peptic ulcer disease.Usual presenting features include weight loss and abdominal pain. Other symptoms include nausea, vomiting, dysphagia, melena and early satiety. Gastric malignancy presenting with hemetemesis, macular skin lesions of DIC and low backache due to bone metastasis from the primary is rare. Also bone metastasis in gastric cancer in the absence of hepatic metastasis is also rare.
2013: Pan African Medical Journal
Vidhyachandra Gandhi, Nilesh Doctor, Shaji Marar, Aabha Nagral, Sanjay Nagral
BACKGROUND AND AIM: Hemobilia is a rare but potentially life threatening problem, which can be difficult to diagnose and treat. In the last few decades there has been a change in the etiologic spectrum and management of this problem in the West. The aim of this study was to analyze the etiology, clinical features, management and outcome of major hemobilia in a tertiary referral centre from western India. METHODS: A retrospective analysis was undertaken on 22 patients (16 males, 6 females; mean age 39 years, range 13 to 74) who presented with major hemobilia over a 5-year period...
July 2011: Tropical Gastroenterology: Official Journal of the Digestive Diseases Foundation
Ahmer Rehman, Remzi Iscimen, Murat Yilmaz, Hasrat Khan, Jon Belsher, Javier Fernandez Gomez, Andrew C Hanson, Bekele Afessa, Todd H Baron, Ognjen Gajic
BACKGROUND: Cardiopulmonary complications are common after endoscopy for upper GI (UGI) hemorrhage in the intensive care unit (ICU). OBJECTIVE: To evaluate the practice and outcome of elective prophylactic endotracheal intubation before endoscopy for UGI hemorrhage in the ICU. DESIGN: Retrospective, propensity-matched case-control study. SETTING: A 24-bed medical ICU in a tertiary center. PATIENTS: ICU patients who underwent endoscopy for UGI hemorrhage...
June 2009: Gastrointestinal Endoscopy
V Singla, R P Galwa, N Khandelwal, K S Poornachandra, U Dutta, R Kochhar
Ectopic spleen (splenoptosis) is an extremely rare condition in which the spleen is present in a nonanatomical position. Patients' symptomatology is variable and ranges from mere feeling of an abdominal lump to sudden abdominal pain due to infarction. Patient may have subacute to chronic abdominal or gastrointestinal complaints. Because of nonspecific symptoms, clinical diagnosis can be difficult; hence, imaging plays an important role. Presentation as a case of portal hypertension is extremely rare. We report a case of splenic torsion in a middle-aged woman who presented with hemetemesis from gastric varices secondary to chronic volvulus of an ectopic spleen...
June 2008: American Journal of Emergency Medicine
Sundip N Patel, Brigitte M Baumann, Michael C Farner, Michael C Farmer
Portal vein thrombosis secondary to protein C deficiency is a rare finding. Diagnosing a portal vein thrombosis itself is difficult due to nonspecific symptoms such as nausea, vomiting, anorexia, and weight loss. Proving that a protein C deficiency is the cause of a portal vein thrombosis is even more difficult as an extensive and thorough workup is required to rule out malignancies, myeloproliferative disorders, and hypercoaguable states which can all lead to thromboses. Patients require anticoagulation to prevent two dangerous complications of portal vein thrombosis; portal hypertension leading to esophageal varices with massive hemetemesis and extension of thrombus from the portal vein into the mesenteric veins leading to intestinal ischemia and death...
May 2008: American Journal of Emergency Medicine
Keng Siang Png, Jaideepraj Rao, Khong Hee Lim, Kok Hoong Chia
A 61-year-old lady presented 2 years after lap-band surgery with hemetemesis. She was stable on admission and band erosion was diagnosed on gastroscopy. Laparotomy was performed to remove the lap band. Upon division of the lap band, torrential hemorrhage from the eroded left gastric artery was encountered. An anterior gastrostomy was done to expose the artery. Intraoperative gastroscopy was also performed to define the cardioesophageal junction. The artery was ligated and the perforation and gastrostomy were repaired...
August 2008: Obesity Surgery
P G Jani
OBJECTIVE: To evaluate the results of endoscopic variceal band ligation (EVBL) in the local set-up. DESIGN: Retrospective analysis of data of all patients who had EVBL. SETTING: Patients having EVBL at the office endoscopy suite. The Nairobi Hospital, the Aga Khan Hospital and M.P. Shah Hospital. METHODS: The varices were diagnosed at oesophagogastroduodenoscopy (OGD) in patients with hemetemesis and EVBL performed after xylocaine throat spray and intravenous pethidine and bendiazepam sedation...
April 2004: East African Medical Journal
B W Wang, D H Wu, C K Lin, J S Huang, K T Mok
Superior mesenteric arteriovenous fistula is rarely encountered. Unrecognized in early stage, it can cause hazardous sequelae of portal hypertension. Herein we report a rare case of portal obstruction associated with an aneurysmal dilatation of the superior mesenteric vein, which was caused by a superior mesenteric arteriovenous fistula. The patient was a 74-year-old woman admitted for continuous hemetemesis, presenting with a palpable abdominal mass. The computed tomogram revealed a 6.5 cm superior mesenteric venous aneurysm and thrombotic portal venous obstruction...
October 2001: Zhonghua Yi Xue za Zhi, Chinese Medical Journal; Free China Ed
R Mohammed, K L Goh, N W Wong
Primary biliary cirrhosis is an uncommon disease amongst Malaysians. Over a 12-year period, between 1979 and 1991, only seven patients with clinical, biochemical and histologic evidence of primary biliary cirrhosis were identified in University Hospital Kuala Lumpur. All were Chinese females between the ages of 30 to 55 years. The presenting complaint was pruritus in 5 patients. All except one patient was jaundiced when the diagnosis was made. These patients were followed up from 1 to 11 years. Three deaths were reported, one from massive hemetemesis and two from liver failure...
March 1996: Medical Journal of Malaysia
S S Parikh, S B Desai, S R Prabhu, M H Trivedi, K Shankaran, F A Bhukhanwala, R H Kalro, H G Desai
OBJECTIVES: To study 1) the factors influencing the development of congestive gastropathy (CG) in patients with portal hypertension (PHT), 2) the changes in gastric microvessels in patients with PHT with and without CG, and 3) to determine whether Helicobacter pylori plays any role in the pathogenesis of CG. METHODS: One hundred eighteen patients with PHT (102 cirrhosis, 16 noncirrhotic portal fibrosis) were evaluated by videogastroscopic examination. Antral biopsy tissue was examined for microvessel changes, histological gastritis, and H...
July 1994: American Journal of Gastroenterology
S K Mittal, K K Kalra, V Aggarwal
Upper GI endoscopies were done in 236 children (upto 12 years of age) presenting with history of hemetemesis. Varices were the commonest lesions (in 39.41%) followed by esophagitis (23.73%). Gastritis, gastric ulcer, duodenal ulcer and oesophageal ulcers were identified in 7.20%, 1.27%, 0.42% and 0.42% cases respectively. Cause of bleeding could not be ascertained in 27.54% cases. No significant premedication or procedure related complications were observed. Upper GI endoscopy is thus a safe and useful mode of investigation in cases of hemetemesis in children...
November 1994: Indian Journal of Pediatrics
M Sharma, S K Jain, O P Pathania, S B Taneja
A study of 58 consecutive Indian infants operated for congenital hypertrophic pyloric stenosis revealed an accentuated male predominance in the incidence of the disease and far less preoperative hemetemesis as compared to that in their Western counterparts. 'Pyloric tumor' was palpable in 89% of cases. Only 34.5% of these infants were first born. Postoperative vomiting occurred in 13.8% of patients and wound sepsis was not encountered. Air contrast radiography confirmed the diagnosis in clinically doubtful cases...
October 1990: Clinical Pediatrics
H Durrani
Retrospective analysis of 1400 duodenal ulcer patients from a high endemic area of Northwest India is presented. Duodenal ulcer occurred in the male:female ratio of 3:2:1 and was most common in the age group 31-40 years (40%). Ulcer pain was the presenting symptom in 78% hemetemesis and melena in 32%, duodenal perforation was seen in 3.5% and obstruction in 26%. The environmental factors, possibly linked in the etiology of duodenal ulcer, operating in a genetically predisposed community are discussed.
September 1990: Journal of the Association of Physicians of India
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