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Lymphoid hyperplasia ileum

Rami Rhaiem, Amine Makni, Houcine Maghrebi, Alia Zehani, Amine Daghfous, Zoubaier Ben Safta
BACKGROUND: Nodular lymphoid hyperplasia (NLH) of the gastrointestinal (GI) tract is a rare condition in adults. It is usually asymptomatic. Few complications have been described. AIM:   We report an unusual clinical presentation of focal lymphoid hyperplasia of the GI. CASE REPORT: A 23-year-old female patient presented with a fistulizingdisease of the terminal ileum and the caecum complicated with an abscess of the lower right quadrant if the abdomen...
June 2017: La Tunisie Médicale
Toni Hanich, Ljiljana Majnarić, Dragan Janković, Šefket Šabanović, Aleksandar Včev
INTRODUCTION: Primary lymphomas of the small intestine are rare. Burkitt's lymphoma (BL) occurs sporadically in adults. Nodular lymphoid hyperplasia (NLH) is a rare disorder characterized by diffuse nodular lesions, which represent hyperplastic lymphoid follicles, and it is often associated with immunodeficiency syndromes. PRESENTATION OF CASE: We present a 38-year-old male patient in a state of surgical emergency, suspected of Crohn's disease, who had an unusual combination of NLH and BL of the proximal ileum...
2017: International Journal of Surgery Case Reports
Barina Aqil, Wei Xie, Reka Szigeti
Distinguishing reactive changes from neoplastic processes during lymphoid tissue evaluation is oftentimes difficult. Ancillary studies, such as flow cytometry, may aid the diagnosis by demonstrating monotypic or polytypic light chain expression on the B cells. The detection of immunoglobulin light chain restricted B cell population is considered a surrogate marker of clonality, which can be confirmed by molecular assays. In general, the presence of a monotypic B cell population in the ascitic fluid is considered lymphomatous involvement rather than a reactive condition...
2016: Annals of Clinical and Laboratory Science
Chee-Kin Hui
Lymphocytic colitis is a chronic inflammatory disease affecting the bowel. The clinical course of lymphocytic colitis is believed to be benign with watery diarrhoea. We report herein what is, to the best of our knowledge, the first case of lymphocytic colitis complicated by a terminal ileal mass. A 23-year-old man presented with diarrhoea. Blind biopsies of samples taken from the terminal ileum, caecum and ascending colon showed features of lymphocytic colitis. He declined treatment with budesonide or 5-aminosalicylates...
May 2015: Singapore Medical Journal
Ana Muñoz-Urribarri, Aderbal Sabrá, Isaac Tenorio, Selma Sabrá, Javier Arias-Stella Castillo
OBJECTIVE: To present two cases of food allergy of uncommon presentation and discuss the diagnostic approach to give in these cases: Case N° 1: 11-year-old girl, afflicting pain in the right iliac fossa 3 months ago. BACKGROUND: Prematurity, atopy (dermatitis, rhinitis, cramping). Sister and mother are atopic too. The physical exam show exquisite pain on right iliac fossa at palpation. Laboratory: Urine normal, parasitological serial negative. EDN (neurotoxin derived from eosinophils) fecal >3210 ng/ml (V...
January 2015: Revista de Gastroenterología del Perú: órgano Oficial de la Sociedad de Gastroenterología del Perú
Annaïg Lan, Mireille Andriamihaja, Jean-Marc Blouin, Xinxin Liu, Véronique Descatoire, Caroline Desclée de Maredsous, Anne-Marie Davila, Francine Walker, Daniel Tomé, François Blachier
We have previously shown that high-protein (HP) diet ingestion causes marked changes in the luminal environment of the colonic epithelium. This study aimed to evaluate the impact of such modifications on small intestinal and colonic mucosa, two segments with different transit time and physiological functions. Rats were fed with either normal protein (NP; 14% protein) or HP (53% protein) isocaloric diet for 2 weeks, and parameters related to intestinal mucous-secreting cells and to several innate/adaptive immune characteristics (myeloperoxidase activity, cytokine and epithelial TLR expression, proportion of immune cells in gut-associated lymphoid tissues) were measured in the ileum and colon...
January 2015: Journal of Nutritional Biochemistry
Andrew A Plumb, Douglas A Pendsé, Sara McCartney, Shonit Punwani, Steve Halligan, Stuart A Taylor
OBJECTIVE: The purpose of this article is to describe the MRI findings associated with lymphoid nodular hyperplasia at MR enterography and test the ability of radiologists to differentiate healthy control subjects from patients with Crohn disease (CD). MATERIALS AND METHODS: Ethical approval was granted for this retrospective study. Thirty-five subjects (nine with lymphoid nodular hyperplasia, 13 with CD, and 13 control subjects) who had undergone MR enterography and ileocolonoscopy were identified from the hospital database...
October 2014: AJR. American Journal of Roentgenology
Franciane Mayra Nicoli Kagueyama, Fernanda Michely Nicoli, Mauro Willemann Bonatto, Ivan Roberto Bonotto Orso
BACKGROUND: In patients with chronic diarrhea, colonoscopy may identify inflammatory causes or some occult disease, and also can show a normal mucosa. Serial biopsies of intestinal mucosa can be useful for a differential diagnosis, and to modify the treatment. AIM: To evaluate whether the biopsies performed in patients with chronic diarrhea and a normal colonoscopy contribute to the differential diagnosis and alter the therapeutic approach. METHODS: A descriptive, retrospective and cross-sectional study using a computerized database was done...
July 2014: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
Hongling Li, Changcheng Wang, Shuqing Liu, Dongsheng Xu, Ju Zhang, Hongmei Chen
BACKGROUND: The causes and mechanisms of chronic diarrhea are complex. This study aimed to explore the relationship between chronic diarrhea with normal colonoscopy findings and terminal ileum lesions. METHODS: All cases were collected from January 2009 to June 2010. The 40 patients in the patient group had chronic diarrhea with normal colonoscopy findings. Those who had hyperthyroidism, diabetes, chronic pancreatitis, cirrhosis, atrophic gastritis, short bowel syndrome and connective tissue diseases had been excluded...
2014: Chinese Medical Journal
Amirkaveh Mojtahed, Reetesh K Pai, Matthew W Anderson, Daniel A Arber, Teri A Longacre
Small endoscopic biopsies of the terminal ileum may be difficult to assess for early involvement by lymphoma. Immunophenotypic and genotypic analyses are often utilized, but the performance of these studies in this setting is not well defined. Terminal ileal biopsies from 66 patients with prominent lymphoid hyperplasia and abnormal "lymphoma-like" morphology were evaluated by immunohistochemistry (IHC) for CD3, CD5, CD43, CD20, CD21, and CD10 expression and for IGH@ gene rearrangement by polymerase chain reaction using BIOMED-2 primers...
September 2014: Applied Immunohistochemistry & Molecular Morphology: AIMM
Mikihiro Fujiya, Shin Kashima, Katsuya Ikuta, Tatsuya Dokoshi, Aki Sakatani, Kazuyuki Tanaka, Katsuyoshi Ando, Nobuhiro Ueno, Motoya Tominaga, Yuhei Inaba, Takahiro Ito, Kentaro Moriichi, Hiroki Tanabe, Yusuke Saitoh, Yutaka Kohgo
BACKGROUND: No method for sufficiently making the differential diagnosis of intestinal lymphoma resembling lymphoid hyperplasia (LH) on endoscopy has yet been established. OBJECTIVE: The aim of this study was to evaluate the usefulness of narrow-band imaging (NBI) in diagnosing intestinal lymphoma. DESIGN: Prospective study. SETTING: Single-center study. PATIENTS: Sixty-one patients with primary or systemic lymphoma were enrolled in this study...
December 2014: Gastrointestinal Endoscopy
Daniela Bojic, Srdjan Markovic
Chronic inflammation in the terminal ileum (TI) suggests a cause for the patient's symptoms, especially when the clinical suspicion is Crohn's disease (CD). Clinic, laboratory, endoscopic, histopathological evaluation of patients is required for the diagnosis of CD. The most frequent localization of CD is the TI. There are many other diseases affecting the TI. Non-steroidal antiinflammatory drug (NSAID) intake as well as other pathological conditions such as lymphoid hyperplasia, intestinal infections, lymphoma, infections and ulcerative colitis (UC) can mimic CD terminal ileitis...
2011: Annals of Gastroenterology: Quarterly Publication of the Hellenic Society of Gastroenterology
Sabrina Cardile, Claudio Romano
Joint involvement is the most common extraintestinal manifestation in children with inflammatory bowel disease (IBD) and may involve 16%-33% of patients at diagnosis or during follow-up. It is possible to distinguish asymmetrical, transitory and migrating arthritis (pauciarticular and polyarticular) and spondyloarthropathy (SpA). Clinical manifestations can be variable, and peripheral arthritis often occurs before gastrointestinal symptoms develop. The inflammatory intestinal pattern is variable, ranging from sub-clinical inflammation conditions, classified as indeterminate colitis and nodular lymphoid hyperplasia of the ileum, to Crohn's disease or ulcerative colitis...
January 7, 2014: World Journal of Gastroenterology: WJG
Ting-Hui Hsieh, Douglas O Faigel, Dora M Lam-Himlin
No abstract text is available yet for this article.
December 2013: Gastrointestinal Endoscopy
Ismael Said-Criado, Antonio Gil-Aguado
No abstract text is available yet for this article.
January 4, 2014: Lancet
Robert Lopez, Spencer W Beasley, Russell Blakelock, Kiki Maoate, Craig A McBride, Charlotte Slade, Andrew S Day, Sebastian K King
We describe the case of a boy who had 9 recurrences of intussusception, for which no pathological lesion at the leadpoint was identified. A contrast follow-through study revealed a follicular/nodular mucosal pattern, particularly prominent in the terminal ileum and caecum. Patients with multiple recurrences usually have an identifiable lesion at the leadpoint, but sometimes recurrences may be due to lymphoid hyperplasia, as presumed in our case. No further recurrences occurred after a two month tapering course of oral prednisolone...
February 2012: Journal of Paediatrics and Child Health
Venkatesh Kanakala, Peter Birch, Ramesh Kasaraneni
Florid lymphoid hyperplasia in the terminal ileum can present to surgeons as an acute abdominal pain. Only few cases were reported in the literature. Our case illustrates that a rare case of florid lymphoid hyperplasia can present to surgeons as acute appendicitis. During the operation the gross appearance may mimic Crohn's disease. A limited resection is sufficient to clinch the diagnosis of florid lymphoid hyperplasia / Crohn's disease. In florid lymphoid hyperplasia limited resection may be curative.
2010: BMJ Case Reports
(no author information available yet)
No abstract text is available yet for this article.
November 2011: European Journal of Gastroenterology & Hepatology
Tönu Järveots, Tiiu Saar, Elbi Lepp, Toivo Suuroja, Raivo Lindjärv, Heiko Nathues, Silva Sütt, Diivi Põdersoo
Lawsonia intracellularis is the causative agent of proliferative enteritis in pigs (PPE). This bacterium is difficult to culture from clinical samples and antemortem demonstration is therefore usually performed by PCR on faecal samples. The aim of this study was to elucidate the frequency of L. intracellularis infection in pig herds in Estonia using PCR, histopathological methods and electronmicroscopical studies. The frequency of demonstration of L. intracellularis was highest in 9-12 weeks old pigs (68.1%)...
January 2011: Berliner und Münchener Tierärztliche Wochenschrift
Geetanjali Gupta, Shailesh Kumar, Reecha Singh, Kathirvelu Shanmugasamy
Yersinia enterocolitica intussusception is rarely encountered in patients without an underlying susceptibility and is most frequently reported in iron-overloaded patients. This is thought to be related to the unusual use of iron by this microorganism. We present a case of a 5-year old child with intussusception of the terminal ileum caused by Y. enterocolitica whose past medical history was significant for sickle cell disease. This type of presentation is extremely rare. His monthly blood transfusions may have put him at risk for Y...
May 13, 2010: Clinical Medicine Insights. Pathology
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