1/4. Laparoscopic closure of mesenteric defects after Roux-en-Y gastric bypass.Two case reports are presented of incarcerated small-bowel internal hernias through mesenteric defects following Roux-en-Y gastric bypass surgery (one case each of open and laparoscopic). Both patients first presented to physicians unfamiliar with bariatric surgery complaining of vague, cramping midabdominal pain, and the correct diagnosis was not revealed until laparoscopic surgery was performed. Treatment then resulted in quick recoveries. This type of hernia can evade radiologic testing. Prompt clinical recognition and treatment is necessary to prevent small-bowel infarction.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/4. Megacystis-microcolon-intestinal hypoperistalsis syndrome. Antenatal appearance in two cases.Two cases with severe congenital megacystis-microcolon-intestinal hypoperistalsis syndrome (MMIHS) are presented. This is a rarely encountered syndrome in neonates and 45 cases have earlier been reported. The disease is usually lethal and it now seems clear that MMIHS is an autosomal recessive disorder. The enlarged bladder, typical of this syndrome, is however easy to define by ultrasound, sometimes even in early pregnancy. The concomitant finding of a dilatation of the urinary tract and the absence of oligohydramnios may lead the physician to suspect the diagnosis. Because of the information available from sonography, appropriate investigations can be undertaken immediately after delivery. Prenatal ultrasound examination in subsequent pregnancies is recommended.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
3/4. Clinical imaging with indium-111 leukocytes: uptake in bowel infarction.leukocytes labeled with indium-111 accumulated in are area of small-bowel infarction, mimicking a paracolic abscess. Evidence of subacute bowel obstruction should alert the nuclear medicine physician to the former possibility.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
4/4. pneumocystis carinii infection of the small intestine.Extrapulmonary pneumocystis carinii infections are rare in comparison to other opportunistic infections in patients with acquired immunodeficiency syndrome (AIDS). In recent years, however, the number of reported cases of extrapulmonary pneumocystosis has increased. It is therefore important for physicians to recognize the various presentations of extrapulmonary P carinii infection. This article reports a case in which the initial clinically detected AIDS-related infection was extrapulmonary P carinii infection of the small intestine diagnosed after perforation of the jejunum.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |