11/207. Solitary rectal ulcer syndrome in children.The solitary rectal ulcer syndrome (SRUS) is an unusual disorder in childhood. Although well recognized in adult literature, the pediatric experience with this condition is limited, so SRUS often goes unrecognized or misdiagnosed. There are very few pediatric case reports in the English literature. This report describes four patients who presented with rectal bleeding, constipation, mucous discharge, and lower abdominal pain, with a diagnosis of SRUS. The diagnosis was made by rectoscopy, defecogram, anorectal manometry and histopathological evaluation. In two patients, defecogram showed a rectocele with both, the sphincter failed to relax to voluntary squeeze pressure on anorectal manometric examination. The histopathological finding in all patients was fibrous obliteration of the lamina propria with disorientation of muscle fibers. All of the patients responded well to conservative therapy, which included defecation training, laxatives, sulfasalazine, and application of rectal sucralfate enema, and remained asymptomatic on the follow-up. Although rare in the pediatric population, SRUS should be relatively easy to recognize in the child with rectal bleeding, after elimination of other causes. If suspected, the diagnosis of SRUS may be made at endoscopy and confirmed by rectal biopsy.- - - - - - - - - - ranking = 1keywords = abdominal pain, pain (Clic here for more details about this article) |
12/207. Ulceration of the urethral meatus after simultaneous pancreas-kidney transplantation.A 39-year-old male developed painful ulceration of the glans penis following simultaneous pancreas and kidney transplantation for end-stage renal failure complicating insulin-dependent diabetes mellitus. infection was excluded. Diversion of the pancreatic secretions away from the urinary bladder into the bowel resulted in healing.- - - - - - - - - - ranking = 0.26655492777606keywords = pain (Clic here for more details about this article) |
13/207. Cervicovaginitis emphysematosa mimicking carcinoma of the cervix: a case report.Cervicovaginitis emphysematous is a rare self-limiting disease in which multiple gas-filled cysts are present in the submucosa of the upper vagina and ectocervix. We report a case in a 40 year-old trader who presented with clinical features suggestive of carcinoma of the cervix. It is hoped that this case report will heighten the awareness of clinicians and pathologists in the recognition of this unusual condition.- - - - - - - - - - ranking = 0.05355840967159keywords = upper (Clic here for more details about this article) |
14/207. Scrotal ulceration during all-trans retinoic (ATRA) therapy for acute promyelocytic leukaemia.We report the development of painful scrotal ulceration in two patients during treatment with all-trans-retinoic acid (ATRA) for acute promyelocytic leukaemia (APL). ATRA 45 mg/m2 was administered orally for 8 days prior to the addition of standard induction chemotherapy. Painful scrotal ulceration developed in both cases within 2 weeks of therapy (9 and 13 days) and responded slowly to drug withdrawal and systemic, or topical, corticosteroids. A total of 17 APL patients have been treated with ATRA at our institution during the last 10 years, giving an incidence of approximately 12%. The present report, together with a review of literature, suggests that scrotal ulceration is a specific adverse effect of ATRA therapy and that this complication may be more common than previously documented.- - - - - - - - - - ranking = 0.26655492777606keywords = pain (Clic here for more details about this article) |
15/207. Case of ulcerative colitis associated with oesophageal ulcer.A case of ulcerative colitis complicated by oesophageal ulcers is reported. A woman was admitted to our hospital because of exacerbations of ulcerative colitis both in 1992 (aged 15 years) and 1995 (aged 18 years). When she was admitted in 1995 she complained of bloody diarrhoea, sore throat and pain on swallowing. Oesophagogastro-duodenoscopy revealed oesophageal ulcers. Oesophageal pH monitoring (24-h) showed no evidence of gastro-oesophageal reflux disease. After the patient was treated she with oral prednisolone showed considerable improvement clinically and endoscopically. Initial dosage was 60 mg/day, and 1 week later, the dosage was gradually dropped since the patient responded favourably. The improvement of the oesophageal lesions coincided with the remission of ulcerative colitis. The oesophageal ulcers are, therefore, thought to be an extracolonic manifestation of ulcerative colitis.- - - - - - - - - - ranking = 0.26655492777606keywords = pain (Clic here for more details about this article) |
16/207. Omental transfer for the treatment of radionecrosis of chest wall.A technique is described for the treatment of non-healing deep ulcers of the chest wall following radiotherapy. These ulcers are avascular and may involve the costal cartilages. The skin around them is stretched and fixed, so that covering and healing them has been a challenging problem to surgeons. The method used in this patient utilized the transfer of the whole of the greater omentum attached to the greater curve of the stomach, which provides clean, vascular bed for the skin graft, and has been nature's best help to surgeons.- - - - - - - - - - ranking = 0.20639286420395keywords = chest (Clic here for more details about this article) |
17/207. A case of penetrating aortic atherosclerotic ulcer with hemoptysis.A 69-year old Japanese woman with hypertension was admitted because of continuous back pain and recurrent hemoptysis. Radiographic findings showed an enhanced irregular mass, at the aortic arch fed by the tracheal artery, which implied both a penetrating aortic atherosclerotic ulcer and lung cancer. Diagnostic surgery revealed no evidence of cancer but did reveal a rupture of the intima at the distal part of the aortic arch. It is assumed that the transmural oozing occurred after development of the penetrating aortic ulcer, which formed an extra-aortic hematoma and caused surrounding inflammation, and led to tracheal artery feeding. The intramural hematoma might have weakened vascular wall tension from the aorta, and formed an oozing extra-aortic hematoma instead of an acute rupture.- - - - - - - - - - ranking = 0.28021276264601keywords = pain, back (Clic here for more details about this article) |
18/207. Lower gastrointestinal bleeding due to cytomegalovirus ileal ulcers in an immunocompetent man.cytomegalovirus (CMV) infections are commonly reported in severely immunocompromised hosts and ulcers of the alimentary tract are frequently observed in systemic CMV infections. However, invasive and ulcerative disease of the gastrointestinal (GI) tract caused by CMV has also been reported in healthy adults. Many reports show that a CMV infection can produce localized ulcerations in the esophagus, stomach, small intestine, and colon in nonimmunocompromised individuals. The most common site of involvement by CMV infection in the GI tract is the colon followed by the upper GI tract and the least common site is the small intestine. Although GI bleeding is one of the major presenting symptoms of patients with CMV infections of the GI tract, lower GI bleeding due to CMV ileal ulcers in immunocompetent patients, to our knowledge, has not been reported in the English literature. Recently, we experienced a case of lower GI bleeding due to CMV ileal ulcers in a 57-year-old man who had no evidence of immunocompromise. This case suggests that small intestinal ulcers due to CMV infection should be included in the differential diagnosis of lower GI bleeding even in immunocompetent hosts.- - - - - - - - - - ranking = 0.05355840967159keywords = upper (Clic here for more details about this article) |
19/207. Solitary rectal ulcer: a rare cause of gastrointestinal bleeding in an adolescent with hemophilia a.Solitary rectal ulcer syndrome (SRUS) is a rarely reported condition in children. The typical presentation is one of anorectal pain with passage of blood and mucus per rectum in the setting of defecation abnormalities. diagnosis is made via endoscopy and biopsy. Solitary rectal ulcer syndrome alone is usually a benign condition; however, significant morbidity can occur if complicated by underlying disease states. We report an adolescent with hemophilia a and SRUS who presented with a rectal bleed that required blood transfusion.- - - - - - - - - - ranking = 0.26655492777606keywords = pain (Clic here for more details about this article) |
20/207. Penetrating colon ulcer of polyarteritis nodosa: report of a case.A 54-year-old Japanese female with polyarteritis nodosa was admitted to the hospital. She developed lower abdominal pain accompanied by melena. A penetrating ulcer and extensive hemorrhaging were endoscopically observed in the sigmoid colon, and a sigmoidectomy was performed. The pathologic findings were a granuloma formation with lymphocytic infiltration and luminal occlusion of branches of the mesenteric arteries. Although the gastrointestinal tract is frequently involved in polyarteritis nodosa, the colon is rarely affected. To our knowledge, this is the first report of polyarteritis nodosa causing a penetrating ulcer of the colon.- - - - - - - - - - ranking = 1keywords = abdominal pain, pain (Clic here for more details about this article) |
| <- Previous || Next -> |