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  • 1
    Digitale Medien
    Digitale Medien
    Unusual variant of left paraduodenal hernia herniated into the mesocolic fossa leading to jejunal strangulation (1998)
    Springer
    Journal of gastroenterology 33 (1998), S. 734-738 
    Details
    ISSN: 1435-5922
    Schlagwort(e): Key words: internal hernia ; paraduodenal hernia ; mesocolic fossa ; computed tomography ; diagnostic imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract: Paraduodenal hernia is a rare condition in which the small bowel loops are herniated into an unusual fossa in the periduodenal area. We treated a patient with paraduodenal hernia diagnosed pre-operatively. A 28-year-old woman was admitted to our hospital because of intermittent abdominal pain. Abdominal ultrasonography revealed a large tumor adjacent to the pancreas. Provisional diagnosis made according to computed tomography (CT) findings was tumor of the pancreas tail. However, on a CT scan performed after the administration of diatrizoate meglumine/diatrizoate sodium (Gastrografin, Schering, Berlin, Germany) the mass was shown as a jejunum loop located between the stomach and the pancreas body. Subsequent laparotomy revealed that the jejunum loop was herniated into an unusually large mesocolic fossa and that the hernial orifice was covered by the adhesion between the transverse and descending colons. It seemed that the small intestine within the mesocolic fossa was strangulated by this adhesion. The patient's abdominal pain resolved postoperatively. These observations suggest that paraduodenal hernia should be suspected in patients with chronic, atypical abdominal pain, regardless of the findings for small bowel obstruction.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1007/s005350050164
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 2
    Digitale Medien
    Digitale Medien
    Benign gastric ulcer associated with Candida infection in a healthy adult (1999)
    Springer
    Journal of gastroenterology 34 (1999), S. 688-693 
    Details
    ISSN: 1435-5922
    Schlagwort(e): Key words: candidiasis ; mycotic infection of the gastrointestinal tract ; submucosal tumor ; diagnostic imaging
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract: A case of benign gastric ulcer associated with Candida infection in a healthy adult is reported. The patient was a 46-year-old man complaining of epigastralgia. Endoscopic examination of the upper digestive tract revealed an elevated lesion with ulceration having an unclear border and thick exudates. The clinical diagnosis based on endoscopic findings was a benign gastric ulcer; however, biopsy was performed to distinguish it from malignant lymphoma. Histological examination of biopsy samples obtained from the base and the edge of the ulcer revealed numerous Candida. Therefore, the patient was diagnosed with Candida-infected gastric ulcer. The ulcer resolved after the administration of antiulcer drugs for 2 months. Predisposing factors for fungal infection were excluded. These observations suggest that Candida-infected gastric ulcer should be suspected in patients with a gastric submucosal tumor-like lesion with a thick, yellowish-white coated ulcer of unclear border on its summit, and this lesion should be distinguished from malignant diseases.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1007/s005350050320
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  • 3
    Digitale Medien
    Digitale Medien
    Active intestinal tuberculosis with esophageal candidiasis due to idiopathic CD4+ T-lymphocytopenia in an elderly woman (2000)
    Springer
    Journal of gastroenterology 35 (2000), S. 47-51 
    Details
    ISSN: 1435-5922
    Schlagwort(e): Key words: idiopathic CD4+ T-lymphocytopenia, candidiasis, intestinal tuberculosis, gastrointestinal bleeding, opportunistic infection
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract: We describe a case of intestinal tuberculosis and esophageal candidiasis in an 85-year-old Japanese woman with idiopathic CD4+ T-lymphocytopenia (ICL). The patient exhibited clinical symptoms of odynophagia, bloody diarrhea, and high fever. Physical examination on admission showed a poor nutritional status. Endoscopic examination of the upper digestive tract revealed the esophageal mucosa to be covered with yellowish-white plaque-like lesions. Colonoscopic examination revealed multiple annular ulcerations with bleeding. She was diagnosed with intestinal tuberculosis by polymerase chain reaction (PCR) and fecal culture. Her CD4+ T-lymphocyte count was 178/mm3 and no evidence of human immunodeficiency virus (HIV) infection was found. She was successfully treated with fluconazole and antituberculosis drugs. This case emphasizes the importance of opportunistic infections in elderly patients with predisposing conditions such as ICL.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1007/PL00009975
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