26 documents found, page 1 of 3

Ulcerative Colitis: Are We Neglecting Its Progressive Character

Introduction: Ulcerative colitis (UC) is a chronic disease but its progressive character, with structural damage, is insufficiently studied. Objectives: To analyze a group of patients without referral bias, regarding its clinical course, the morphological damage, and functional status. Methods: We evaluated UC patients diagnosed between January 1, 2000 and December 31, 2004, living in the direct referral area o...

Spleen Endoscopy: A sui generis Diagnosis of Colon Cancer

Refractory Celiac Disease Type II: A Case Report that Demonstrates the Diagnost...

Refractory celiac disease is an uncommon but serious complication of celiac disease. We describe a case of a severe refractory celiac disease type II, complicated with ulcerative jejunoileitis, in a 68 years old female, unresponsive to consecutive treatments with budesonide, prednisolone, cladribine and autologous stem cell transplantation. The patient maintained severe malnutrition, advanced osteoporosis, anae...

Groove Pancreatitis with Biliary and Duodenal Stricture: An Unusual Cause of Ob...

Introduction: Groove pancreatitis is an uncommon cause of chronic pancreatitis that affects the groove anatomical area between the head of the pancreas, duodenum, and common bile duct. Clinical case: A 67-year-old man with frequent biliary colic and an alcohol consumption of 30-40 g/day was admitted to the hospital complaining of jaundice and pruritus. Laboratory analysis revealed cholestasis and the ultrasound...

Iatrogenic Perforations During Colonoscopy In a Portuguese Population: A Study ...

Introduction: The risk of iatrogenic perforations in colonoscopy is not negligible. Experience with endoscopic closure of perforations is increasing and new devices for this purpose are being released, making endoscopy a therapeutic option. National data regarding iatrogenic perforations is scarce and the burden of iatrogenic perforations in out-hospital procedures is poorly characterized in the literature. Obj...

Obstructive Jaundice Due to Foreign Body in the Bile Duct: An Unusual Finding

Small Bowel GIST: Clinical Presentation as Intussusception and Obscure Bleeding

Skin Metastases: The Visible Face of a Disastrous Unusual Finding

Ampullary Metastasis From Breast Cancer: A Rare Cause of Obstructive Jaundice

Breast cancer is the most common tumor in women and the first cause of death for malignancy in the female. Bile ducts are not among the common sites of metastasis from breast cancer. Few cases of obstructive jaundice due to metastatic breast cancer have been described in the literature and they mostly resulted from widespread liver metastases that eventually involved the bile ducts. We report an exceptional cas...

Drug-Induced Acute Pancreatitis and Pseudoaneurysms: An Ominous Combination

Rupture of pseudoaneurysms is rare but can be life-threatening complications of acute or chronic pancreatitis, usually due to enzymatic digestion of vessel walls crossing peripancreatic fluid collections. We report the case of a 40 year-old female, with multisystemic lupus and anticoagulated for prior thrombotic events, admitted for probable cyclosporine-induced acute pancreatitis. Hemodynamic instability occur...