scholarly journals Upper gastrointestinal ischemia as a rare complication of paroxysmal nocturnal hemoglobinuria

2020 ◽  
Author(s):  
Masayuki Ueno ◽  
Yuichi Shimodate ◽  
Kazuya Okada ◽  
Ryosuke Takaya ◽  
Hiroshi Yamamoto ◽  
...  
Keyword(s):  
Paroxysmal Nocturnal Hemoglobinuria ◽  
Rare Complication ◽  
Gastrointestinal Ischemia ◽  
Upper Gastrointestinal

scholarly journals Upper Gastrointestinal Ischemia as a Rare Complication of Paroxysmal Nocturnal Hemoglobinuria

2020 ◽  
Author(s):  
Masayuki Ueno ◽  
Yuichi Shimodate ◽  
Kazuya Okada ◽  
Ryosuke Takaya ◽  
Hiroshi Yamamoto ◽  
...  
Keyword(s):  
Paroxysmal Nocturnal Hemoglobinuria ◽  
Rare Complication ◽  
Gastrointestinal Ischemia ◽  
Upper Gastrointestinal

scholarly journals Massive hemobilia caused by rupture of gastroduodenal artery pseudoaneurysm, a delayed complication of laparoscopic cholecystectomy: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Kurniawan Kurniawan ◽  
I Dewa Nyoman Wibawa ◽  
Gde Somayana ◽  
I Ketut Mariadi ◽  
I Made Mulyawan
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Gastrointestinal Bleeding ◽  
Abdominal Trauma ◽  
Upper Gastrointestinal Bleeding ◽  
Rare Complication ◽  
Gastroduodenal Artery ◽  
Time Interval ◽  
Artery Pseudoaneurysm ◽  
History Of ◽  
Upper Gastrointestinal

Abstract Background Hemobilia is a rare cause of upper gastrointestinal bleeding that originates from the biliary tract. It is infrequently considered in diagnosis, especially in the absence of abdominal trauma or history of hepatopancreatobiliary procedure, such as cholecystectomy, which can cause arterial pseudoaneurysm. Prompt diagnosis is crucial because its management strategy is distinct from other types of upper gastrointestinal bleeding. Here, we present a case of massive hemobilia caused by the rupture of a gastroduodenal artery pseudoaneurysm in a patient with a history of laparoscopic cholecystectomy 3 years prior to presentation. Case presentation A 44-year-old Indonesian female presented to the emergency department with complaint of hematemesis and melena accompanied by abdominal pain and icterus. History of an abdominal trauma was denied. However, she reported having undergone a laparoscopic cholecystectomy 3 years prior to presentation. On physical examination, we found anemic conjunctiva and icteric sclera. Nonvariceal bleeding was suspected, but esophagogastroduodenoscopy showed a blood clot at the ampulla of Vater. Angiography showed contrast extravasation from a gastroduodenal artery pseudoaneurysm. The patient underwent pseudoaneurysm ligation and excision surgery to stop the bleeding. After surgery, the patient’s vital signs were stable, and there was no sign of rebleeding. Conclusion Gastroduodenal artery pseudoaneurysm is a rare complication of laparoscopic cholecystectomy. The prolonged time interval, as compared with other postcholecystectomy hemobilia cases, resulted in hemobilia not being considered as an etiology of the gastrointestinal bleeding at presentation. Hemobilia should be considered as a possible etiology of gastrointestinal bleeding in patients with history of cholecystectomy, regardless of the time interval between the invasive procedure and onset of bleeding.

scholarly journals Primary Gastrointestinal Kaposi’s Sarcoma in a Patient with Human Immunodeficiency Virus

2018 ◽  
Vol 11 (3) ◽  
pp. 638-647 ◽  
Author(s):  
Martin Ignacio Zapata Laguado ◽  
Jorge Enrique Aponte Monsalve ◽  
Jorge Hernan Santos ◽  
Javier Preciado ◽  
Andres Mosquera Zamudio ◽  
...  
Keyword(s):  
Gastrointestinal Bleeding ◽  
Kaposi's Sarcoma ◽  
Gastrointestinal Endoscopy ◽  
Rare Complication ◽  
Kaposi’S Sarcoma ◽  
Skin Lesions ◽  
Clinical Findings ◽  
Upper Gastrointestinal Endoscopy ◽  
Immunodeficiency Virus ◽  
Upper Gastrointestinal

Gastrointestinal bleeding in HIV patients secondary to coinfection by HHV8 and development of Kaposi’s sarcoma (KS) is a rare complication even if no skin lesions are detected on physical examination. This article indicates which patients might develop this type of clinical sign and also tries to recall that absence of skin lesions never rules out the presence of KS, especially if gastrointestinal involvement is documented. Gastrointestinal bleeding in terms of hematemesis has rarely been reported in the literature. We review some important clinical findings, diagnosis, and treatment approach. We present the case of an HIV patient who presented to the emergency department with hematemesis and gastrointestinal signs of KS on upper gastrointestinal endoscopy without any dermatological involvement.

scholarly journals Air, Air Everywhere‑ A Rare Entity

2018 ◽  
Vol 09 (01) ◽  
pp. 022-025
Author(s):  
Gazal Singla ◽  
Shikha Sood ◽  
Sanjeev Sharma
Keyword(s):  
Gastric Perforation ◽  
Rare Complication ◽  
Interesting Case ◽  
Rare Entity ◽  
Gi Endoscopy ◽  
Upper Gi ◽  
Recurrent Vomiting ◽  
Upper Gi Endoscopy ◽  
Gastric Mass ◽  
Upper Gastrointestinal

ABSTRACTUpper gastrointestinal (GI) endoscopy is a widely used diagnostic and therapeutic procedure. Gastric perforation causing pneumothorax, pneumomediastinum, pneumoperitoneum, pneumorrhachis, and subcutaneous emphysema after upper GI endoscopy is an extremely rare complication. We present an interesting case of a 58‑year‑old male who presented to the Emergency Department with recurrent vomiting, abdominal pain and diffuse swelling over abdomen, chest, neck bilateral arms, and thighs after undergoing an endoscopy for a gastric mass.

scholarly journals Intramural esophageal dissection: a rare complication of upper gastrointestinal endoscopy

QJM ◽  
2015 ◽  
Vol 109 (1) ◽  
pp. 71-72 ◽  
Author(s):  
Q. Wang ◽  
H. Zeng ◽  
Y. Mou ◽  
H. Yi ◽  
W. Liu ◽  
...  
Keyword(s):  
Gastrointestinal Endoscopy ◽  
Rare Complication ◽  
Upper Gastrointestinal Endoscopy ◽  
Esophageal Dissection ◽  
Upper Gastrointestinal

scholarly journals Barium peritonitis: a rare complication of upper gastrointestinal contrast investigation.

1997 ◽  
Vol 73 (859) ◽  
pp. 297-298 ◽  
Author(s):  
I. D. Karanikas ◽  
D. D. Kakoulidis ◽  
Z. T. Gouvas ◽  
J. E. Hartley ◽  
S. S. Koundourakis
Keyword(s):  
Rare Complication ◽  
Upper Gastrointestinal

scholarly journals Gastric volvulus following diagnostic upper gastrointestinal endoscopy: a rare complication

2014 ◽  
Vol 2014 (feb10 1) ◽  
pp. bcr2013202833-bcr2013202833 ◽  
Author(s):  
V. S. Karthikeyan ◽  
S. C. Sistla ◽  
D. Ram ◽  
N. Rajkumar
Keyword(s):  
Gastrointestinal Endoscopy ◽  
Rare Complication ◽  
Gastric Volvulus ◽  
Upper Gastrointestinal Endoscopy ◽  
Upper Gastrointestinal

Rare complication after pericardial window: symptomatic diaphragmatic hernia containing bowel and liver

2020 ◽  
Vol 13 (11) ◽  
pp. e236078
Author(s):  
Rebecca Harsten ◽  
Mark Kelly ◽  
Madeleine Garner ◽  
Peter Roberts
Keyword(s):  
Diaphragmatic Hernia ◽  
Rare Complication ◽  
Right Ventricular Dysfunction ◽  
District General Hospital ◽  
Left Lobe ◽  
Congenital Defects ◽  
Pericardial Window ◽  
Cardiac Compression ◽  
Liver Herniation ◽  
Upper Gastrointestinal

A 37-year-old woman presented to her local district general hospital with a cough, pleuritic chest pain and intermittent cyanosis. Eight months prior, she underwent a successful pericardial window for recurrent, symptomatic pericardial effusions. On presentation she was hypoxic but haemodynamically stable. Her chest radiograph raised the suspicion of a diaphragmatic hernia, confirmed by CT imaging. This identified herniation through the diaphragm of the transverse colon and left lobe of the liver resulting in cardiac compression and right ventricular dysfunction. She continued to deteriorate and required emergency intubation to allow safe transfer to a tertiary upper gastrointestinal unit. She underwent a laparotomy and repair of the diaphragmatic hernia with an uneventful inpatient recovery. In the literature, diaphragmatic liver herniation is a recognised complication secondary to trauma or congenital defects, however, to our knowledge, there are currently no cases described following pericardial windowing.

scholarly journals Endoscopic Biliary Stenting for Portal Biliopathy Perforating Paracholedochal Collateral: A Rare Complication

2020 ◽  
Vol 11 (03) ◽  
pp. 235-237
Author(s):  
Kartik Goyal ◽  
Vaibhav Kumar Varshney ◽  
Sabir Hussain ◽  
Pawan Kumar Garg ◽  
Narender Bhargava
Keyword(s):  
Multidisciplinary Approach ◽  
Rare Complication ◽  
Biliary Stenting ◽  
Venous Obstruction ◽  
Endoscopic Retrograde ◽  
Extrahepatic Portal Venous Obstruction ◽  
Upper Gastrointestinal Bleed ◽  
Procedural Complications ◽  
Upper Gastrointestinal ◽  
Portal Biliopathy

AbstractExtrahepatic portal venous obstruction (EHPVO) usually presents with upper gastrointestinal bleed in the first decade of life. Symptomatic portal hypertensive biliopathy is seen in a minority of patients with EHPVO. With use of endoscopic intervention, biliary drainage is maintained in these patients. Various procedural complications have been linked while performing endoscopic retrograde cholangiography and stenting; however, these are managed conservatively. Here, we are highlighting a case of EHPVO with symptomatic portal biliopathy in which the patient bled from paracholedochal collateral after biliary stenting and was managed successfully with a multidisciplinary approach.

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