scholarly journals Jejunal Polyps out of Place: A Case of Gastric Heterotopia of the Jejunum

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Siri A. Urquhart ◽  
Nayantara Coelho-Prabhu
Keyword(s):  
Differential Diagnosis ◽  
Small Intestine ◽  
Gastrointestinal Tract ◽  
Meckel’S Diverticulum ◽  
Prior History ◽  
Younger Patients ◽  
Double Balloon ◽  
Gastric Heterotopia ◽  
Ligament Of Treitz ◽  
History Of

Heterotopia is the presence of normal physiologic tissue in an atypical location. Gastric heterotopia has been described in various locations throughout the gastrointestinal tract, including the small intestine. Gastric heterotopia of the small intestine typically is asymptomatic but may present in several ways with symptoms of obstruction, bleeding, perforation, intussusception, or pain. However, gastric heterotopia is rare beyond the duodenum except for its frequent association with Meckel’s diverticulum. This entity should be considered in the differential diagnosis of polypoid lesions presenting with symptoms of bleeding or obstruction especially in younger patients. We present a case of gastric heterotopia of the jejunum in a patient with a prior history of Meckel’s diverticulectomy after he presented with obstructive symptoms. His symptoms improved following resection of two jejunal polyps via antegrade double-balloon assisted enteroscopy with fluoroscopy. On histopathlogical examination, findings were consistent with gastric heterotopia. This case highlights the importance of considering gastric heterotopia in the differential diagnosis of polypoid lesions located beyond the ligament of Treitz in younger patients presenting with obstructive symptoms.

scholarly journals Metastatic Melanoma Presenting as Intussusception in an 80-Year-Old Man: A Case Report

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Sarah Alghamdi ◽  
Yumna Omarzai
Keyword(s):  
Differential Diagnosis ◽  
Small Intestine ◽  
Gastrointestinal Tract ◽  
Metastatic Melanoma ◽  
Clinical Presentation ◽  
Gastrointestinal Symptoms ◽  
Common Site ◽  
Neoplastic Process ◽  
History Of ◽  
Uncommon Neoplasm

Malignant melanoma of the gastrointestinal tract is an uncommon neoplasm that could be primary or metastatic. Small intestine represents the most common site for the metastatic melanoma; however, it could be found anywhere in the gastrointestinal tract. Intussusception is a rare cause of intestinal obstruction in adults compared to children. In 90% of the cases, the underlying cause can be found, and in 65% of the cases, intussusception is caused by the neoplastic process. The majority of the neoplasms are benign, and about 15% are malignant. Metastatic melanoma is one of the most common metastatic malignancies to the gastrointestinal tract; however, the premortem diagnosis is rarely made. Here, we report an uncommon clinical presentation of metastatic melanoma causing intussusception in an 80-year-old man. This diagnosis should be considered in a differential diagnosis in any patient who presents with gastrointestinal symptoms and a history of melanoma.

Functional disorders of the gastrointestinal tract in young children

1986 ◽  
Vol 67 (6) ◽  
pp. 441-444
Author(s):  
R. F. Akberov
Keyword(s):  
Differential Diagnosis ◽  
Small Intestine ◽  
Gastrointestinal Tract ◽  
Young Children ◽  
Clinical Medicine ◽  
Functional Disorders

Functional disorders of the gastrointestinal tract in young children are the most difficult and insufficiently studied issues of clinical medicine. So far, such relevant issues as the mechanism of regurgitation and vomiting, the origin of pylorostenosis and dyskinetic disorders of the small intestine have not been elucidated. Unified methods of diagnosis and differential diagnosis of both functional and organic changes of the gastrointestinal tract, especially in children in the first days of life, have not been developed.

scholarly journals Usefulness of Double-Balloon Endoscopy in the Postoperative Gastrointestinal Tract

2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
Masaki Endo ◽  
Yukito Abiko ◽  
Syuhei Oana ◽  
Norihiko Kudara ◽  
Takashi Kosaka ◽  
...  
Keyword(s):  
Small Intestine ◽  
Gastrointestinal Tract ◽  
Small Bowel ◽  
Mr Enterography ◽  
Anatomical Location ◽  
Bleeding Site ◽  
Ct Enterography ◽  
Double Balloon Endoscopy ◽  
Double Balloon ◽  
Medical University

Background. The small intestine has been considered to be a highly difficult organ to visualize in imaging examinations due to its anatomical location compared with the stomach and the colon. In recent years, many imaging modalities have become available, such as CT enterography, MR enterography, capsule endoscopy (CE), and double-balloon endoscopy (DBE).Patients and Methods. DBE was performed in the postoperative intestines of 91 patients (128 DBE examinations) at Iwate Medical University between 2004 and 2010. There were 61 male and 30 female patients, and their mean age was 69.7 years (range: 30–80 years).Results. A total of 124 DBE examinations were performed with endoscope insertion into the reconstructed intestines. The endoscope reached the blind end in 115 of 124 examinations, (92.7%). There were 17 patients with obscure gastrointestinal bleeding in whom 30 DBE examinations were performed. The bleeding site was identified in 12 patients (70.6%). Nine patients underwent endoscopic treatment. Hemostasis was achieved in all patients.Conclusion. DBE is very useful modality for the assessment and application of endotherapy to areas of the small bowel which have been altered by surgery.

scholarly journals Iris metastasis as the initial presentation of upper gastrointestinal tract carcinoma: a case report

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
M. A. Rehman Siddiqui ◽  
Syed Zohaib Maroof Hussain ◽  
Muhammed Mubarak
Keyword(s):  
Gastrointestinal Tract ◽  
Primary Source ◽  
Upper Gastrointestinal Tract ◽  
Prior History ◽  
Initial Manifestation ◽  
Iris Metastasis ◽  
History Of ◽  
Gastrointestinal Tract Carcinoma ◽  
Upper Gastrointestinal ◽  
Systemic Malignancy

Abstract Background We report a case of a patient with iris metastasis as the initial manifestation of a systemic cancer: upper gastrointestinal tract carcinoma. Case presentation A 24-year-old Asian man presented to our hospital with complaints of red left eye, decreased visual acuity, pain, and photophobia for about 3 weeks with no prior history of cancer or any other medical abnormality. Ocular examination showed a pinkish white lesion on the superonasal part of the iris. The patient’s intraocular pressure was progressively increasing despite medications, followed by lymphadenopathy 4 weeks later. Comprehensive examination was performed along with a complete systemic workup, which detected systemic malignancy. Histopathology and immunohistochemistry revealed signet ring cells, which indicated an upper gastrointestinal tract tumor as a primary source of iris metastasis. The systemic condition of the patient deteriorated rapidly thereafter and led to his death in the 12th week of the disease. Conclusion A red eye with iris lesions in otherwise healthy individuals should be considered as a possible initial manifestation of underlying systemic malignancy. Prompt referral of such patients to an oncologist is warranted.

scholarly journals Vascular Headache: A Presenting Symptom of Multiple Sclerosis

1989 ◽  
Vol 16 (1) ◽  
pp. 63-66 ◽  
Author(s):  
Mark S. Freedman ◽  
Trevor A. Gray
Keyword(s):  
Multiple Sclerosis ◽  
Differential Diagnosis ◽  
Posterior Fossa ◽  
Severe Headache ◽  
Prior History ◽  
Initial Attack ◽  
Vascular Headache ◽  
Neurological Signs ◽  
History Of ◽  
Type Headache

ABSTRACT:Vascular headache of migraine-type may be a presenting symptom of multiple sclerosis (MS), a condition usually not considered in the differential diagnosis of a severe headache accompanied by neurological signs. We reviewed records of 1,113 patients with MS seen from 1967-1987 and found 44 cases whose initial attack or subsequent exacerbations were heralded by a migraine-type headache. Twenty-seven patients had no prior history of migraine, and of these, 12 presented simultaneously with their first headache and MS attack. Twenty-three patients had symptoms of a posterior fossa mass lesion. The significance of these results and possible pathogenesis is discussed.

Diagnosis and Management of Upper Gastrointestinal Tract Bleeding in the Pediatric Patient

1990 ◽  
Vol 12 (4) ◽  
pp. 107-116
Author(s):  
Marvin E. Ament
Keyword(s):  
Differential Diagnosis ◽  
Gastrointestinal Tract ◽  
Gastrointestinal Bleeding ◽  
Pediatric Patient ◽  
Gastrointestinal Hemorrhage ◽  
Pediatric Population ◽  
Coffee Ground ◽  
Ligament Of Treitz ◽  
Gastrointestinal Tract Bleeding ◽  
Upper Gastrointestinal

Gastrointestinal bleeding in patients at any age is frightening. The fear stems from the knowledge that bleeding, if severe enough and sustained for long intervals, may lead to shock and death. Fortunately, in both pediatric and adult patients, instances in which bleeding is so massive and uncontrollable that it leads to rapid demise are extremely rare. The approach to diagnosis and treatment of gastrointestinal hemorrhage by the physician should be calm, logical, and expeditious to help allay the fears of the patient and family, and to reduce the morbidity associated with the hemorrhage in the event its cause is found to be serious. Fortunately, the causes of gastrointestinal bleeding in the pediatric population are fewer than in adults; accordingly, the differential diagnosis is usually shorter, although not necessarily easier. In contrast to adults, the age of the pediatric patient may play a key role in determining the differential diagnosis. MANIFESTATION OF BLEEDING (Table 1) Before discussing the pathophysiology of bleeding, we will establish definitions of the words frequently associated with gastrointestinal bleeding. Hematemesis is the vomiting of blood. The blood may be either bright red or "coffee ground" in appearance if it has been altered by gastric acid. Hematemesis implies that the site of bleeding is proximal to the ligament of Treitz.

scholarly journals Isolated Abducens Palsy as the First Presenting Sign of Multiple Sclerosis

2017 ◽  
Vol 8 (3) ◽  
pp. 272-275 ◽  
Author(s):  
Sargon Bet-Shlimon ◽  
Mill Etienne
Keyword(s):  
Multiple Sclerosis ◽  
Differential Diagnosis ◽  
Brain Stem ◽  
Cranial Nerve ◽  
Prior History ◽  
Abducens Palsy ◽  
Cranial Nerve Palsies ◽  
Pontine Lesion ◽  
History Of ◽  
New Diagnosis

While brain stem involvement in multiple sclerosis (MS) is relatively common, isolated cranial nerve palsies are rare, especially when they represent the initial presenting sign of a new diagnosis of MS. This report describes a patient with no prior history of MS whose sole presenting sign was an isolated abducens palsy. An enhancing pontine lesion was found on MRI which correlated with his abducens palsy, and additional nonactive lesions on MRI led to a diagnosis of MS. This case demonstrates the importance of considering MS as part of the differential diagnosis of patients with isolated cranial nerve palsies.

Delayed cerebellar ataxia as a rare late presenting feature of falciparum malaria – A Case report

2020 ◽  
pp. 004947552096949
Author(s):  
Saurabh Gupta ◽  
Shikha Gupta
Keyword(s):  
Plasmodium Falciparum ◽  
Differential Diagnosis ◽  
Case Report ◽  
Cerebral Malaria ◽  
Falciparum Malaria ◽  
Cerebellar Ataxia ◽  
Prior History ◽  
Neurological Manifestations ◽  
History Of ◽  
Psychiatric Manifestations

The majority of malarial neurological manifestations are due to plasmodium falciparum and the most dreaded is cerebral malaria. Post-malarial neurological syndrome (PMNS) is rarely reported in adults (<3%) and children (>10%) and includes a wide variety of neuro-psychiatric manifestations including the rare delayed cerebellar ataxia. We report a case of 60-year-old woman who had a prior history of fever and presented with cerebellitis. The importance of highlighting this case is because in malaria endemic regions awareness of neurological manifestations of malaria must be included in the differential diagnosis of cerebellar ataxia.

scholarly journals Characterization of Follicular Lymphoma in the Small Intestine Using Double-Balloon Endoscopy

2009 ◽  
Vol 2009 ◽  
pp. 1-5 ◽  
Author(s):  
Manzurul Chowdhury ◽  
Masaki Endo ◽  
Toshimi Chiba ◽  
Norihiko Kudara ◽  
Shuhei Oana ◽  
...  
Keyword(s):  
Small Intestine ◽  
Gastrointestinal Tract ◽  
Follicular Lymphoma ◽  
Narrow Band ◽  
Narrow Band Imaging ◽  
Double Balloon Endoscopy ◽  
Double Balloon ◽  
Nodular Lesions ◽  
Follicular Lymphomas

Follicular lymphomas occur rarely in the gastrointestinal tract, representing only 1–3% of all gastrointestinal tract B-cell non-Hodgkin lymphomas. We describe endoscopic analysis of 3 cases of follicular lymphoma in the small intestine using double-balloon endoscopy. Double-balloon endoscopy revealed multiple nodular lesions and elevated white patches, multiple polypoid lesions, and scattered white polypoid and nodular lesions in the duodenum and small intestine. Fuji Intelligent Chromo Endoscopy demonstrated small, whitish nodules, and narrow-band imaging showed a coiled, elongated vascular pattern within the elevated lesions. These cases are the first follicular lymphomas in the small intestine evaluated using narrow-band imaging or Fuji Intelligent Chromo Endoscopy to be reported.

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