Toxic hepatitis after consumption of traditional kava preparation.

Liver toxicity from the use of kava dietary supplements has been reported, but little is known about the side effects of traditional kava preparations. We present a case study of a tourist who developed serious toxic liver disease after consumption of kava beverages in traditional Samoan kava ceremonies.

[Diverticular disease of the colon].

Diverticular disease of the colon is a common civilisatory phenomenon. Its clinical relevance is defined by the typical manifestations diverticulitis (incl. its complications abscess formation and fistulation), diverticular bleeding, and chronic pain.

Self-expanding metal stents for malignant esophagogastric obstruction: experience with a new design covered nitinol stent.

Background And Aims: Dysphagia is the most common disabling symptom in patients with inoperable esophagogastric carcinoma. Self-expanding metal stents are highly effective in the palliation of these patients.

Methods: In 35 patients with inoperable carcinoma of the esophagus or the stomach, with recurrent tumor or complications after transhiatal esophagectomy or gastrectomy or with esophageal stenosis caused by pulmonary cancer, a self-expanding nitinol stent was placed to reduce dysphagia.

[Sonographic detection of kidney infarctions using ultrasound contrast media].

Unlabelled: Contrast-enhanced CT is currently the gold standard for the diagnosis of kidney infarction. Particularly in patients with renal insufficiency, however, the use of iodine contrast media is limited. Sonographic examination using ultrasound contrast media may be an alternative for these patients.

[Acute liver failure and hemolysis in a 16-year-old woman. First manifestation of Wilson's disease].

History And Clinical Findings: A 16-year-old previously healthy female patient was admitted with progressive weakness and jaundice. There was no history of journeys to far-away countries. The patient was on oral contraceptives but no other medication, there were no signs of drug abuse.