Clinical presentation and endoscopic management of Dieulafoy's lesions in an urban community hospital.

Aim: To identify rates of occurrence, common clinical and endoscopic features, and to review the outcome of endoscopic management of Dieulafoy's lesions in the upper gastrointestinal (GI) tract in an urban community hospital setting.

Methods: Endoscopic data from esophagogastroduodenoscopies (EGDs), done at Wyckoff Heights Medical Center, Brooklyn, NY between 2000 and 2006 were reviewed to identify patients with Dieulafoy's lesions. Demographic data, medical history, examination findings, lab data, endoscopic findings and details of therapy for patients treated for Dieulafoy's lesions were reviewed retrospectively.

Liver metastasis four years after Whipple's resection for solid-pseudopapillary tumor of the pancreas.

Context: Solid-pseudopapillary tumor of the pancreas is a rare tumor which usually affects young females in their second and third decade of life. Metastasis is very rare after a resection of curative intent.

Case Report: We report a case of a 65-year-old white female who presented with metastasis to the liver four years after Whipple's resection for a solid-pseudopapillary tumor of the pancreas.