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Disseminated Kaposi Sarcoma in a Patient With Hematemesis: A Case Report.
Cureus
October 2024
Department of Internal Medicine, Medical University of South Carolina, Charleston, USA.
Kaposi sarcoma (KS) is a soft tissue tumor primarily occurring in immunosuppressed patients and, although it has been described, dissemination of KS is rare. This case involves a patient with acquired immunodeficiency syndrome (AIDS) and biopsy-proven cutaneous KS presenting with hematemesis suspected due to gastrointestinal involvement in whom endoscopy with biopsy was contraindicated due to dual antiplatelet therapy (DAPT) and the hypervascular nature of KS tumors. Alternatively, the diagnosis was made via macroscopic findings on bronchoscopy, which demonstrated neovascular lesions, confirming visceral KS.
View Article and Find Full Text PDFGastric adenocarcinoma with intestinal progenitor cell differentiation: a morphologically underdiagnosed and more invasive distinctive type of gastric adenocarcinoma.
Am J Cancer Res
August 2024
Jiangxi Provincial Key Laboratory for Precision Pathology and Intelligent Diagnosis, Department of Pathology and Institute of Molecular Pathology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University Nanchang 330006, Jiangxi, China.
Article Synopsis
- This study investigates gastric adenocarcinoma with enteroblastic differentiation (GAED) in elderly patients by analyzing 16 diagnosed cases and comparing them to 360 conventional gastric adenocarcinoma cases.
- The patients had symptoms like abdominal pain and bloating, with tumors showing distinct macroscopic and microscopic features, including varied sizes and specific cell arrangements, as well as notable immunophenotyping results.
- GAED was more common in the gastric antrum and had a higher rate of certain characteristics like intravascular cancer emboli and differences in tumor classification compared to conventional types, although age and tumor diameter showed no significant variation.
Interesting Case of Contained Perforated Peptic Ulcer With Pancreatic Communication Causing Hemorrhagic Shock.
Cureus
March 2024
Department of Medicine, Brooke Army Medical Center (BAMC), San Antonio, USA.
Peptic ulcer disease (PUD) is a common gastrointestinal diagnosis affecting the stomach and proximal duodenum. A contained perforation with pancreatic communication is an exceedingly rare subtype where gastroduodenal perforation is limited by the surrounding pancreas, preventing free leakage of gastric and pancreatic contents into the peritoneal cavity. A 48-year-old male with a history of perforated antral ulcer requiring surgical management and placement of a Graham patch presented with upper gastrointestinal bleeding.
View Article and Find Full Text PDFA Case of Necrotic Colonic Volvulus in Cerebral Palsy With Severe Scoliosis.
Cureus
March 2024
General Surgery, Aseer Central Hospital, Abha, SAU.
Cerebral palsy (CP) is a neurodevelopmental disorder that affects motor function and is often accompanied by secondary musculoskeletal issues. Severe scoliosis, a lateral curvature of the spine over 40 degrees, poses a significant challenge for individuals with CP, impacting their mobility and overall well-being. While the association between scoliosis and gastrointestinal complications is acknowledged, the occurrence of colonic volvulus with necrosis in the context of CP and severe scoliosis is rare and complex.
View Article and Find Full Text PDFUntimely surgery for stent-fracture-related death after transjugular intrahepatic portosystemic shunt: a case report.
Ther Adv Chronic Dis
April 2024
Hepatology Department, Affiliated Hangzhou Xixi Hospital, Zhejiang Chinese Medical University, No. 2 Hengfu Street, Liuxia, Xihu, Hangzhou, Zhejiang 310023, China.
Transjugular intrahepatic portosystemic shunt (TIPS) is a life-saving procedure for patients with severe portal hypertension and persistent variceal bleeding. Stent fracture is a rare and severe complication; however, its cause and mechanisms remain poorly defined. This case helps understand the factors contributing to its occurrence, complications, and subsequent poor outcomes.
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