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We present a case of an 80-year-old female who presented with chest pain, vomiting and night sweats a few weeks post thoracic endovascular aortic aneurysm repair (TEVAR). A computed tomography (CT) scan demonstrated a type 1B endoleak for which she underwent a repeat TEVAR. Postoperatively, she developed fever, dysphagia, haematemesis and melaena.

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Article Synopsis
  • Gastric antral vascular ectasia is a rare condition that primarily causes severe gastrointestinal bleeding in older adults, particularly affecting the gastric antrum, and is uncommon among patients undergoing hemodialysis for chronic kidney disease.
  • A case is presented involving a 71-year-old male from Nepal who was diagnosed with this condition alongside erosive gastritis after experiencing symptoms like melena and fatigue, leading to a low hemoglobin level and the need for blood transfusion.
  • Diagnosis was confirmed through an upper gastrointestinal endoscopy, and despite initial management, advanced treatment like argon plasma coagulation was required at a different facility due to limited resources.
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IgA vasculitis in adult HIV patients is rare and not well understood. Data on treatment of IgA vasculitis associated with HIV is sparse and limited to case reports. Highly active antiretroviral therapy (HAART) is the mainstay therapy for inducing remission.

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Unusual case report of bifocal gastrointestinal stromal tumor in the first jejunal loop uncovered by severe hemorrhage.

Int J Surg Case Rep

November 2024

General Surgery Department, Mahmoud El Matri Hospital, V59M+628, Ariana, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, R534+F9H, Rue de la Faculté de Médecine, Tunis, Tunisia.

Article Synopsis
  • Gastrointestinal stromal tumors (GISTs) are rare tumors in the digestive tract, making up only 1% of gastrointestinal tumors, with jejunal GISTs being even less common.
  • A unique case involved a 60-year-old woman who experienced severe gastrointestinal bleeding due to two jejunal GISTs, which were diagnosed after normal initial endoscopy but confirmed through imaging and jejunoscopy.
  • The case underscores the importance of recognizing rare presentations of GISTs, as well as the need for surgery and advanced diagnostic tools for effective treatment and management.
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