2,104 results match your criteria: "Imaging in Duodenal Ulcers"

Background: Polyarteritis nodosa is a relatively uncommon type of systemic necrotizing vasculitis that primarily affects medium-sized arteries. While gastrointestinal involvement is known in polyarteritis nodosa, heavy gastrointestinal bleeding due to gastric ulceration is relatively uncommon. We present the case of an 81-year-old male of Chinese ethnicity who experienced severe gastrointestinal bleeding as a result of polyarteritis nodosa and an innovative treatment approach for a better patient outcomes.

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Gallium-Fibroblast activation protein inhibitor (Ga-FAPI) positron emission tomography/computed tomography (PET/CT) is increasingly used for evaluating various epithelial neoplasms. Despite addressing some pitfalls, many remain unacknowledged. This report details a 77-year-old man with suspected pancreatic malignancy who underwent a Ga-FAPI PET/CT scan post-gastroduodenal coil embolization for upper gastrointestinal bleeding.

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Chronic pyloric obstruction caused by Flammulina mushroom: A rare case report.

Medicine (Baltimore)

November 2024

Department of Gastroenterology, The First Affiliated Hospital of Shenzhen University, Shenzhen Second People's Hospital, Shenzhen, China.

Article Synopsis
  • A man in his early 30s experienced chronic pyloric obstruction for 4 years, presenting with recurrent vomiting, ultimately linked to a blockage caused by a Flammulina mushroom.
  • Diagnostic imaging and lab tests indicated gastric issues, leading to an endoscopic procedure where the foreign object was identified and removed.
  • post-removal, the patient experienced complete resolution of symptoms, highlighting the need for thorough diagnostics in similar cases where obstructions may not follow typical patterns.
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Small bowel obstruction secondary to impacted pancreatic necrosum through a spontaneous duodenal fistula: a first in the literature.

J Surg Case Rep

November 2024

Department of Surgery, Western University, London Health Sciences Centre, Victoria Hospital, 800 Commissioners Rd., Rm E4-112 London, ON N6A 5W9, Canada.

Article Synopsis
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Article Synopsis
  • Visceral artery pseudoaneurysms, especially in the gastroduodenal artery, are rare but can lead to severe complications like rupture, particularly in patients with chronic pancreatitis.
  • A 61-year-old man with chronic pancreatitis and other health issues was found to have a 7 cm pseudoaneurysm that was successfully treated using coil embolization after presenting with abdominal pain and fevers.
  • This case emphasizes the need for quick diagnosis and treatment of GDA pseudoaneurysms and shows that endovascular therapies can effectively enhance outcomes in complex cases linked to chronic pancreatitis.
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Median arcuate ligament syndrome (MALS) is a rare condition in which the median arcuate ligament (MAL) exerts external compression on the celiac trunk. Most cases are asymptomatic and diagnosed incidentally on radiographic imaging; however, some patients may experience gastrointestinal (GI) symptoms related to foregut ischemia and/or celiac neuropathy. In the following case, we present a patient with hemorrhagic peptic ulcer disease of the duodenum, which resulted in episodes of hemodynamic instability requiring multiple blood transfusions.

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Although bleeding is the most common complication of peptic ulcer disease, bleeding from the proper hepatic artery is unusual. We report on the case of an 87-year-old woman who presented with melena. An upper endoscopy was performed for a bleeding duodenal ulcer; however, the bleeding could not be controlled.

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Article Synopsis
  • - Groove pancreatitis (GP) is a rare type of chronic pancreatitis primarily affecting middle-aged men, with risk factors including excessive alcohol use, smoking, and pancreatic issues, leading to symptoms like severe abdominal pain and jaundice.
  • - Diagnosing GP is difficult due to its symptoms overlapping with other conditions, which can result in delayed treatment and increased health risks.
  • - The potential use of artificial intelligence in diagnostic imaging could help differentiate GP from pancreatic cancers, improving diagnosis and patient outcomes, as discussed in a comprehensive review of GP's causes, symptoms, and treatment options.
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Background: Chronic granulomatous disease (CGD) is a rare disorder normally diagnosed in infancy.

Case Presentation: A 27-year-old man admitted with non-specific symptoms of CGD first underwent endoscopy, and colonoscopy procedures as primary evaluation of clinical presentation. Eighteen months after the first admission, he was referred to the emergency department for hematemesis, and critical situations, such as a severe anemic with Hgb= 2.

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A Closer Look into Gastrointestinal Bleeding in Heart Failure Patients.

Curr Probl Cardiol

September 2024

New York Presbyterian-Weill Cornell Medicine, 1300 York Ave, New York, NY 10065, United States.

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Purpose: In this case we report a rare presentation of a ruptured gastroduodenal artery aneurysm (GDA) accompanied by a duodenal perforation. It contributes to the scientific literature by discussing the management approach and results in a patient with dual complications and emphasizes the importance of early diagnosis and appropriate treatment.

Case Presentation: A 50-year-old male presented with severe abdominal pain, anemia, and signs of hemodynamic instability.

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Perforated peptic ulcers, though relatively rare, represent critical surgical emergencies with potentially life-threatening consequences. Their significance lies not only in their acute presentation but also in the diagnostic challenges they pose, particularly in patients with complex medical histories. Here we present a case of a 71-year-old female with a complex medical history, including insulin-dependent type 2 diabetes mellitus, hypertension, hyperlipidemia, hypothyroidism, dementia, diverticulitis, and chronic back pain, who initially were unresponsive and cyanotic.

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Mediastinal emphysema in the context of perforated gastric ulcer.

World J Clin Cases

May 2024

Department of Emergency Medicine, Wythenshawe Hospital, Manchester M23 9LT, United Kingdom.

Article Synopsis
  • The primary causes of mediastinal emphysema/pneumomediastinum include oesophageal perforation, lung issues, or complications from head and neck surgery.
  • Differentiating these causes can be effectively done using Computed Tomographic Imaging of the thorax and abdomen, utilizing oral and intravenous contrast in a triple phase approach.
  • Oesophageal perforation, known as Boerhaave syndrome, may present with Mackler's triad (severe chest pain, pneumomediastinum, mediastinitis) in about 50% of patients, while lung pathologies might present with pneumothorax and pleural effusion.
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Drug-induced mucosal alterations observed during esophagogastroduodenoscopy.

World J Gastroenterol

April 2024

Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama 700-8558, Japan.

Article Synopsis
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Article Synopsis
  • Bleeding is the most common complication of endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA), and in severe cases, transcatheter arterial embolization (TAE) is used to stop the bleeding.
  • This study analyzed six patients, mostly older men, who suffered bleeding from EUS-FNA and received TAE between January 2018 and December 2022; the areas of aspiration included the pancreatic tail, head, and hepatic hilar lymph nodes.
  • The results showed that TAE was 100% successful in stopping the bleeding, with only one minor complication (a duodenal ulcer) noted, indicating TAE is a safe treatment option for this type of bleeding.
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Pancreatic tuberculosis (TB) warrants heightened suspicion in individuals with pancreatic lesions and risk factors such as HIV, organ transplantation, or pertinent immigration history. We present a 38-year-old man who presented with hemodynamically unstable gastrointestinal bleeding. He was found to have pancreatic TB complicated by a duodenal ulcer with fistula.

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Article Synopsis
  • A 54-year-old man with obesity, hypertension, and a long history of abdominal pain underwent various medical tests over 12 years, revealing multiple ulcers but no clear diagnosis initially.
  • In 2022, he was diagnosed with gastrinoma, a type of neuroendocrine tumor, after advanced imaging techniques identified a lesion not visible on CT scans.
  • The report emphasizes the need to consider neuroendocrine tumors in similar cases and supports using 68Ga-DOTATOC PET/CT scans over older imaging methods for accurate diagnosis.
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Insights into the Structure of Sucralfate by Advanced Solid- and Liquid-State NMR.

Mol Pharm

March 2024

Central NMR Facility and Physical and Materials Chemistry Division, CSIR National Chemical Laboratory, Pune 411008, India.

Sucralfate, which is a sucrose octasulfate aluminum complex, is an active pharmaceutical ingredient (API) falling in the category of cytoprotective agents which are very effective for gastric and duodenal ulcers. On interaction with stomach acid, it ionizes into aluminum and sucrose octasulfate ions to form a protective layer over the ulcerated region inhibiting further attack from acid. The mechanism of action of sucralfate in the context of its structure is not well understood.

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A 55-year-old male swallowed fish bone accidentally and subsequently developed retrosternal pain. He underwent chest computed tomography at his local hospital on October 23, 2023, showing esophageal foreign body with suspected esophageal rupture. One day later, he underwent endoscopy at our department, showing a fish bone penetrated into the esophageal wall.

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Inferior Vena Cava Filter Long Term Complications and Retrieval Techniques: A Case Series and Literature Review.

Vasc Endovascular Surg

July 2024

Division of Vascular Surgery, DeWitt Daughtry Family Department of Surgery, University of Miami, Leonard M. Miller School of Medicine, Miami, FL, USA.

Article Synopsis
  • Long-term complications from inferior vena cava (IVC) filter placements include issues like filter erosion, tilting, and thrombosis, which can lead to serious conditions such as venous hypertension and post-thrombotic syndrome (PTS).
  • The text presents three cases of IVC filter complications: a duodenal perforation in a 30-year-old woman, a long-term filter retrieval in a 42-year-old woman, and a retrieval procedure in a 48-year-old man with previous DVT and ulcers.
  • Surgical techniques for retrieving complicated IVC filters are outlined, with some cases requiring open surgery and including visual aids such as images and videos to enhance understanding.
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Pseudoaneurysms are uncommon but their rupture and bleeding can lead to serious complications and be fatal. We present here a case of a man in his late 70s who was transferred to our hospital with persistent gastrointestinal bleeding. One month prior to his admission, he had undergone surgery for a fracture to his left knee.

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