1/3. Scleroderma of the colon presenting with acute abdominal symptoms.A 66-year-old woman with long-standing systemic sclerosis presented with fever, acute abdominal pain and tenderness. She was treated with antibiotics. At laparotomy six weeks later, a narrow, stiff, friable and fibrotic right colon was found with histological features of scleroderma. The acute attack was interpreted as an ischaemic episode of the colon which later healed by fibrosis.- - - - - - - - - - ranking = 1keywords = sclerosis (Clic here for more details about this article) |
2/3. Acute presentation of tuberous sclerosis: case report.Incomplete form of tuberous sclerosis (TS) may present with acute complications such as haematuria, retroperitoneal haemorrhage or pneumothorax. Such cases may pose diagnostic difficulty. A patient with incomplete form of TS without any cerebral impairment who presented as an acute surgical abdomen is reported. The diagnostic criteria of TS are reviewed. Visceral manifestations of TS including acute complications are discussed. The importance of recognising such presentations is stressed.- - - - - - - - - - ranking = 5keywords = sclerosis (Clic here for more details about this article) |
3/3. Mesenteric ischemia secondary to cocaine abuse: case reports and literature review.In summary, we report two cases of mesenteric ischemia following cocaine abuse in young women. In such cases it is always difficult to prove a direct causal relationship between the abuse of cocaine and mesenteric ischemia. Both our patients were relatively young (in their thirties) and did not have any history of atherosclerosis, and their urine toxicity screens were positive for the use of cocaine. cocaine-related hospital visits are on the increase. Mesenteric ischemia should be considered in the differential diagnosis when evaluating a young patient with a history of cocaine abuse presenting with an acute abdomen.- - - - - - - - - - ranking = 1keywords = sclerosis (Clic here for more details about this article) |