1/14. Coincidence of Crohn's disease and a high-risk gastrointestinal stromal tumor of the terminal ileum.A 51-year-old male patient presented with characteristic radiologic features of Crohn's disease in the terminal ileum plus a large tumorous lesion in the right lower abdomen. Because of rapid crescent symptoms of bowel obstruction, the patient underwent surgery revealing a high-risk gastrointestinal stromal tumor (GIST) of the terminal ileum within an area of Crohn's ileitis. Whereas the association of chronic inflammatory bowel disease (IBD) and gastrointestinal adenocarcinoma is well known, other primary intestinal tumors are rare in these patients, particularly at the time of onset of clinical symptoms. This is the 3rd patient reported in the literature with a sarcoma complicating IBD, and in fact, the first description of the coincidence of Crohn's disease and GIST. Though the present case is likely to be a mere coincidence of two pathologically distinct entities (without any potential causal relationship), it should remind one of the possibility of small bowel 'Crohn's carcinoma' in patients with a sudden change in symptomatology as well as in those in whom intestinal obstruction fails to resolve with adequate therapy.- - - - - - - - - - ranking = 1keywords = abdomen (Clic here for more details about this article) |
2/14. Non specific jejunoileitis--a report of 8 cases.Nonspecific jejuno-ileitis is a nonocclusive, necrotizing inflammation of the small intestine. We treated 8 patients of jejuno-ileitis in a short span of 8 months. Their mean age was 8.6 years. All had acute pain in abdomen and most had hematochezia. radiology was helpful only in diagnosis of complications of the disease. Four patients responded to conservative management; the other 4 required surgery--laparotomy and lavage in 2, and multiple laparotomies with resections in 2. One patient died due to chronic malnutrition and metabolic complications. Bowel histology was suggestive of resolving vasculitis in one patient and chronic inflammation in another patient.- - - - - - - - - - ranking = 1keywords = abdomen (Clic here for more details about this article) |
3/14. Eosinophilic gastroenteritis: presentation of two patients with unusual affect of terminal ileum and caecum with manifestations of acute abdomen and literature review.Eosinophilic gastroenteritis is a rare disease; the long-term personal history with digestive symptoms and the course of the disease with relapses and remissions is the key for the disease to be suspected. endoscopy, CT scan and sonographic studies may provide important indirect signs of the disease and in combination with histological examination the diagnosis can be achieved. The administration of corticosteroids is an important factor for the treatment or the remission of the disease. In this study two cases with unusual location of the disease, on the terminal ileum and caecum, are presented and a literature review is attempted. The disease process, clinical and laboratory findings as well as the surgical approach used are described. Eosinophilic gastroenteritis is a very rare disease with its surgical complications. The disease is a non-surgical disease, thus presurgical diagnosis is important because the entity discussed can be under control by conservative treatment. A high disease suspicious index must be kept in the physicians' mind.- - - - - - - - - - ranking = 4keywords = abdomen (Clic here for more details about this article) |
4/14. Uncommon case of a foreign body ingestion with consecutive small-bowel obstruction in a child.A 12-year-old boy with Lennox syndrome presented with an acute abdomen and a history of progressive abdominal pain and vomiting over 3 weeks. The uncommon finding in this case was a foreign body detected in a lower loop of the jejunum causing radiological and clinical signs of jejunitis/ileitis. The foreign body had to be removed surgically and turned out to be a hard (originally soft) plastic part of a towel rack.- - - - - - - - - - ranking = 1keywords = abdomen (Clic here for more details about this article) |
5/14. Eosinophilic enteritis presenting as acute abdomen: US features of two cases.Eosinophilic enteritis is a rare disease which may mimic acute abdominal emergency. Two sonographically documented cases are presented, which were subsequently proven at operation. Although the sonographic features of severe echolucent bowel wall thickening were not specific, combination with clinical and laboratory data may suggest the correct diagnosis.- - - - - - - - - - ranking = 4keywords = abdomen (Clic here for more details about this article) |
6/14. Portal venous gas in a patient with Crohn's disease.Portal venous gas usually occurs in the setting of an acute abdomen. Several causes for benign portal venous gas (PVG) have been reported. We describe the finding of PVG by computed tomography in a febrile patient with Crohn's disease and discuss the clinical implications of such a finding.- - - - - - - - - - ranking = 1keywords = abdomen (Clic here for more details about this article) |
7/14. liver abscess: a harbinger of Crohn's disease.A 24-yr-old man with no previous history of Crohn's disease presented with a 5-wk history of fever and malaise. Computed tomographic scan of the abdomen revealed a liver abscess. Upon intraoperative examination, the terminal ileum was noted to have changes characteristic of Crohn's disease. This case report represents the first documented occurrence of liver abscess as the initial manifestation of Crohn's disease.- - - - - - - - - - ranking = 1keywords = abdomen (Clic here for more details about this article) |
8/14. Laminated radiopaque enteroliths: diagnostic clues to intestinal pathology.Laminated intestinal calculi were detected during radiographic evaluation of the abdomen in 14 adult patients. These enteroliths had developed in the distal ileum of 12 patients who had either a Meckel's diverticulum (four cases) or a variety of other lesions causing local stasis, including strictures due to Crohn's ileitis, ileocecal tuberculosis, radiation enteritis, and peritoneal adhesions. Only two patients had enteroliths in the colon proximal to strictures complicating ulcerative colitis. The clinical and radiological features of enterolithiasis as well as the mechanism of its formation are herein described.- - - - - - - - - - ranking = 1keywords = abdomen (Clic here for more details about this article) |
9/14. Acute free perforation as a presenting sign of regional enteritis. Case report and collective review of the literature.Regional enteritis rarely presents as free peritoneal perforation. A case of such a manifestation is described and the literature is reviewed. Resection of the diseased segment is mandatory, for it is associated with the least postoperative morbidity and mortality. Satisfactory results are achieved with cutaneous double-barrel ileotransverse colostomy and subsequent reanastomosis or closure but primary anastomosis can be accomplished safely with construction of a "T-vent" (cutaneous transverse colostomy with ileotransverse colostomy). Perforation of an area of regional enteritis, although uncommon, should be considered in the differential diagnosis of the acute abdomen with peritonitis- - - - - - - - - - ranking = 1keywords = abdomen (Clic here for more details about this article) |
10/14. Ileal perforation due to cytomegalovirus infection.This article reports a case of cytomegalovirus (CMV) ileitis with perforation in a woman with transfusion-acquired human immunodeficiency virus (hiv) infection. The clinical problem of small bowel perforation due to CMV disease in association with hiv infection is emphasized. Typically, a patient with a history of chronic diarrhea, fever, and abdominal pain develops the superimposed picture of an acute abdomen and has pneumoperitonium on radiograph. The prognosis is poor.- - - - - - - - - - ranking = 1keywords = abdomen (Clic here for more details about this article) |
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