1/24. Metastasis of an esophageal carcinoma to a giant gastric ulcer.In patients with esophageal carcinoma it is considered that stomach metastasis is induced mainly via the lymphatic route rather than via the bloodstream route that is common in other types of distant organ metastasis. A 56 year-old patient is reported who underwent synchronous subtotal esophagectomy and total gastrectomy for a middle third esophageal carcinoma and a giant peptic ulcer within the gastric fundus. The final histopathologic examination revealed a squamous cell carcinoma of the esophagus with concomitant squamous tumor implantation within the gastric ulcer. The increased cell proliferation in the ulcer margin can serve as a "biological background or base" for implantation.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
2/24. Sonographic "gastric corona sign": diagnosis of gastric pneumatosis caused by a penetrating gastric ulcer.We present a case of gastric pneumatosis associated with splenoportal venous gas caused by a giant penetrating gastric ulcer. On sonography, the gastric pneumatosis appeared as a circular hyperechoic band with distal reverberations due to gas collection in the gastric wall; we termed this appearance the "gastric corona sign. "awareness of this sonographic sign may aid in the early diagnosis of gastric pneumatosis.- - - - - - - - - - ranking = 0.2keywords = giant (Clic here for more details about this article) |
3/24. Penetration by a giant gastric ulcer induced by a nonsteroidal anti-inflammatory drug.A patient presented with penetration by a giant gastric ulcer resulting from treatment with a nonsteroidal anti-inflammatory drug. A test for helicobacter pylori proved negative. Treatment with a combination of an inhibitor of gastric acid secretion and prostaglandin substitution therapy with misoprostol resulted in closure of the perforation and cicatrization of the gastric ulcer without the need for laparotomy.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
4/24. Isolated gastric tuberculosis presenting as massive hematemesis: report of a case.Tuberculous involvement of the stomach is rare. We report herein the unusual case of a 25-year-old man in whom a benign gastric ulcer was found along the lesser curvature after he presented with massive upper gastrointestinal bleeding. Histopathological examination helped to confirm a diagnosis of tuberculosis. The granulomas typical of tuberculosis were caseation with epithelioid and giant cells. The patient was successfully treated by a combination of appropriate surgical therapy and prompt institution of antituberculosis medication.- - - - - - - - - - ranking = 0.2keywords = giant (Clic here for more details about this article) |
5/24. adrenal insufficiency combined with gastric cardia ulcer due to herpes simplex virus type 1 infection.adrenal insufficiency combined with gastric ulcer due to herpes simplex virus (HSV) infection is a very unusual condition. A 75-year-old woman suffered from a 4-day history of poor appetite, constipation, dysuria, severe headache, generalized pain and malaise. hyponatremia was noted. escherichia coli infection was identified from urine culture. Poor pituitary-adrenal axis response to hyponatremia and infection, as well as a history of intermittent treatment with steroids, led to a diagnosis of iatrogenic tertiary adrenal insufficiency. During hospitalization, the patient passed tarry stools. In addition to an antral ulcer, panendoscopy revealed an ulcer in the gastric cardia with a clean base and irregular margins. biopsy of the cardia demonstrated multinucleated giant cells in the stratified squamous epithelium. polymerase chain reaction studies confirmed HSV type 1 infection. In patients suffering from gastric cardia ulcer, the possibility of herpes infection must be considered, especially when complicated by steroid treatment or misuse. Because herpes infection in the squamous epithelium is self-limiting, practitioners should be aware of it, so that overtreatment can be avoided.- - - - - - - - - - ranking = 0.2keywords = giant (Clic here for more details about this article) |
6/24. Giant gastric ulcer penetrating into the heart as a late complication of Nissen fundoplication. Case report.A case of fatal hemorrhage from a fistula penetrating into the right ventricle is reported. The source of the bleeding was a giant ulcer on a Nissen fundoplication performed 5 years previously to relieve gastroesophageal reflux. The pathologic sequence does not seem to have been previously described.- - - - - - - - - - ranking = 0.2keywords = giant (Clic here for more details about this article) |
7/24. The giant paraesophageal hernia: a particularly morbid condition of the esophageal hiatus.The giant paraesophageal hernia is an uncommon but particularly morbid disorder of the gastroesophageal hiatus that may have life-threatening complications. The authors present three cases of these hernias to illustrate the potential complications of true hernias of the gastroesophageal hiatus.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
8/24. Bleeding from a tuberculous gastric ulcer.A 26-yr-old male of Ecuadorian descent developed epigastric pain and bleeding per rectum, necessitating hospitalization. Upper endoscopy revealed an irregularly shaped gastric ulcer which was biopsied. Because of persistent bleeding and hemodynamic compromise, the patient underwent an exploratory laparotomy. Findings included peritoneal and visceral surfaces studded with small, round yellow lesions. Frozen section examination revealed granulomas with giant cells. Gastric biopsies from the endoscopy showed AFB. Although gastric involvement is seen in association with tuberculosis, the occurrence of upper gastrointestinal bleeding is unusual.- - - - - - - - - - ranking = 0.2keywords = giant (Clic here for more details about this article) |
9/24. Malignant giant gastric ulcer in a Nigerian.A case of malignant giant gastric ulcer in a 48-year-old Nigerian is reported. This is a rare lesion in the African. The clinico-radiological features that would heighten the clinical suspicion of this condition are highlighted.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
10/24. A giant tracheogastric tube fistula caused by a penetrated peptic ulcer after esophageal replacement.Peptic ulcers may develop in pulled-up gastric tubes used for esophageal replacement and may cause serious complications, such as perforation and hemorrhage, although they occur only rarely. We report a case in which a giant tracheogastric tube fistula was formed by penetration of a peptic ulcer into the trachea after esophageal replacement for esophageal cancer. Another ulcer developed and bled in the proximal cervical gastric tubestomy after the gastric tube diversion. Disturbed blood circulation probably was an etiological factor. Two-stage management of the fistula was advocated to save the patient.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
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