Cases reported "Ulcer"

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1/6. Coexistence of numerous superficial basal cell epithelioma of the back and non-specific ulcers of the small intestine: occurrence of two rare diseases in the same patient.

    A 53-year-old female developed multiple disseminated brownish macules that were confirmed histologically as superficial basal cell epitheliomas on her lower back. She also suffered from short bowel syndrome after repeated resection of a segment of the small intestine because of non-specific ulcers of the small intestine, a rare ulcerative disorder of unknown aetiology. The association of these two rare conditions in the same patient is of interest because it may be more than a simple coincidence.
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ranking = 1
keywords = rare disease
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2/6. Dieulafoy-like lesion of the colon presenting with massive lower gastrointestinal bleeding.

    The Dieulafoy's lesion is a rare cause of severe gastrointestinal hemorrhage. The lesion is usually located in the stomach, although it may occur anywhere in the gastrointestinal tract. It is characterized by severe bleeding from a minute submucosal arteriole that bleeds through a punctate erosion in an otherwise normal mucosa. We describe an elderly patient who presented with severe lower gastrointestinal bleeding caused by a colonic Dieulafoy-like lesion. This is the third report of colonic Dieulafoy's lesion treated successfully with endoscopic hemoclipping. We review the pathophysiology, clinical presentation, diagnosis, and treatment of this rare disease.
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ranking = 0.25
keywords = rare disease
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3/6. actinomycosis esophagitis in a patient with persistent dysphagia.

    Many causes of esophagitis exist in immunocompromised patients. Uncommon pathogens must be considered to facilitate timely and appropriate therapy. A limited number of cases of esophageal actinomycosis have been reported. This report describes an unusual case of esophageal actinomycosis in a patient with persistent dysphagia. The broad differential may have delayed definitive diagnosis in the case study patient. biopsy and culture are essential for accurate diagnosis. Although actinomycosis is a rare disease, it should be included in the differential diagnosis of patients presenting with oral or esophageal complaints. It may also be considered as an opportunistic infection in immunocompromised patients. The treatment of choice is parenteral penicillin g, 18 to 24 million units for 2 to 6 weeks followed by oral therapy for 6-12 months.
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ranking = 0.25
keywords = rare disease
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4/6. intestinal perforation caused by non specific idiopathic ulcer of the small intestine. A case report.

    A case of non specific idiopathic ulcer of the small intestine in a 79-year-old patient is reported. On admission he presented with acute abdomen and was submitted to wide intestinal resection. The features of this rare disease (only 370 cases described until 1987), which has an undefined etiopathogenesis, severe symptoms, and poses diagnostic problems, are discussed.
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ranking = 0.25
keywords = rare disease
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5/6. Pneumopyopericardium.

    Pneumopyopericardium is a rare disease, the etiology of which can be traumatic or non-traumatic. Today the most common cause of non-traumatic disease seems to be ulceration or carcinoma in the lower esophagus or upper stomach. The present cases were caused by ulcerations in two patients and a postoperative penetrating abscess in the third. All had connections with surgery in the region. Chest radiography disclosing fluid and gas in the expanded pericardium was the main diagnostic method. The prognosis is poor and all three patients died.
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ranking = 0.25
keywords = rare disease
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6/6. A unique presentation of lymphoma of the colon.

    Non-Hodgkin's lymphoma often involves the gastrointestinal tract, but primary lymphoma of the colon is rare. Primary lymphoma of the colon masquerading as inflammatory bowel disease is even rarer. We report a patient with an initial diagnosis of Crohn's colitis, who later appeared to have had non-Hodgkin's lymphoma of the colon. We review the diagnosis and treatment of this rare disease.
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ranking = 0.25
keywords = rare disease
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