Abnormal liver function following total parenteral nutrition in a patient with short bowel syndrome
by Neel Sharma and Raza Malik
Total parenteral nutrition (TPN) is an essential means of maintaining nutrition in those who are unable to do so via an enteral route. However, long term TPN can pose potentially serious complications, in particular liver related damage. This article describes a case of abnormal liver function following total parenteral nutrition and discusses the methods of potentially reducing such complications. (Specialties Gastroenterology: 26th November 2008) More...
Gastrocutaneous fistula: case report and literature review
by Alex Hotouras, Adhip Mandal, Veera Karri and Aarti Varma
We report the case of a 91-year-old lady who presented with a gastrocutaneous fistula in the absence of any recent surgery. We review the literature and discuss this uncommon surgical problem. (Breast Surgery, Gastroenterology; General Surgery: 28th February 2008) More...
A case report of Boerhaave's syndrome
by Sreekanth Reddivari, Carlo Nunes, Emyr Humphries and Christopher Fox
We report a case of Boerhaave's syndrome in a previously fit 57-year-old lady with an aetiological association with a co-existing duodenal ulcer. We discuss the diagnostic difficulties presented by this case, the importance of prompt diagnosis and intervention, and the problems involved in the management that are highlighted in this case. This is an extremely rare but well recognised entity. A 1980 review by Kish cited only 300 cases worldwide; a small percentage were diagnosed post mortem (John BE, Zua MS. Boerhaave's syndrome---an elusive diagnosis. Tenn Med 1997; 90: 56--8). (Gastroenterology; September 21st 2005) More...
Oedematous Bauhinitis: a rare endoscopic diagnosis in ileocaecal
disease by C. J. Krones, J. Conze, J. Grommes, S. Truong, H. Griefingholt and V. Schumpelick
Isolated Bauhinitis is a rare cause of non-specific abdominal symptoms in adults. Modern descriptions of the disease are lacking. We report two current cases with an overview of the literature and a discussion of the aetiology, clinical signs, diagnostic findings, and treatment guidelines. Colonoscopic and histological findings are used to diagnose the condition. Conservative treatment is the mainstay of management, but recurrent symptoms often lead to the necessity for ileocaecal resection. (March 2005) More...
Perforation of the sigmoid colon as a result of Meckel's diverticulitis in a child ......................... N. Butz, C. J. Krones, G. Bohm, K. Lindemann-Docter, G. Steinau and V. Schumpelicky
Rheinisch-Westfalische Technische Hochschule Aachen, Pauwelsstr.
30, 52074 Aachen, Germany. More...
Spontaneous biliary peritonitis: two unusual cases by MG Berry and James T. Allardice
Two patients with biliary peritonitis without demonstrable perforation are described. Despite
biliary peritonitis almost invariably following biliary tract perforation, none could be identified
with contemporary imaging. This condition is extremely rare, difficult to diagnose pre-operatively
and has high mortality. (August 2004) More...
A case of Mycobacterium avium-intracellulare pulmonary disease and Crohn's disease
A 48-year old man with a case of pulmonary Mycobacterium avium-intracellulare (MAI) subsequently developed Crohn's disease. (May 2002) More...
