Massive upper gastrointestinal bleeding due to a Dieulafoy's lesion inside a duodenal diverticulum.

In relation to the article published in this journal by Valdivielso Cortázar et al., we have recently diagnosed a massive digestive hemorrhage secondary to a Dieulafoy's lesion inside a duodenal diverticulum. This was successfully treated with endoscopy.

Jejunitis secondary to Duodopa® probe, a different complication.

Treatment with continuous infusion of intraduodenal (Duodopa®) levodopa / carbidopa is indicated in patients with advanced Parkinson's disease who have not responded to conventional treatment. We present here the case of a patient with this type of probe that debuted jejunitis. A distal phytobezoar was the main causal agent. This rare complication may be favored in cases of intestinal hypomotility. Treatment involves its withdrawal as soon as possible and replacement by a new probe, which results in healing.

Fatal Campylobacter jejuni ileocolitis.

Campylobacter infection usually starts in the jejunum and ileum and progresses distally. The case fatality rate is low and most occur in elderly or patients with comorbidity as in this case. Antibiotics should be used in severe cases or patients at risk. The choices are macrolides and fluoroquinolones. However, in some countries quinolone resistance is increasing, as in Spain. We shouldn´t forget this fact for the proper treatment approach and specifically in refractory cases.

Appendicular bleeding: an excepcional cause of lower hemorrhage.

Chronic complications of acute appendicitis managed in a conservative manner are not frequent. We present a case of acute lower gastrointestinal hemorrhage in a young patient with a previous acute appendicitis without surgical intervention. The colonoscopy detected an appendicular bleeding which was surgically treated. The anatomopathological diagnosis was granulomatous appendicitis. The clinical evolution of the patient was favorable without bleeding recurrence. Appendicular hemorrhage can be an unusual complication-however potentially severe-of acute appendicitis not treated surgically.

Rickettsia conorii: causa inusual de diarrea / Rickettsia conorii: Unusual cause of diarrhoea

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Hemorragia digestiva alta masiva secundaria a lesión de Dieulafoy oculta en un divertículo duodenal / Massive upper gastrointestinal bleeding due to a Dieulafoy's lesion inside a duodenal diverticulum

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Alternativa endoscópica al síndrome de buried bumper secundario a bomba de Duodopa® / Endoscopic alternative to buried bumper syndrome secondary to Duodopa® pump treatment

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Yeyunitis secundaria a sonda de Duodopa(R), una complicación diferente / Jejunitis secondary to Duodopa(R) probe, a different complication

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Silodosina: causa desapercibida de diarrea farmacológica / Silodosin: an overlooked cause of drug-induced diarrhea

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Ileocolitis fatal por Campylobacter jejuni / Fatal Campylobacter jejuni ileocolitis

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Sangrado apendicular: una causa excepcional de hemorragia digestiva baja / Appendicular bleeding: an excepcional cause of lower hemorrhage

Las complicaciones crónicas de la apendicitis aguda manejada de forma conservadora son infrecuentes. Presentamos un caso de hemorragia digestiva baja aguda en paciente joven con antecendente de apendicitis aguda no intervenida. En la colonoscopia se detectó un sangrado apendicular que se trató quirúrgicamente. El diagnóstico anatomopatológico fue de apendicitis granulomatosa. La evolución clínica del paciente fue favorable sin recidiva hemorrágica. La hemorragia apendicular puede ser una complicación inusual potencialmente grave de la apendicitis aguda no intervenida (AU)

Chronic complications of acute appendicitis managed in a conservative manner are not frequent. We present a case of acute lower gastrointestinal hemorrhage in a young patient with a previous acute appendicitis without surgical intervention. The colonoscopy detected an appendicular bleeding which was surgically treated. The anatomopathological diagnosis was granulomatous appendicitis. The clinical evolution of the patient was favorable without bleeding recurrence. Appendicular hemorrhage can be an unusual complication—however potentially severe—of acute appendicitis not treated surgically (AU)