ABSTRACT
Gastrointestinal stromal tumors are very rare tumors of stomach. To our knowledge there are a few reported cases of synchronous occurrence of epithelial and gastrointestinal stromal tumors of stomach. Also, tumor perforation is very rare. This is the first case of gastrointestinal stromal tumor synchronous with primary gastric adenocarcinoma presented with perforation (Fig. 1, Ref. 6).
Subject(s)
Adenocarcinoma/pathology , Gastrointestinal Stromal Tumors/pathology , Neoplasms, Multiple Primary/pathology , Stomach Neoplasms/pathology , Stomach Rupture/etiology , Adenocarcinoma/complications , Aged , Gastrointestinal Stromal Tumors/complications , Humans , Male , Neoplasms, Multiple Primary/complications , Stomach Neoplasms/complicationsABSTRACT
Liposarcomas represent the single most common type of soft tissue sarcoma, occurring most commonly in the extremities and retroperitoneum. There is no relation between liposarcomas and multiple endocrine syndromes. We presented a 61-year old woman with giant primary synchronously bilateral mesenteric dedifferentiated liposarcoma with hyperparathyroidism, hyperthyroidism, Type-2 diabetes mellitus (T2DM) and hypertension. The mesenteric liposarcoma was reported neither synchronously bilateral nor with endocrine disorders. We must note if the patients' presentation was a co-incidence or an undescribed syndrome, waiting to be discovered.
Subject(s)
Diabetes Mellitus, Type 2/epidemiology , Hyperparathyroidism/epidemiology , Hypertension/epidemiology , Hyperthyroidism/epidemiology , Liposarcoma/epidemiology , Peritoneal Neoplasms/epidemiology , Diabetes Mellitus, Type 2/diagnosis , Diabetes Mellitus, Type 2/surgery , Female , Humans , Hyperparathyroidism/diagnosis , Hyperparathyroidism/surgery , Hypertension/diagnosis , Hypertension/surgery , Hyperthyroidism/diagnosis , Hyperthyroidism/surgery , Laparotomy , Liposarcoma/diagnosis , Liposarcoma/surgery , Mesentery , Middle Aged , Peritoneal Neoplasms/diagnosis , Peritoneal Neoplasms/surgeryABSTRACT
The intestinal protozoan parasite E. histolytica is the causative organism responsible for human amebiasis and amebic dysentery. Although it is primarily an infection of the colon, it may also be spread by hematogenous path to other organs, especially the liver. In general, the clinical spectrum of colorectal amebiasis ranges from the state of asymptomatic carrier to severe fulminant necrotizing colitis with bleeding and perforation. Here we present an extremely rare case of necrotizing amebiasis of small bowel with a fatal outcome (Fig. 1, Ref. 4). Full Text (Free, PDF) www.bmj.sk.
Subject(s)
Dysentery, Amebic/complications , Intestinal Perforation/parasitology , Intestine, Small/parasitology , Fatal Outcome , Humans , Intestinal Perforation/pathology , Intestine, Small/pathology , Male , Middle Aged , NecrosisABSTRACT
The aim of this study is to investigate the results of open lateral internal sphincterotomy (LIS) and the recurrence and incontinence rate, to perform a long-term assessment of incontinence and to assess complications and relief of symptoms. This clinical prospective study was undertaken in patients undergoing open LIS. One hundred and twenty-nine patients entered the study. Mean duration of pain relief was 1.2 +/- 0.4 days and mean time before defecation without pain was 1.9 +/- 1.0 days. Complication rate was 41.8%. We found that urine retention was seen frequently in males. We demonstrated that open LIS up to the dentate line does not have a higher rate of incontinence. Incontinence after LIS was only to flatus and two-thirds of these resolved in 6 weeks. No patient showed improvement of incontinence after 6 weeks.
