ISSN:0192-0790    

出版商:OVID    

年代:1985

数据来源: OVID

ISSN:0192-0790    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

Arteriovenous malformations of the stomach are rare; blood loss may be manifested either by chronic anemia or by massive recurrent hemorrhage. We report a patient with massive upper gastrointestinal hemorrhage from a gastric arteriovenous malformation. Emergency operation to control hemorrhage precluded the performance of angiography; diagnosis was made from the appearance of the lesion and dilatation of the veins draining the involved area. Complete operative excision of the lesion was curative.

ISSN:0192-0790    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

A 15-year-old boy developed massive intestinal bleeding. The initial mesenteric angiography and ileocolectomy failed to reveal the bleeding site. A repeat mesenteric angiography performed when bleeding recurred showed active bleeding from an ileal branch of the mesenteric artery. Histologically, the lesion proved to be a caliber-persistent submucosal artery that had ruptured. This appears to be the first report of “caliber-persistent” artery in the ileum.

ISSN:0192-0790    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

A 62-year-old man developed massive lower gastrointestinal tract bleeding. Upper endoscopy and superior mesenteric arteriography initially failed to disclose a cause of bleeding. On rebleeding, intra-arterial vasopression infusion during repeated arteriography caused reflux of dye into the iliac vessels to allow visualization of an arterial-enteric fistula. Exploratory laparotomy subsequently revealed perforation of the small bowel and common iliac artery by a toothpick which had been swallowed.

ISSN:0192-0790    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

We present a patient with clinically asymptomatic amyloidosis associated with Crohn's ileitis. A distinction should be made between immunocytic dyscrasia associated with amyloidosis (formerly primary or myeloma-associated amyloidosis) and acquired systemic amyloidosis (formerly secondary amyloidosis). We compare the natural course of amyloidosis complicating Crohn's disease with these complicating familial Mediterranean fever (FMF), and discuss the role of resection and the rationale behind colchicine therapy. Our patient is the first reported case in which colchcine therapy alone has been successful in the prophylactic treatment of amyloidosis complicating Crohn's ileitis.

ISSN:0192-0790    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

In two elderly patients with ulcerative colitis, acute Guillain-Barre syndrome developed while the inflammatory bowel disease was in remission. The patients were treated with corticosteroids and recovered. Since both disorders are relatively uncommon, we suggest that the Guillain-Barre syndrome may have been causally related to the preexisting chronic inflammatory bowel disease. Guillain-Barre syndrome may be regarded as a possible extraintestinal complication of chronic ulcerative colitis.

ISSN:0192-0790    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

A patient with somatic features of both Marfan and Ehlers-Danlos syndromes presented with severe intestinal malabsorption. Functional intestinal abnormalities were thought to be due to bacterial overgrowth associated with small intestinal hypomotility and giant jejunal diverticula. The structural intestinal defects are presumed to be the result of defective collagen synthesis in these hereditary connective tissue disorders.

ISSN:0192-0790    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

Acute colonic pseudo-obstruction that occurs in the setting of an underlying medical condition is known as Ogilvie's syndrome. The etiology of Ogilvie's syndrome is unknown, and associated medical illnesses are varied and often extra-abdominal. While herpes zoster infection has been reported to cause constipation and hypomotility, the association with massive colonic distention has not so far been described. We present a patient with Ogilvie's syndrome in the setting of herpes zoster infection. There was no evidence of other active illnesses, and the patient has continued to do well since the resolution of the zoster. We believe that this is the first reported association of Ogilvie's syndrome and herpes zoster infection.

ISSN:0192-0790    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

Small-bowel obstruction in an old woman was the result of a twisted Meckel's diverticulum containing a large neoplasm. As neoplasms comprise only 1.2-1.4% of the complications of the diverticulum, and generally bleed or cause intussusception, we believe that the condition described is not common.

ISSN:0192-0790    

出版商:OVID    

年代:1985

数据来源: OVID