Extramedullary plasmacytoma is a rare disease that is histopathologically defined as a solitary tumor composed of a monoclonal proliferation of cells with plasmacytic differentiation in an extramedullary site. Most of these tumors occur in the submucosa of the upper aerodigestive tract, and they rarely occur in the small bowel mesentery. We report here on a case of extramedullary plasmacytoma of the small bowel mesentery that was in association with a cecal cancer. Abdominal ultrasound and CT revealed a lobulated soft tissue mass with a cystic portion and peripheral calcification. In this case, the preoperative radiological diagnosis was difficult due to accompanying cecal cancer.
Cecal Neoplasms* ; Diagnosis ; Mesentery* ; Plasmacytoma* ; Rare Diseases ; Ultrasonography

Intussusception of the appendix is an uncommon condition and the diagnosis is rarely made preoperatively. Intussusception of the appendix may mimic a neoplastic lesion. Colonoscopy is a valuable tool for diagnosis of the appendiceal intussusception. A 17-yr-old female admitted with repeated abdominal pain, nausea, vomiting and febrile sensation. We diagnosed as appendiceal intussusception by colonoscopy, which showed a polypoid tumor (about 1.5 cm) in the cecum. This sessile polypoid mass looks like foreskin or glans. We present colonoscopic finding of appendiceal intussusception and review the literature.
Adolescent ; *Appendix ; Cecal Diseases/*diagnosis ; *Colonoscopy ; Female ; Humans ; Intussusception/*diagnosis

Ulcerative colitis (UC) is an inflammatory disease primarily involving the colonic mucosa. The extension of classic UC is uniform and continuous with no intervening areas of normal mucosa. The rectum is usually involved and the inflammation extends proximally in a continuous fashion for a variable distance. However, as more patients get colonoscoped, it had been reported that there is a wide spectrum to what is called UC. There appear to be a few patients with otherwise typical UC but with rectal sparing. And also there are patients with classic distal UC who have an isolated area of cecal disease and segmental UC with skipped area. We have experienced a case of atypical UC initially presented as a isolated lesion around the appendiceal orifice with the segmental distribution of inflammatory change without an active inflammatory lesion in the rectum. It was considered that understanding of the significance of an isolated lesion in the appendix would contribute to the elucidation of the pathogenesis of UC.
Appendix ; Cecal Diseases ; Colitis, Ulcerative* ; Colon ; Humans ; Inflammation ; Mucous Membrane ; Rectum ; Ulcer*

This report includes experiences of 63 cases of lntussusception treated in Severance Hospital from October 1964 to September 1968. 1. In age distribution, 44 cases were observed under one year of age (69.9%) and peak incidence occurs from the 4th to 7th month (38%). Males showed a decidedly higher incidence than females with a ratio of 2.3:1. Seasonal incidence showed 33.3 per cent in the Summer. 2. The cardinal symptoms and signs were irritability or abdominal pain, palpable abdominal mass, vomiting, and bloody mucous stools. 3. 7 out of 63 cases had an underlying cause; Meckel's diverticulum 2, enteric cyst 1, submucosal cyst 1, lymphosarcoma 1, reticulum cell sarcoma 1, and malrotation, and 5 cases out of six were under 3 years of age. 4. Of 63 cases, operative intervention without trial of barium enema reduction was used in 24 cases, 7 cases had only diagnostic barium enema. In the rest of the cases, namely 32 cases, hydrostatic pressure barium enema was performed and successful reduction was accomplished in 13 cases.
*Cecal Diseases ; Child, Preschool ; Female ; Human ; *Ileum ; Infant ; Infant, Newborn ; *Intussusception ; Male

No abstract available.
Acute Disease ; Appendectomy ; *Appendix ; Cecal Diseases/*diagnosis/surgery ; Colonoscopy ; Gastrointestinal Hemorrhage/*diagnosis/surgery ; Humans ; Male ; Middle Aged

Behcet's syndrome is a multi-systemic and chronic disorder that affects many organs. It has been suggested that the diagnosis was based on the presence of the 'major' and 'minor' clinical criteria. When thromobophlebitis, arthritis, central nervous system or gastrointestinal lesions are also present. Behcet's syndrome will be thought to be present in the appropriate geographic area. We report a case of superior vena cava syndrome caused by Behcet's disease in a 40-year-old man with recurrent oral aphthous ulcers and skin rashes on the anterior chest wall. There were multiple thrombosis of the superior vena cava, innominate and subclavian veins. This patient also had a solitary cecal ulcer with an ileocecal fistula and downhill varix. The chest CT, veno-cavography, pulmonary angiography and colon study were taken and follow-up was performed.
Adult ; Behcet's Syndrome/diagnosis ; Behcet's Syndrome/complications* ; Cecal Diseases/complications ; Human ; Intestinal Fistula/complications ; Male ; Superior Vena Cava Syndrome/etiology* ; Superior Vena Cava Syndrome/diagnosis ; Ulcer/complications

Idiopathic cecal ulcer is a rare disease entity of unknown cause diagnosed by ruling out other known causes of cecal ulceration. The most common complication of an idiopathic cecal ulcer is bleeding; perforation, peritonitis, abscess, and stricture formation have been noted. The authors treated a 53-year-old woman who presented with fever and intermittent right upper quadrant abdominal pain. Multiple pyogenic liver abscess and a solitary cecal ulcer were diagnosed by radiologic, endoscopic, and pathologic examination, followed by laparoscopic cecectomy. After extensive study, we concluded that this patient's liver abscesses were a complication of the idiopathic cecal ulcer. Herein, we report a case of multiple pyogenic liver abscess caused by microperforation of idiopathic cecal ulcer.
Cecal Diseases/complications/*diagnosis/surgery ; Colonoscopy ; Female ; Humans ; Laparoscopy ; Liver/pathology ; Liver Abscess, Pyogenic/*diagnosis/etiology ; Middle Aged ; Tomography, X-Ray Computed ; Ulcer/complications/*diagnosis/surgery

We describe a case of Behcet's disease (BD) which showed the ileocecal ulcer and cecocecal fistula. This 38-year-old man had appendectomy six years ago because of colicky pain in the right lower abdomen (RLA). There are some reports on fistula formation in BD. In those, some are related to surgery and others are not. BD with cecocecal fistula, possibly associated with a past operation, has not been reported in the literature.
Adult ; Appendectomy ; Behcet's Syndrome/diagnosis ; Behcet's Syndrome/complications+ACo- ; Case Report ; Cecal Diseases/surgery ; Cecal Diseases/etiology+ACo- ; Follow-Up Studies ; Human ; Ileal Diseases/surgery ; Ileal Diseases/etiology+ACo- ; Intestinal Fistula/surgery ; Intestinal Fistula/etiology+ACo- ; Male ; Ulcer/surgery ; Ulcer/etiology+ACo-

Behcet's disease (BD) has been recognized as multi-systemic chronic vasculitic disorder of recurrent inflammation, characterized by the involvement of multiple organs and resulting in orogenital ulcers, uveitis, and skin lesions. Involvement of the central nervous system, vessels, and intestines in BD often leads to a poor prognosis. Digestive manifestations in BD have been reported in up to 1-60% of cases, although the rate varies in different countries. The most frequent extra-oral sites of gastrointestinal involvement are the ileocecal region and the colon. Gastric or esophageal involvement is reported to be very rare. Moreover, there have been no reports on the simultaneous involvement of the esophagus, stomach, ileum, and colon. Here, we present a 55-year-old Korean man with intestinal BD and multiple ileal and colonic ulcerations complicated by perforation, gastric ulcer with bleeding followed by perforation, and esophageal ulcers with bleeding.
Behcet Syndrome/complications/*diagnosis/pathology ; Cecal Diseases/complications/pathology ; Diagnosis, Differential ; Endoscopy, Digestive System ; Gastrointestinal Diseases/complications/*diagnosis ; Gastrointestinal Hemorrhage ; Humans ; Intestinal Perforation/*diagnosis/etiology/pathology ; Male ; Middle Aged ; Peptic Ulcer Perforation/pathology ; Stomach Ulcer/complications/pathology

A 7-year-old Thoroughbred horse was admitted to the Equine Hospital, Korea Racing Association with signs of colic. Based on the size of impactions, the clinical signs, the results of abdominal paracentesis and medical treatment, the prognosis was poor. The horse died 3 hours later following hopeless discharge. At necropsy, the caecum and large colon were fully filled with fecal contents and there was a rupture (10 cm in dia) in the latero- ventral caecum. The mucosa of the ileo-caecal and caeco- colic valves appeared to the hyperemic, edematous and ulcerous. There were many tapeworms in the affected mucosa. Histopathologically, lesions included hyperaemia, a deep necrotic inflammatory lesion and ulcers in the mucosa and submucosa of ileo-caecal and caeco-colic valves. One hundred thirty four faecal samples were obtained from 16 stables and submitted to parasitic examination. A total of 4 genera of eggs were recovered: Stongylus spp (82.1%), Anoplocephala perfoliata (10.5%), Bovicola equi (0.7%) and Parascaris equorum (1.5%). The major findings in this study are the presence of A perfoliata and its suspected association with the colic which led into an eventual caecal rupture. This study indicates the needs for an epidemiological survey of colic that is associated with Anoplocephala.
Animals ; Cecal Diseases/etiology/pathology/*veterinary ; Cestoda ; Cestode Infections/complications/pathology/*veterinary ; Colic/etiology/*veterinary ; Fatal Outcome ; Fecal Impaction/complications/parasitology/veterinary ; Feces/parasitology ; Horse Diseases/etiology/*parasitology/pathology ; Horses ; Ileocecal Valve/parasitology/pathology ; Intestinal Diseases, Parasitic/parasitology/pathology/*veterinary ; Intestinal Mucosa/parasitology/pathology ; Korea ; Parasite Egg Count/veterinary ; Prognosis ; Rupture, Spontaneous/pathology/veterinary