1.Retrograde Jejuno-gastric Intussusception.
Sung Hyun LEE ; Young Tae JOO ; Eun Jung JUNG ; Soon Tae PARK ; Woo Song HA ; Soon Chan HONG ; Young Joon LEE ; Kyung Soo BAE ; Sang Kyung CHOI
Journal of the Korean Surgical Society 2006;71(3):214-217
Retrograde jejuno-gastric intussusception is an unusual complication after gastroenterostomy. It is very difficult to diagnosis this illness before endoscopy or operation, so a high clinical suspicion is needed to make the diagnosis .There have been only 300 reported cases of this illness. There are four types of jejuno-gastric intussusception that are defined anatomically. Intussusception of the efferent limb of the jejunum is the most frequent type. Although the causative factors are not well known, this disease has a poor outcome unless it's treats promptly within 48 hours. We report here a case of hematemesis caused by intussusceptum from the efferent limb to the afferent limb of Braun anastomosis.
Diagnosis
;
Endoscopy
;
Extremities
;
Gastroenterostomy
;
Hematemesis
;
Intussusception*
;
Jejunum
2.A Face of Gastrointestinal Stromal Tumor.
Korean Journal of Medicine 2007;73(1):112-113
No abstract available.
Endosonography
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Gastrointestinal Stromal Tumors*
;
Hematemesis
;
Stomach
3.Successful Treatment of Gastric Hamartomatous Polyp with Hemorrhage by Endoscopic Mucosal Resection.
Jung Min LEE ; Ji Hoon BAEK ; Hye Mi KANG ; Byeng Do MIN ; Sang Hoon PARK ; Ji Woong KIM ; Jin Woong CHO ; Myoung Jin JU
Korean Journal of Gastrointestinal Endoscopy 2009;39(5):300-303
Hamartomatous polyp is an uncommon lesion. Most of the gastric hamartomatous polyps occur in patients in their 40s because of polyposis coli. Gastric hamartomaotus polyps are usually asymptomatic, but they occasionally manifest with hematemesis or anemia. If they are congenital, then sessile polyps in children should be observed with some measurable frequency. However, many reports have revealed that if the polyp size is big and the risk of rebleeding is high, then ESD or surgical resection can be used to completely remove them. An inverted gastric hamartomatous polyp may have an early gastric cancer component. We report here on an unusual polyp in a 14-years male who presented with hematemesis. Those were about two 3 cm sized large polyps at the proximal antrum and mid body of the stomach, respectively. The polyps were successfully removed by an endoscopic mucosal resection and the lesions were diagnosed as gastric harmatomas.
Anemia
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Child
;
Hematemesis
;
Hemorrhage
;
Humans
;
Male
;
Polyps
;
Stomach
;
Stomach Neoplasms
4.A Case of Trichosporon beigelii Esophagitis Presenting Hematemesis with a Large Amorphous Material.
Eun Jung PARK ; Jin Bok HWANG ; Wook Su AHN ; Chang Ho JUN ; Yong Jin KIM
Korean Journal of Pediatric Gastroenterology and Nutrition 1999;2(1):74-79
We experienced a case of Trichosporon beigelii esophagitis in a 16-month-old boy who was presented with hematemesis with a large amorphous material. A spit-out material was silky, 10 x 1.2 cm in size and like a part of hollow viscus organ. Emergent gastrofiberscopy revealed that this silky material was teared up from upper and to lower esophagus and was threw with hematemesis. It was suggested that pseudomembrane on esophagus was peeled off followed by mucosal bleeding. Pathologic study revealed this material was pseudomembrane with esophageal mucosa of T. beigelii esophagitis and was teared at lamina propria level from submucosa.
Esophagitis*
;
Esophagus
;
Hematemesis*
;
Hemorrhage
;
Humans
;
Infant
;
Male
;
Mucous Membrane
;
Trichosporon*
5.Bronchial Artery Aneurysm Presenting as Hematemesis and Mediastinal Hemorrhage.
Ji Sung KIM ; So Young LEE ; Kuk Hui SON ; Kun Woo KIM ; Chang Hu CHOI ; Jae Ik LEE ; Kook Yang PARK ; Chul Hyun PARK
The Korean Journal of Thoracic and Cardiovascular Surgery 2015;48(4):298-301
Hematemesis is a rare manifestation of a ruptured bronchial artery aneurysm (BAA) in the mediastinum. It is difficult to diagnose a ruptured BAA presenting as hematemesis, because it can be confused with other diseases, such as Boerhaave's syndrome, variceal disease, or a perforated ulcer. In this report, we describe a case of BAA resulting in hematemesis and mediastinal hemorrhage.
Aneurysm*
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Bronchial Arteries*
;
Esophagus
;
Hematemesis*
;
Hemorrhage*
;
Mediastinum
;
Ulcer
6.A Case of Incomplete Congenital Duodenal Diaphragm Presented as Hematemesis.
Hee Hyun YEOM ; Ki Beom KWON ; Kyung Bae PARK ; Joon Soo PARK ; Jae Ock PARK ; Young Tong KIM
Korean Journal of Pediatric Gastroenterology and Nutrition 2005;8(1):64-69
We have experienced a case of incomplete congenital duodenal diaphragm with a foreign body (a button), which was found by endoscopy in a 13 month-old girl. She had symptoms of hematemesis, vomiting and bloody stool for a day probably due to foreign body impaction.
Diaphragm*
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Endoscopy
;
Female
;
Foreign Bodies
;
Hematemesis*
;
Humans
;
Infant
;
Vomiting
7.Endoscopic Treatment of Spontaneous Intramural Dissection of the Esophagus: A Case Report.
Young Mi YOON ; Jin Hyung PARK ; Dong Woo HYUN ; Chang Keun PARK ; Chang Min CHO ; Won Young TAK ; Young Oh KWEON ; Sung Kook KIM ; Yong Hwan CHOI
Korean Journal of Gastrointestinal Endoscopy 2003;27(6):527-530
Intramural dissection of the esophagus is a rare esophageal disorder which reveals characteristic endoscopic and radiologic features. Some authors have recognized that this injury is an intermediate stage between a transmural esophageal rupture (Boerhaave's syndrome) and an esophageal mucosal tear (Mallory-Weiss syndrome). Presenting symptoms are sudden severe retrosternal pain, hematemesis, odynophagia, and dysphagia. The diagnosis is made by contrast esophagography, esophageal endoscopy, or both. Conservative management is usually successful. Surgery should be reserved for the cases of protracted disease or perforation with mediastinitis. We report a case of spontaneous intramural esophageal dissection, in which the symptom of dysphagia did not improve with a conservative management. Then we treated with an endoscopic incision of the septum between the true and false lumens using a needle type papillotome.
Deglutition Disorders
;
Diagnosis
;
Endoscopy
;
Esophagus*
;
Hematemesis
;
Mediastinitis
;
Needles
;
Rupture
8.A Case of Gastric Bezoar Treated with a Distal Attachment Device.
Kwang Pyo JANG ; Jun LEE ; Il Goo PARK ; Yu Mi BYEON ; Chol Jin PARK ; Young Dae KIM ; Chan Guk PARK ; Man Woo KIM
Korean Journal of Gastrointestinal Endoscopy 2011;42(4):232-235
Bezoars are collection of indigestible materials in the gastrointestinal tract. Many endoscopic techniques for removal of bezoars have been reported recently, but these methods need much equipment. We treated a gastric bezoar with a distal attachment device easily available for an endoscope. A 74-year-old man with a history of diabetes mellitus was admitted to hospital with hematemesis. On the second endoscopic examination, a gastric bezoar (6x4x4 cm) was detected in the stomach. Then, using a distal attachment device, we injected Coca-Cola directly into the bezoar by an injector. With tension force, the bezoar was easily broken due to the impulse of the distal attachment device. The endoscopic technique used in our case can be easily performed and has fewer complications compared to those of other techniques. Therefore, we report here on this new treatment modality that uses a distal attachment device.
Aged
;
Bezoars
;
Diabetes Mellitus
;
Endoscopes
;
Gastrointestinal Tract
;
Hematemesis
;
Humans
;
Stomach
9.A Case of Tubular Adenocarcinoma on Fistula of Duodenal Bulb.
Eu Gen CHOI ; Jae Seok SEO ; Soo Teik LEE ; Deuk Soo AHN
Korean Journal of Gastrointestinal Endoscopy 2000;20(4):285-288
The first documented case of duodenal carcinoma was described by Hamburger in 1746. Primary adeno-carcinoma of duodenum is rare. Malignant tumors of the small bowel are reported to account for about 1% of all gastrointestinal carcinoma. The autopsy incidence of duodenal adenocarcinoma is about 0.3% of all malignancy. The second and third portions of the duodenum are the usual sites of adenocarcinoma. Cancer in the duodenal bulb is exceedingly rare. Most of them revealed an intraluminal mass or wall thickening. But we have experienced a case of exophytic growth pattern adenocarcinoma such as the fistula of duodenal bulb in 49 year old male patient with hematemesis. For its great rarity, we report this case with review of literatures.
Adenocarcinoma*
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Autopsy
;
Duodenum
;
Fistula*
;
Hematemesis
;
Humans
;
Incidence
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Male
;
Middle Aged