1.Primary aorto-duodenal fistula.
Muhsein KA ; Suib I ; Hanif H
The Medical Journal of Malaysia 2003;58(3):446-449
Primary aorto-duodenal fistula is a rare and life-threatening cause of upper gastro-intestinal bleed. In this case report, a patient presented acutely with several episodes of haematochezia and pulseless lower limbs bilaterally. Primary aorto-duodenal fistula with peripheral vascular disease was diagnosed after an urgent CT angiogram was performed. She underwent left axillo-bifemoral bypass, resection of the fistula, Rouxen-Y gastro-jejunostomy, pyloric exclusion and controlled duodenal fistula the following day.
Aortic Diseases/*diagnosis
;
Duodenal Diseases/*diagnosis
;
Intestinal Fistula/*diagnosis
2.Clinical Impact of Double Balloon Enteroscopy in Patients with Small Bowel Diseases.
Byung Hoon MIN ; Dong Kyung CHANG
The Korean Journal of Gastroenterology 2006;48(1):55-57
No abstract availble.
Endoscopes, Gastrointestinal
;
*Endoscopy, Gastrointestinal
;
Humans
;
Intestinal Diseases/*diagnosis
;
*Intestine, Small
3.Musculoskeletal Manifestation in Inflammatory Bowel Disease
The Korean Journal of Gastroenterology 2019;73(5):276-284
Almost 50% of patients with inflammatory bowel disease (IBD) exhibit at least one extra-intestinal manifestation in their lifetime. Extra-intestinal manifestations of IBD are often associated with the intestinal disease activity, reducing the quality of life of the patient but rarely leading to fatal complications. Musculoskeletal involvement is the most frequent extra-intestinal manifestation of patients with IBD but this rarely occurs before IBD is diagnosed. They are manifested in various forms, such as arthropathy, fibromyalgia, and osteoporosis. Therefore, a multidisciplinary team approach including gastroenterologists and rheumatologists are necessary for optimal treatment. This review focuses on the diagnosis and treatment of musculoskeletal manifestations of IBD from the perspectives of rheumatologists who can assist gastroenterologists.
Diagnosis
;
Fibromyalgia
;
Humans
;
Inflammatory Bowel Diseases
;
Intestinal Diseases
;
Joint Diseases
;
Musculoskeletal Diseases
;
Osteoporosis
;
Quality of Life
4.Musculoskeletal Manifestation in Inflammatory Bowel Disease
The Korean Journal of Gastroenterology 2019;73(5):276-284
Almost 50% of patients with inflammatory bowel disease (IBD) exhibit at least one extra-intestinal manifestation in their lifetime. Extra-intestinal manifestations of IBD are often associated with the intestinal disease activity, reducing the quality of life of the patient but rarely leading to fatal complications. Musculoskeletal involvement is the most frequent extra-intestinal manifestation of patients with IBD but this rarely occurs before IBD is diagnosed. They are manifested in various forms, such as arthropathy, fibromyalgia, and osteoporosis. Therefore, a multidisciplinary team approach including gastroenterologists and rheumatologists are necessary for optimal treatment. This review focuses on the diagnosis and treatment of musculoskeletal manifestations of IBD from the perspectives of rheumatologists who can assist gastroenterologists.
Diagnosis
;
Fibromyalgia
;
Humans
;
Inflammatory Bowel Diseases
;
Intestinal Diseases
;
Joint Diseases
;
Musculoskeletal Diseases
;
Osteoporosis
;
Quality of Life
6.Malignant rectal perforation?
Singapore medical journal 2010;51(3):266-author reply 267
7.Intestinal Behcet's disease in a child: a case report.
Yeon Lim SUH ; Ro Hyun SUNG ; Je G CHI ; Kwi Won PARK
Journal of Korean Medical Science 1987;2(2):129-132
Behcet disease is relatively rare in pediatric age group. And the bowel involvement is seen in only a small portion of Behcet disease. However, once the bowel is involved it is potentially life threatening event. We report a 15 year old boy with intestinal Behcet's disease who had a history of recurrent oral and genital ulcers for several years. He underwent right hemicolectomy under the impression of intestinal tumor. Pathologically the lesion was a large sharply delineated ulcer in the cecum. The ulcer was round and deep with elevating margin, and was associated with thickening of affected intestinal wall. Microscopically, the ulcer base consisted of granulation tissue with fissurings and underminings. Characteristic phlebitis and occlusive arterial lesion were seen in intestinal wall. The inflammatory lesion was most pronounced around the ulcer but could be recognizable throughout the resected specimen.
Adolescent
;
Behcet Syndrome/*diagnosis/pathology
;
Diagnosis, Differential
;
Humans
;
Intestinal Diseases/*diagnosis/pathology
;
Male
;
Ulcer/pathology
10.A Case of Secondary Amyloidosis Presenting as Massive Gastrointestinal Bleeding.
Hee KIM ; Sam Ryong JEE ; Sang Bong LEE ; Jae Ho LEE ; Sung Jae PARK ; Eun Taek PARK ; Yeon Jae LEE ; Sang Hyuk LEE ; Sang Young SEOL ; Jung Myung CHUNG
The Korean Journal of Gastroenterology 2006;47(5):397-401
Amyloidosis is a disorder characterized by extracellular deposition of amyloid in various tissues and organs. Gastrointestinal manifestations including gastroparesis, constipation, malabsorption, intestinal pseudo-obstruction, and bleeding are common. GI bleeding is a rare initial symptom which can be fatal in some cases. Absence of systemic symptoms and nonspecific endoscopic findings in amyloidosis may make diagnosis difficult. Therefore, amyloidosis-induced GI bleeding should be considered in patients with an obscure hemorrhage. Recently, we experienced a 65-year-old woman who presented with massive hematochezia as a manifestations of amyloidosis. Colonoscopy and SMA angiography showed massive bleeding in the small and large intestine. Colonoscopic biopsy established amyloidosis. We report this case with a review of the relevant literatures.
Aged
;
Amyloidosis/*complications/diagnosis
;
Female
;
Gastrointestinal Hemorrhage/*etiology
;
Humans
;
Intestinal Diseases/*complications/diagnosis