Perforator vein thrombosis is less studied than deep (DVT), because it has been considered to be a minor, self-limiting disease that easily diagnosed on clinical grounds and requires only symptomatic relief. The most frequently involved sites of the perforator are lower limbs, especially mid leg below knee joint, mostly in relation varicosities. Lower-limb shares same risk factors as DVT; can propagate into veins, have complicated course with pulmonary embolism. We will report about case...

An 89-year-old man with a history of coronary artery disease status post bypass grafting and atrial fibrillation on aspirin warfarin, presented to the emergency department symptom haemoptysis. He reported dysphagia for 3 months prior presentation, but had yet seek medical attention. On he was hypotensive tachycardic haemoglobin 6.6 g/dL an International Normalised Ratio (INR) 3.9. Esophagogastroduodenoscopy performed showed active bleeding from Zenker's diverticulum. The patient's INR...

Schistosomal epididymitis is a very rare condition. Worldwide, few cases have been reported, especially in India. Here case of schistosomal that was found on histopathological examination an epididymal cyst 32-year-old man Patient presented with concerns right testicular swelling. Ultrasonography scrotum showed ill-defined echogenic lesion just above the head epididymis. Excision performed. Histopathological eggs schistosoma surrounded by abundant inflammatory infiltrate. Post-operatively,...

Bronchogenic cyst usually presents along the tracheobronchial tree. Rarely, it is found inside peritoneal cavity. Here a case of 30-year-old man who presented with concerns abdominal pain. On evaluation, contrast-enhanced CT scan showed hypodense cystic lesion in epigastric region related to right crus diaphragm. The patient underwent laparoscopic marsupialization/deroofing cyst. Histopathological examination resected specimen respiratory epithelium. Postoperative period was uneventful.

Meckel diverticulum is the most common congenital variation of gastrointestinal tract arising from incomplete obliteration vitelline duct during gestation. In cases, individuals are asymptomatic. This a case 38-year-old patient with hematochezia in whom was diagnosed. A mass identified within diverticulum. Histopathological and immunohistochemical studies revealed well-differentiated neuroendocrine tumor. The development tumors rare, when identified, only 0.5%-3.2% these found to be...

Neuroendocrine tumors (NETs) are rare malignant that arise from neuroendocrine cells throughout the body, most commonly in gastrointestinal and respiratory tracts. We report a case of well-differentiated grade 2 NET with computed tomography scan showing multiple liver lesions consistent seen 11 years before diagnosis. This highlights possibility an indolent or prolonged clinical course metastatic unknown primary vs hepatic NET.

Oesophageal lichen planus (ELP) is an uncommon presentation of mucocutaneous planus. Due to its rare nature, it can often be misdiagnosed. As such, there a significant delay between symptom onset and diagnosis. ELP drastically reduces quality life secondary the severe dysphagia odynophagia that typically accompany this pathogenesis. Additionally, important diagnose in timely manner as increases risk squamous cell carcinoma, with reported cases malignant transformation. More research needed...

Introduction: Idiopathic Intracranial Hypertension (IIH) is a rare diagnosis affecting approximately 0.9–3/100,000 adults, mostly females of childbearing age with obesity. Surgical intervention usually indicated in cases that prove refractory to conservative measures (such as weight loss and acetazolamide) or progressive papilledema visual deficit. Ventriculoperitoneal shunt (VPS) the preferred internalized cerebrospinal fluid diversion method. Here, we present case VPS causing ascites woman...

A 68 year old caucasian female with past medical history significant for Child class cirrhosis secondary to non-alcoholic steatohepatitis, diabetes and coronary artery disease, was admitted melenic stools ongoing 4-5 days. Initial lab work revealed HGB 6.1gm/dl also iron deficiency.An EGD clean based multiple antral gastric ulcers a suspected dieulafoy's lesion, which treated endoclips successful hemostasis. Patient returned in few weeks another episode of increasing fatigue. Worsening...

Background: Hepatobiliary cystadenoma is a rare benign tumor of the liver constituting less than 5% non-parasitic cystic lesions. Typically, these originate in hepatic parenchyma, specifically right lobe. As they are difficult to diagnose radiologically, histopathology with surgical excision required confirm diagnosis. Case Presentation: A 68-year-old Caucasian female past medical history cholelithiasis presented upper quadrant abdominal pain and intermittent dark urine after heavy fatty...

Introduction: Lymphocytic colitis and collagenous are subtypes of microscopic diagnosed by histological findings characterized normal mucosa on colonoscopy. Recent advances in endoscopic technology have revealed certain macroscopic associated with MC, predominately colitis. We report a case lymphocytic abnormal findings. Case Description/Methods: A 71-year-old man presented chronic diarrhea for 3 years. He denied diet changes, new medications or tobacco smoking. Routine lab work including...

Probiotics are increasingly used in inflammatory bowel disease management. While these products often by pediatric Crohn's patients, there is limited data demonstrating their effectiveness. Lactobacillus GG the only probiotic that has been studied children. However, conflicting on efficacy of GG. Nevertheless, potential for effectiveness probiotics encouraged its use patients. This study evaluated therapeutic claims, bacterial composition and cost marketed patients with disease. Using online...

Systemic steroids have been reported to be an independent risk factor for ophthalmologic complications. Cataracts and glaucoma are the most common ocular complications associated with steroids. It is recommended that individuals who receive chronic or recurrent obtain evaluation. This study evaluated frequency at which physicians refer inflammatory bowel disease patients ophthalmologist assessed impact of on eye examinations. Medical records consecutive urban university gastroenterology...

It has been reported n up to 70% of patients with inflammatory bowel disease (IBD) use alternative medical therapies. Probiotics are among these therapies and easily available on the Internet. have be effective as adjunctive therapy for maintaining remission in ulcerative colitis preventing pouchitis. However, role probiotics Crohn's remains unclear. Despite lack data supporting their use, marketed patients. This study evaluated therapeutic claims microbial composition Crohns' disease. Using...

Purpose: Optimum medical care is dependent upon physician-patient communication. Non-English speaking patients often require translation assistance. Research has suggested that requiring services inconsistently adhere to recommendations. Multiple factors can impact decreased compliance in who do not speak the same language as their physician. This study evaluated physician could of non-English translation. Methods: The records referred an urban university gastroenterology practice a one year...

Purpose: Recent studies have shown that patients on long-term proton pump inhibitors (PPIs) are at increased risk for hip fractures. While the exact mechanism of how PPIs affect calcium absorption and bone reabsorption remains unclear, there been recommendations physicians to evaluate mineral density (BMD) individuals maintained PPI therapy. It is uncertain if consistently obtain BMD in this setting. This study evaluated rate which gastroenterologists testing > 1 month Methods: A...

Purpose: Colorectal cancer causes significant morbidity and mortality. Screening recommendations have been established. Adherence to screening in the U.S. is suboptimal. Multiple factors affect individuals' adherence recommendations. Language barriers can present unique challenges doctor-patient communication. Translators are often used clinical setting facilitate quality care improved health maintenance. However, there no studies which evaluated colorectal by non-English speaking patients...

Purpose: Language barriers present an array of problems for clinicians in providing quality care. Translators are increasingly used medical settings to facilitate doctor-patient communication. Numerous studies have examined the link between translator services emergency department and follow-up However, there is little research that addresses effectiveness translators non-emergent care setting. This study compared adherence recommendations non-English speaking patients utilizing...