A 32-year-old immigrant man presented with new onset jaundice. His past medical history was significant for type 2 diabetes mellitus, hypertension, and hyperlipidemia. initial laboratory finding liver biopsy were suggestive of autoimmune hepatitis (AIH). The plan to start steroids pending negative results viral serology, but it came back positive E virus. patient's function test clinical condition improved significantly on conservative management over a period 1 month. Therefore, we suggest...

Rectal varices are an important cause of bleed. The bleeding can be sometimes fatal. Endoscopic management is possible and generally done in emergency situation. variceal banding useful. Hemodynamic evaluation has shown that the blood flow rectal from above downwards; however, site unclear. This case series shows should banded at highest point inflow.

The porta hepatis and hepatoduodenal ligament (HDL) are important anatomical pathways of extension disease to from the liver. imaging this area is difficult. role endoscopic ultrasound (EUS) as an modality for has not been established so far. All images in present study have generated a detailed review real time recordings using curved linear scanning echoendoscope EG -3830 UT (Pentax Corporation, Tokyo, Japan), coupled with Hitachi avius Hitach 7500 processor (Hitachi Aloka Medical, Tokyo...

Strongyloides stercoralis colitis is a severe but easily curable disease with high mortality rate if left untreated. Strongyloidiasis can persist up to several decades and may lead chronic similar that seen in inflammatory bowel (IBD), the two are often confused. Chronic from IBD associated an increased risk of colorectal cancer, so it plausible strongyloidiasis carry risk. Our case report associates cancer.

The practical use of EUS in small children below the age 4 years is not described. aim study was to evaluate feasibility, safety, and clinical utility smaller caliber echo-bronchoscope management gastrointestinal, pancreatobiliary, mediastinal disease years. Consecutive younger than where clinically considered useful were evaluated by echo-bronchoscopes. findings showed that echo-bronchoscopes feasible safe young children.

There is no standardized protocol for bowel preparation prior to video capsule endoscopy, although one strongly recommended. The purpose of our study was see if there a statistical significance between small mucosal visualization rates those who received and did not. We retrospectively analyzed all patients had endoscopy from August 2014 January 2016 at tertiary care center. All fasted the procedure. Bowel when used consisted polyethylene glycol. A long fast 12 or more hours. grading system...

The peritoneal cavity is subdivided into supracolic and infracolic compartments by transverse colon its mesocolon. compartment contains the liver, spleen, stomach, lesser omentum. coils of small bowel surrounded ascending, transverse, descending paracolic gutters. imaging different possible various methods such as ultrasound (US) computerized tomography. treating physicians should be familiar with relevant radiological anatomy spaces accurate localization fluid collection/lymph node in...

Hepatic artery pseudoaneurysms are rare and have been reported after abdominal trauma surgery. constitute 20% of all visceral aneurysms. They carry a very high risk rupture with severe bleeding into the peritoneal cavity, bile duct, or portal vein. Essentially pseudoaneurysms, whether symptomatic not, require early treatment to prevent lethal adverse events. Surgical consists ligation revascularization hepatic but is associated higher morbidity in comparison endovascular treatment. The goal...

Cystic artery pseudoaneurysm (CAP) is usually seen as a complication of cholecystectomy. Infrequently, CAP can develop in the setting cholecystitis and present hemobilia when aneurysm ruptures. Here, we case an 88-year-old male with secondary to which was successfully managed by embolization after initial biliary stent placement.

CASE REPORT A 34-year-old man presented to the emergency department with generalized abdominal pain and rectal bleeding. On examination, patient was hemodynamically unstable had a diffusely tender abdomen peritoneal signs. His laboratory test results at presentation were notable for leukocytosis 30.6 K/μL, creatinine 4.23 mg/dL, creatine kinase 6,753 U/L, venous blood gas pH 7.07, lactate 19 mmol/L. Abdominal computed tomography scan without contrast showed pneumatosis in multiple loops of...

Introduction: In the past diverticulitis was believed to be uncommon in young population. However, there is growing evidence suggesting that these patients develop more severe clinical symptoms and may require frequent intervention. Methods: We performed a retrospective chart review of with individuals age less than 40 years over an 8 year period (2007-2015). Diagnosis confirmed CT scan. addition we took into consideration race, gender, anemia (Hct < 41), leukocytosis (WBC > 12), whether it...

Background: Amyand's hernia, an uncommon occurrence, involves the incarnation of appendix within a hernial sac, typically presenting as inguinal hernia. The incidence appendicular mucocele is around 0.2–0.7%. presented case unique, with extensive reaching into retroperitoneum and involving psoas muscle.

Colonic lymphangiomas are rare and mostly incidental findings found on colonoscopy. It is important to be able differentiate them from other lesions, such as lipomas. Furthermore, when in close proximity the appendiceal orifice, cecal they must differentiated mucocele carcinoid tumors. We present a case of lymphangioma that was managed conservatively. By using endoscopic ultrasound (EUS) computed tomography better characterize mass, it unnecessary perform biopsy or polypectomy. This...

Acute HIV and acute hepatitis B coinfection is extremely rare. A 23-year-old homosexual man was admitted to our hospital with 5-day history of fever, malaise, back pain initial laboratory values showing severe transaminitis. The clinical picture initially suggestive viral hepatitis, which on further testing revealed coinfection. Although the patient asymptomatic, a decision made start antiretroviral therapy. At 2-month followup, liver function tests were normal undetectable loads. early...