Clinical Image

1. Clinical Image A 38-year-old bile prosthesis bearer, not anti-coagulated nor anti-aggregated, was subjected to an ERCP to move it away. A hard-working procedure was made so multiple attempts were needed. After it, the patient felt right lumbar pain and hemoglobin fall, developing hemorrhagic shock and requiring orotracheal intubation, blood components transfusion and use of …

Giant Hepatic Hematoma after Endoscopic Retrograde Cholangiopancreatography (ERCP): A Rare Etiology of Hemorrhagic Shock Read More »

1. Clinical Image A 62-year-old woman is presented with nausea, vomiting, abdominal pain, fever, and pale color of defecation for one week. She denied other gastrointestinal symptoms. Physical examination was unremarkable. Laboratory tests showed the following abnormal tests: SGPT: 131 U/L, SGOT: 56 U/L, ALP: 575 U/L, GGT: 911 U/L, Total bilirubin: 10,4 mg/dL, direct …

Diagnosis At First Sight: Fish-Eye Ampulla Read More »

1. Clinical Image 1.1. Commentaries The sign of Chilaiditi corresponds to an interposition of a part of the colon between the liver and the right diaphragmatic dome. This is rare phenomenon in the population ranging to from 0,025 to 0,28%. The first clinical description dates to back to 1865 by Cantini but its first radiological …

The Sign of Chilaiditi Read More »

1. Abstract Esophageal atresia with or without tracheoesophageal fistula is an extremely rare congenital anomaly. It is frequently associated with other malformations. However, gastrointestinal anomalies are encountered with esophageal atresia, concomitant with duodenal atresia is rare. The image shows a blind pouch with the radio-opaque agent showing esophageal atresia, and a double bubble sign showing …

The Image Of Gross Type C Esophageal Atresia Concomitant With Duodenal Atresia Read More »

1. Clinical Image A 54-year-old woman with history of cholangiocarcinoma with treatment consisting in endoscopic biliary stents implantation and six month of chemotherapy, was referred to the emergency department for fever and shivers started 7 days earlier. On physical examination, she presented a significant pain in the abdominal right upper quadrant, tachycardia, and hypotension. Blood …

An Unexpected Complication of Cholecystitis Read More »

1. Abstract 1.1. Introduction: Anastomotic leakage in colorectal resection and primary anastomosis is a common and feared complication. Fully Covered Self Expandable Metal Stents (FCSEMS) have been used for treatment of anastomotic leakage. It is still unknown if FCSEMS affect anastomosis healing negatively by causing ischemia. In an animal study we investigated the metabolic effects …

Fully Covered Self-Expandable Metal Stent Placed Over a Colon Anastomosis in an Animal Model – A Pilot Study of Colon-Metabolism Over the Stent Read More »

Clinical Image A 52-year-old man with schizophrenia was admitted owing to symptoms of bleeding at the lumen of the upper part of the gastrointestinal tract. Emergency gastroscopy revealed a large penetrating ulcer on the anterior gastric wall, with symptoms of previous bleeding. Intensive conservative treatment was performed. During control gastroscopy three days later, a gastroscope …

An Uncommon Complication of Peptic Ulcer Disease Read More »

1. Abstract Meckel’s diverticulum is a common malformation of the gastrointestinal tract. Technetium-99m (99mTc) pertechnetate planar scintigraphy is the procedure of choice to localize ectopic gastric mucosa. On the other hand, single photon emission computed tomography/computed tomography (SPECT/CT) imaging comes up with more precise landmarks and scintigraphic findings. We present a case where SPECT/CT provided …

The Clinical Utility of SPECT/CT Hybrid Imaging on Bleeding Meckel’s Diverticulum in Adults: A Case Report Read More »