Clinical Image

The Image Of Gross Type C Esophageal Atresia Concomitant With Duodenal Atresia

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 …

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An Unexpected Complication of Cholecystitis

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 …

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An Uncommon Complication of Peptic Ulcer Disease

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 …

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Resection of Fourth Segment of Liver as a Cause of Hepatoblastoma in A 8 Month- Old-Boy

1. Abstract Intraductal papillary neoplasia of the bile ducts (IPN-B) is a rare intracanal tumor characterized by papillary proliferation of the biliary epithelium responsible for more or less abundant production of mucus, causing dilation of the duct [1]. IPN-B is the “biliary” equivalent of TIPMP. MRI cholangiography and transcutaneous abdominal ultrasound are the best examinations …

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Pneumobilia

1. Clinical Image A 71-year-old man presented to the emergency department with a seven-day history of intermittent fever, middle and right upper abdominal pain, and general malaise. The physical examination of the abdomen was normal. Ten years ago he underwent open cholecystectomy and stone removal from common bile duct by endoscopic retrograde cholangiopancreatography (ERCP). At …

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Concurrent Gastric Hyperplastic and Fundic Gland Polyps in a Patient Taking Proton-Pump Inhibitor

1. Clinical Image A 61-year-old man presented with iron-deficiency anemia (hemoglobin, 8.1 g/dl). He had been taking warfarin and low-dose aspirin for atrial fibrillation and post mitral valve replacement. He had also taken 15 mg lansoprazole daily for 6 years for treatment of gastroesophageal reflux disease. Serum anti-Helicobacter pylori IgG antibody and H. pylori testing …

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Synchronous Triple Colorectal Cancer with Intestinal Obstruction in an Elderly Patient: Rare Case of Malignancy of the Large Intestine

1. Clinical Image Synchronous cancers are characterized by the simultaneous occurrence of multiple primary tumors in the same patient. Synchronous malignancies most commonly occur in the colon, with a high prevalence in elderly patients [1,2]. The occurrence of synchronous colorectal cancers is extremely rare and may be identified at any location within the large intestine …

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