Clinical Image

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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Alagille Syndrome: Not Always Hepatic Involvement

1. Clinical Image We present a 22-month-old girl affected by surgical palliative corrected Tetralogy of Fallot and peculiar facial features characterized by prominent forehead, deep-set eyes, pointed chin and bulbous tip of nose (Figure 1) typical of Alagille Syndrome (AS). Hypoplasia of the distal phalanges of both feet and two butterfly vertebrae at D10-D11 on …

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Wire Swallowing: A Purging Behavior

1. Clinical Image Purging is a self-inflicted behavior, to ridding the body of food consumed in order to lose weight or prevent weight gain. Self-induced vomiting, laxative abuse, diuretic abuse, enemas and excessive exercise are well-known purging behaviors. Purging disorder affects 2.5-4.8% of adolescent females; the behavior mostly affects physiologically and potentiates physical harm [1, …

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Helicobacter Pylori Infection of Lingual Dorsum. Risk of Gastric Infection Helicobacter Pylori

1. Clinical Image The role of Helicobacter pylori in the oral cavity has been researched/studied by our study group for the last 28 years. At that time, there wasnÂ’t a clinical entity that included Burning, Lingual Papillary Hypertrophy and Halitosis (BHH) together. However, the patients who presented this condition did not find an effective response …

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Cystic Pancreatic Lymphangioma: A Pancreatic Benign Cyst That Could Mimic Neoplasm

1. Clinical Image A 61-year-old-man who had been follow up for bilateral renal cysts, accidentally found hepatic hemangiomas and pancreatic cysts. Distal pancreatectomy showed cystic pancreatic lymphagioma and there was no evidence of invasive malignancy. The cyst is 10 cm in size, at the tail of pancre- as. There is no connection between cystic lesion …

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Pediatric Pancreatic Hemangioma

1. Clinical ImageA 5 year old girl had a pancreatic mass. Resection reveals a circumscribed lobulated mass in pancreas with greyish brown color. The mass are composed of vascular structures re- sembling veins and capillary-sized vessels. Endothelial lining cells are flattened with bland looking nuclei. While the remaining pancreas tissue is unremarkable (Pic A, original …

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