We describe here the clinical history of a 74-year old man presenting with a gradually worsening pharyngeal dysphagia with globus, occasional intra-deglutitory coughing, hoarseness and a 5 kg weight loss in the previous two months. Apart from type II Diabetes Mellitus, the patient’s clinical history was unremarkable
A 49-year-old woman visited our hospital with a history of epigastralgia, high fever and general malaise. Her temperature was 37.6 ?. There was no significant past medical history. On physical ex- amination, she had tenderness at the upper abdomen. Laboratory data were as follows: white blood cell count of 3000/?L, C-reactive protein of 6.77mg/dL, carcinoembryonic …
We report two cases of Abdominal Cutaneous Nerve Entrapment Syndrome (ACNES) suc- cessfully diagnosed using Doppler ultrasound. In both cases, patients complained of chron- ic abdominal pain, and physical examination showed a positive Carnett’s sign. Although the results of several examinations including endoscopy appeared normal, ultrasound exam- ination revealed
To investigate the relationship between systemic inflammatory response syndrome (SIRS) and the severity of acute pancreatitis with high altitude polycythemia (hereinafter referred to as AP+HAPC) in individuals living in a high-altitude region, to provide evidence for the treatment of SIRS and AP+HAPC
Most hospital outpatients unaware of their Hepatitis B Virus (HBV) status could be seeking treatment for other different ailments in Kenya. To evaluate the HBV prevalence and the genetic diversity, the genetic analysis of the partial HBV S gene was conducted
An 86-year-old woman presented with epigastric pain and anorexia. She was diagnosed with lung adenocarcinoma and was prescribed atezolizumab 20 days earlier. Her data showed a cholestat- ic-type liver dysfunction. We
Therapy for the Hepatitis C Virus (HCV) has undergone a revolution with the introduction of Direct-Acting Antivirals (DAA). DAAs achieve Sustained Virological Response (SVR) in 90-95% of treated patients, compared to 50-70% of those receiving dual pegylated interfere on and ribavir in therapy
Aortoenteric Fistula (AEF) is a rare cause of massive gastrointestinal bleeding. Primary AEF are rare and generally the consequence of an aortic aneurysm. The duodenum and esophagus are the main locations of AEF. Diagnosis is difficult and patients are often hemodynamically unstable at the time of management because
Abdominal cocoon syndrome, the idiopathic form of sclera sing encapsulating peritonitis, is a rare condition of unknown etiology that results in an intestinal obstruction due to total or partial encapsulation of the small bowel by a fibro collage nous membrane (cocoons) [1]. A major challenge faced by clinicians while dealing with this entity is that
Hepatocellular carcinoma is the most common primary malignant tumor of the liver. Cirrhosisis associated with its carcinogenesis, so periodic surveillance is necessary. Ultrasonography is currently the most appropriate test for screening hepatocellular carcinoma, and alpha-fetoprotein is the most used biomarker despite its low sensitivity
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