1. Introduction A 25-year-old man presented with a flare of Crohn’s colitis. He proved to be steroid-refractory and did not respond to anti-TNF therapy. He underwent emergency subtotal colectomy for worsening, medically refractory disease.
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 …
1. Abstract 1.1. Background: Gastric cancer is a prevalent malignancy of the digestive system. There are presently no efficacious indicators to evaluate its curative effect and prognosis. Increased plasma D-dimer was researched to have a really deep connection between neoplasm in advanced stages and bad Overall Survival (OS) for some malignancies in distinct rates.
1. Case Presentation and Clinical Images Gastrointestinal (GI) symptoms have been increasingly recognized as a part of the disease spectrum of coronavirus disease 2019 (COVID- 19) infection, in addition to the more common pulmonary symptoms.
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 …
1. Clinical Approach to Diarrhea in Long Term Care Hospitals Diarrhea is common in long term care hospitals but at many times get underdiagnosed. Symptomatic treatment of diarrhea is sometimes effective but tends to relapse after treatment is seized and also side effects are seen. The root cause of diarrhea must be evaluated in order …
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1. Abstract Transplantation has become the method of choice for treatment of patients with irreversible severe liver dysfunction. Hepatic vein thrombosis is a potential vascular complication. DOI:http://dx.doi.org/10.47829/JJGH.2021.7501
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 …
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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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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