Journal of clinical gastroenterology
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J. Clin. Gastroenterol. · Mar 1999
Case ReportsA case of acute phlegmonous gastritis successfully treated with antibiotics.
Acute phlegmonous gastritis is a rare disorder in which bacterial infection occurs in the gastric wall. Gastrectomy involving the affected area has been thought to be an effective form of treatment. The authors report a case of a 32-year-old woman who had severe upper abdominal pain without signs of peritoneal irritation. ⋯ Localized type of acute phlegmonous gastritis with a gastric abscess was diagnosed. Culture of the pus showed Streptococcus pneumoniae. Through early diagnosis without laparotomy, the patient's gastritis was successfully treated with antibiotics alone.
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J. Clin. Gastroenterol. · Mar 1999
Review Case ReportsPrimary leiomyosarcoma of the greater omentum.
We report a case of primary greater omental leiomyosarcoma successfully resected by omentectomy. Palpation of a painless abdominal mass at physical examination motivated medical imaging examination. ⋯ Computed tomography and angiography determined the greater omental origin of the tumor before surgery. A review of the literature is also presented.
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J. Clin. Gastroenterol. · Mar 1999
Review Case ReportsDuodenal ulceration into the cystic artery with massive hemorrhage.
This is a case presentation of a unique cause of intestinal bleeding. A duodenal ulcer eroded into the superficial branch of the cystic artery, causing massive intestinal hemorrhage. ⋯ We performed a transfixing ligation of the bleeding vessel, serosal suture of ulcer of the gallbladder, and simple closure of the duodenal ulcer with covering greater omentum. There were no serious complications after the operation, and the patient made an uneventful recovery.
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J. Clin. Gastroenterol. · Mar 1999
ReviewBiliary pancreatitis: a review. Emphasizing appropriate endoscopic intervention.
Gallstones are a common cause of acute pancreatitis. This article reviews acute biliary pancreatitis and includes natural history, noting the serious nature of some cases; pathogenesis, identifying transient obstruction as the primary pathogenetic event; diagnosis, including biochemical parameters and imaging; assessment of severity, underlining the importance of early prognostic signs, organ failure, and local complications; and management. ⋯ Also discussed are additional clinical situations related to biliary pancreatitis in which endoscopic retrograde cholangiopancreatography and endoscopic sphincterotomy play a role. Finally, a suggested endoscopic approach to acute biliary pancreatitis is presented along with an algorithm incorporating severity stratification, principles of endoscopic intervention, and concepts of sterile and infected pancreatic necrosis.