The American journal of gastroenterology
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Am. J. Gastroenterol. · Apr 1997
Review Case ReportsPerforated appendicitis within an inguinal hernia: case report and review of the literature.
The finding of the vermiform appendix within an inguinal hernia sac is not uncommon. However, it is rare to find a perforated appendix within an inguinal hernia. ⋯ Perforated appendix as a cause of abscess was revealed during abdominal exploration. Clinicians are encouraged to be aware of this unusual entity, which is rarely recognized before exploration.
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Am. J. Gastroenterol. · Apr 1997
Review Case ReportsGastroduodenal pneumatosis: endoscopic and histological findings.
The case described herein underscores the importance of early endoscopy when intramural gastric air is detected by radiography. Although gastric pneumatosis is an uncommon finding, when it is detected, clinicians must be aggressive in determining the underlying etiology so that appropriate interventions are initiated in a timely manner. ⋯ Although gastric pneumatosis has been found in surgically resected specimens, the first description of histological findings associated with gastric pneumatosis in endoscopically obtained biopsies is presented in this report. This report also documents how rapidly both endoscopic and histological abnormalities, associated with this entity, can resolve.
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Am. J. Gastroenterol. · Apr 1997
Review Case ReportsBleeding causing biliary obstruction after endoscopic sphincterotomy.
A 68-yr-old woman who had had a cholecystectomy and endoscopic sphincterotomy developed recurrent common bile duct obstruction. She had another ERCP with extension of the site of endoscopic sphincterotomy, and 3 days later biliary obstruction again developed, this time from a blood clot filling the common bile duct. ⋯ Minor hemobilia (biliary tract hemorrhage without overt GI bleeding) may be confused with choledocholithiasis. When biliary obstruction follows endoscopic sphincterotomy, attempts at flushing the duct should precede empiric maneuvers for stone removal.