The American journal of gastroenterology
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A patient with known liver cirrhosis, but no previous variceal bleeding, presented with sudden abdominal pain and distention, hypotension, and bloody ascitic fluid. At exploration, he was found to be bleeding from varices in the gastrohepatic omentum and perisplenic area. Pathology of the liver showed cirrhosis and metastatic undifferentiated carcinoma.
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Am. J. Gastroenterol. · Oct 1981
Case Reports Comparative StudyPruritus of cholestasis treated with plasma perfusion.
Patients with uncontrollable pruritus secondary to cholestatic liver disease were subjected to plasma perfusion in an attempt to remove the toxins responsible for this symptom. The improvement in the degree of pruritus was dramatic and surprisingly long-lasting in five of six patients. One patient had a response more difficult to evaluate. Serum bile acids levels fell in all patients in whom pruritus improved but not in the patient who responded less favorably.
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The radiographic, manometric and endoscopic evaluation of an alcoholic patient with dysphagia, a mid esophageal diverticulum and "corkscrewing" of the distal esophagus is reported. The patient displayed a constant deformity of the distal esophagus which was associated with progressive but abnormally high amplitude peristaltic waves. There was no manometric evidence of esophageal spasm. These findings indicate that manometric evidence of tertiary contractions may be absent in some patients with a corkscrew esophagus and that this abnormal configuration may become fixed.
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Am. J. Gastroenterol. · Sep 1979
Case ReportsAmebic liver abscess. Report of a case presenting with nonreactive serologic tests for Entamoeba histolytica.
We present a patient with an acute amebic liver abscess with nonreactive serologic tests. Motile hematophagous trophozoites of Entamoeba histolytica were seen microscopically in scrapings from the wall of the abscess. ⋯ Nevertheless, a reactive serologic test should not be relied upon exclusively to establish the diagnosis. Sequential serologic testing and surgical intervention to obtain material for microscopic examination, gram stain and bacteriologic culture are warranted in patients with hepatic abscess and nonreactive serologic tests for antibodies to E. histolytica.