Rare Cases
ADULT NECROTIZING ENTEROCOLITIS AND NON OCCLUSIVE MESENTERIC ISCHEMIA
• Case 1 (guy, 45 years old)
• Presentation: Shock, dark loose stools, and acute stomach pain lasting five days.
• Results: ascending colon, gangrenous cecum, gangrenous ileum (4 ft), and pneumoperitoneum → fecal peritonitis.
• Result: Multisystem failure caused dea
GASTRIC VOLVULUS
• Patient: man, age 68
• Previous medical history includes hypertension, four years of chronic pancreatitis, and a total knee replacement with • • revision on the left knee three weeks ago.
• Setting: Postoperative rehabilitation in a nursing home
◉ Presenting co
Superior mesenteric artery syndrome
◉ Profile of the Patient
• Age/Sex: male, age 22
• Build: Asthenic (underweight and slender)
• Overview: A young man with persistent complaints of upper gastrointestinal blockage.
◉ Presenting Complaints
• For eight months, there has been recurring stomach pain
Emphysematous Gastritis
• The patient is a 35-year-old male who has post-head injury hearing loss and asthma.
• Symptoms include a 2-day history of fever with chills, dry cough, nasal congestion, vomiting with blood specks, and diffuse abdominal pain (mostly middle/lower abdomen, severe, 7/10).
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Phlebosclerotic colitis
◉ Patient History and Demographics
• Age/Sex: 56-year-old male.
◉ Chief complaints:
• For one day, there was widespread stomach pain.
• Stool passage was absent for a week.
• a week of intermittent nausea and vomiting.
• Previous health history:
• For two
Intestinal Lymphangiectasia
◉ Patient Information
• Age/Sex: guy, 27 years old
• Yeungnam University Hospital is the hospital.
• Entry: December 1991
◉ Chief complaints:
• Having diarrhea
• Lower extremity edema that worsened over eight months
◉ Past Health Conditions
• Eight
EOSINOPHILIC GASTROENTERITIS
◉ CASE 1:
• A woman aged 71
• Two-year symptoms:
• diarrhea, nausea, and a 10-pound weight loss.
◉ INVESTIGATIONS
• 8.2% were eosinophilic (↑).
• 26 U/mL of serum IgE (↑; N 6–12)
• EGD: erythema, ulcers, thickened folds, distal esophagitis, and many
Mesenteric panniculitis in Merseyside
◉ Patient A
• The woman is 65 years old.
• Presentation: Obese; mild RUQ soreness; peri-umbilical fullness (intraperitoneal); long history of nonspecific right upper quadrant (RUQ) and peri-umbilical pain.
• Investigations:
• Bilirubin level: 28 μmol/L, somewhat ic
Acute Esophageal Necrosis
◉ Case 1 –
• Elderly Male with Multiple Comorbidities
• •Age/Sex: man, 79 years old
• Presentation: hypotension (78/58), repeated coffee-ground vomiting, and hemoglobin decrease (12.1 → 8.7 g/dL)
• Past medical history: GERD, HTN, bladder cancer, ESRD (on per
Phlegmonous gastritis
◉ Patient: man, 19, previously in good health
◉ Symptoms include: • Inability to tolerate PO intake, persistent vomiting, severe epigastric discomfort that goes away with vomiting, and weight loss of 15 pounds
◉ Initial Work-up:
• Multiple regimens of empi
Pediatric Crohn's Disease
▶Clinical Characteristics:
•About half of new patients present with abdominal discomfort, which is the most common presenting symptom.
•Bowel complaints, dietary concerns, and stunted growth (which separates pediatric from adult disease) are other prevalent problems.