Adenocarcinoma of the third portion of the duodenum in a man with CREST syndrome

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Esophagopericardial fistula as a rare complication after total gastrectomy for cancer

<p>Abstract</p> <p>Background</p> <p>Esophagopericardial fistula is a rare but life-threatening complication of benign, malignant or traumatic esophageal disease. It is most commonly associated with benign etiology and carries a high mortality rate which increases with delay in diagnosis.</p> <p>Case presentation</p> <p>We present a case of an esophagopericardial fistula as a rare complication in a 53-year-old male patient, 7 months after total gastrectomy for an adenocarcinoma of the esophagogastric junction.</p> <p>Conclusion</p> <p>The prognosis of esophagopericardial fistula is poor, especially when it is associated with malignancy.</p

Morel-Lavallée Lesion: Report of a Case of Unknown Mechanism

Morel-Lavallée lesions are cystic lesions occurring between the subcutaneous tissue and the underlying layer of a fascia. The most frequent mechanism of occurrence is posttraumatic, usually after degloving injuries. The chain of events leading to the occurrence of this lesion is the formation of a potential space between the subcutaneous tissue and the firmly attached deep fascia, which in turn fills with blood and/or lymph and/or necrotic fat, secondary to disruption of the capillaries. We present a case of a 74-year-old male patient with a cystic lesion of the lateral surface of his left thigh increasing in size over a period of six months. Despite the meticulous history acquisition, we were unable to reveal any alleged mechanism of injury of the area. The patient underwent an MRI which revealed an ovoid cyst. The patient underwent surgical excision of the cyst. The pathology examination revealed a simple cyst, lined by a fibrous capsule and filled with serosanguineous fluid, thus confirming the diagnosis. The patient made a full recovery and since has been asymptomatic

THE CORRELATION BETWEEN SERUM GASTRIC LEVELS AND HISTOPATHOLOGY OF THE STOMACH DURING THE ANHEPATIC PHASE OF THE EXPERIMENTAL LIVER TRANSPLANTATION

THE AIM OF THIS STUDY IS TO INVESTIGATE THE SITE OF THE GASTRIN METABOLISM THROUGH THE CORRELATION BETWEEN THE SERUM GASTRIN LEVELS AND THE HISTOLOGICAL FINDINGS OF THE GASTRIC BIOPSIES DURING THE ANHEPATIC PHASE OF EXPERIMENTAL ORTHOTOPIC LIVER TRANSPLANTATION (O.L.T.). FOURTY ANIMALS (PIGS) WITH BODY WEIGHT20-25 KGR WERE USED IN 20 EXPERIMENTAL OLT WITH V-V BY-PASS (20 AS DONORS, 20AS RECIPIENTS). DURING THE RECIPIENT OPERATION BLOOD SAMPLES WERE COLLECTED AND GASTRIC BIOPSIES (FULL THICKNESS) WERE TAKEN. THE SERUM GASTRIN BASE VALUE WAS 33,7 +- 6,26 PG /ML. THERE WAS A STATISTICAL SIGNIFICANT (P < 0,05) INCREASE OF THE MEAN GASTRIC LEVEL (68,8 +- 18,3 PG/ML) DURING THE ANHEPATIC PHASE. THE HISTOLOGICAL FINDINGS IN 7 RECIPIENTS (35%) WERE ULCERATION OF GASTRIC MUCOSA. THE HIGH GASTRIN LEVELS, AS A RESULT OF THE ANHEPATIC PHASE, WAS ASSOCIATED TO ULCERATION OF THE GASTRIC MUCOSA, BY THE HYPOTHESIS OF GASTRIC MUCOSA, BY THE HYPOTHESIS OF GASTRIC HYPERSECRETION. THE GASTRIN LEVEL DECREASE AFTER THE REPERFUSION OF THE GRAFT WAS RELATED TO THE GASTRIN METABOLISM BY THE LIVER.ΣΚΟΠΟΣ ΤΗΣ ΜΕΛΕΤΗΣ ΕΙΝΑΙ Η ΑΝΑΛΥΣΗ ΚΑΙ Η ΣΥΣΧΕΤΙΣΗ ΤΩΝ ΔΙΑΚΥΜΑΝΣΕΩΝ ΤΗΣ ΓΑΣΤΡΙΝΗΣ ΤΟΥ ΟΡΟΥ ΚΑΙ ΤΩΝ ΤΟΙΧΩΜΑΤΙΚΩΝ ΑΛΛΟΙΩΣΕΩΝ ΤΟΥ ΣΤΟΜΑΧΟΥ ΚΑΤΑ ΤΗ ΔΙΑΡΚΕΙΑ ΤΗΣ ΑΝΗΠΑΤΙΚΗΣ ΦΑΣΗΣ ΣΤΗΝ ΠΕΙΡΑΜΑΤΙΚΗ ΜΕΤΑΜΟΣΧΕΥΣΗ ΗΠΑΤΟΣ. ΧΡΗΣΙΜΟΠΟΙΗΘΗΚΑΝ 40 ΠΕΙΡΑΜΑΤΟΖΩΑ ΧΟΙΡΟΙ (20 ΩΣ ΔΟΤΕΣ, 20 ΩΣ ΛΗΠΤΕΣ), ΒΑΡΟΥΣ ΣΩΜΑΤΟΣ 20-25 KGR, ΚΑΤΑΤΗ ΔΙΑΡΚΕΙΑ 20 ΟΡΘΟΤΟΠΙΚΩΝ ΠΕΙΡΑΜΑΤΙΚΩΝ ΜΕΤΑΜΟΣΧΕΥΣΕΩΝ ΗΠΑΤΟΣ (Ο.Μ.Η.) ΜΕ ΧΡΗΣΗ ΕΞΩΣΩΜΑΤΙΚΗΣ ΦΛΕΒΟΦΛΕΒΙΚΗΣ ΠΑΡΑΚΑΜΨΗΣ. ΚΑΤΑ ΤΗ ΔΙΑΡΚΕΙΑ ΤΗΣ ΜΕΤΑΜΟΣΧΕΥΣΗΣ ΕΛΑΜΒΑΝΟΝΤΟ ΔΕΙΓΜΑΤΑ ΑΙΜΑΤΟΣ ΤΟΥ ΛΗΠΤΗ ΓΙΑ ΤΗ ΜΕΤΡΗΣΗ ΤΗΣ ΓΑΣΤΡΙΝΗΣ, ΚΑΘΩΣ ΚΑΙΒΙΟΨΙΕΣ ΣΤΟΜΑΧΟΥ (ΟΛΙΚΟΥ ΠΑΧΟΥΣ). Η ΜΕΣΗ ΤΙΜΗ ΤΗΣ ΓΑΣΤΡΙΝΗΣ ΠΟΥ ΕΛΗΦΘΗ ΩΣ ΤΙΜΗ ΑΝΑΦΟΡΑΣ ΗΤΑΝ 33,7+-6,26 PG/ML. ΑΠΟ ΤΑ ΕΡΓΑΣΤΗΡΙΑΚΑ ΚΑΙ ΠΑΘΟΛΟΓΙΚΑ ΕΥΡΗΜΑΤΑΤΗΣ ΠΕΙΡΑΜΑΤΙΚΗΣ ΜΕΛΕΤΗΣ, ΠΑΡΑΤΗΡΕΙΤΑΙ Η ΣΤΑΤΙΣΤΙΚΑ ΣΗΜΑΝΤΙΚΗ (P < 0,05) ΑΥΞΗΣΗ ΤΗΣ ΓΑΣΤΡΙΝΗΣ ΤΟΥ ΟΡΟΥ ΚΑΤΑ ΤΗΝ ΑΝΗΠΑΤΙΚΗ ΦΑΣΗ ΤΗΣ ΟΡΘΟΤΟΠΙΚΗΣ ΜΕΤΑΜΟΣΧΕΥΣΗΣ ΗΠΑΤΟΣ (68,8 +- 18,3 PG/ML), ΠΟΥ ΠΙΘΑΝΩΣ ΣΥΝΕΒΑΛΕ ΣΤΗΝ ΥΠΕΡΕΚΚΡΙΣΗ ΤΟΥ ΣΤΟΜΑΧΟΥ, ΜΕ ΑΠΟΤΕΛΕΣΜΑ ΤΗΝ ΕΜΦΑΝΙΣΗ ΔΙΑΒΡΩΣΕΩΝ ΣΤΟ ΓΑΣΤΡΙΚΟ ΒΛΕΝΝΟΓΟΝΟ ΣΕ ΠΟΣΟΣΤΟ 35% ΤΩΝ ΛΗΠΤΩΝ