1,943 results match your criteria Imaging in Duodenal Ulcers


Endoscopic management of intramural spontaneous duodenal hematoma: A case report.

World J Gastroenterol 2022 May;28(20):2243-2247

Gastroenterology and Endoscopy Unit, Ospedale G. Mazzini, Teramo 64100, Italy.

Background: Intramural duodenal hematoma is a rare condition described for the first time in 1838. This condition is usually associated with blunt abdominal trauma in children. Other non-traumatic risk factors for spontaneous duodenal haematoma include several pancreatic diseases, coagulation disorders, malignancy, collagenosis, peptic ulcers, vasculitis and upper endoscopy procedures. Read More

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Spontaneous perforated duodenal diverticulum: a case series.

Acta Gastroenterol Belg 2022 Apr-Jun;85(2):387-389

Department of gastroenterology and hepatology, AZ Nikolaas, Sint-Niklaas, Belgium and Faculty of Medicine, Ghent University, Ghent, Belgium.

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A rare case of acute mesenteric ischaemia and duodenal ulcer perforation together in a single patient in a tertiary care hospital.

J Pak Med Assoc 2022 Apr;72(4):755-757

Department of Surgery, Mayo Hospital, Lahore, Pakistan.

A 57 years old male presented in the emergency department of EAST Surgical Ward, MAYO Hospital Lahore in February 2021 with complaints of abdominal distension, pain and vomiting. He was a chronic smoker and diagnosed hypertensive for the last 14 years but was non-compliant with oral antihypertensive medications. He was a factory worker and took NSAIDs off and on for pain in the knee joint for the last five years. Read More

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Giant gastric ulcer penetrating the pancreas in a haemodynamically unstable patient.

BMJ Case Rep 2022 05 13;15(5). Epub 2022 May 13.

4th Department of Surgery, General University Hospital Attikon, Athens, Greece

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Endoscopic suspect of subacute occlusive mesenteric ischaemia.

Rev Esp Enferm Dig 2022 May 12. Epub 2022 May 12.

Aparato Digestivo, Hospital Royo Villanova, España.

A 74-year-old patient presented to our emergency department with melena for 24 hours, associated with postprandial abdominal pain, predominantly in the epigastrium, for one month. Urgent gastroscopy showed a pale mucosa with loss of vascular pattern in the gastric antrum, as well as several superficial ulcers, Forrest III, at that level and in the duodenal bulb highly suggestive of ischaemia. An abdominal computed tomography angiography (CTA) revealed a filiform celiac trunk, with calcified atherosclerotic plaques in the ostium, superior mesenteric artery and both renal arteries, with absence of enhancement in a large part of the intestinal wall, suggestive of ischaemia. Read More

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A Cautionary Tale: Unveiling Valentino's Syndrome.

Cureus 2022 Feb 27;14(2):e22667. Epub 2022 Feb 27.

Surgery, Hamad Medical Corporation, Doha, QAT.

Introduction: In the emergency room, acute pain in the abdomen is one of the most common symptoms that patients present with, and it is a result of a myriad of causes, leading to an exhaustive differential diagnosis. A perforated peptic ulcer is a rare cause of acute right iliac fossa or lower quadrant abdominal pain. It causes leakage of gastrointestinal contents in the area, resulting in localized inflammation and pain that is clinically similar to acute appendicitis. Read More

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February 2022

Duodenal Ulcer-Induced Gastric Outlet Obstruction Showing Pyloric Wall Thickening and Abnormal FDG Uptake Mimicking Malignancy.

Authors:
Xia Ji Aisheng Dong

Clin Nucl Med 2022 Jul 24;47(7):658-660. Epub 2022 Jan 24.

Department of Nuclear Medicine, Changhai Hospital, Navy Medical University, Shanghai, China.

Abstract: Peptic ulcer disease is the most common benign cause of gastric outlet obstruction, in which mechanical obstruction occurs in the distal stomach, pylorus, or duodenum. We describe a case of gastric outlet obstruction induced by duodenal ulcer showing irregular pyloric wall thickening with marked enhancement on contras-enhanced CT and increased FDG uptake of the pyloric wall on FDG PET/CT mimicking malignancy. Read More

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Duodenal ulcers caused by secondary aortoduodenal fistula.

Dig Endosc 2022 03 19;34(3):e50-e51. Epub 2022 Jan 19.

Department of, Gastroenterology, Saku Central Hospital Advanced Care Center, Nagano, Japan.

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[Management of a perforated duodenal diverticulum using an endoscopic nasobiliary drainage tube:a case report].

Nihon Shokakibyo Gakkai Zasshi 2022 ;119(1):47-52

Department of Surgery, Gastrointestinal Surgery, Juntendo Tokyo Koto Geriatric Medical Center.

A man in his 70s visited our hospital for abdominal pain. Upon admission, abdominal computed tomography findings suggested a duodenal diverticular perforation. Upper gastrointestinal endoscopy revealed an incarcerated enterolith in the periampullary diverticulum. Read More

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January 2022

A case of Wernicke encephalopathy arising in the early stage after the start of hemodialysis.

CEN Case Rep 2022 Jan 6. Epub 2022 Jan 6.

Department of Internal Medicine, Ogano Town Central Hospital, 300 Ogano, Ogano Town, Saitama, 368-0105, Japan.

Wernicke encephalopathy (WE) resulting from vitamin B1 (VB1) deficiency is commonly regarded as being associated with a high alcohol intake; however, recently many non-alcohol-related cases have been reported. Herein, we report a case of WE due to VB1 deficiency in the early stage after the start of hemodialysis. The patient was a 79-year-old male recommended for hemodialysis due to chronic renal failure. Read More

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January 2022

Clinical and endoscopic characteristics of acute esophageal necrosis and severe reflux esophagitis.

Medicine (Baltimore) 2021 Nov;100(44):e27672

Department of Gastroenterology, St. Luke's International Hospital, Chuo-ku, Tokyo, Japan.

Abstract: The similarities and differences between acute esophageal necrosis and severe reflux esophagitis have not been elucidated. We compared Los Angeles classification Grade C reflux esophagitis, Grade D reflux esophagitis, and acute esophageal necrosis to consider the similarities and differences between acute esophageal necrosis and severe reflux esophagitis.We retrospectively reviewed records of patients who underwent esophagogastroduodenoscopy at a tertiary referral center from January 2012 to December 2019. Read More

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November 2021

Endoscopic negative pressure therapy as stand-alone treatment for perforated duodenal diverticulum: presentation of two cases.

BMC Gastroenterol 2021 Nov 21;21(1):436. Epub 2021 Nov 21.

Department of General, Visceral and Transplantation Surgery, University Hospital of Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Germany.

Background: Endoscopic negative pressure therapy is a novel and successful treatment method for a variety of gastrointestinal leaks. This therapy mode has been frequently described for rectal and esophageal leakages. Duodenal diverticular perforations are rare but life-threatening events. Read More

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November 2021

ACR Appropriateness Criteria® Epigastric Pain.

J Am Coll Radiol 2021 11;18(11S):S330-S339

Specialty Chair; and Director, CT and MRI, and Section Chief, Abdominal Imaging, Virginia Commonwealth University Medical Center, Richmond, Virginia.

Epigastric pain can have multiple etiologies including myocardial infarction, pancreatitis, acute aortic syndromes, gastroesophageal reflux disease, esophagitis, peptic ulcer disease, gastritis, duodenal ulcer disease, gastric cancer, and hiatal hernia. This document focuses on the scenarios in which epigastric pain is accompanied by symptoms such as heartburn, regurgitation, dysphagia, nausea, vomiting, and hematemesis, which raise suspicion for gastroesophageal reflux disease, esophagitis, peptic ulcer disease, gastritis, duodenal ulcer disease, gastric cancer, or hiatal hernia. Although endoscopy may be the test of choice for diagnosing these entities, patients may present with nonspecific or overlapping symptoms, necessitating the use of imaging prior to or instead of endoscopy. Read More

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November 2021

Choledochoduodenal fistula: a rare complication of acute peptic ulcer bleeding.

BMJ Case Rep 2021 Nov 17;14(11). Epub 2021 Nov 17.

Imperial College Healthcare NHS Trust, London, UK.

A 75-year-old man presented with a 3-week history of melaena and right upper quadrant pain. This was on a background of significant alcohol intake and a complex medical history. He was haemodynamically unstable with investigations indicating a new iron-deficiency anaemia. Read More

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November 2021

Unusual cause of gastrointestinal bleeding in an 84-year-old woman: a miraculous survival from an aortoduodenal fistula repair.

BMJ Case Rep 2021 Sep 13;14(9). Epub 2021 Sep 13.

Vascular Surgery, Sun Yat-sen University First Affiliated Hospital, Guangzhou, Guangdong, China.

An 84-year-old woman presented acutely with dizziness, fatigue and a total of 800 mL of fresh per rectum (PR) bleeding. The significant history of abdominal aortic aneurysm repair 5 years ago included multiple episodes of endovascular leak around the stent associated with abscess of left psoas major, left abdominal wall abscess with sinus formation, appendicitis with abscess formation, and acute pancreatic and chronic cholecystitis with multiple gallstones in the 7 months prior to this presentation. During the preceding 7 months, the patient was stabilised with an intravenous proton pump inhibitor, blood transfusions and Intensive Care Unit (ICU) management for the assumed diagnosis of stress ulcers over multiple hospital admissions. Read More

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September 2021

Endoscopic features for early decision to evaluate superior mesenteric artery syndrome in children.

BMC Pediatr 2021 09 8;21(1):392. Epub 2021 Sep 8.

Department of Pediatrics, Gyeongsang National University Changwon Hospital, 11 Samjunga-Ro, Sungsan-Gu, Changwon, 51472, South Korea.

Background: Diagnostic delay of superior mesenteric artery syndrome (SMAS) is common due to its rarity and lack of index of clinical suspicion. Early diagnosis under suspicion is pivotal for adequate treatment. Present study aims to explore the endoscopic features for early decision to evaluate SMAS in children. Read More

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September 2021

COVID-19 and aorto-enteric fistula.

Rev Esp Enferm Dig 2021 12;113(12):852-853

Angiology and Vascular Surgery, Hospital Universitari de Bellvitge.

We present the case of a 72-year-old male with upper gastrointestinal bleeding. He had been discharged from hospital two weeks before after severe COVID-19 infection, treated with lopinavir-ritonavir (L-R), hydroxychloroquine, tocilizumab, and methylprednisolone. On presentation, he was in hypovolemic shock. Read More

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December 2021

Phase I Trial of Stereotactic MRI-Guided Online Adaptive Radiation Therapy (SMART) for the Treatment of Oligometastatic Ovarian Cancer.

Int J Radiat Oncol Biol Phys 2022 02 30;112(2):379-389. Epub 2021 Aug 30.

Department of Radiation Oncology, Rutgers University, New Brunswick, New Jersey.

Purpose: Stereotactic body radiation therapy is increasingly used to treat a variety of oligometastatic histologies, but few data exist for ovarian cancer. Ablative stereotactic body radiation therapy dosing is challenging in sites like the abdomen, pelvis, and central thorax due to proximity and motion of organs at risk. A novel radiation delivery method, stereotactic magnetic-resonance-guided online-adaptive radiation therapy (SMART), may improve the therapeutic index of stereotactic body radiation therapy through enhanced soft-tissue visualization, real-time nonionizing imaging, and ability to adapt to the anatomy-of-the-day, with the goal of producing systemic-therapy-free intervals. Read More

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February 2022

Sickle cell anemia with perforated duodenal ulcer as a complication: when to suspect this rare entity?

Radiol Case Rep 2021 Oct 17;16(10):3139-3142. Epub 2021 Aug 17.

Adjunct Professor of the Departament of Radiology - EPM - UNIFESP, Rua Napoleão de Barros, SP, Brazil.

Perforated duodenal peptic ulcers are often not considered when making a differential diagnosis of abdominal pain, especially in the context of sickle cell disease, and cases have not been frequently described in the literature. This study reports the case of a 14 year-old girl with sickle cell anemia complicated with duodenal ulcer perforation, focusing mainly on the imaging aspects. Abdominal CT should be considered as a method for this diagnosis and it requires the knowledge of this entity and its characteristic imaging findings. Read More

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October 2021

Surprises in cecal intubation: foreign bodies in the colon.

Rev Esp Enferm Dig 2022 Jan;114(1):56-57

Neurología, Hospital Universitario de Cabueñes.

We report the case of a 70-year-old male who visited for a colonoscopy on an outpatient basis after being admitted months earlier due to a subocclusive condition that was resolved with conservative treatment. His medical background included a laparotomy for a duodenal ulcer in 1979, as well as a subsequent intervention to debride adhesions. Cecal intubation was achieved with difficulty due to the patient's adhesive syndrome. Read More

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January 2022

Gastrointestinal Bleed After Total Pancreatectomy With Islet Autotransplant.

Pancreas 2021 07;50(6):841-846

From the Departments of Surgery.

Objective: Gastrointestinal bleeding (GIB) is an uncommon complication after abdominal surgery. Given the unique risks in the total pancreatectomy with islet autotransplant (TPIAT) population, we aimed to describe this population's incidence of postoperative GIB.

Methods: Prospectively collected data on patients who underwent a TPIAT from 2001 to 2018 at the University of Minnesota were reviewed for postoperative GIB. Read More

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Upper Gastrointestinal Tract Involvement in Inflammatory Bowel Diseases: Histologic Clues and Pitfalls.

Adv Anat Pathol 2022 Jan;29(1):2-14

Department of Laboratory Medicine and Pathology, Mayo Clinic Arizona, Scottsdale, AZ.

The upper gastrointestinal (UGI) manifestations of inflammatory bowel diseases (IBDs) are frequently obscured by classic ileal and colonic symptoms and are reported to involve only 0.5% to 4% of adult patients. However, because of the improvement of endoscopic techniques and the growing use of esophagogastroduodenososcopy with biopsy, both asymptomatic and clinically significant esophageal, gastric, and duodenal manifestations are increasingly recognized. Read More

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January 2022

Subdiaphragmatic abscess due to penetration of a duodenal ulcer successfully treated with endoscopic transgastric drainage: a case report.

J Med Case Rep 2021 Jul 26;15(1):396. Epub 2021 Jul 26.

Department of General Surgery, Gastroenterology, Kishiwada Tokushukai Hospital, 4-27-1 Kamoricho, Kishiwada, Osaka, 596-0042, Japan.

Background: Subdiaphragmatic abscesses are sometimes caused by intraabdominal infections. We report a case of endoscopic ultrasound-guided transgastric drainage.

Case Presentation: A 75-year-old Asian man was referred to our hospital for treatment for upper gastrointestinal bleeding. Read More

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Effects of sex, age, size and location of perforation on the sensitivity of erect chest X-ray for gastroduodenal perforation.

Radiography (Lond) 2021 Nov 8;27(4):1158-1161. Epub 2021 Jul 8.

Biological Science, University of Calgary, Calgary, Canada.

Introduction: This study aimed to evaluate the sensitivity of the erect chest X-ray for diagnosing subdiaphragmatic free air. Furthermore, we examined the effects of different parameters, including sex, age, size of perforation, and the location of perforation on the sensitivity of the erect CXR.

Methods: This study included all patients with perforated peptic ulcer (107 cases) referred to the Shahid Rajaei hospital of Tonekabon from April 2015 to August 2020. Read More

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November 2021

Duodenal imaging on the spotlight: from A to Z.

Insights Imaging 2021 Jul 7;12(1):94. Epub 2021 Jul 7.

Department of Radiology, Centro Hospitalar e Universitário de Coimbra, Praceta Prof. Mota Pinto, 3004-561, Coimbra, Portugal.

Abdominal computed tomography (CT) is frequently performed to evaluate gastrointestinal pathologic conditions. The majority of the gastrointestinal radiology literature has concentrated on the colon, stomach, and distal small bowel. The duodenum is often overlooked on imaging, namely on CT, but its anatomy (intra and retroperitoneal) and location in such close proximity to other viscera results in involvement by a multitude of primary and secondary processes, some of them exclusive to this bowel segment. Read More

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The rare entity of cholocystocolonic fistula: a case report.

Pan Afr Med J 2021 15;38:262. Epub 2021 Mar 15.

Second Department of Propedeutic Surgery, Laiko General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.

Cholocystocolonic fistulas (CCFs) represent a rare medical entity. Previous inflammatory processes in the abdomen, especially in the gallbladder and surgeries are all related to their appearance. There are not typical findings concerning the clinical image and the therapeutic approach varies between patients. Read More

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Persisting bleeding from the duodenal ulcer in patients with occlusion of the celiac trunk: a case report.

Pol Przegl Chir 2020 Oct;93(2):1-5

Department of Imaging Diagnostics and Interventional Radiology, Pomeranian Medical University in Szczecin, Poland.

Introduction: Endoscopic measures have continued to be the primary procedures in the management of ulcer bleeding. Nevertheless, in cases of failed endoscopic hemostasis and re-bleedings, endovascular techniques have gradually gained increased acceptance as an alternative to surgery, allowing to avoid surgical intervention in some cases. <br/> Case report: A case of a 42-year-old patient presenting to the authors' institution with massive bleeding from the duodenal ulcer, sprang from a pathologically enlarged gastroduodenal artery is reported. Read More

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October 2020

Aberrant gastroduodenal and proper hepatic arteries.

Surg Radiol Anat 2021 Sep 28;43(9):1421-1424. Epub 2021 May 28.

Department of Radiology, Albert Einstein College of Medicine/NYC Health + Hospitals - Jacobi Medical Center, The Bronx, NY, USA.

Purpose: Anatomic variants of the celiac trunk and superior mesenteric artery are common, thus knowledge of these variants is important for preoperative planning of abdominal surgery and interventional procedures.

Methods: We report a rare anatomic variant of replaced proper hepatic and gastroduodenal arteries discovered upon CT angiography and diagnostic angiogram.

Results: Emergent angiogram performed on a 61-year-old male who presented with signs and symptoms of upper gastrointestinal hemorrhage revealed a rare variant of an absent common hepatic artery and its branches with aberrant origins. Read More

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September 2021

Preventive covered stent placement at the gastroduodenal artery stump in angiogram-negative sentinel hemorrhage after pancreaticoduodenectomy.

Abdom Radiol (NY) 2021 10 26;46(10):4995-5006. Epub 2021 May 26.

Department of Radiology, Taipei Veterans General Hospital, Taipei, 112, Taiwan.

Purpose: To evaluate the clinical outcomes of preventive covered stent placement at the gastroduodenal artery stump in patients with angiogram-negative sentinel hemorrhage after pancreaticoduodenectomy.

Methods: Between July 2006 and September 2018, patients undergoing computed tomography angiography or diagnostic angiography for sentinel hemorrhage after pancreaticoduodenectomy were retrospectively reviewed. Patients having angiogram-negative angiography and undergoing preventive covered stent placement or conservative treatment were included. Read More

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October 2021

Composite detection rate as an upper gastrointestinal endoscopy quality measure correlating with detection of neoplasia.

J Gastroenterol 2021 07 2;56(7):651-658. Epub 2021 May 2.

Chair and department of Gastroenterology and Hepatology, School of Medicine in Katowice, Medical University of Silesia, Medyków 14 Street, 40-752, Katowice, Poland.

Background: Esophagogastroduodenoscopy (EGD) is commonly used diagnostic method with no widely accepted quality measure. We assessed quality indicator-composite detection rate (CDR)-consisting of detection of at least one of the following: cervical inlet patch, gastric polyp and post-ulcer duodenal bulb deformation. The aim of the study was to validate CDR according to detection rate of upper gastrointestinal neoplasms (UGN). Read More

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