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Role of Sofosbuvir Combination Therapy in Children With Chronic Hepatitis C Infection 索非布韦联合治疗儿童慢性丙型肝炎感染的作用
I. Shah, N. Magdum, N. Shetty
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引用次数: 0
Primary Extraovarian Granulosa Cell Tumor (GCT) of Omentum: A Rare Occurrence 原发性卵巢外颗粒细胞瘤(GCT)的网膜:罕见的发生
S. Swain, A. Ahmed, A. Mohan, V. Munikrishnan
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引用次数: 1
Histological Overlap in IgG4 Related and Xanthogranulomatous Cholecystitis : A Diagnostic Challenge IgG4相关和黄色肉芽肿性胆囊炎的组织学重叠:一个诊断挑战
R. Verma, M. Anthony, P. Durgapal, P. Joshi, A. Gupta, Ashok Singh
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引用次数: 0
Currarino Syndrome: An Uncommon Cause of Acquired Megacolon in a Young Male 柯拉里诺综合征:年轻男性获得性巨结肠的罕见原因
K. Dhingra, Sandeep Ratra, Rishabh Gupta, A. Tanwar, A. Jhajharia, Prachis Ashdhir, R. Pokharna
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引用次数: 0
Nasobiliary Drainage for Intrahepatic Cholestasis and Pruritus Refractory to Medical Therapy: A Series of Three Cases 鼻胆道引流治疗顽固性肝内胆汁淤积及瘙痒症:附3例报告
N. Choudhary, S. Dhampalwar, R. Bansal, R. Puri, N. Saraf, S. Saigal, R. Sud
In addition to GB wall thickening on imaging, which was suspicious of malignancy, the patient had palpable supraclavicular nodes that were metabolically active on a whole-body PET scan without any metabolic activity in regional abdominal lymph nodes. In this case, metastatic involvement of supraclavicular nodes will make the tumour unresectable. Given suspicion for metastasis, USG guided supraclavicular lymph node FNAC was done. However, when FNAC was done, metabolic activity seen on PET scan in the supraclavicular was indeed due to tubercular lymphadenitis with the presence of granulomas. We previously described the association of tuberculosis in cases of GB cancer, which can influence staging and further management. Seven patients had tuberculosis in association with carcinoma gall bladder. Two patients had supraclavicular lymph nodes, two patients were detected to have TB in inter aortocaval nodes, and one had peritoneal tubercular nodules. Two patients had tuberculosis in dissected hepatoduodenal ligament lymph nodes. At least five of the seven patients would have been deemed unresectable if sampling of nodes was not done. Hence, FNAC and lymph nodes sampling need to be done when IAC or left supraclavicular nodes are involved in a case of carcinoma gallbladder in an otherwise resectable disease.5
除了影像学上GB壁增厚可疑为恶性肿瘤外,患者在全身PET扫描上可见代谢活跃的锁骨上淋巴结,腹部局部淋巴结未见代谢活动。在这种情况下,转移累及锁骨上淋巴结将使肿瘤无法切除。怀疑有转移,超声引导下行锁骨上淋巴结FNAC。然而,当进行FNAC时,在锁骨上PET扫描上看到的代谢活动确实是由于结核性淋巴结炎和肉芽肿的存在。我们之前描述了结核在GB癌病例中的关联,它可以影响分期和进一步的管理。7例患者合并胆囊癌并发结核。锁骨上淋巴结2例,主动脉腔间淋巴结2例,腹膜结核1例。2例肝十二指肠韧带清扫淋巴结结核。如果不进行淋巴结取样,七名患者中至少有五名被认为是不可切除的。因此,当胆囊癌在其他可切除的疾病中累及IAC或左侧锁骨上淋巴结时,需要进行FNAC和淋巴结取样
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引用次数: 0
Traumatic Rupture of Normal Spleen due to Vomiting: A Case Report 呕吐致外伤性正常脾破裂1例
Rehan Khan, S. Kumari, A. Minicozzi, C. Selvasekar, K. Garcez, J. Shanks, S. O'dwyer
Spleen is one of the most commonly injured organs following blunt abdominal trauma.1 Spontaneous splenic rupture (SSR) usually occurs in a previously diseased spleen, and non-traumatic rupture of the normal spleen is extremely rare.1 The stress of cough and vomiting, leading to the traumatic rupture of the spleen, is very rare.2 We are reporting a traumatic splenic rupture following vomiting, which was subjected to exploratory laparotomy and splenectomy.
脾脏是腹部钝性外伤后最常见的损伤器官之一自发性脾破裂(SSR)通常发生在先前患病的脾脏,而正常脾脏的非外伤性破裂极为罕见咳嗽和呕吐的压力,导致外伤性脾破裂,是非常罕见的我们报告一个外伤性脾破裂后呕吐,这是受到探查剖腹手术和脾切除术。
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引用次数: 0
Rare GI manifestations of Primary Amyloidosis: A Case Series 原发性淀粉样变性的罕见胃肠道表现:一个病例系列
V. Mehta, Y. Gupta, R. Mahajan, S. Nohria, A. Sood
Tropical Gastroenterology 158 suggest the diagnosis of SSR. Focused assessment sonography in trauma (FAST) using ultrasound is used frequently in an emergency for trauma patients to see the presence of fluid in the peritoneal cavity. FAST is regarded as the best non-invasive radiological modality for assessing the peritoneal cavity in unstable patients. It is an operator-dependent modality and cannot identify the source of bleed and type of fluid in the peritoneal cavity.3 CT scan is the gold standard to diagnose the source of bleed as well as the extent of injury to the organ and other associated injuries.6
热带胃肠病学158建议诊断SSR。创伤超声聚焦评估(FAST)常用于创伤患者的急诊,以观察腹膜腔内液体的存在。FAST被认为是评估不稳定患者腹膜腔的最佳非侵入性放射方式。这是一种依赖于操作者的模式,不能识别出血的来源和腹膜腔内液体的类型CT扫描是诊断出血来源、器官损伤程度和其他相关损伤的金标准
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引用次数: 0
Acute Pancreatitis In A Marathon Runner 马拉松运动员的急性胰腺炎
Prakash Baburao Sonkusare, Pranav Kumar Raghuwanshi, Navin Tmu, V. Narkhede, Sanjay Kumar
1. Sarles H, Sarles J-C, Muratore R, Guien C. Chronic inflammatory sclerosis of the pancreas—An autonomous pancreatic disease? Am J Dig Dis. 1961 Jul 1;6(7):688–98. 2. Yoshida K, Toki F, Takeuchi T, Watanabe S-I, Shiratori K, Hayashi N. Chronic pancreatitis caused by an autoimmune abnormality. Dig Dis Sci. 1995 Jul 1;40(7):1561–8. 3. Shimosegawa T, Chari ST, Kawa S, Mino-Kenudson M, Kim M-H, Kloppel G, et al. International Consensus Diagnostic Criteria for Autoimmune Pancreatitis. 2011;40(3):7. 4. Scheers I, Palermo JJ, Freedman S, Wilschanski M, Shah U, Abu-El-Haija M, et al. Autoimmune Pancreatitis in Children: Characteristic Features, Diagnosis, and Management. Am J Gastroenterol. 2017 Oct 1;112(10):1604–11. 5. Bodily KD, Takahashi N, Fletcher JG, Fidler JL, Hough DM, Kawashima A, et al. Autoimmune Pancreatitis: Pancreatic and Extrapancreatic Imaging Findings. Am J Roentgenol. 2009 Feb 1;192(2):431–7. 6. Choi S-Y, Kim SH, Kang TW, Song KD, Park HJ, Choi Y-H. Differentiating Mass-Forming Autoimmune Pancreatitis From Pancreatic Ductal Adenocarcinoma on the Basis of Contrast-Enhanced MRI and DWI Findings. Am J Roentgenol. 2016 Jan 21;206(2):291–300. 7. Chavhan GB, Babyn PS, Manson D, Vidarsson L. Pediatric MR Cholangiopancreatography: Principles, Technique, and Clinical Applications. RadioGraphics. 2008 Nov 1;28(7):1951–62. 8. Ghazale A, Chari ST, Zhang L, Smyrk TC, Takahashi N, Levy MJ, et al. Immunoglobulin G4–Associated Cholangitis: Clinical Profile and Response to Therapy. Gastroenterology. 2008 Mar;134(3):706–15. Prakash Baburao Sonkusare Pranav Kumar Raghuwanshi Navin TMU Vinod Narkhede Sanjay Kumar
1. 张建平,张建平,张建平,等。慢性炎症性胰腺硬化的研究进展。[J] .水土保持学报,1997,6(7):688-98。2. Yoshida K, Toki F, Takeuchi T, Watanabe S-I, Shiratori K, Hayashi N.自身免疫异常引起的慢性胰腺炎。土壤科学,1995;40(7):1561-8。3.Shimosegawa T, Chari ST, Kawa S, Mino-Kenudson M, Kim M- h, Kloppel G,等。自身免疫性胰腺炎的国际共识诊断标准。2011;40(3):7。4. 谢志强,刘建军,李建军,等。儿童自身免疫性胰腺炎:特征、诊断和管理。中华胃肠病杂志,2017;11(10):1604 - 1601。5. 张建军,张建军,张建军,等。自身免疫性胰腺炎:胰腺和胰腺外影像学表现。[J] .光电工程学报。2009;32(2):431 - 431。6. 崔世勇,金诗,姜涛,宋kd,朴海杰,崔永辉。基于增强MRI和DWI表现鉴别肿块形成的自身免疫性胰腺炎与胰导管腺癌[J] .石油化工,2016,31(2):1 - 3。7. Chavhan GB, Babyn PS, Manson D, Vidarsson L.小儿MR胆管造影:原理、技术和临床应用。射线照相。2008年11月1日;28(7):1951-62。8. Ghazale A, Chari ST, Zhang L, Smyrk TC, Takahashi N, Levy MJ,等。免疫球蛋白g4相关性胆管炎:临床概况和治疗反应。胃肠病学杂志。2008;34(3):706-15。Prakash Baburao Sonkusare Pranav Kumar Raghuwanshi Navin TMU Vinod Narkhede Sanjay Kumar
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引用次数: 0
Bitter Bottle Gourd Juice Leading to Gastric Necrosis 苦瓜汁导致胃坏死
B. Keyur, N. Subhash, Mangukiya Dhaval, Desai Pankaj, Nandaniya Karshan
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引用次数: 2
Spontaneous Cholecystocutaneous Fistula in a Case of Adenocarcinoma of Gall Bladder 胆囊腺癌自发性胆囊皮瘘1例
G. Agarwal, A. Javed, P. Sakhuja, A. Agarwal
A 56-year-old female presented with complaints of recurrent episodes of pain abdomen for nine years. The pain was mild to moderate in intensity in the right hypochondrium. The patient was evaluated with a USG abdomen and was diagnosed to have gall stones. The patient denied surgical treatment and was taking over the counter analgesics for pain. The patient had an increase in severity and frequency of pain episodes for two years requiring iv analgesics and hospitalization. The pain was associated with episodes of fever and vomiting. One year ago, she developed a swelling over the anterior abdominal wall in the right upper quadrant associated with pain and fever.
女,56岁,主诉腹痛复发9年。右胁肋轻至中度疼痛。患者经USG腹部检查,诊断为胆结石。病人拒绝手术治疗,转而服用非处方止痛药止痛。患者疼痛发作的严重程度和频率增加了两年,需要静脉注射止痛剂和住院治疗。疼痛伴有发烧和呕吐。一年前,她出现右上腹部前壁肿胀并伴有疼痛和发烧。
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引用次数: 0
期刊
Tropical gastroenterology : official journal of the Digestive Diseases Foundation
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