Amyloidosis is a group of disorders characterized by the extracellular accumulation of insoluble, fibrillar proteins in various organs and tissues. It is classified, on the basis of the identity of the precursor protein, as primary, secondary, or familial amyloidosis. Gastrointestinal amyloidosis usually presents as bleeding, ulceration, malabsorption, protein loss, and diarrhea. However, gastr...

Heterotopic pancreas is a rare condition and its preoperative diagnosis is difficult. It is generally asymptomatic, but it may become clinically evident depending on the size, location and the pathological changes. Heterotopic pancreas can occur anywhere in the gastrointestinal tract, but most commonly is found in the antrum of the stomach. We report an unusual case of a 31-year-old male patien...

1 Roberge RJ, Morgenstern MJ, Osborn H et al. Cough fracture of the ribs. Am _J Emerg Med 1984; 2: 5137. 2 Richardson EC. Indirect fracture of the rib in pulmonary tuberculosis. JAMA 1936; 106: 1543. 3 Wynn-Williams N. Cough fracture of the ribs unassociated with pulmonary tuberculosis. BMJ 1951; 2: 1494. 4 Chodosh S, Segal MS. Chronic bronchitis. N Engl J Med 1982; 270: 894. 5 Ginsburg M. Spon...

Postesophagectomy gastric outlet obstruction occurs in 20%–30% of patients who undergo esophagectomy and is associated with significant morbidity and delayed recovery [1]. Recently, endoscopic pyloromyotomy, also called gastric peroral endoscopic myotomy (POEM), has been reported, in pigs and in a patient with refractory diabetic gastroparesis [2, 3]. We report a case of postesophagectomy delay...

We present a unique presentation of Crohn's disease in a 25-year-old male with a 3-month history of progressive gastric outlet obstruction symptoms including reflux, vomiting, postprandial pain and weight loss, with no other symptoms. Multiple imaging investigations as well as gastroscopic biopsies revealed a non-specific prepyloric lesion, without evidence of malignancy. A distal gastrectomy w...

Bezoar is a mass formed by indigested materials. They are a rare cause of intestinal obstruction. They are most frequently located in stomach. Incidence of bezoar located in duodenum is very rare. We report a case of 47-year-old male patient who suffered from gastric outlet obstruction due to a bezoar located in duodenum.

Breast cancer metastasizes to the gastrointestinal (GI) tract are exceedingly rare. The low incidence and vague presentation of GI metastasizes often cause delay in diagnosis and treatment. Here, we present a case of metastatic breast cancer causing gastric outlet obstruction and rectal obstruction.