Received 10/17/2007; revised 11/14/2007; accepted 11/21/2007. For correspondence and reprints contact: Shih-Chuan Tsai, M.D., Department of Nuclear Medicine, Taichung Veterans General Hospital. 160 Section 3, Taichung Harbor Road, Taichung 407, Taiwan. Tel: (886)4-23592525 ext. 4801, Fax: (886)423741348, E-mail: [email protected] Gastrointestinal bleeding caused by an inver ted Meckel’s diver...

Neonatal colonic perforation is a rarely seen condition. Plain abdominal radiography of a 28-hour newborn consulted for vomiting and bloody stool revealed the presence of subdiaphragmatic free air, which necessitated surgical exploration. Transverse colonic perforation was detected during the exploration, and subsequently, a colostomy and appendectomy were performed. The postoperative follow-up...

syndrome and jaundice was significantly improved (Fig. B). Massive bloody stool with hypovolemic shock occurred 5 days later. No abnormalities were observed on esophagogastroduodenoscopy. Colonoscopy revealed a protruding mass with superficial ulceration in the hepatic fracture (Fig. C). What is the most likely diagnosis? Question: An 88-year-old man with a 2-week history of right upper abdomin...

INTRODUCTION We report 2 cases of Shigella septicaemia in adult patients. CLINICAL PICTURE Two 57-year-old women presented with non-bloody diarrhoea and fever. The first patient was an inmate of a long-term care facility who was schizophrenic and the second patient was a diabetic who recently travelled to Medan, Indonesia. Both patients were febrile, hypotensive and dehydrated. The first pati...

The classical triad of abdominal pain, vomiting, and bloody stool is absent in chronic intussusception for more than 2 weeks. Here, we report a 6-year-old female with recurrent abdominal pain for 2 months. Ultrasonography of the abdomen revealed an ileocolic-type intussusception. The lesion accompanying the tight fibrous adhesion was treated by resection and ileocolic anastomosis. It was diagno...

OBJECTIVE To report a case of rectal cancer in a patient with Peutz-Jeghers syndrome (PJS). CLINICAL PRESENTATION AND INTERVENTION A 20-year-old woman with intermittent bloody stool of 4 months was admitted for examination. Gastroendoscopy revealed multiple polyps involving the stomach, small intestine, colon and a rectal adenocarcinoma. A diagnosis of PJS was made based on intestinal polyps ...

Bile acid malabsorption leads to chronic watery, non-bloody diarrhoea. Many patients present with symptoms suggestive of IBS. Idiopathic BAM (no obvious cause) occurs in both men and women, mostly between the ages of 30 and 70. There is often a long history of diarrhoea at the time of diagnosis, sometimes lasting longer than 10 years. The diarrhoea is continuous or intermittent; nocturnal diarr...

The typical presentation of intussusception includes intermittent severe abdominal pain, vomiting, rectal bleeding, and the presence of an abdominal mass. We present a case of intussusception after abdominal blunt trauma along with a literature review. A 4-year-old girl was admitted to the emergency department after a bicycle accident. She complained of progressively worsening abdominal pain, b...