A 32-year-old lady was admitted with complaints of recurrent episodes of vomiting and loose stools associated with tenesmus and blood and mucus. She also had a neck swelling since 11 years of age, and had features of thyrotoxicosis for five to six months. She responded to balsalazide only after her thyroid status was controlled with carbimazole.

The Authors report on an uncommon case of duodenal Crohn's disease in an adult man. The patient was admitted for a history of epigastric pain, recurrent vomiting, weight loss and low grade fever. He was evaluated with esophagogastroduodenoscopy and with radiological double-contrast technique. Then, due to these untreatable clinical manifestations, he underwents a surgical treatment.

A patient presented with recurrent episodes of colicky abdominal pain, nausea and vomiting, precise cause of which could not be established on evaluation. Exploratory laparotomy revealed internal herniation of proximal small bowel loops into the mesentericoparietal fossa of Waldeyer. There was a successful surgical outcome.

OBJECTIVES Congenital paraesophageal hernia is a rare condition in the pediatric age group. The symptomatology of these patients is usually non-specific in the form of repeated attacks of chest infection and/or recurrent attacks of vomiting but can be associated with serious complications such as intrathoracic gastric volvulus. METHODS Between 1989 and 1997, 6 children with paraesophageal her...

Recurrent acute pancreatic attacks is a rare clinical condition (2-5% of all acute pancreatis) in children and is mainly idiopathic in most cases. Sometimes it may be associated with congenital anomalies, metabolic diseases or hereditary conditions. Isovaleric acidemia (IVA) is a rare autosomal recessive amino acid metabolism disorder associated with isovaleryl coenzyme A dehydrogenase deficien...

gastric neuroendocrine carcinoma is a rare tumor which has a poor prognosis. herein, we present a 55-year-old woman who presented with complaints of recurrent vomiting, hematemesis and weight loss. endoscopic examination showed a large ulcerated mass in the antrum. microscopic evaluation of the specimen taken through biopsy was compatible with a small round cell tumor. however, definitive histo...

Background. Recurrent perianal inflammation has great etiologic diversity. A possible cause is cow's milk allergy (CMA). The aim was to assess the magnitude of this cause. Subjects and Methods. This follow up clinical study was carried out on 63 infants with perianal dermatitis of more than 3 weeks with history of recurrence. Definitive diagnosis was made for each infant through medical history...

A16-year-old boy with a medical history of recurrent tracheolaryngeal papillomatosis along with significant lung involvement was admitted for a 2-week history of nausea and vomiting. Other major complaints included subjective fever, excessive fatigue, weakness, constipation, and a 5-lb weight loss. He was well known to our otolaryngology team because they had been treating him since he was chil...

Carbamazepine is used to control seizures. Its common side effects are sleep disorders, anorexia, nausea, vomiting, polydipsia, irritability, ataxia, and diplopia. Involvement of the immune system is rare, and few cases of decreased immunoglobulin levels have been reported. We describe a patient with low immunoglobulin levels due to carbamazepine use who presented with recurrent urinary tract i...

Galactosemia is a treatable metabolic disorder caused by the deficiency of enzyme galactose-1phosphate uridyl transferase (GALT) and inherited as an autosomal recessive trait. A case of neonate manifesting with recurrent Escherichia coli sepsis is presented here which turned out to be a classic galactosemia. No other common presenting features were observed in this infant except cataract on sli...