scholarly journals Gastric adenomyoma: an uncommon cause of dyspepsia and a rare endoscopic finding.

2020 ◽  
Author(s):  
Opeyemi Bamidele ◽  
Matthew Olumuyiwa Bojuwoye ◽  
Mudashiru Lawal ◽  
Ruth Adabe Bello
Keyword(s):  
Smooth Muscle ◽  
Benign Lesion ◽  
Endoscopic Finding ◽  
Endoscopic Findings ◽  
Nigerian Woman ◽  
Uncommon Condition

Background: Gastric adenomyoma (GA) is a rare benign lesion comprising of ducts and glands embedded in smooth muscle stroma. Thirty-seven (37) cases of GA were identified until 1993, however, only 15 cases are said to have been reported from 1993 to 2016. Esophagogastroscopy has been widely used in evaluating GA. However, the diagnosis of GA remains exclusively histological. Case: We report a 26-year-old Nigerian woman who presented with recurrent dyspepsia with her endoscopic findings suggestive of GA. GA was confirmed by histology, and she was managed conservatively. Conclusion: This report will contribute to creating awareness of this uncommon condition and also reminding physicians in considering GA as a possible differential of dyspepsia. Keywords: gastric, adenomyoma, dyspepsia, endoscopy, Nigerian, woman

Adecuación de la indicación de la colonoscopia según criterios de EPAGE II en un hospital universitario de Uruguay

2021 ◽  
Vol 5 (3) ◽  
pp. 159-163
Author(s):  
Rodrigo Dorelo ◽  
Soledad Francia ◽  
Joaquín Berrueta ◽  
Alicia Aleman ◽  
Carolina Olano
Keyword(s):  
Missing Data ◽  
European Society ◽  
Analytical Study ◽  
Gastrointestinal Endoscopy ◽  
High Sensitivity ◽  
Endoscopic Finding ◽  
Online Program ◽  
Endoscopic Findings ◽  
Sociodemographic Data ◽  
Sensitivity Specificity

Background: Prioritization of criteria have been developed to reduce the increased demand. The European Society for Gastrointestinal Endoscopy developed an online program (EPAGE II). The aim of this study is to evaluate the appropriateness of the colonoscopy indication according to the EPAGE II criteria and correlate it with the endoscopic findings. Materials and Methods: Retrospective and analytical study that included all colonoscopies performed in the period March 2018 - March 2019. Colonoscopies with insufficient preparation and missing data, were excluded. They were categorized into having appropriate, inappropriate and uncertain indication, according to EPAGE II criteria. Sociodemographic data, indication, degree of preparation, and the presence of relevant findings were recorded. Results: 648 studies were included, 64.7% were women, and 51.8% were ordered by gastroenterologists. In 62% the preparation was adequate. In 171 (26.4%) the indication was CCR screening. In 525 (81%) the indication was appropriate, in 79 (12,2%) was not appropriate and in 44 (6,8%) was uncertain. An appropriate indication was significantly associated with age older than 50 years (p≤0.001). An endoscopic relevant diagnosis was observed in 55.2%. There was a significant association between appropriate indication and a relevant endoscopic diagnosis (p <0.01). The sensitivity, specificity, PPV and NPV of EPAGE II for an appropriate indication in relation to a relevant endoscopic finding were 84.92 %, 24.14%, 69.72% and 43.75% respectively. Conclusions: In this group of patients the EPAGE II showed high sensitivity and low specificity for the appropriateness of the indication in relation to the findings.

scholarly journals Scar Endometriosis, An Uncommon Entity

1970 ◽  
Vol 29 (2) ◽  
pp. 99-101
Author(s):  
L Saha
Keyword(s):  
Menstrual Cycle ◽  
Caesarean Section ◽  
Abdominal Wall ◽  
Malignant Transformation ◽  
Benign Lesion ◽  
Clinical Findings ◽  
Wide Excision ◽  
Scar Endometriosis ◽  
Uncommon Condition ◽  
High Index Of Suspicion

Scar endometriosis is an uncommon condition where there is presence of endometrial tissue in the abnormal sites. Generally this is a benign lesion although malignant transformation is possible. Commonest site is at the site of laparoscopy done for non gynaecologic indications. Extrapelvic sites are fairly uncommon, among which abdominal wall may also be affected. This case of scar endometriosis was diagnosed after 2 years of caesarean section. Patient presented with pain and swelling below the umbilicus. Pain had a distinct relationship with the menstrual cycle. Swelling appeared later and was slowly increasing in size. There was a high index of suspicion based on history and clinical findings. Wide excision was done and histopathogy reported the lesion as scar endometriosis. DOI: http://dx.doi.org/10.3329/jbcps.v29i2.7955 (J Bangladesh Coll Phys Surg 2011; 29: 99-101)

scholarly journals Surgical excision of perineal nodular induration: A cyclist’s third testicle

2017 ◽  
Vol 11 (5) ◽  
pp. 244 ◽  
Author(s):  
Mohannad A. Awad ◽  
Gregory P. Murphy ◽  
Thomas W. Gaither ◽  
E. Charles Osterberg ◽  
Thomas A. Sanford ◽  
...  
Keyword(s):  
Smooth Muscle ◽  
Surgical Technique ◽  
Benign Lesion ◽  
Surgical Excision ◽  
Advancement Flap ◽  
Rare Entity ◽  
Health Providers ◽  
Wide Surgical Excision ◽  
Spindle Cells ◽  
Associated Mass

Perineal nodular induration (PNI), or biker’s nodule, is a rare, bothersome, pseudotumour. Herein, we describe the surgical technique used to treat a healthy cyclist who developed an enlarging PNI for five years that grew into a perineal mass. The mass prevented him from cycling due to worsening discomfort and heaviness. The PNI-associated mass was successfully removed by wide surgical excision and a local advancement flap. Subsequently, the patient resumed cycling. Histopathology report demonstrated a benign lesion with abundant ropy collagen with native smooth muscle, vessels, and rare fibroblast-like spindle cells. With the increasing popularity of cycling, PNI may become more common, and health providers should be aware of this rare entity and how it can be safely removed.

173 CATERPILLAR SIGN: NOVEL ENDOSCOPIC FINDING IN PATIENTS WITH EOSINOPHILIC ESOPHAGITIS

2021 ◽  
Vol 34 (Supplement_1) ◽  
Author(s):  
Maki Ayaki ◽  
Noriaki Manabe ◽  
Ken Haruma ◽  
Jun Nakamura ◽  
Minoru Fujita ◽  
...  
Keyword(s):  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Eosinophilic Esophagitis ◽  
Definitive Diagnosis ◽  
Clinicopathological Features ◽  
Endoscopic Finding ◽  
Eosinophil Infiltration ◽  
High Power Field ◽  
Endoscopic Findings ◽  
Esophageal Dysfunction

Abstract   Pathological identification of esophageal eosinophilia (EE) is considered to be most important and critical step for diagnosis of eosinophilic esophagitis (EoE). Although several endoscopic findings related with EoE have been reported, it is still difficult to exclude other causes of EE, such as gastroesophageal reflux disease. Here, we noted a novel endoscopic finding related with EoE termed ‘Caterpillar sign’. The aim of this study was to evaluate its clinical significance for the diagnosis of EoE. Methods One hundred and seventy-four patients who were endoscopically suspected with EoE at our hospital and affiliated institutions were enrolled. EoE was defined clinically by symptoms of esophageal dysfunction and histologically by the presence of EE [≧15 eosinophils/high power field (HPF)]. Endoscopic findings at baseline were retrospectively reviewed. ‘Caterpillar sign’ was defined as a stair-like, fragile, slight mucosal protruded lesion sandwiched between longitudinal furrows, such as the Caterpillar traces remaining on the ground (Figure). Furthermore, the clinicopathological features of patients having ‘Caterpillar sign’ were evaluated. Results One hundred and seventy-four patients (92 males, 82 females with mean age of 49.7) suspected with EoE were evaluated, of whom 60 (34.5%) was finally diagnosed as EoE. ‘Caterpillar sign’ was found in 48 patients (80.0%). Sensitivity and Specificity of ‘Caterpillar sign’ for the diagnosis of EoE was 0.80 (95% confidence interval [CI] 0.72–0.85) and 0.94 (95% CI 0.90–0.97), respectively. Furthermore, the presence of ‘Caterpillar sign’ was associated with degree of eosinophil infiltration (Caterpillar sign positive: 42.9 ± 49.3/HPF vs. Caterpillar sign negative: 6.7 ± 24.4/HPF, p &lt; 0.0001). Conclusion This novel finding termed ‘Caterpillar sign’ was clinically useful for the definitive diagnosis of EoE and associated with degree of eosinophil infiltration.

scholarly journals Study of Upper Gastrointestinal Tract Endoscopic findings in Portal Hypertension

1970 ◽  
Vol 52 (190) ◽  
Author(s):  
Lochan Karki ◽  
Manen Prasad Gorkhaly ◽  
Buddha Bahadur Karki
Keyword(s):  
Portal Hypertension ◽  
Gastrointestinal Tract ◽  
Esophageal Varices ◽  
Endoscopic Finding ◽  
Upper Gastrointestinal Tract ◽  
Erosive Gastritis ◽  
Hypertensive Patients ◽  
Endoscopic Findings ◽  
Upper Gi ◽  
Upper Gastrointestinal

Introduction: The gut mucosa in portal hypertension is the seat of microcirculatory changes that compromise its integrity and increase its susceptibility to damage. The mucosal changes in portal hypertension may require pharmacological, directed endoscopic or portal decompressive therapy. The objective of the study is to find out various upper gastrointestinal tract endoscopic findings in patients of portal hypertension.Methods: A prospective, cross-sectional, observational study of sixty patients of portal hypertension was conducted from June to October 2009. The esophagus, stomach and upper duodenum was visualized for any changes, especially by taking the tip of the instrument close to the mucosa.Results: Out of total, 60, 47 (78.3%) cases were cirrhotic and 13 (21.7%) cases were non-cirrhotic portal hypertension. The most frequent upper GI endoscopic finding was esophageal varices 56 (98.3%) followed by gastropathy 49 (81.6%), gastric hyperemia 19 (31.6%), duodenal hyperemia and erosive gastritis 16 (26.6% in each) and gastric varices 12 (20%). Esophageal varices were equally prevalent among cirrhotic and non cirrhotic portal hypertensive patients, 46 out of 47 (97.9%) and 13 out of 13 (100%) respectively. Gastropathy was more prevalent in cirrhotic patients with 87.2% vs. 75% in NCPF followed by 40% in EHO. However, duodenal ulcers were seen only in EHO 12.5%. Erosive gastritis was more prevalent in EHO (75%) followed by NCPF (60%), however, it was less frequent in cirrhotic portal hypertension (14.8%).Conclusions: The most common upper GI endoscopic finding in portal hypertensive patients were found to be esophageal varices followed by gastropathy, peptic ulcer disease (gastric and duodenal hyperemia, chronic gastritis, erosive gastritis, gastric ulcer and duodenal ulcer)._______________________________________________________________________________________Keywords: gastrointestinal tract; portal hypertension; varices.

scholarly journals Ankylosaurus back sign: novel endoscopic finding in esophageal eosinophilia patients indicating proton pump inhibitor response

2018 ◽  
Vol 06 (02) ◽  
pp. E165-E172 ◽  
Author(s):  
Norihisa Ishimura ◽  
Shohei Sumi ◽  
Mayumi Okada ◽  
Daisuke Izumi ◽  
Hironobu Mikami ◽  
...  
Keyword(s):  
Proton Pump Inhibitor ◽  
Proton Pump ◽  
Clinicopathological Features ◽  
Endoscopic Finding ◽  
Observer Agreement ◽  
Clinical Implications ◽  
High Power Field ◽  
Endoscopic Findings ◽  
Esophageal Eosinophilia ◽  
The Relationship

Abstract Background and study aims Characteristic endoscopic findings, such as linear furrows, rings, and whitish exudates, indicate the presence of esophageal eosinophilia (EE), though no specific findings are known to distinguish eosinophilic esophagitis (EoE) from proton pump inhibitor-responsive esophageal eosinophilia (PPI-REE). Here, we present a novel endoscopic finding in some EE patients possessing a linear longitudinal arrangement of whitish nodules with the appearance of the back of an Ankylosaurus dinosaur, termed Ankylosaurus back sign (ABS), and evaluations of its significance in affected patients. Patients and methods Fifty-five patients diagnosed with EE (≥ 15 eosinophils/high power field) who were treated at our hospital and shown to evaluate a PPI response were enrolled. Endoscopic findings at baseline and clinical parameters were retrospectively reviewed. Furthermore, the clinicopathological features of patients with ABS, as well as the relationship between its presence and PPI response were evaluated. Results Fifty-five patients (47 males, 8 females) with EE (17 with EoE, 38 with PPI-REE) were evaluated, of whom 50 (90.9 %) had linear furrows, the most frequently found feature, while ABS was found in 9 (16.4 %). Inter-observer agreement was substantial for ABS (κ 0.77). Interestingly, all patients with ABS had PPI-REE. Our findings revealed that the presence of ABS was closely associated with reflux esophagitis (RE) in patients with PPI-REE. Conclusions Although ABS was less frequent than typical endoscopic findings such as linear furrows in EE, this novel finding was closely associated with PPI-REE accompanied with RE. The clinical implications of ABS in patients with EE should be investigated further.

scholarly journals Clinical and Magnifying Narrow-Band Imaging Endoscopic Finding–Olmesartan-Associated Collagenous Gastroduodenitis

2020 ◽  
Vol 11 (02) ◽  
pp. 146-148
Author(s):  
Pankaj Desai ◽  
Chintan Patel ◽  
Mayank Kabrawala ◽  
Subhash Nandwani ◽  
Priya Arora ◽  
...  
Keyword(s):  
Inflammatory Infiltrate ◽  
Narrow Band ◽  
Narrow Band Imaging ◽  
Endoscopic Finding ◽  
Collagen Deposition ◽  
Angiotensin Ii Receptor ◽  
Angiotensin Ii Receptor Antagonist ◽  
Endoscopic Findings ◽  
Colonic Involvement ◽  
Collagenous Gastritis

AbstractCollagenous gastroduodenitis is a rare and may be associated with olmesartan, an angiotensin–II receptor antagonist used for management of hypertension. It is characterized by marked subepithelial collagen deposition with mucosal inflammatory infiltrate. The characteristic endoscopic finding of collagenous gastritis is nodular mucosa and other findings include erythema friability, erosions, ulcers and atrophy. Olmesartan-associated collagenous gastroduodenitis without colonic involvement is exceptionally rare with only one case reported in literature to date. The association may be difficult to recognize because of its clinical and histologic similarity to the clinical entity collagenous gastroduodenitis. We present a case of Olmesartan-associated collagenous gastroduodenitis, which was observed on magnifying narrow-band imaging endoscopic findings.

scholarly journals Endoscopic Evaluation of Dyspeptic Patient in Tertiary Care Hospital

2021 ◽  
Vol 33 (1) ◽  
pp. 3-7
Author(s):  
Md Kamran Hasan ◽  
Abdullah Al Noman ◽  
Farzana Hayat ◽  
Farhana Salam ◽  
Muhammad Sanowar Khan ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Endoscopic Finding ◽  
Gastric Ulcers ◽  
Upper Gastrointestinal Endoscopy ◽  
Gastric Erosion ◽  
Care Hospital ◽  
Abnormal Finding ◽  
Endoscopic Findings ◽  
Dyspeptic Patient ◽  
Study Population

Objectives: To observe the organic change occurs in dyspeptic patient by upper gastrointestinal endoscopy. Methods: The present prospective, observational, cross-sectional study was conducted at Medicine and Gastroenterology department of Sir Salimullah Medical College & Mitford Hospital, over a period of 6 month from 2019 to 2020.The study population was 200with aged18 years and above, irrespective of sex and who were suffering from dyspeptic symptoms for at least 6 months duration. Data regarding the demographic profile of study population nand endoscopic findings were processed and analyzed using software SPSS (Statistical Package for social science) version 26. Results: It was observed that most of the dyspeptic patients 71%were showing normal endoscopic findings and 29% have abnormal endoscopy findingwhere majority of the patient were 51 – 70 years of age.Out of them 41% of male and 26% of female had organic changes. It was also found that 46% of the patients were smoker and among them 34(37%) had abnormal endoscopic finding where 24(22%) non-smokerpatient had abnormal finding, which were statistically significant (p,0.05) between two group. Among abnormal endoscopic finding, 11% gastric erosions, 08% gastric ulcer, 04% duodenal erosions, 03% duodenal ulcer, 02% reflux oesophagitis, and carcinoma stomach rare 01%. Conclusion: The study concludes that majority of patients with complaints of dyspepsia have no organic lesion and can be considered non ulcer dyspepsia. The common abnormal endoscopic findings included gastric erosion and gastric ulcers relating to dyspepsia. The study findings also suggest that smoking is a risk factor for developing organic changes in dyspeptic patients specially in middle age group. Bangladesh J Medicine July 2022; 33(1) : 3-7

scholarly journals ENDOSCOPIC FINDINGS IN PATIENTS PRESENTING WITH DYSPEPSIA AND ASSOCIATION OF AGE AND GENDER WITH ORGANIC DYSPEPSIA

2021 ◽  
Vol 71 (2) ◽  
pp. 567-70
Author(s):  
Safia Batool ◽  
Muhammad Usman Sajid ◽  
Jamal Waris ◽  
Shahzeb Ahmed Satti ◽  
Fayyaz Hassan ◽  
...  
Keyword(s):  
Erosive Esophagitis ◽  
Cross Sectional Study ◽  
Endoscopic Finding ◽  
Common Finding ◽  
Military Hospital ◽  
Upper Gastrointestinal Endoscopy ◽  
Cross Sectional ◽  
Age And Gender ◽  
Endoscopic Findings ◽  
And Gender

Objective: To determine frequency of general and specific endoscopic findings in patients diagnosed with dyspepsia and to determine association of age and gender with organic dyspepsia. Study Design: Cross sectional study. Place and Duration of Study: Gastroenterology department, Combined Military Hospital, Kharian, from Jul to Dec 2018. Methodology: A total of 180 patients participated in the study after being selected through non probability consecutive sampling. Age, gender and history of dysphagia, weight loss, gastrointestinal bleeding, and smoking were recorded. All underwent standard electronic video upper gastrointestinal endoscopy. Abnormal findings of inflammation, narrowing, strictures, furrowing, erosions, ulcers, atrophy, nodularity, polyps, masses and malignancy were recorded. The abnormal findings were presented as frequency and percentages. On the basis of endoscopic findings the sample was divided into two groups of functional (normal endoscopy) and organic dyspepsia. Chi-square test was selected to compare the frequencies of organic and functional dyspepsia with age and gender. Results: Majority 99 (55%) of the patients with dyspepsia had a normal endoscopic finding while in organic dyspepsia, reflux esophagitis 41 (22.8%) was the most common finding followed by gastritis 16 (8.9%), duodenal ulcer 12 (6.7%) and gastric ulcer 9 (5%). Three patients with organic dyspepsia had malignancy. Most common specific findings were non erosive esophagitis 25(30.8%). Age above 40 years and male gender was found to be statistically significantly associated with organic dyspepsia (p<0.01). Conclusion: Majority of the patients with dyspepsia have a normal endoscopic finding. There is a higher incidence of organic dyspepsia in males and in patients..................

scholarly journals CONGENITAL GRANULAR CELL TUMOUR : A RARE CASE REPOR

2020 ◽  
pp. 1-2
Author(s):  
Sabari Devi ◽  
Waziha Ahmed
Keyword(s):  
Smooth Muscle ◽  
Smooth Muscle Cells ◽  
Recurrence Rate ◽  
Rare Case ◽  
Benign Lesion ◽  
Granular Cell ◽  
Surgical Excision ◽  
Cell Tumour ◽  
Granular Cell Tumour ◽  
Feeding Problems

Congenital granular cell tumour/ epulis (CGCE) is a rare benign lesion of the newborn. It was first described in 1871 by Neumann. It usually arises from the alveolar mucosa of neonates and may cause respiratory and feeding problems. The exact histogenesis is unclear. The proposed source of origin includes undifferentiated mesenchymal cells, odontogenic epithelial, pericytes, fibroblasts, smooth muscle cells. Treatment involves surgical excision and and its curative with rare recurrence rate.

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