Volume 64 - 2001 - Fasc.3 - Case reports
Bezoar : An uncommon cause of intestinal obstruction
Bezoars or undigested food concretions in the gastrointestinal tract are mostly due to ingestion of a stringent immature fruits following gastric surgery and can lead to the serious complication of acute small bowel obstructions. We are reporting a case of com. plete jejunal obstruction in a 60 year old female, 15 years following bilateral vagotomy and gastrojejunostomy for pyloric obstruction. Important clinical and pathological features are emphasised to increase the awareness of this rather unconunon cause of intestinal obstruction.
Severe acute pancreatitis associated with peliosis hepatis in a patient with systemic lupus erythematosus
Summary Acute pancreatitis is an unusual complication of systemic lupus crythematosus but can also stem from inununosuppressive therapy. Although abnormal liver tests are commonly seen in SLE, peliosis hepatis is very rarely described. We report here the first case of SLE associating a severe acute pancreatitis with peliosis hepatis who responded well to the immunosuppressive therapy. As suggested by the favourable outcome in this case, the presence of peliosis hepatis in SLE cannot not be held as a strong argument against an aggressive immunosuppressive therapy.
