Volume 75 - 2012 - Fasc.1 - Letters
Metastatic gastric tumor mimicking gastrointestinal stromal tumor
astrointestinal stromal tumors (GISTs) are the most common mesenchymal neoplasms of the gastrointestinal tract and most of them are centered in the submucosa or the muscularis propria. The endoscopic appearance of
GISTs is that of a submucosal lesion, with or without ulceration(1). On the other hand gastric metastatic tumors are very rare. However, endoscopic appearance can be seen as a submucosal tumor with a central depres- sion in half of them (2,3). Because of these similar appearances, differential diagnosis may be difficult by imaging methods (endoscopy or endoscopic ultrasound [EUS]). Here, we presented a case with a submucosal lesion that resembles GISTs on EUS, but was diagnosed metastatic ovarian carcinoma by fine needle aspiration (FNA).
Subcapsular hepatic hematoma after ERCP
The most frequent complications of Endoscopic retro- grade cholangiopancreatography (ERCP) are cardio- pulmonary depression, pancreatitis, cholangitis, hemor- rhage, and duodenal perforation (1). Subcapsular hepatic hematoma is a rare complication of ERCP. Herein we report a case of subcapsular hepatic hematoma associat- ed with ERCP.
A catastrophic event caused by pasteurella multocida in an alcoholic cirrhotic patient
Pasteurella multocida is a gram negative coccobacil- lus that is a zoonotic agent of human disease. It is pres- ent in the nasopharynx of cats and dogs. It may cause serious soft tissue infections, less commonly it may cause sepsis or septic shock presenting with disseminat- ed intravascular coagulation and acute renal failure. Invasive forms of pasteurella infection more frequently occur in immuncompromised patients (1,3). We report a case of rapidly proceeding lethal septicemia due to infection with P. multocida in a woman with alcoholic liver cirrhosis.
Cholestatic hepatitis in a patient with typhoid fever - a case report
Typhoid fever is known to cause a wide range of hepatic complications (1). However, cholestasis second- ary to typhoid fever has been reported only in a very few instances (2,3). We recently came across a young patient who presented with fever and jaundice and found to have cholestatic hepatitis secondary to typhoid fever.
Sulbactam-ampicillin associated hepatocellular type liver injury
Drug induced liver disease accounts for up to 10% of all adverse drug reactions. Drugs account for 2-5% of cases of patients hospitalized with jaundice and up to 30% of patients who present with acute hepatitis (1-3). The clinical presentation varies widely and can mimic acute and chronic liver diseases. Severity of toxic- hepatitis varies from non-specific changes to fulminant hepatic failure and cirrhosis. Early detection is important because it can decrease the severity of hepatotoxicity if the drug is discontinued.
