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A rare diagnosis in the operation room: Kidney atrophy due to duplicated colon in an adult
February 22, 2008Gastrointestinal congenital anomalies are rare entities in an adult patient. Commonly they are located in the upper gastrointestinal system and present with intestinal symptoms such as bleeding, obstruction and/or perforation of the intestine. One extraordinary case of colon duplication was recently reported in the January 28 issue of the World Journal of Gastroenterology because of its great significance in presenting with hydronephrotic atrophy of the right kidney, rather than gastrointestinal symptoms, in an adult. This article will undoubtedly be of interest to health professionals.
The article describes a male patient who presented to Dr. Sahin Kabay and Dr. Faik YAYLAK of Dumlupinar University Hospital, Turkey, in 2006. This patient was quite a challenge for Dr. Kabay and Dr. Yaylak. He was a 28-year-old man with a palpable mass in the right flank. He was undiagnosed for his intermittent complaints of right flank pain for several months.
The initial efforts were to treat and to control his urinary tract infection. At primary diagnostic imaging studies, Dr. Kabay and Dr. Yaylak noted the mass in the right flank with hydronephrosis of the right kidney. Their further efforts to clarify the origin of the mass with intravenous pyelography, scintigraphy and even colonoscopy were not enough to make a diagnosis pre-operatively. Computed tomography images demonstrated the continuum of the mass with the right colon. Dr. Kabay and his surgical team scheduled their patient for a laparotomy under general anesthesia. During the operation, the surgical team was excited to diagnose the double tubular colon as the cause of the pathological mass. The mass with duplicated colon and appendix was removed uneventfully. The postsurgical course of the patient was not significant and he recovered well over the following year.
In an effort to make a correct diagnosis in the patient, Dr. Kabay and Dr. Yaylak were forced to carry out a fine pre-operative diagnostic workup. However, only when an operation room became available were they able to make the final diagnosis of a rare congenital anomaly of the gastrointestinal system.
World Journal of Gastroenterology
In an effort to make a correct diagnosis in the patient, Dr. Kabay and Dr. Yaylak were forced to carry out a fine pre-operative diagnostic workup. However, only when an operation room became available were they able to make the final diagnosis of a rare congenital anomaly of the gastrointestinal system.
World Journal of Gastroenterology
Gastrointestinal Current Events and Gastrointestinal News RSSBeverage can stay-tabs pose swallowing risk
Three decades ago, a study revealed that beverage can pull-tabs were being swallowed by children, prompting a switch by U.S. manufacturers to stay-tabs.
Factors from common human bacteria may trigger multiple sclerosis
Current research suggests that a common oral bacterium may exacerbate autoimmune disease. The related report by Nichols et al, "Unique Lipids from a Common Human Bacterium Represent a New Class of TLR2 Ligands Capable of Enhancing Autoimmunity," appears in the December 2009 issue of The American Journal of Pathology.
Diabetes surgery summit consensus lays foundation for new field of medicine
A first-of-its-kind consensus statement on diabetes surgery is published online today in the Annals of Surgery.
Asthma a significant risk factor for complications in children with H1N1
A new study on pediatric H1N1 influenza admissions has found that asthma is a significant risk factor for severe disease in children with pandemic H1N1 compared with the seasonal flu.
Engineer designs micro-endoscope to seek out early signs of cancer
Traditional endoscopes provide a peek inside patients' bodies. Now, a University of Florida engineering researcher is designing ones capable of a full inspection.
Unknowlingly consuming endangered tuna
While most of us would never willingly consume a highly endangered species, doing so might be as easy as plucking sushi from a bento box.
Largest gene study of childhood IBD identifies 5 new genes
In the largest, most comprehensive genetic analysis of childhood-onset inflammatory bowel disease (IBD), an international research team has identified five new gene regions, including one involved in a biological pathway that helps drive the painful inflammation of the digestive tract that characterizes the disease.
African-Americans with colorectal cancer have poorer outcomes, lower survival rates
New research published in the November issue of the Journal of the American College of Surgeons shows that African-American patients with colorectal cancer are more likely to be diagnosed with advanced disease and are less likely to undergo surgical procedures compared with Caucasians, suggesting that improvements in screening and rates of operation may reduce differences in colorectal cancer outcomes for African-Americans.
Aileron collaborates study in Nature: Stapled peptides inhibit Notch1 transcription factor
This research validates the potential for Stapled Peptides to modulate key intracellular biological targets, such as transcription factors, that have not been addressable with current small molecule or biologic drug modalities.
Researchers 'notch' a victory toward new kind of cancer drug
Scientists have devised an innovative way to disarm a key protein considered to be "undruggable," meaning that all previous efforts to develop a drug against it have failed.
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Gastrointestinal Physiology (LANGE Physiology Series) by Kim Barrett (Author) A system- and disease-based approach to the aspects of gastrointestinal pathophysiology, essential for an understanding of clinical medicine. Bridging the gap between basic science and clinical medicine, this text provides students with a solid understanding of symptom identification and the underlying disease mechanism. Features clinical pearls, learning objectives, study questions, algorithms, and key concepts highlighting the presentation in each chapter. |
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The Doctor's Guide to Gastrointestinal Health: Preventing and Treating Acid Reflux, Ulcers, Irritable Bowel Syndrome, Diverticulitis, Celiac Disease, Colon ... Pancreatitis, Cirrhosis, Hernias and more by Paul Miskovitz M.D. (Author), Marian Betancourt (Author) "This is the reference guide you dream about--answers to all your important questions written in a language you can understand. For everyone who wants better health and peace of mind." --Diane Sawyer, Co-anchor of ABC News' Good Morning America and PrimeTime Thursday "An important, practical, easy-to-read, and easy-to-understand source of information for anyone with a chronic gastrointestinal problem." --Isadore Rosenfeld, M.D., Rossi Distinguished Professor of Clinical Medicine at Weill Medical College of Cornell University and bestselling author Digestive ailments, whether mild or life-threatening, are a major concern for millions of people--and they can be difficult to diagnose and treat. Now, in this essential reference book, Dr. Paul... |
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Gastrointestinal Health: The Proven Nutritional Program to Prevent, Cure, or Alleviate Irritable Bowel Syndrome (IBS), Ulcers, Gas, Constipation, Heartburn, and Many Other Digestive Disorders, Third Edition by Steven R. Peikin (Author) Do you suffer from heartburn? Is an ulcer bothering you? Are the difficult symptoms of irritable bowel syndrome compromising your life? If so, you are not alone. You are that one out of every three Americans that suffers from chronic digestive problems. Whether it's constipation, diarrhea, gas, hemorrhoids, ulcers, heartburn, colitis, gallstones, or one of the many other digestive tract problems, Dr. Steven Peikin's self-help nutritional program will help keep you out of the doctor's office—and feeling great. Based on the latest research and his own clinical experience, Dr. Peikin prescribes a healthy diet high in fiber and low in fat, spices, lactose, and caffeine. He provides a detailed list of "flag foods" to avoid in the case of specific problems; shows you how to... |
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Gi Research : Journal of Gastrointestinal Research by Maruzen Co Ltd | |
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Gastrointestinal Physiology: Mosby Physiology Monograph Series (Mosby's Physiology Monograph) by Leonard R. Johnson PhD (Author) This volume in the Mosby Physiology Monograph Series explains the fundamentals of gastrointestinal physiology in a clear and concise manner. It provides you with a basic understanding of how the gastrointestinal system functions in health and disease. Attractively illustrated with clear 2-color diagrams, this volume also facilitates study with learning objectives, overview boxes, chapter summaries, and clinical cases with questions and explained answers. Stay current with clear, accurate, and up-to-the-minute coverage of the physiology of the gastrointestinal system focusing on the needs of the student. Bridge the gap between normal function and disease with pathophysiology content throughout the book. Master the material more easily with learning objectives, overview... |
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(2 Bottles) Parasitin + Removes Most Major Gastro-Intestinal Parasites by Vaxa - 120 Capsules in each bottle by vaxa Homeopathic Parasitic Cleansing Formula - Parasitin+ is an all-natural (with No side effects) parasite cleanse, designed to rid your body of a wide range of harmful human parasites. Right now, it is highly likely that you are infected by one or more of over 1000 known human parasites. Intestinal parasites are one of the more common types of parasites, but parasites can be found in all areas of our body. Unfortunately, most parasite cleansing programs are highly toxic and specific for only one particular parasite. The ingredients in this parasite cleanse formula support the bodys abilities to naturally: |
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Prilosec OTC Acid Reducer, Delayed-Release Tablets - 42 ea by Prilosec Three 14-day courses of treatment. Treats frequent heartburn! Product of Sweden. |
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