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At least 73 records · Page 4Linked to original sources

[A study of cases of early gastric cancer with hematemesis and/or melena].

In this hospital, gastric cancers showed a slightly lower incidence (9.3%) of hematemesis and/or melena than gastric ulcers (13.9%), and no distinct difference in such incidence between early gastric cancers and advanced gastric cancers was observed. A study of the literature on early gastric cancers presenting such symptoms revealed that male patients showed an extremely high incidence of these symptoms, as did those with depressed lesions, including types II c + III, and lesions occurring in the MC-C regions dominated by the left gastric artery.

Adult↗

Hematemesis and Melena: gastritis.

The records of a total of 60 gastritis patients who showed hematemesis and/or melena are reviewed. The mean age was 40. The ratio of males to females was two to one. During the examination, 19 upper G-I lesions were confirmed in addition to gastritis. Sixteen patients had severe underlying diseases which were thought to be the cause of the bleeding tendency. Thirteen patients took alcohol or drugs which induced bleeding. Prognoses of the patients were relatively good when they were treated medically.

Adolescent↗

[Hematemesis in childhood. Use of the fiberscope in diagnosis].

Authors report the results of utilization of fiberscope (FEC) in pediatric patients with hematemesis. They emphasize the utility of this method, its high percentage of positivity in the diagnostic in relation to the precocity of the FEC and the high incidence of hemorrhage gastritis in relation to salycilates ingest.

Adolescent↗

Gastric lipoma presenting as obstruction and hematemesis.

A rare case of gastric lipoma presented to us with hematemesis and symptoms of obstruction. On oesophagoduodenoscopy, a mass projecting in the lumen of stomach was found. Barium meal examination revealed a mass in the antral region suggestive of malignancy. The diagnosis of lipoma was suspected only after exploration. It was confirmed following incision through the serosa. The lipoma was enucleated without any damage to mucosa.

Aged↗

[Recurrent hematemesis and hemobilia in ruptured hepatic artery aneurysm--differential diagnostic aspects of acute, upper gastrointestinal hemorrhage].

Aneurysms of the hepatic artery are mostly localized extra hepatic (80%). Today atherosclerosis is the most prevalent etiology (32%), followed by trauma (22%) and inflammatory lesions (10%). Rupture or perforation of the aneurysm is the initial clinical manifestation (60-80%), and occurs with nearly equal frequency into the peritoneal cavity and into the hepatobiliary tract. Rupture into bile ducts is often responsible for characteristic findings of upper gastrointestinal bleedings with hematemesis. The case of a 38 year-old man is presented and the clinical manifestation, the diagnostic and therapeutic procedures are demonstrated.

Adult↗

[Hematemesis disclosing hemorrhagic fever with renal syndrome].

We report a case of hematemesis as the presenting sign of hemorrhagic fever with renal syndrome. Gastroscopy revealed hemorrhagic gastropathy. Such lesions are a common finding in epidemic nephropathy, the European form of the disease. The occurrence of such lesions could be induced in a direct, cytopathic effect of the virus but seems also to be related to the severity of thrombocytopenia.

Gastric Mucosa↗

Pregnancy and cirrhosis: management of hematemesis by Warren shunt during third trimester gestation.

Considerable pathophysiologic changes accompany cirrhosis. Elevation of portal venous pressure predisposes to esophageal varices and hematemesis. The physiologic changes associated with pregnancy may exacerbate these conditions. Medical management of cirrhosis-associated problems may fail, necessitating surgical intervention. The anesthetic management of a pregnant cirrhotic patient for a Warren shunt is complicated by concerns for pre-existing hepatic dysfunction and pregnancy-induced physiologic changes as well as fetal well-being. The management of such a case is reviewed and relevant pathophysiology discussed.

Journal Article↗

Obstructive jaundice and hematemesis: two cases with unusual presentations of intra-abdominal tuberculosis.

Extrapulmonary tuberculosis (TB) is notorious for its many manifestations, which can lead to delayed diagnosis and treatment. In particular, abdominal tuberculosis is easily overlooked because the incidence is low and because it can mimic common noninfectious abdominal syndromes. We describe here a 37-year-old Moroccan man presenting with obstructive jaundice and a 42-year-old man originating from the Philippines who presented with recurrent hematemesis due to portal hypertension. In both patients, a retroperitoneal mass was found and tuberculosis was first diagnosed after a diagnostic laparotomy. Tuberculosis should be included in the differential diagnosis of intra-abdominal mass lesions, especially in persons originating from regions where tuberculosis is endemic. Invasive procedures are often required to obtain adequate diagnostic samples.

Journal Article↗

[A case of primary lymphoma of the stomach, diffuse lymphoplasmacytic type, with massive hematemesis].

A case of primary lymphoma of the stomach with massive hematemesis and melena who underwent emergency gastrectomy is reported. The patient was a 72-year-old woman. The tumor was 3.5 X 3.0 cm in size and occupied the posterior wall of the upper part of the gastric body. The surface of the tumor was covered with hematoma, and was there was a lack of gastric mucosa. Histological diagnosis of the tumor was primary gastric lymphoma, diffuse lymphoplasmacytic B-cell type, and monoclonal kappa-light chain was demonstrated by the immunohistochemical method. The bleeding source of the tumor tissues was a ruptured artery invading the tumor tissue in the submucosal layer of the stomach.

Aged↗