Case studies by Prof Tulassay et al

“The first symptoms (2001) of a 49-year-old female patient was mild dyspnoe and 3-phase Raynaud-phenomenon provoked by cold temperature. Based on the initial clinical symptoms and signs (severe acrosclerosis, Raynaud-phenomenon, star-like scars in the fingertips, perioral skin involvement), presence of …”

A 76-year old female patient with a past history of progressing proximal muscle weakness, livid erythema of the eyelids and thorax, keratotic papules on the dorsal surface of the fingers was referred to esophago-gastro-duodenoscopy due to severe dysphagia.

An 83-year-old female patient with a past history of irradiation for endometrial cancer three decades earlier was referred to colonoscopy due to a mild iron-deficient anemia. After normal findings in the descending and transverse colon, a 5,5 cm long foreign body was detected.

The authors present a case of a large hyperplastic polyp, leading to iron deficiency anemia, located in the fundus of the stomach. Endoscopic polypectomy could not be performed due to the size, location and inability of visualization of the polyp’s base.

The 66-year-old male patient who has had his control upper GI endoscopy presented a so-called simple loop esophagojejunostomy (type-A, according to Levine’s classification), meaning we could enter the blind loop into an approximately 10 cm depth. Interestingly, before having gone through total gastrectomy due to gastric cancer, our patient has survived a prostate and a sigmoid cancer.

Acute esophageal necrosis (AEN) - also known as black esophagus - is a rare disorder associated with high mortality. We present two cases with the history of chronic lung disease presenting with severe esophageal disorder, showing typical signs of (esophagitis and) esophageal necrosis during upper endoscopy.

A case of a rare gastric polyp causing intermittent pyloric obstruction is presented. The uniqueness of this case, beyond the rare histologic finding, is the removal followed by severe arterial bleeding.

The frequency of bile duct injuries occurring during laparoscopic cholecystectomies, is twice as high as injuries occurring during open cholecystectomies. While the frequency and complexity of surgical procedures, like liver resections and living donor transplantations, is increasing, there is a renewed interest in detecting anatomic variants of the extrahepatic bile ducts that might increase the risk of bile duct injuries during cholecystectomy.

The authors present a case of multiple hyperplastic gastric polyps. In line with literature data the larger polyps were removed endoscopically. Read more about this 48-year-old woman.

"The 69-year-old woman was first admitted to our Department due to severe gastrointestinal bleeding. In her previous history, she had tonsillectomy, appendectomy, cholecystectomy, and drug induced liver injury (oral contraceptives). She has been known to have hypertension and diabetes mellitus for a decade."

We report a case of a 58-year-old male, who had diabetes, hypertension and intensive care admission due to bilateral pulmonary embolisation as well as liver cirrhosis in the history. Click on the link to read more.