Gastrointestinal stromal tumor (GIST) represents the most common kind of mesenchymal tumor that arises from the alimentary tract. Tumors arising from the first and the second part of the duodenum (DI and DII, respecti...Gastrointestinal stromal tumor (GIST) represents the most common kind of mesenchymal tumor that arises from the alimentary tract. Tumors arising from the first and the second part of the duodenum (DI and DII, respectively) can be wrongly diagnosed as pancreatic mass. We report a case of a 58-year-old male patient with the history of vomiting just after eating, loss of appetite, lethargic and weight loss for 25 days. CT scan of abdomen and pelvis showed a soft tissue mass with slight heterogeneous enhancement at the region of the uncinate process of the head of pancreas and (MPR) on CT enhanced showed the closely attached mass to the head of the pancreas. On operative exploration, the mass was found to be originated from duodenum. Then, surgical resection of the duodenal tumor was performed by wedge resection successfully. Postoperative laboratory diagnosis was “low risk” duodenal gastrointestinal stromal tumor.展开更多
Urolithiasis or nephrolithiasis is a common ailment in the emergency room. The clinical presentation of a kidney stone includes fever, nausea, vomiting, acute flank pain radiating to the groin or the back. The pain is...Urolithiasis or nephrolithiasis is a common ailment in the emergency room. The clinical presentation of a kidney stone includes fever, nausea, vomiting, acute flank pain radiating to the groin or the back. The pain is often described as stabbing and there is tachycardia, with or without hematuria for the severe patient. For the triad for urinary or kidney stones, some people say they are fever, vomiting, and acute flank pain. So in acute setting analgesia is given with or without an antiemetic to prevent vomiting IV fluids administered carefully. Noncontrast computed tomography (CT) is the gold standard for diagnosis. Most of urinary stones get washouts spontaneously if it is less than 5 mm without any intervention. However, if intervention is required either it is done by elective or as soon as possible by the intervention. I mean surgical management and surgical management will depend on how big the kidney stone is in there as well as where the kidney stone is if it is within the ureter or within the actual kidney.展开更多
Fibroadenomas are the most common lumps found in adolescence girls. They usually occur under the influence of hormonal changes that the girls undergo at the time of puberty and they happen due to overgrowth of glandul...Fibroadenomas are the most common lumps found in adolescence girls. They usually occur under the influence of hormonal changes that the girls undergo at the time of puberty and they happen due to overgrowth of glandular tissue in the breast. Ultrasonography is the best diagnosis for fibroadenoma. There is no medical treatment for fibroadenoma except surgical excision and a new method recently comes out—vacuum assisted fibroadenomas resection.展开更多
文摘Gastrointestinal stromal tumor (GIST) represents the most common kind of mesenchymal tumor that arises from the alimentary tract. Tumors arising from the first and the second part of the duodenum (DI and DII, respectively) can be wrongly diagnosed as pancreatic mass. We report a case of a 58-year-old male patient with the history of vomiting just after eating, loss of appetite, lethargic and weight loss for 25 days. CT scan of abdomen and pelvis showed a soft tissue mass with slight heterogeneous enhancement at the region of the uncinate process of the head of pancreas and (MPR) on CT enhanced showed the closely attached mass to the head of the pancreas. On operative exploration, the mass was found to be originated from duodenum. Then, surgical resection of the duodenal tumor was performed by wedge resection successfully. Postoperative laboratory diagnosis was “low risk” duodenal gastrointestinal stromal tumor.
文摘Urolithiasis or nephrolithiasis is a common ailment in the emergency room. The clinical presentation of a kidney stone includes fever, nausea, vomiting, acute flank pain radiating to the groin or the back. The pain is often described as stabbing and there is tachycardia, with or without hematuria for the severe patient. For the triad for urinary or kidney stones, some people say they are fever, vomiting, and acute flank pain. So in acute setting analgesia is given with or without an antiemetic to prevent vomiting IV fluids administered carefully. Noncontrast computed tomography (CT) is the gold standard for diagnosis. Most of urinary stones get washouts spontaneously if it is less than 5 mm without any intervention. However, if intervention is required either it is done by elective or as soon as possible by the intervention. I mean surgical management and surgical management will depend on how big the kidney stone is in there as well as where the kidney stone is if it is within the ureter or within the actual kidney.
文摘Fibroadenomas are the most common lumps found in adolescence girls. They usually occur under the influence of hormonal changes that the girls undergo at the time of puberty and they happen due to overgrowth of glandular tissue in the breast. Ultrasonography is the best diagnosis for fibroadenoma. There is no medical treatment for fibroadenoma except surgical excision and a new method recently comes out—vacuum assisted fibroadenomas resection.
