Meckel's diverticulum is a common asymptomatic congenital gastrointestinal anomaly,but rarely it can present with hemorrhage.Over the last few years inverted Meckel's diverticulum has been reported in the lite...Meckel's diverticulum is a common asymptomatic congenital gastrointestinal anomaly,but rarely it can present with hemorrhage.Over the last few years inverted Meckel's diverticulum has been reported in the literature with increasing frequency as an occult source of lower gastrointestinal hemorrhage.Here,we report a case of a 54-year-old male,who was referred for surgical evaluation with persistent anemia and occult blood per rectum after a work up which failed to localize the source over 12 mo,including upper and capsule endoscopy,colonoscopy,enteroclysis,Meckel scan,and tagged nuclear red blood cell scan.An abdominal computed tomography scan showed a possible mid-ileal intussusception and intraluminal mass.During the abdominal exploration,inverted Meckel's diverticulum was diagnosed and resected.We review the literature,discuss the forms in which the disease presents,the diagnostic modalities utilized,pathological findings,and treatment.Although less than 40 cases have been reported in the English literature from 1978 to 2005,19 cases have been reported in the last 6 years alone(2006-2012) due to improved diagnostic modalities.Successful diagnosis and treatment of this disease requires a high index of clinical suspicion,which is becoming increasingly relevant to general gastroenterologists.展开更多
Objective: We summarized the relationship between the descent of a testicle into the scrotum and testicular cancer.Methods: Twenty-eight patients with testicular cancer after surgical treatment of cryptorchidism were ...Objective: We summarized the relationship between the descent of a testicle into the scrotum and testicular cancer.Methods: Twenty-eight patients with testicular cancer after surgical treatment of cryptorchidism were retrospective analysis.Results: All patients were performed surgical treatment of cryptorchidism from 2 to 28 years old (median,12 years;average,16 years).Testicular cancer age ranged from 19 to 53 years (median,33 years;average,36 years).Malignant transformation occurred from 3 to 25 years of operation time (average,18 years).Twenty-seven cases of malignant cryptorchidism ipsilateral,contralateral malignancy in 1 case,27 cases were underwent radical resection of testicular cancer.Pathology diagnosis was mainly seminoma.Retroperitoneal lymph node dissection was done in 3 cases,18 cases were chemotherapy and radiotherapy in 3 cases.Conclusion: The undescended testicle is the most common genital malformation in boys.When diagnosed,it should be treated as early as possible,but successful treatment appears not to lessen the risk of testicular cancer,patients must be closely monitored follow-up.展开更多
Purpose.To evaluate the diagnosis and treatment of adrenal incidentalomas.Methods.One hundred and twenty-six patients with incidentalomas were analyzed,among them98underwent operation.Results.Eighty-eight of the adren...Purpose.To evaluate the diagnosis and treatment of adrenal incidentalomas.Methods.One hundred and twenty-six patients with incidentalomas were analyzed,among them98underwent operation.Results.Eighty-eight of the adrenal incidentalomas were discovered by ultrasound.Of all the types of adrenal incidentalomas,52(41.3%)of them were adenomas;43(34.1%)were hypersecretory adrenal tumors,including29pheochromocytomas,9primary aldosteronisms ,1adrenogenitol syndrome combined with adrenal adenoma ,2Cushing’s syndrome combined with adenomas and2Cushing’s syndrome com-bined with nodular hyperplasias.All nonhypersecretory adrenal adenomas were under6cm,and all a-drenal carcinomas were above6cm.Conclusions.To search for hypersecretory adrenal tumors and to detect malignant adrenal tumors are quite essential in the process of diagnosing adrenal incidentalomas.For nonhypersecretory adrenal adeno-mas,the size of tumor is the most important index in determining whether the tumor is benign or malig-nant and whether the tumor needs to be treated with operation.展开更多
基金Supported by United States National Institute of Health grants,K12HD055881 and R01CA160688,to Takabe KJapan Society for the Promotion of Science Postdoctoral Fellowship for Re-search Abroad,to Nagahashi M
文摘Meckel's diverticulum is a common asymptomatic congenital gastrointestinal anomaly,but rarely it can present with hemorrhage.Over the last few years inverted Meckel's diverticulum has been reported in the literature with increasing frequency as an occult source of lower gastrointestinal hemorrhage.Here,we report a case of a 54-year-old male,who was referred for surgical evaluation with persistent anemia and occult blood per rectum after a work up which failed to localize the source over 12 mo,including upper and capsule endoscopy,colonoscopy,enteroclysis,Meckel scan,and tagged nuclear red blood cell scan.An abdominal computed tomography scan showed a possible mid-ileal intussusception and intraluminal mass.During the abdominal exploration,inverted Meckel's diverticulum was diagnosed and resected.We review the literature,discuss the forms in which the disease presents,the diagnostic modalities utilized,pathological findings,and treatment.Although less than 40 cases have been reported in the English literature from 1978 to 2005,19 cases have been reported in the last 6 years alone(2006-2012) due to improved diagnostic modalities.Successful diagnosis and treatment of this disease requires a high index of clinical suspicion,which is becoming increasingly relevant to general gastroenterologists.
文摘Objective: We summarized the relationship between the descent of a testicle into the scrotum and testicular cancer.Methods: Twenty-eight patients with testicular cancer after surgical treatment of cryptorchidism were retrospective analysis.Results: All patients were performed surgical treatment of cryptorchidism from 2 to 28 years old (median,12 years;average,16 years).Testicular cancer age ranged from 19 to 53 years (median,33 years;average,36 years).Malignant transformation occurred from 3 to 25 years of operation time (average,18 years).Twenty-seven cases of malignant cryptorchidism ipsilateral,contralateral malignancy in 1 case,27 cases were underwent radical resection of testicular cancer.Pathology diagnosis was mainly seminoma.Retroperitoneal lymph node dissection was done in 3 cases,18 cases were chemotherapy and radiotherapy in 3 cases.Conclusion: The undescended testicle is the most common genital malformation in boys.When diagnosed,it should be treated as early as possible,but successful treatment appears not to lessen the risk of testicular cancer,patients must be closely monitored follow-up.
文摘Purpose.To evaluate the diagnosis and treatment of adrenal incidentalomas.Methods.One hundred and twenty-six patients with incidentalomas were analyzed,among them98underwent operation.Results.Eighty-eight of the adrenal incidentalomas were discovered by ultrasound.Of all the types of adrenal incidentalomas,52(41.3%)of them were adenomas;43(34.1%)were hypersecretory adrenal tumors,including29pheochromocytomas,9primary aldosteronisms ,1adrenogenitol syndrome combined with adrenal adenoma ,2Cushing’s syndrome combined with adenomas and2Cushing’s syndrome com-bined with nodular hyperplasias.All nonhypersecretory adrenal adenomas were under6cm,and all a-drenal carcinomas were above6cm.Conclusions.To search for hypersecretory adrenal tumors and to detect malignant adrenal tumors are quite essential in the process of diagnosing adrenal incidentalomas.For nonhypersecretory adrenal adeno-mas,the size of tumor is the most important index in determining whether the tumor is benign or malig-nant and whether the tumor needs to be treated with operation.
