Daily Archives: October 5, 2017
A case of an unexpected cholangiopancreatography with choledochocele
A Rare Hypervascular Mass in the Uncinate Process of the Pancreas
Question: A 56-year-old woman suffered frequent urination, increased thirst, and increased hunger for 3 months before visiting the local hospital. Fatigue blood glucose was 16.97 mmol/L and diabetes mellitus was diagnosed. Insulin and oral glucophage w… Continue reading
How to balance clinical work and research in the current era of academic medicine
Severe Esophageal Dysphagia, Weight Loss and Atrial Fibrillation: A Devastating Outcome
Question: A 63-year-old man with a history of ischemic heart disease and atrial fibrillation presented with new-onset esophageal dysphagia to solids. One week prior he underwent coronary artery bypass surgery and left atrial radiofrequency ablation (RF… Continue reading
Colorectal Cancer Screening: Money Isn’t Everything…But it Helps!
A Rare Cause of Post-Sphincterotomy Bleeding
Question: A 53-year-old man was admitted to the emergency department with 1 week of abdominal pain. The patient described sharp, severe right upper quadrant pain that worsened over 1 day. He reported a similar episode for which he underwent cholecystec… Continue reading
Liver MAIT Cells in Hepatitis C: Pathogenetic Role or Innocent Bystanders?
Mucosal-associated invariant T (MAIT) cells represent the largest innate T-cell subset that recognizes bacteria in humans. MAIT cells tend to accumulate at the site of bacterial infections, where they can recognize antigens derived from microorganisms … Continue reading
A Long-Lasting Dysphagia
Question: A 74-year-elderly woman was presented to the clinic to be treated for dysphagia, which had persisted for more than 5 years. Previously, repetitive botulinum injections for suspected hypercontractile esophagus had been implemented in an extern… Continue reading
Endoscopic Ultrasound-Guided Pancreatic Cyst Ablation: More Peril Than Promise?
Pancreatic cysts are frequently encountered in clinical practice. They are typically asymptomatic and detected incidentally on cross-sectional abdominal imaging obtained for nonpancreatic indications. The prevalence of pancreatic cysts increases with a… Continue reading
Complication of Esophageal Button Battery Ingestion
Question: A 13-month-old boy was transferred to this tertiary children’s hospital 1 week after successful removal of ingested esophageal button battery. The battery had been in place for approximately 6 hours at the upper esophageal sphincter. Postoper… Continue reading