Daily Archives: October 5, 2017

A case of an unexpected cholangiopancreatography with choledochocele

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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

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How to balance clinical work and research in the current era of academic medicine

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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

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Colorectal Cancer Screening: Money Isn’t Everything…But it Helps!

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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

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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

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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

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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

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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

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