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Query: UMLS:C0042963 (vomiting)
 31,883 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Spontaneous rupture of the diaphragm during normal labour is extremely rare. It requires emergency surgical correction. The authors report what they believe is only the second reported case. Eleven hours after delivery of a male infant, a 27-year-old woman experienced severe epigastric pain, vomiting and dyspnea, followed by cardiopulmonary arrest. Although the ruptured diaphragm was diagnosed and repaired, she suffered severe anoxic encephalopathy and died 3 weeks after operation without regaining consciousness. Clinicians must be aware of the existence of this rare condition because failure to diagnose and treat the ruptured diaphragm will almost certainly lead to the patient's death.
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PMID:Spontaneous rupture of the diaphragm in labour: a case report. 276 35

A total of 237 patients with confirmed malignancies of the upper-gastrointestinal tract (UGIT) were studied. Of these, 143 (60.34%) were gastric cancers, 66 (27.85) were oesophageal malignancies and 28 (11.81%) were in the small intestine. Epigastric pain accompanied by vomiting after meals was the commonest first symptom in patients of gastric cancer whereas dysphagia formed the commonest first symptom in oesophageal cancer. However, no definite first symptom could be attributed to those with small intestinal tumors. As many as 134 patients (56.54%) had advanced malignancies at presentation itself. The usefullness of first symptoms in early diagnosis and prognosis is discussed.
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PMID:Malignancies of upper gastrointestinal tract in Nigerians: early symptoms and prognosis. 271 53

A case reported herein is a patient with ruptured minute pancreaticodudenal arterial aneurysms that proved difficult to distinguish from malignant tumors of the pancreas or duodenum. A 61-year-old woman was admitted to our hospital complaining of abdominal fullness, epigastralgia, nausea, and vomiting. Pre-operative examinations demonstrated duodenal stenosis, mass formation in the head of the pancreas, and three tiny aneurysms in the branches of the gastroduodenal artery. At surgery, an orange-sized mass was revealed in the head of the pancreas, which had adhered fibrously to the duodenum, inferior vena cava, and transverse mesocolon. Thus, pancreaticoduodenectomy was performed with a tentative diagnosis of a malignant tumor of the pancreas or duodenum. Subsequent histopathologic examinations, however, demonstrated the presence of a hematoma between the pancreas and duodenum, extensive fibrosis around the hematoma and dissecting aneurysms in the branches of the pancreaticoduodenal artery. In this case, it was considered that fibrosis around the ruptured aneurysms extending to the surrounding organs made it difficult to distinguish the aneurysms from a malignant tumor.
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PMID:Duodenal stenosis caused by ruptured aneurysms of the pancreaticoduodenal artery--a case report. 273 80

We describe a case of a 50 year old woman with a secondary involvement of the stomach from breast carcinoma. She complained of nausea, vomiting and epigastric pain resistant to gastroprotective drugs. Initially symptoms were attributed to the side effects of chemotherapeutic agents. Correct diagnosis led to effective treatment of gastrointestinal symptoms with consequent improvement in her quality of life.
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PMID:Gastric metastases from breast cancer: a case report. 274 Dec 21

A 63 yo female was hospitalized with a 2 week history of vomiting, epigastric pain, anorexia and weight loss. She had an incidental finding of left anterior upper mediastinal mass on Chest Xray and TSP of 2.2 gm% and globulins of 1.2 gm% along with endobronchial larvae of Ascaris lumbricoides and malignant cells and Strongyloides stercoralis in the gastric mucosa. She died after a progressively deteriorating course and at autopsy a thymoma predominantly composed of spindle shaped cells was found. This rare variant of thymoma has been associated with red cell agenesis and with immunodeficiency (Good's syndrome).
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PMID:[Thymoma of fusiform cells. Report of a case]. 276 92

Crohn's disease can involve any portion of the digestive tract, but isolated gastric Crohn's disease is a rare entity. In the few previously reported cases, the inflammatory disorder has involved only a portion of the stomach. Herein we describe a patient with diffuse involvement of the entire stomach and an associated gastrosplenic fistula but no evidence of involvement elsewhere in the gastrointestinal tract. Usually, a patient with isolated Crohn's disease of the stomach will have the clinical symptoms of nausea, vomiting, and epigastric pain and radiographic evidence of a small contracted stomach (or, occasionally, a huge dilated stomach). Because the condition may suggest the presence of a malignant lesion and biopsy specimens often reveal nonspecific inflammation, surgical resection is usually necessary for diagnosis of isolated Crohn's disease of the stomach.
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PMID:Isolated Crohn's disease of the stomach. 277 Mar 60

Four patients have been identified as experiencing a form of sialorrhea not previously described in the dental literature. The pattern of salivation is atypical in that it is excessive and is episodic in nature, with paroxysms of secretion occurring 1 to 2 times per week and lasting for 2 to 5 minutes. The episodes are preceded by a prodrome consisting of nausea or epigastric pain, but without progression to vomiting. Because of the unknown cause and spontaneous occurrence, the syndrome is being called idiopathic paroxysmal sialorrhea (IPS).
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PMID:Episodic supersalivation (idiopathic paroxysmal sialorrhea): description of a new clinical syndrome. 278 17

Over a one-year period, 95 children and adolescents presenting with epigastric pain and/or vomiting, and without associated risk factors for development of peptide disease, underwent endoscopic antral biopsies for pathologic diagnosis and to detect presence of Campylobacter ss. pylori (C. pylori). Additional biopsies of the esophagus, stomach, and duodenum were obtained for histologic evaluation. C. pylori was identified in 16 patients (16.8%), all of whom had evidence of acute and/or chronic gastritis. Significant discriminating factors between C. pylori-positive and -negative subjects included age at presentation (positive vs negative = 14.6 vs 9.9 years, P less than 0.01), biopsy-confirmed gastritis (100% vs 30.4%, P less than 0.001), and diagnosis of duodenitis alone (0% vs 46.8%, P less than 0.001). Risk for bacterial colonization was significantly higher in the presence of endoscopic gastritis (P less than 0.001). Among C. pylori-positive patients, none responded to standard antiulcer therapy (H2-receptor antagonists, antacids). Symptomatic and histologic remission was achieved utilizing combined therapy with bismuth subsalicylate and antibiotics. Seven of 79 C. pylori-negative patients with biopsy-proven gastritis who responded poorly to antisecretory therapy had the organism identified in follow-up antral biopsies; these patients improved clinically following treatment for C. pylori. These data suggest that C. pylori is a significant factor in the etiology of upper gastrointestinal tract inflammatory disease in pediatrics, and presence of the organism should be evaluated, particularly in children with evidence of acute and/or chronic gastritis.
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PMID:Campylobacter pylori-related gastrointestinal disease in children. Incidence and clinical findings. 279

A twenty-seven-year-old 25 weeks gestation female was admitted with recurrent symptoms of nausea, vomiting and epigastric pain. She was diagnosed as left diaphragmatic hernia by chest X-ray film, CT and esophago-gastrography. During operation, a left central tendon defect was observed, and was 3.5 cm in diameter. The margin of the defect was smooth and round. It was associated with diaphragmatic eventration. The small intestine and transverse colon were herniated into the left thoracic cavity. The central tendon defect was closed with direct mattress sutures and was reinforced by overlap-technique of the diaphragm. To our knowledge, this type of defect has not been described previously in Japan. Diaphragmatic hernia in pregnancy is very rare, and presents abdominal pain, vomiting and dyspnea. Usually the diagnosis is achieved by chest X-ray film. However, esophago-gastrography should be added, if the diagnosis could not be confirmed by chest X-ray film. Conservative management is reported to bring high mortality, therefore, prompt surgical repair is advisable.
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PMID:[A case of congenital diaphragmatic hernia due to left central tendon defect in pregnancy]. 279 5

Spontaneous intramural hematoma of the esophagus (SIHE) is a rare condition usually affecting middle-aged or elderly women. It presents as acute substernal or epigastric pain, typically accompanied by dysphagia or hematemesis. SIHE is not usually associated with vomiting, and is therefore clearly distinguished from emetogenic esophageal disorders, such as the Mallory-Weiss lesion and the Boerhaave syndrome. The diagnosis has traditionally been made by barium esophagram. Therapy is conservative; a favorable prognosis is the rule. The pathogenesis is in dispute. We present a case of SIHE without a discernible mucosal breach, suggesting a primary intramural bleed as the initiating event. We document the utility of computed tomographic scan and magnetic resonance imaging in the diagnosis of SIHE.
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PMID:Spontaneous intramural hematoma of the esophagus. 280 87


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