[A comparative study of cirrhosis with and without primary cancer of the liver (author's transl)].
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Biomedical subjects
Publications and source records attributed to J Barge.
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We report a case of cholesterol crystal embolization associated with secretory diarrhea, megacolon and acalculous cholecystitis. Cholesterol emboli were found within the submucosal arterioles of the small and large bowel as well as in the gallbladder wall. Cholesterol crystal embolization is an often unrecognized disease, occurring in elderly patients with severe atherosclerosis. Cholesterol emboli may induce misleading gastrointestinal manifestations with both hemorrhagic and ischemic lesions. Though an uncommon symptom in this setting, secretory diarrhea did not seem to be fortuitous and could have been also a consequence of cholesterol crystal embolization.
The examination of 43 postoperative specimens and of 51 biopsic specimens of the rectum concerning colic Crohn's disease (MCC) confirm the known macroscopic and histologic characteristics of this disease. The epithelioid and gigant cell granuloma is rarely observed in the biopsic specimens of the rectum, and it is not always observed even on post operative specimens (only in 40% of the cases). The other characteristics and in particular the small "serous lymphohistiocytic perivascular infiltrates" should be taken into account when making the diagnosis. At the present time, there are still a certain number of forms of ulcerative colitis which cannot be classified, and the characteristics of which are both those of the MCC and of the RCUH.
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Primary carcinoid tumors of the pancreas are exceedingly rare, only few cases have been reported in the literature. We present a case of primary carcinoid tumor of the pancreas occurring on chronic pancreatitis. The CT, as well as endosonographic features are described. Those two techniques might contribute to an early preoperative diagnosis which is important since carcinoid tumors have a better prognosis than the common pancreatic adenocarcinoma.
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