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Biomedical subjects

J P Capron

Publications and source records attributed to J P Capron.

At least 145 records · Page 8Linked to original sources
PubMed1983

[Massive hepatic steatosis disclosing adult celiac disease. Study of a case and review of the literature].

The authors report the case of a 32-year old woman admitted for hepatomegaly, weight loss, and moderate diarrhea. Liver function tests showed anicteric cholestasis with slight increase in serum level of transaminases. Liver biopsy demonstrated massive steatosis. Biological and radiological investigations of the small intestine showed a malabsorption pattern. Stool fat excretion was 54 g per day. Duodenal biopsies disclosed total villous atrophy. A ten-day treatment with metronidazole (1,5 g per day), followed by a gluten-free diet, resulted in rapid improvement of hepatic and intestinal symptoms. This case report shows that: 1) adult celiac disease may be the cause of severe steatosis; 2) anicteric cholestasis with or without hepatomegaly during the course of adult celiac disease may be secondary to steatosis, as well as primary biliary cirrhosis or malignant infiltration of the liver; 3) bacterial overgrowth should be searched and eventually treated in the case of massive fatty liver occurring in adult celiac disease.

Adult↗
PubMed1981

Evidence for an association between cholelithiasis and diverticular disease of the colon: a case-controlled study.

A prospective case-control study was carried out to determine if there was a true association between diverticular disease of the colon and cholelithiasis. The prevalence of gallstones was higher in 102 patients with diverticular disease of the colon (45%) than in 102 control subjects, matched for age, sex, body weight, and number of pregnancies (22%) (P less than 0.001). The difference was only significant in women. Although these results obtained in hospitalized patients cannot be generalized to the population at large, this study suggests an association between diverticular disease of the colon and gallstone disease. The possibilities of referral bias, detection bias, and chance are considered, and the mechanism of this association is discussed, with particular reference to the role of a fiber-depleted diet.

Adult↗
PubMed1981

Endoscopic discovery and capture of Taenia saginata.

The authors report the first case of endoscopic finding and removal of a beef tapeworm (Taenia saginata). The parasite was discovered in the duodenal bulb of a 72-year-old woman, who complained of epigastric pain.

Aged↗
PubMed1981

Cecal herniation into the lesser sac: double-contrast study of one case.

In a 45-year-old woman with abdominal pain and vomiting, plain films and barium studies showed a gas and fluid collection displacing the stomach anteriorly and to the left, and outlined by haustral folds. These signs were suggestive of cecal herniation through the epiploic foramen and eliminated the possibility of a lesser sac abscess. The diagnosis was confirmed by a double-contrast barium enema. Symptoms spontaneously resolved, and 4 years later, the patient was in good health, and without abdominal complaint.

Barium Sulfate↗
PubMed1981

Portal vein thrombosis and fatal pulmonary thromboembolism associated with oral contraceptive treatment.

We report a 33-year-old woman who took oral contraceptives for 8 years, and who developed gastrointestinal bleeding from esophageal varices. Celiac and mesenteric angiography demonstrated a portal vein thrombosis. Because of several episodes of dyspnea, a pulmonary angiogram was also performed, and showed partial or complete obstruction of both inferior pulmonary arteries with "pruning" of lower lobes. Despite immediate anticoagulant therapy, the patient died suddenly some days later. We believe that oral contraceptive treatment could have induced thromboembolic disease both in portal and pulmonary circulations in this patient.

Adult↗