A 51-year-old Japanese man presenting with acute abdomen was admitted to our hospital. Contrast-enhanced computed tomography (CT) led to a diagnosis of gastroenteritis on admission (Picture 1A). Contrast-induced oliguric acute kidney injury followed by septic shock developed, and the serum creatinine level rose from 0.98 mg/dL to 5.07 mg/dL, requiring temporary hemodialysis. Kidney-shaped enhan...

Cough-induced abdominal intercostal hernias are extremely rare, with only seven cases described in the literature. We report the case of a 55-year-old man with a painless right-sided abdominal lump, who had previously fractured a rib due to severe coughing. A chest X-ray was inconclusive, but ultrasound and computed tomography scans showed herniation of the liver between the seventh and eighth ...

Accepted 3 May 1995 A 75-year-old man was admitted with a two-day history of colicky abdominal pain, vomiting and absolute constipation. On examination he looked unwell, dysponeic, and dehydrated. The abdomen was distended, tympanic and generally tender. Bowel sounds were obstructive. Routine blood tests were normal except for a marginally raised white cell count. The plain abdominal X-ray is s...

Ingestion of foreign bodies is common and conservative treatment can eliminated most particlesfrom the gastrointestinal tractunless peritoneal signs appear. A 22-year-old man presented to emergency department who had ingested glass particles of a crushed beveragebottle.Hecomplained ofepigastric and periumbilical pain. Physical examination did not revealany peritoneal signs. Abdominal X-ray show...

Gastroenterology may be defined as the body of knowledge relating to the functions of ingestion, digestion, absorption and elimination of food. A clinical gastroenterologist in 1920 might have been defined as a man who not only looked at the X-ray reports, but also at the films ! Today many distinguished gastroenterologists occupy chairs of medicine, of surgery, of therapeutics, of pathology an...

A 65-year-old man developed respiratory failure with diffuse interstitial shadow, bilateral pleural effusion, and bilateral hilar lymphadenopathy on chest X-ray and CT, after intravenous administration of minocycline. Corticosteroid therapy was effective. The findings from bronchoalveolar lavage (BAL) and transbronchial lung biopsy were compatible with eosinophilic pneumonia. Provocation test s...

Idiopathic pulmonary artery aneurysm is a rare condition. This type of aneurysm can be presented with noncardiac symptoms or even asymptomatic. We report a 73-year-old man with a gigantic idiopathic pulmonary artery aneurysm which was referred to our unit for his kidney problems. During his workup we incidentally found the aneurysm by an abnormal chest-X ray and auscultation. Our further evalua...