We describe our experience with a juvenile patient who had refractory intestinal Behcet's disease that responded to adalimumab, a fully humanized antibody against soluble TNF-α and its receptor. The patient, a 13-year-old girl, presented with oral aphthous ulcers, vulvar pain, and rashes on the lower extremities. She gradually developed a low-grade fever, abdominal pain, diarrhea, and hematoche...

Irritable Bowel Syndrome (IBS) is a common multi-factorial disorder affecting approximately 12% of the populations worldwide resulting in significant global morbidity1. Approximately one in ten patients with Irritable Bowel Syndrome (IBS) believes that their IBS began with an infectious illness. The persistence of these symptoms about the clearance of infecting pathogen is known as post infecti...

Celiac disease (CD) is a multifactorial enteropathy induced by the ingestion of gluten in susceptible individuals. It’s widely accepted that CD is an immune-mediated enteropathy and clinical manifestations range from typical signs or symptoms of intestinal malabsorption to atypical cases with scarce gastro-intestinal symptoms and extra-intestinal manifestations. Several neurological syndromes h...

Abstract Introduction Perforation due to foreign body ingestion leading pyogenic liver abscess is an unusual but fatal event. We present a rare case of accidentally ingested toothpick that perforated the duodenum and migrated causing abscess. Case Presentation A 40-year-old gentleman presented with symptoms signs sepsis. He reported having eaten dry fish chicken bones 4 days prior presentation....

Chronic intestinal pseudo-obstruction (CIP) represents a particularly difficult clinical challenge. It is a rare and highly morbid syndrome characterised by impaired gastrointestinal propulsion together with symptoms and signs of bowel obstruction in the absence of any lesions occluding the gut lumen. CIP can be classified as either "secondary" to a wide array of recognised pathological conditi...

seen by me some ten years ago, when a medical student of the Berry-White Medical School, Dibrugarh. The patient, an adult Hindu male, was admitted to hospital with all the clinical signs and symptoms of acute intestinal obstruction, but the presence of roundworms was not for a moment suspected. He was operated upon by Dr. H. K. Das, l.m.s., then Teacher of Surgery at the School, and now Civil S...

Transection of gut due to adhesive band is an unusual complication of adhesive bowel disease. A 2-year old female presented with signs and symptoms of intestinal obstruction. Eight months earlier she underwent laparotomy for excision of duplication cyst of ileum. Exploratory laparotomy performed during current admission showed complete transection of gut.

BACKGROUND Small intestinal lipomas are rare, usually asymptomatic, and most commonly encountered incidentally during investigation of the gastrointestinal tract for another reason. However, they may cause obscure gastrointestinal bleeding. CASE PRESENTATION We report a case of obscure gastrointestinal bleeding due to a small intestinal lipoma. A 69-year-old Japanese man on antiplatelet thera...