A 52-year-old Japanese woman complaining of horizontal double vision for 10 days was admitted to our hospital. Neurological examination revealed left abducent nerve palsy and muscle swelling in her thighs. Brain MRI showed obstruction in the spinal fluid space of the left Dorello's canal, which transmits a portion of the abducent nerve. In Ga-67-enhanced citrate scintigraphy, wide accumulation ...

A 22-day-old healthy appearing male infant presented with persistent vomiting after feeding with onset shortly after birth. This is the father’s second child and the mother’s first. Switching formulas had been unsuccessful. Abdominal X-ray (AXR) revealed a dilated air-filled stomach with a nonspecific bowel gas pattern (Fig. 1). Ultrasound (US) demonstrated a thick and elongated pylorus, confir...

A bezoar is a concretion of foreign or indigestible matter in the alimentary canal and is usual cause of gastric obstruction. Bezoars can become fragmented and migrate downward leading to intestinal obstruction. Diagnosis of phytobezoar has become challenging in clinical practice due to lack of patient history and inability of patient to correlate preceding events with the episode of bowel obst...

THE lumen of the first part of the duodenum is a comparatively narrow segment of the alimentary canal so that when the surgeon passes his finger along its length at operation he finds that its mucosa hugs him comfortably. Placing an ulcer into this canal and surrounding its crater by scar tissue would, one might think, produce stenosis in a high percentage of cases, yet the somewhat surprising ...

In dealing with the treatment of these conditions I propose to devote my time chiefly to the methods of treatment of stenosis and inflammation of the lachrymal passages, passing quickly over those of congenital or traumatic origin. 1. Congenital.?The most frequent cause is obstruction at the lower end owing to a mass of epithelial cells situate at the nasal opening. This results in the formatio...

a total of 11 months and though his height and weight remain below the 3rd centiles his rate of growth has subsequently increased. Biopsy of one of the plantar nodules 2 months after stopping prednisolone showed only hyperkeratosis. The results of lung function tests immediately after stopping prednisolone showed that the lungs were no longer stiff but that the airways resistance had increased ...

Background and study aims  Invagination, which can occur in any part of the intestine, usually affects children and is the second most common cause of intestinal obstruction after pyloric stenosis. The cause of these intussusceptions in children is usually unknown and they typically occur within the ileocolic region. Management of pediatric patients with the condition often consists of surgical...

Breast cancer metastasizes to the gastrointestinal (GI) tract are exceedingly rare. The low incidence and vague presentation of GI metastasizes often cause delay in diagnosis and treatment. Here, we present a case of metastatic breast cancer causing gastric outlet obstruction and rectal obstruction.

THE lumen of the first part of the duodenum is a comparatively narrow segment of the alimentary canal so that when the surgeon passes his finger along its length at operation he finds that its mucosa hugs him comfortably. Placing an ulcer into this canal and surrounding its crater by scar tissue would, one might think, produce stenosis in a high percentage of cases, yet the somewhat surprising ...

THE site of obstruction to aqueous outflow in chronic simple glaucoma must lie between the anterior chamber and episcleral plexus, yet opinion remains divided between those who believe that the obstruction occurs while aqueous passes through the trabecular meshwork before entering Schlemm's canal and those who believe that it occurs in the scleral plexus beyond the canal. Support is given to th...