INTRODUCTION Large villous adenomas or adenocarcinomas of the rectum can determine secretory diarrhea, associated with a depleting syndrome of prerenal acute renal failure, hyponatremia, hypokalemia, and hypoproteinemia, with favorable prognosis if early detected and properly treated. The syndrome is rare, with approximately 50 cases reported in the literature. AIM Acute renal failure, caused...

To cite: Kopke Túlio M, Barreiro P, Bana e Costa T, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2016215232 DESCRIPTION A 60-year-old woman with an anxiety disorder presented with diarrhoea, rectorrhagia, tenesmus and proctalgia, progressively worsening for the past 2 months, in association with significant weight loss (15% body weight). Physical examina...

Lymphogranuloma venereum (LGV) is a sexually transmitted infectious disease caused by serovars L1, L2 and L3 of Chlamydia trachomatis. The initial presentation is usually a painless ulcerated papule on the genitalia or distal proctitis. The progression of the infection can lead to major complications: rectal strictures, intestinal obstruction or perforation. We present five cases of LGV proctit...

Aim: To investigate the rectal and anal sphincter factors that might contribute to the development of fecal incontinence (FI) after anal fissure and rectal prolapse surgery. Methods: Fourteen patients with FI after sphincterotomy (n = 8) and rectal prolapse surgery (n = 6) were studied [clinical assessment, rectosigmoidoscopy, anorectal manometry, including rectoanal inhibitory reflex (RAIR) me...

Hyperimmunoglobulinemia D is the less severe form of mevalonate kinase deficiency (MKD) caused by recessive inherited mutation in the mevalonate kinase gene. Hyperimmunoglobulinemia D is characterized by febrile attacks, often associated with transient digestive manifestations, such as abdominal pain, diarrhea, and vomiting. Here we report for the first time 2 patients with MKD revealed by seve...

conclusions although most authors believe that general anesthesia following fiberoptic intubation is the preferred method for oi patients, it is likely that spinal anesthesia is acceptable in such patients. although it is technically difficult, the procedure can be performed by expert anesthesiologists. introduction the choice of anesthetic technique in patients with osteogenesis imperfecta (oi...

background: ibs is the most common disorder diagnosed by gastroenterologists, which is seen in approximately 40-50% of patients seeking care from a specialist. several randomized controlled trials, have assessed the therapeutic effect of anti-depressant drugs, but there is not enough evidence to prove their effectiveness. materials and methods: fifty cases meeting rome ii criteria for ibs with ...

OBJECTIVE To evaluate the feasibility of the transperineal implementation of biocompatible balloon (Prospace) and the acute toxicity of high dose 3DCRT in patients with localized low risk prostate cancer. MATERIALS AND METHODS Between December 2011 and April 2012, fifteen patients were treated with external 3DCRT consisted of 76-78 Gy in 38-39 daily fractions (2.0 Gy/ fraction). Before 3DCRT,...

BACKGROUND Hematochezia is a frequent symptom in early infancy. However, it occurs very rarely within the immediate neonatal period, and its occurrence before any oral intake is particularly rare. Because of the "congenital" presentation of hematochezia in our patient, we initially considered our case to be a non-classical, potentially severe type of food protein-induced allergic proctocolitis....

Colorectal cancer (CRC) is the third-ranked neoplasm in order of incidence and mortality, worldwide, and the second cause of cancer death in industrialized countries. One of the most important environmental risk factors for CRC is a Western-type diet, which is characterized by a low-fiber and high-fat content. Up to 25% of patients with CRC have a family history for CRC, and a fraction of these...