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II Serie Volume 31 Number 056
June 2018

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  1- Factors of recurrence of intraepithelial lesions of the uterine cervix.

2- Duodenoscopy and endoscopic retrograde cholangiopancreatography (ERCP) in the diagnosis of biliary and pancreatic pathology.

3- Mephedrone (?Meow Meow?), The New Designer Drug of Abuse: Pharmacokinetics, Pharmacodynimics and Clinical and Forensic Issues

4- Natural history of fetal pyelocaliectasia.

5- Erysipelas.

6- Antidepressant drugs.

7- Pressure ulcer management--Evidence-based interventions.

8- Traumatic Brain Injury: Integrated Approach

9- Genital ulcers caused by sexually transmitted diseases: current therapies, diagnosis and their relevance in HIV pandemy.

10- Current management of gout.

11- Livedo vasculitis.

12- Tarlov's cyst: definition, etiopathogenesis, propaedeutic and treatment.

13- Antibiotic treatment of uncomplicated cystitis in non-pregnant women up to menopause.

14- Uterine inversion.

15- Urolithiasis and renal colic. Therapeutic approach in urology.

16- Surgical basic skills: surgical sutures.

17- Rhabdomyolysis.

18- Glioblastoma multiforme... with multifocal presentation.

19- Functional neuroanatomy. Cortical mapping in usual paradigm in functional magnetic resonance imaging.

20- Functional neuroanatomy. Cortical mapping in usual paradigm in functional magnetic resonance imaging.

 
   

Endoscopy Induced Gastric Pneumatosis



A 78 year-old man, being studied for wasting syndrome with unspecific symptoms, performed a contrast-enhanced computed tomography (CT) scan, revealing stomach hipodensity and distension with linear hipodensity in the fundus wall, promptly visible on the scout view (Fig. 1A). On the axial and multiplanar reconstruction images there are findings of gastric pneumatosis (intramural gas) (Fig.s 1B, 1C, 1D), a rare finding, the stomach being the least common location of intramural pneumatosis in the gastrointestinal tract. Several causes have been described, emphysematous gastritis being the most lethal.

There were no relevant clinical or analytical findings, no signs of pneumatosis in other segments of the gastrointestinal tract or the portal vein. The patient underwent an upper gastrointestinal endoscopy two days before, where two biopsies were performed in the duodenal bulb. This prompted the diagnosis of endoscopy-induced gastric pneumatosis. Therapy was supportive and the control CT performed eight days later revealed spontaneous resolution (Fig. 2).

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