rectal prolapse/muntah

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Rectal prolapse associated with bulimia nervosa: report of seven cases.

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OBJECTIVE Rectal prolapse is a condition in which, when complete, the full thickness of the rectal wall protrudes through the anus. Bulimia nervosa is an eating disorder characterized by periodic food binges, which are followed by purging. Purging usually takes the form of self-induced vomiting,

Ornithine Transcarbamylase Deficiency: If at First You Do Not Diagnose, Try and Try Again.

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Ornithine transcarbamylase (OTC) deficiency is well known for its diagnosis in the neonatal period. Presentation often occurs after protein feeding and manifests as poor oral intake, vomiting, lethargy progressing to seizure, respiratory difficulty, and eventually coma. Presentation at adulthood is

Familial polyposis coli: an unusual case in West Africa.

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We describe a case very rare in the West African sub-region, Familial Polyposis Coli, presenting with rectal prolapse. Symptoms appeared at an unusual age of three years. Histological examination of four polyps excised at random showed all to have undergone malignant change. While the patient was

Recurrent achalasia in a child with Williams-Beuren syndrome.

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Williams-Beuren syndrome is a multysistem genetic disorder caused by the 1.6Mb hemizygous deletion involving the elastin gene in the region q11.23 of chromosome 7. The phenotype of Williams-Beuren syndrome is extremelly variable but the most common findings include cardiovascular disease,

Intractable diarrhoea of infancy and its management: modified cost effective treatment.

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One-hundred-twenty infants under 1 year of age suffering from intractable diarrhoea were studied. They had received prior treatment in the form of antimicrobials (100 per cent), stool binding substance (50 percent), antimotility agents (50 per cent), and intravenous (IV) fluids (33 per cent).

Effect of an energy-dense diet on the clinical course of acute shigellosis in undernourished children.

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To date there have been few reports on the impact of dietary intervention on the clinical course of acute shigellosis. Current management of acute shigellosis is primarily focused on antibiotic therapy with less emphasis on nutritional management. In a randomised clinical trial, we examined the role

Hospitalized dysentery cases during an outbreak of Shigella dysenteriae type I: Ndanga District Hospital, Zimbabwe.

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OBJECTIVE To describe the characteristics of patients admitted with bloody diarrhoea; to assess clinical management; and to identify organisms isolated in laboratories and their antimicrobial susceptibility pattern. METHODS This was a retrospective study which used data from case files of patients

Comparison of acute bloody and watery diarrhea: a case control study.

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The clinical and laboratory findings of 290 cases of bloody diarrhea who presented to the department of Diarrhea Training and Treatment between June 1998 and May 2002 were investigated, and compared to those of two consecutive cases who had watery diarrhea. The bloody diarrhea group had higher mean

Laparoscopic colectomy compares favorably with colectomy by laparotomy for reduction of postoperative ileus.

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OBJECTIVE The aim of this study was to compare the length of postoperative ileus in patients undergoing colectomy by either laparotomy or laparoscopy. METHODS A total of 166 patients were studied. These patients were divided into two groups: Group 1, in which colectomy was done laparoscopically, and

Prevalence of Giardia intestinalis and Hymenolepis nana in Afghan refugee population of Mianwali district, Pakistan.

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BACKGROUND Present study aimed to investigate prevalence of Giardia intestinalis and Hymenolepis nana in Afghan refugees visiting Central Health Unit (CHU), Kot Chandana (Mianwali, Northern Punjab) during two years period (February 2007 to December 2009). METHODS A total of 687 stool samples were

Air enema for intussusception: is predicting the outcome important?

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Air enema is the treatment of choice for childhood intussusceptions. Although peritonitis is the established contraindication, studies have attempted to identify factors that affect the outcome of air enema. In our series we studied the impact of such factors on the clinical scenario to determine if

Gastrointestinal manifestations of hemolytic uremic syndrome: recognition of pancreatitis.

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A retrospective study of 76 children with hemolytic uremic syndrome (HUS) who were admitted to the Alberta Children's Hospital in Calgary. Alberta between January 1982 and December 1988 was undertaken to explore the gastrointestinal manifestations of the syndrome. The children (mean age of 4.0 +/-

Extreme Risk-Taking Behaviors in Patients With Eating Disorders.

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Patients with eating disorders (EDs) engage in different self-inflicted at-risk behaviors, including suicide, attempted suicide and non-suicidal self-injury. Our aim was to describe the occurrence and underlying motivations of non-suicidal extreme risk-taking behaviors in patients with

Transanal protrusion of intussusception in infants is associated with high morbidity and mortality.

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BACKGROUND Although anal protrusion of intussusception in infants is well recognised, it is rarely reported and confusion with rectal prolapse often results in delayed diagnosis and treatment. This report highlights the problems of diagnosis and the morbidity and mortality associated with this

Intussusception in adults: clinical characteristics, diagnosis and operative strategies.

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OBJECTIVE To evaluate 20 adults with intussusception and to clarify the cause, clinical features, diagnosis, and management of this uncommon entity. METHODS A retrospective review of patients aged > 18 years with a diagnosis of intestinal intussusception between 2000 and 2008. Patients with rectal

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