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- A Rare Cause of Obscure Occult Gastrointestinal Bleeding (1)
- Accuracy of Melena Identification on Physical Exam in Post Graduate Training – Implications of Level of Training (1)
- Department of Gastroenterology and Hepatology (1)
- Granular cell tumor of the common hepatic duct as an unusual cause of jaundice in a hepatitis C patient: looking beyond the tip of the iceberg (1)
- Medical Specialty (1)
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Full-Text Articles in Medicine and Health Sciences
A Rare Cause Of Obscure Occult Gastrointestinal Bleeding, Haroon Shahid, Md, Jason Korenblit, Md, Mba
A Rare Cause Of Obscure Occult Gastrointestinal Bleeding, Haroon Shahid, Md, Jason Korenblit, Md, Mba
Division of Gastroenterology and Hepatology Faculty Papers
BACKGROUND
- Obscure gastrointestinal (GI) bleeding is defined as persistent or recurrent GI bleeding after negative evaluations with upper endoscopy and colonoscopy.
- Accounts for approximately 5% of GI bleeding.
- Obscure GI bleeding can further be classified as being overt or occult.
-Overt GI bleeding is clinically evident, with either hematemesis, hematochezia, or melena.
-Occult GI bleeding manifests as iron deficiency anemia or a positive fecal occult blood test.
- Our case demonstrates a rare cause of obscure occult GI bleeding.
Accuracy Of Melena Identification On Physical Exam In Post Graduate Training – Implications Of Level Of Training, Medical Specialty, Rectal Exam Concordance And Appropriateness Of Therapy, Richard M. Wu, Md, Mph, Eugene Han, Md, Andrew Dargan, Md, Cecilia Kelly, Md, Mitchell Conn, Md, Mba
Accuracy Of Melena Identification On Physical Exam In Post Graduate Training – Implications Of Level Of Training, Medical Specialty, Rectal Exam Concordance And Appropriateness Of Therapy, Richard M. Wu, Md, Mph, Eugene Han, Md, Andrew Dargan, Md, Cecilia Kelly, Md, Mitchell Conn, Md, Mba
Division of Gastroenterology and Hepatology Faculty Papers
Introduction
Melena is commonly misidentified by young resident physicians.
The magnitude of this inaccurate physical exam has not been quantified.
Precise identification of melena may have important diagnostic and therapeutic implications.
Granular Cell Tumor Of The Common Hepatic Duct As An Unusual Cause Of Jaundice In A Hepatitis C Patient: Looking Beyond The Tip Of The Iceberg!, Tripti R. Chopade, Mbbs, Colin L. Smith, Md, Warren R. Maley, Md, Ali A. Siddiqui, Md, David A. Sass, Md
Granular Cell Tumor Of The Common Hepatic Duct As An Unusual Cause Of Jaundice In A Hepatitis C Patient: Looking Beyond The Tip Of The Iceberg!, Tripti R. Chopade, Mbbs, Colin L. Smith, Md, Warren R. Maley, Md, Ali A. Siddiqui, Md, David A. Sass, Md
Division of Gastroenterology and Hepatology Faculty Papers
Introduction
Granular cell tumors (GCTs) are rare, benign mesenchymal tumors of Schwann cell origin. Since they were originally described by Abrikossoff in 1926,most GCTs have been described in the dermis, oral area, or subcutaneous tissue of the chest and arms. Only 5%-9% of reported cases have involved the gastrointestinal tract and fewer than 1% of cases have occurred in the biliary tract.Tumors involving the bile duct are difficult to distinguish radiographically from more common etiologies of biliary stricturing, and a tissue diagnosis is difficult to obtain endoscopically. Diagnosis and treatment is most often made via surgical resection.