CASES 788, 789, 790: ACHALASIA in WOMEN, Dr PHAN THANH HẢI, Dr ĐINH MINH TUẤN, MEDIC MEDICAL CENTER, HCMC,VIETNAM.

 

03 women 62 yo, 41 yo and 27 yo with disphagia were detected as abdominal ultrasound, barium swallow, and endoscopic upper GI diagnostics and managements as ballooned dilatation.

Ultrasound revealed dilated 1/3 lower part of the esophagus which terminated at the cardia of the stomach. And its existed not any tumor outside nor tumor of the gastric wall. It appeared like the bird beck sign of the barium swallow on the XRay films.

One patient  (case 01) relapsed after 4 months managed esophagial dilatation by balloon.

CASE 01: A 61 year-old woman in malnutrition as achalasia for one year with esophagial dilatation from the neck to upper part of the stomach.

Barium swallow images of achalasia ballonned showed relapsed achalasia after 4 months.

CASE 02: Woman 41 year-old with nausea, lost of weight  for one year due to achalasia.

CASE 03: Girl 27 year-old with dysphagia for one year as achalasia. 

CASE 787:TUBERCULOSIS of RIGHT AXILARY LYMPH NODE and RIGHT 3rd Digital Flexor Tendon, Dr PHAN THANH HAI, Dr NGUYEN THI TRINH, MEDIC MEDICAL CENTER,HCMC, VIETNAM

A 22 year-old girl with inflammation of her right axillary lymph node for 2 days  and the right elbow and the 3rd flexor digitorium for 5 months. But it failed in management in 2 hospitals.

Ultrasound  and  axillary lymph node biopsy at Medic Center detected  TB inflamation of the right axillary  lymph node and the right 3rd flexor digitorium.

 After the TB management for 6 months the TB inflammation of the lymph node and the right flexor digitorium were controlled successfully.

CASE 786: ACCESSORY BREAST TUBERCULOSIS, Dr PHAN THANH HAI, Dr NGUYEN THI THAO HIEN, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

A 31 year-old woman with her left axillary swollen for one week.

Ultrasound detected an 54x51 mm axillary abscess on left side with microcalcification that maybe an accessory breast abscess.

 

Result of biopsy was a soft tissue abscess.

An antibiotic regimen was done for one month.

Biopsy at that time was TB inflammation of the left accessory breast.

CASE 785: COLONOURINARY BLADDER FISTULA, Dr PHAN THANH HAI, Dr NGUYEN NGHIEP VAN. MEDIC MEDICAL CENTER, HCMC, VIETNAM.

A 71 year-old man with dysuria for one month but failed in management of infectious urinary system. The patient noted foaming at his penis after urination.

Ultrasound detected gas in urinary bladder and thickening of sigmoid colon. May it exists a fistula of colon and urinary bladder as appearance ò foaming at the penis.

Endoscopy revealed colonic diverticula.

 

Cystoscopy showed acute cystitis but not ruling out a colonobladder fistula.

MSCT confirmed the tract between the sigmoid colon and urinary bladder and colonic diverticula.

Surgery detected an abscess between sigmoid colon and bladder. But there was not any fistula of the urinary bladder. A left colonoectomy was performed.

Result of histopathology of the specimen was fibrotic inflammation of colonic wall and diverticulum.