Volume 89 - 2026 - Fasc.2 - Case reports
Angor abdominalis caused by a pancreatic arteriovenous malformation: a case report
Pancreatic arteriovenous malformations are rare anomalies of the pancreatic vasculature. While most cases are asymptomatic, some patients develop symptoms over time. We describe a patient with angor abdominalis due to a pancreatic arteriovenous malformation. This anomaly was successfully treated with a pancreatoduodenectomy with Roux-en-Y gastrojejunal anastomosis.
Conservative Management of Omental Infarction Using Only Analgesia
Background: Omental infarction (OI) is an uncommon and often misdiagnosed cause of acute abdominal pain. Through increasing use of computed tomography (CT) early identification has improved, avoiding unnecessary surgical intervention.
Case presentation: A 49-year-old woman presented with right-sided abdominal pain radiating to the epigastrium. Laboratory tests revealed elevated inflammatory markers while abdominal ultrasound was inconclusive. CT revealed a localized area of fat stranding in the right hypochondrium, consistent with OI. The patient was managed conservatively with analgesia and intravenous fluids. She was discharged pain-free after 4 days of hospitalization. On reassessment three weeks later, she remained asymptomatic with normalized inflammatory markers.
Conclusion: OI should be considered in the differential diagnosis of right-sided abdominal pain. CT is essential for establishing diagnosis, guiding management and avoiding unnecessary surgery. Conservative treatment is safe and effective in most cases, provided patients are closely monitored for clinical deterioration.
Acute oesophageal necrosis following ethyl-induced emesis: A Case Report
Acute oesophageal necrosis, also known as black oesophagus or Gurvits syndrome, is a rare condition characterized by black discoloration of the distal oesophageal mucosa due to mucosal necrosis, typically with an abrupt transition at the gastroesophageal junction.
We report a case of Gurvits syndrome in a 73-year-old man with poorly controlled type 2 diabetes mellitus and recent alcohol-induced vomiting, without ingestion of caustic substances. The patient experienced epigastric pain while remaining hemodynamically stable without significant biochemical abnormalities. Following supportive therapy with bowel rest, intravenous fluids, acid suppression, glycemic control and empiric antibiotics followed by enteral feeding via jejunostomy, patient recovered completely without complications. We observed progressive mucosal healing on follow-up endoscopy.
This case highlights the importance of early recognition and supportive management of acute oesophageal necrosis, especially in patients with predisposing factors such as diabetes mellitus, vomiting, to achieve full recovery and avoid adverse outcomes.
Silent Fungus, Sudden Crisis: Gastrointestinal Bleeding due to Disseminated Histoplasmosis
Histoplasmosis is typically a self-limiting infection in immunocompetent individuals, but may present as a life-threatening disseminated disease in immunocompromised hosts. Gastrointestinal (GI) symptoms, radiological abnormalities and endoscopic findings are non-specific. We report a case of disseminated histoplasmosis in a kidney transplant recipient presenting with hemorrhagic shock due to severe colonic ulcerations. This case highlights the importance of maintaining a high index of suspicion for GI histoplasmosis in patients originating from endemic regions and underscores the need for careful endoscopic evaluation with adequate tissue sampling.