Volume 66 - 2003 - Fasc.2 - Case reports
Primary squamous cell carcinoma of the stomach : a case report
Primary squamous cell carcinoma (SCC) of the stomach is a very rare tumour. We report a case of SCC of the stomach in a 56-year old woman who had metastases to the liver and abdominal lymph nodes. (Acta gastroenterol. belg., 2003, 66, 189-190).
Ischaemic necrosis of the rectum and sigmoid colon complicating systemic lupus erythematosus
The case of a 37-year-old Caucasian female with a history of sys- temic lupus erythematosus, admitted to hospital due to progressi- vely worsening abdominal pain and arthralgia. During hospitali- sation, signs of acute abdomen developed. Laparotomy revealed perforation of the rectum, accompanied by necrosis of the recto- sigmoid. Histologic examination revealed vasculitis involving small- and medium-sized vessels.
This case report emphasizes the point that colonic and especially rectal involvement from vasculitis, though unusual, may present with profound and possibly life-threatening manifestations and stresses the difficulties in clinical and histological differential diag- nosis from other causes of systemic lupus erythematosus-associa- ted abdominal pain.