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Volume 69 - 2006 - Fasc.4 - Letters

The utility of wireless capsule endoscopy, as compared with barium contrast study, in a case of Peutz-Jeghers syndrome

Peutz-Jeghers Syndrome (PJS) is an inherited disease characterized by the presence of hamartomatous GI polyps and mucocutaneous melanin pigmentations. Patients with PJS represent a high-risk population for the development of various malignances, including small intestinal cancer. Because of the probability of presenting both intestinal obstruction and malignant complications, regular surveillance of the small bowel is warranted. An assertive approach to the diagnosis of the small bowel polyps may allow minimizing the need for emergency surgery and may prevent cancer in patients with PJS.

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A rare case of pancreatic pseudocyst masquerading as hydrocele

A pancreatic pseudocyst is present as a cystic cavity bound to the pancreas by inflammatory tissue (1). Typically, the wall of a pancreatic pseudocyst lacks an epithelial lining, and the cyst contains pancreatic juice or amylase-rich fluid (2,3). This is the histopathological definition of a pancreatic pseudocyst. The present case is extremely interesting because migration of the pancreatic pseudocyst, either upwards or downwards, is a very rare clinical entity.

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