Hoshmand R. Asaad, Heero Ismael Faraj, Dana T. Gharib, Mohammed Shaikhani, Karokh F. Hama Hussein, Deari A. Ismaeil, Dlshad Hama Saeed Ahmed, Omar H. Ghalib Hawramy and 4 more
Introduction Rectal bleeding is a prevalent clinical symptom associated with various anorectal pathology. Colonoscopy is a valuable diagnostic and therapeutic tool for a wide range of colorectal diseases. The objective of this study was to identify potential alternative diagnoses for hematochezia observed during…
Colonoscopic Findings in Patients with Rectal Bleeding Suspected to Have Internal Hemorrhoids: A Cohort Study
Hoshmand R. Asaad, Heero Ismael Faraj, Dana T. Gharib, Mohammed Shaikhani, Karokh F. Hama Hussein, Deari A. Ismaeil, Dlshad Hama Saeed Ahmed, Omar H. Ghalib Hawramy and 4 more
IntroductionRectal bleeding is a prevalent clinical symptom associated with various anorectal pathology. Colonoscopy is a valuable diagnostic and therapeutic tool for a wide range of colorectal diseases. The objective of this study was to identify potential alternative diagnoses for hematochezia observed during colonoscopy, which initially appeared to be caused by hemorrhoids.
MethodsA retrospective study was conducted on a total of 80 consecutive patients who had been clinically diagnosed with rectal bleeding. The patients underwent a digital rectal examination, and then they were prepared for a total colonoscopy. Biopsies were taken from patients who had abnormal findings and sent for histopathological examination.
ResultsA total ileo-colonoscopy was performed on 80 patients presenting with rectal bleeding. The male-to-female ratio was 1.05:1, with a mean age of 45.40±15.54 years old. About 56.3% of the patients had only hemorrhoids, while other findings were observed in 43.7% of the cases. The other findings were anal fissures, proctitis, colitis, solitary rectal ulcer, colorectal carcinoma, diverticula, or polyps.
ConclusionRectal bleeding can stem from various causes, among them hemorrhoids. Thus, colonoscopy stands as an essential diagnostic tool for accurately identifying the causes of the condition.
Rebaz Haji Ali, Shano M. Ali, Rawa M. Ali, Soran H. Tahir, Shad Nasir Mohammed, Dana T. Gharib, Zana Baqi Najmadden, Hoshmand R. Asaad and 2 more
Introduction Desmoplastic small round cell tumor (DSRCT) is an ultra-rare and highly aggressive mesenchymal tumor that primarily affects the peritoneum, and to a lesser extent, the visceral organs in the abdominal cavity. This study presents a case of a patient who has been diagnosed with DSRCT and has been managed…
Desmoplastic Small Round Cell Tumor: A Case Report
Rebaz Haji Ali, Shano M. Ali, Rawa M. Ali, Soran H. Tahir, Shad Nasir Mohammed, Dana T. Gharib, Zana Baqi Najmadden, Hoshmand R. Asaad and 2 more
IntroductionDesmoplastic small round cell tumor (DSRCT) is an ultra-rare and highly aggressive mesenchymal tumor that primarily affects the peritoneum, and to a lesser extent, the visceral organs in the abdominal cavity. This study presents a case of a patient who has been diagnosed with DSRCT and has been managed with VAC-IE chemotherapy.
Case presentationA 43-year-old male presented with a complaint of epigastric pain for 20 days but no other clinical symptoms. A CT scan and an abdominal ultrasound showed multiple lesions in the peritoneum, and biopsies were taken from all the sites. Histological analysis revealed nests of small blue round cells surrounded by an abundant stroma. Immunohistochemistry results confirmed the disease to be a desmoplastic small round cell tumor.
ConclusionThis disease is yet to be fully understood, and the response of our case to VAC-IE chemotherapy has shown promising outcomes. This form of treatment can be further studied to establish and help in finding a treatment with a better prognosis.
