ABSTRACT

We evaluated a 27-year old male with pneumaturia and fecaluria with a past history of right inguinal hernia repair. Though, cystoscopy and contrast enhanced computed tomography did not furnish any evidence to arrive at a diagnosis, interestingly, colonoscopy revealed a mesh in the sigmoid colon making apparent the diagnosis of colovesical fistula secondary to mesh migration. Later, surgical removal of the mesh from the sigmoid colon with rent closure of the fistulous opening was done successfully. Our case thus, highlights the vital role of common diagnostic tool like colonoscopy in making an uncommon diagnosis.

ABSTRACT

Study performed surveillance endoscopy in a 23-year-old male patient with Peutz-Jeghers syndrome (PJS) who underwent right hemicolectomy with ileo-colic anastamosis for ileo-colic intussusception three years back. On evaluation, he found to have multiple upper gastrointestinal and ileal polyps. Subsequently he underwent polypectomies in three sessions by combined standard snare polypectomy and endoscopic mucosal resection (EMR) method without any complication. We present a case report that emphasizes the importance of surveillance and the role of prophylactic polypectomy in patients with PJS.

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Background: Autoimmune gastritis is a chronic inflammatory condition of gastric mucosa involving fundus and body of stomach. It presents with hypochlorhydria or achlorhydria and pernicious anemia secondary to anti-parietal cell antibody and anti-intrinsic factor antibody respectively. It most commonly occurs in older people. Case Report: Here we present a rare case of autoimmune gastritis and pernicious anemia associated with vitiligo in a young male patient. Conclusion: In evaluating pernicious anemia patient, search for co-existence of any autoimmune disorder even in younger population.

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