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Hemangioma of the Small Intestine Presenting With Recurrent Overt, Obscure Gastrointestinal Bleeding

Georg Elias, Nabil Toubia

A 30-year-old man was referred to our institution for work up of iron deficiency anemia, with hemoglobin of 8.4 gm/dL and blood in the stools; he had an upper endoscopy and colonoscopy that failed to show the cause of bleeding and anemia. The patient underwent capsule endoscopy that showed multiple polypoid lesions (Figure A) in the proximal jejunum.

A 53-Year-Old Woman With Recurrent Vomiting and Migraine Headache

Jonathan Nass, Nathaniel S. Winstead

A 53-year-old woman was referred to the Gastroenterology clinic after 5 admissions to the hospital for intractable nausea and vomiting during a period of 8 months. On questioning, the patient describes recurrent episodes of similar symptoms. These begin with the sudden onset of nausea. Often the nausea will be constant for days.

Stool Polymerase Chain Reaction for Helicobacter pylori Detection and Clarithromycin Susceptibility Testing in Children

Andreas Vécsei, Albina Innerhofer, Christa Binder, Heidi Gizci, Karin Hammer, Andrea Bruckdorfer, Stefan Riedl, Helmut Gadner, Alexander M. Hirschl, Athanasios Makristathis

This study was undertaken in a pediatric gastroenterology clinic to retrospectively evaluate a real-time polymerase chain reaction (PCR) for the detection and clarithromycin susceptibility testing of Helicobacter pylori using stool specimens.