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An unusual esophageal endoscopic appearance
A 44-year-old man, with medical history of chronic alcoholic intoxication and smoking, presented with suspicion of infected pancreatic necrosis, 5 weeks after severe acute alcoholic pancreatitis. The physical examination revealed asthenia, diffuse abdominal pain and fever (38.4 °C). Laboratory results showed elevated inflammatory markers, anemia (hemoglobin 8.5 g/dL) and malnutrition with hypoalbuminemia (25 g/L). Abdominal CT-scan showed a 8 cm walled-off pancreatic necrosis. A necrosis puncture was positive for Escherichia coli.Purple urine bag syndrome
An 86-year-old woman, with history of metastatic pancreatic cancer, presented with asthenia, abdominal pain and weight loss. Few days after hospitalization, purple urine were observed in the indwelling urinary catheter (Fig. 1). This catheter had been present for several weeks in this patient bedridden. Physical examination revealed fever (38.4 °C) and severe constipation favored by morphine treatment. Dipstick test showed alkaline urine (pH of 10) and leukocyturia but without hematuria. The urine culture showed 106 colony-forming units per milliliter for Klebsiella pneumoniae.
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