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Digestive, metabolic, and endocrine conditions

1,164 articles

Serotonin-producing neuroendocrine tumor of pancreas

Serotonin-producing neuroendocrine tumor of pancreas (pancreatic carcinoid, serotoninoma, ORPHA:506090): a rare functioning pancreatic NET secreting serotonin, causing atypical carcinoid syndrome, usually metastatic to liver, diagnosed by serum 5-HT or urinary 5-HIAA.

Serous cystadenocarcinoma of pancreas

Serous cystadenocarcinoma (SCAc) of the pancreas, also called serous cystic neoplasm with malignant transformation, is the rare malignant counterpart of serous cystadenoma, with fewer than 40 reported cases; it shows glycogen-rich clear cells, frequent liver metastasis, and relatively good survival after resection.

Serrated polyposis syndrome

Serrated polyposis syndrome (SPS), formerly hyperplastic polyposis syndrome, is the most common GI polyposis syndrome, diagnosed by WHO 2019 clinical criteria, with elevated colorectal cancer risk managed by endoscopic surveillance.

Severe primary trimethylaminuria

Severe primary trimethylaminuria (TMAU, fish odor syndrome, ORPHA:468726) is a rare autosomal recessive FMO3-deficiency disorder causing trimethylamine buildup and fishy body odor, with no cure but dietary and supportive treatment.

Sheehan's syndrome

Sheehan's syndrome (postpartum pituitary necrosis): hypopituitarism from ischemic pituitary injury after severe postpartum hemorrhage; delayed diagnosis 7–19 years, treated with lifelong hormone replacement.

Short bowel syndrome

Short bowel syndrome (SBS), also called short gut, is malabsorption after loss of small intestine length from resection or disease, causing chronic intestinal failure; treated with parenteral nutrition, teduglutide, surgery, and transplantation.

Short stature due to GHSR deficiency

Short stature due to GHSR deficiency (ghrelin receptor deficiency, OMIM 615925) is a rare genetic endocrine growth disorder from GHSR gene mutations at 3q26.31, causing postnatal growth delay, height below -2 SD, low IGF-I, and normal stimulated GH response.

SHORT syndrome

SHORT syndrome is a rare autosomal dominant genetic disorder caused by PIK3R1 variants, first described in 1975, marked by short stature, distinctive facial features, teething delay, and insulin resistance.

Shwachman-Diamond syndrome

Shwachman-Diamond syndrome is a rare inherited disorder, usually autosomal recessive and caused by SBDS gene mutations, marked by bone marrow failure, exocrine pancreatic dysfunction causing malabsorption and poor growth, and risk of leukemia.

Sialidosis type 1

Sialidosis type 1, or cherry-red spot myoclonus syndrome (mucolipidosis I), is a rare autosomal recessive lysosomal storage disease caused by NEU1 mutations, causing myoclonus, ataxia, visual loss, and macular cherry-red spots from adolescence.

Sialidosis type 2

Sialidosis type 2 (sialidosis type II, dysmorphic sialidosis, mucolipidosis I): severe early-onset autosomal recessive lysosomal storage disease from NEU1 neuraminidase deficiency, with congenital, infantile, and juvenile forms, coarse facies, cherry-red spots, and no approved disease-modifying therapy.

Sialoadenitis

Sialoadenitis (sialadenitis) is acute or chronic inflammation of a salivary gland from bacterial or viral infection, obstruction, radiation, or autoimmune disease; commonly parotid, treated with antibiotics, sialagogues, or sialendoscopy.

Sialolithiasis

Sialolithiasis (salivary duct stones, salivary calculi): calcified stones blocking salivary gland ducts, mostly submandibular (80%), ages 30-60, causing meal-related pain and swelling; treated by sialendoscopy, lithotripsy, or gland excision.

Sialoschesis

Sialoschesis, ICD-11 DA04.8, is the suppression of saliva secretion (SNOMED CT 707985000); distinct from xerostomia and hyposalivation, with causes, thresholds, and management.

Sick-euthyroid syndrome

Sick-euthyroid syndrome, or non-thyroidal illness syndrome (NTIS), low T3 syndrome: abnormal thyroid function tests (low T3, high rT3, variable TSH) in severe non-thyroidal illness; reversible, not treated with thyroid hormone.

Side stitch

Side stitch, or exercise-related transient abdominal pain (ETAP), is sharp, well-localized abdominal pain during exercise, most common in running and horse riding, worsened by pre-exercise eating, decreasing with age, and attributed mainly to parietal peritoneum irritation.

Singleton-Merten dysplasia

Singleton-Merten dysplasia, also known as Singleton-Merten syndrome, is a rare autosomal dominant condition causing abnormal tooth development, thoracic aorta calcification, and osteoporosis, first described in 1973.

SLC39A8-CDG

SLC39A8-CDG (CDG-IIn, CDG2N, SLC39A8 deficiency) is a rare autosomal recessive congenital disorder of glycosylation caused by ZIP8 manganese-transporter variants, causing manganese depletion, type II transferrin profile, severe neurologic impairment, treatable with manganese and galactose.

Slow transit constipation

Slow transit constipation (STC) is a chronic colonic motility disorder in which stool moves abnormally slowly through the colon, causing infrequent bowel movements, hard stools, and abdominal discomfort.

Small bowel atresia

Small bowel atresia, also called intestinal atresia, is a birth defect in which part of the small intestine is blocked or narrowed, causing bilious vomiting in newborns within 48 hours and treated surgically.

Small intestinal bacterial overgrowth

Small intestinal bacterial overgrowth (SIBO), also called bacterial overgrowth of the small bowel, is excessive bacteria in the small intestine causing diarrhea, bloating, and malabsorption; diagnosis by jejunal aspirate culture or breath tests is contested.

Sodium chloride deficiency

Sodium chloride deficiency (ICD-11 5B5K.5), salt deficiency from poor intake or losses via diuretics, cystic fibrosis sweat, or GI losses; rare in healthy people, presents as hypovolemic hyponatremia.

Sodium-dependent multivitamin transporter deficiency

Sodium-dependent multivitamin transporter deficiency, also called SMVT deficiency or SLC5A6 deficiency (OMIM 618973), is an ultra-rare autosomal recessive metabolic disorder impairing intestinal uptake of biotin, pantothenic acid, and lipoate, treatable with high-dose vitamins.

Soiling

Soiling, also called encopresis or fecal incontinence, is the passage of faeces into clothing or inappropriate places after the age of expected continence, usually from constipation with overflow leakage, treatable with laxatives and behavior modification.

Solitary necrotic nodule of the liver

Solitary necrotic nodule of the liver (SNNL) is a rare benign liver lesion with an entirely necrotic, often calcified core in a fibrous capsule, first described in 1983.

Solitary rectal ulcer syndrome

Solitary rectal ulcer syndrome (SRUS), also called solitary ulcer of the rectum, is a rare benign rectal disorder from mucosal prolapse and ischemia, causing bleeding, mucus, and straining; treated with biofeedback, medication, or surgery.

Somatomammotropinoma

Somatomammotropinoma (somatolactotropinoma, GH and PRL cosecreting pituitary adenoma, ORPHA:314769) is a rare mixed pituitary adenoma cosecreting growth hormone and prolactin, causing combined acromegaly and hyperprolactinemia.

Somatostatinoma

Somatostatinoma: an extremely rare somatostatin-secreting neuroendocrine tumor of the pancreas or duodenum (about 1 in 40 million incidence), causing diabetes, gallstones, and steatorrhea in a minority of cases.

Spastic peristalsis

Spastic peristalsis (ICD-11 DA21.22), also called distal or diffuse esophageal spasm, is a rare esophageal motility disorder with spastic non-peristaltic contractions causing chest pain and dysphagia, diagnosed by high-resolution manometry.

Spigelian hernia

Spigelian hernia (lateral ventral hernia): protrusion through the spigelian fascia along the semilunar line. Rare (0.12-2% of abdominal wall hernias), high incarceration risk, repaired surgically with mesh.