618 results match your criteria ACG case reports journal[Journal]


Fusobacterium Septicemia with Liver and Lung Abscesses Due to Diverticulitis.

ACG Case Rep J 2018 19;5:e99. Epub 2018 Dec 19.

Department of Internal Medicine, Division of Gastroenterology, Detroit Medical Center/Wayne State University, Detroit, MI.

The species is known for its association with septic thrombophlebitis of the internal jugular vein (Lemierre's syndrome). Lemierre's syndrome is associated with septic emboli to the liver and lungs, often causing multiple abscesses. We present a unique case of septicemia in which the bacteria invaded the portal vein through the gastrointestinal mucosa due to diverticulitis and spread hematogenously to the liver and lungs, causing abscesses. Read More

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http://dx.doi.org/10.14309/crj.2018.99DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358581PMC
December 2018
2 Reads

Chronic Pancreatitis with Spontaneously Disappearing Calcifications.

ACG Case Rep J 2018 5;5:e94. Epub 2018 Dec 5.

University of Pittsburgh Medical Center, Pittsburgh, PA.

Pancreatic calcifications, exocrine insufficiency, and endocrine insufficiency are hallmarks of chronic pancreatitis, and their prevalence increases with the duration of disease. We present a case of chronic pancreatitis in which a dramatic and spontaneous decrease in the burden of both parenchymal and intraductal calcifications was noted during longitudinal follow-up. We discuss the possible reasons for spontaneously vanishing calcifications, an entity rarely described in the literature. Read More

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http://dx.doi.org/10.14309/crj.2018.94DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358577PMC
December 2018
1 Read

Severe Crohn's Disease Manifestations in a Child with Cystathionine β-Synthase Deficiency.

ACG Case Rep J 2018 5;5:e93. Epub 2018 Dec 5.

King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.

Inflammatory bowel diseases (IBDs) are idiopathic autoimmune diseases that are characterized by inflammation of both the small and large intestine. Although IBD is common in the general population, the pathophysiology remains ambiguous. Clear understanding of IBD pathophysiology would be a major step toward curative treatment in the future. Read More

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http://dx.doi.org/10.14309/crj.2018.93DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358571PMC
December 2018
5 Reads

New Treatment Option for Autoimmune Enteropathy: A Rare Case of Intractable Diarrhea Treated with Vedolizumab.

ACG Case Rep J 2018 5;5:e92. Epub 2018 Dec 5.

Department of Digestive Diseases, Emory University School of Medicine, Atlanta, GA.

Autoimmune enteropathy is an uncommon cause of chronic diarrhea rarely seen in adults. The disease is secondary to an autoimmune process in the gut that leads to villous blunting and subsequent watery diarrhea, abdominal pain, and severe weight loss. The disease has only been described in 37 adults prior to our case, and variable treatment success has been documented with steroids, immunomodulators, and TNF-α inhibitors. Read More

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http://dx.doi.org/10.14309/crj.2018.92DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358579PMC
December 2018

Endoscopic Diagnosis of Calcifying Fibrous Tumor of the Ileum.

ACG Case Rep J 2018 5;5:e91. Epub 2018 Dec 5.

Department of Pathology, Takatsuki General Hospital, Takatsuki, Japan.

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http://dx.doi.org/10.14309/crj.2018.91DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358572PMC
December 2018

Emphysematous Gastritis in a Patient with Untreated Cyclic Vomiting Syndrome.

ACG Case Rep J 2018 5;5:e90. Epub 2018 Dec 5.

Department of Medicine, Division of Gastroenterology, Walter Reed National Military Medical Center, Bethesda, MD.

Emphysematous gastritis (EG) is an uncommon and potentially fatal disease characterized by gastric pneumatosis in the setting of infection. While this disease has been described in the literature, it has not previously been identified as a potential complication of cyclic vomiting syndrome. We describe a patient with a history of cyclic vomiting syndrome who presented acutely ill and was found to have radiographic, endoscopic, and histologic evidence of EG. Read More

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http://dx.doi.org/10.14309/crj.2018.90DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358574PMC
December 2018

Bile Acid Synthesis Defect and Hyperinsulinism.

ACG Case Rep J 2018 5;5:e89. Epub 2018 Dec 5.

Department of Pediatric Gastroenterology, University of North Carolina Children's Hospital, Chapel Hill, NC.

Congenital defects of bile acid synthesis are rare disorders that cause progressive liver dysfunction. Prolonged neonatal hyperinsulism (PNH) is a separate entity that leads to persistent hypoglycemia secondary to stress. We present a 4-month-old infant who presented with liver failure secondary to a bile acid synthesis defect. Read More

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http://dx.doi.org/10.14309/crj.2018.89DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358580PMC
December 2018
1 Read

Bile Cast Nephropathy Caused by Obstructive Pancreatic Carcinoma and Failed ERCP.

ACG Case Rep J 2018 5;5:e88. Epub 2018 Dec 5.

Department of Gastroenterology and Hepatology, Jeroen Bosch Hospital, 's-Hertogenbosch, The Netherlands.

Bile cast nephropathy is an often overlooked condition of acute renal injury in the setting of high serum bilirubin. While the exact pathophysiology remains unknown, possible mechanisms of renal injury are tubular obstruction from bile casts, direct toxicity from bile acids, and decreased renal perfusion due to hemodynamic changes. We present a patient with hyperbilirubinemia as a result of common bile duct obstruction due to pancreatic adenocarcinoma who developed anuric acute renal injury. Read More

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http://dx.doi.org/10.14309/crj.2018.88DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358578PMC
December 2018

Endoscopic versus Surgical Intervention for Jejunal Bezoar Formation.

ACG Case Rep J 2018 5;5:e87. Epub 2018 Dec 5.

Division of Gastroenterology and Hepatobiliary Diseases, New York Medical College, Westchester Medical Center, Valhalla, NY.

Bezoar-induced small bowel obstruction is a rare entity, but it should be highly suspected in those with prior abdominal or bariatric surgery. The cornerstone of treatment for intestinal bezoars has been surgical exploration to relieve the obstruction. We present a patient with obstructive jejunal phytobezoar formation that was relieved via an endoscopic approach rather than a surgical modality. Read More

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http://dx.doi.org/10.14309/crj.2018.87DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358576PMC
December 2018
1 Read

Massive Gastrointestinal Bleeding Secondary to Ileal Invasion by Ventral Hernioplasty Mesh.

ACG Case Rep J 2018 5;5:e86. Epub 2018 Dec 5.

Grand Strand Medical Center, Department of Internal Medicine, Myrtle Beach, SC.

Surgical mesh migration is a very rare cause of gastrointestinal (GI) bleeding. We report a 56-year-old woman who presented with massive GI bleeding 10 years after ventral hernioplasty with mesh. Esophagoduodenoscopy and colonoscopy were normal. Read More

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http://dx.doi.org/10.14309/crj.2018.86DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358573PMC
December 2018

Gastroseal: A Novel Stent Design for the Management of Post-Bariatric Surgery Leaks.

ACG Case Rep J 2018 5;5:e85. Epub 2018 Dec 5.

Bariatric Surgery Unit, General Surgery Department, Cairo University Hospital, Cairo, Egypt.

Bariatric surgery leaks remain a dreaded complication with ominous consequences. Fully covered stents have shown efficacy in the treatment of leaks; however, stent migration remains a major drawback. Ultra-large stents have shown reduced rates of migration and coapt better against the walls, but deep ulcers occur in almost all patients, as well as frequent severe intolerance, bleeding, and perforation. Read More

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http://dx.doi.org/10.14309/crj.2018.85DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358575PMC
December 2018

Undigested Food Trapped in a Pre-Pyloric Ulcer.

ACG Case Rep J 2018 19;5:e106. Epub 2018 Dec 19.

Division of Gastroenterology and Hepatology, St. Barnabas Hospital, Bronx, NY.

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http://dx.doi.org/10.14309/crj.2018.106DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6317840PMC
December 2018

Endoscopic Ultrasound-Guided Rendezvous Procedure for a Nondilated, Leaking Pancreatic Duct.

ACG Case Rep J 2018 19;5:e105. Epub 2018 Dec 19.

Department of Gastroenterology and Hepatology, Amrita Institute of Medical Sciences and Research Center, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India.

Pancreatic duct (PD) leak leading to pancreatic ascites is a serious complication of chronic pancreatitis. Endoscopic management with endoscopic retrograde cholangiopancreatography (ERCP) has been found to be successful; however, if selective cannulation of the PD is unsuccessful, an endoscopic ultrasound-guided rendezvous procedure can help in bridging PD leaks, provided the duct is dilated. We report a successful endoscopic ultrasound-guided rendezvous procedure in a patient with PD leak, pancreatic ascites, and a nondilated duct with failed ERCP who was a poor candidate for surgery. Read More

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http://dx.doi.org/10.14309/crj.2018.105DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6317836PMC
December 2018
7 Reads

Dysphagia Caused by Cervical Plate Erosion through the Hypopharynx.

ACG Case Rep J 2018 19;5:e104. Epub 2018 Dec 19.

Department of Gastroenterology, Advocate Christ Medical Center, Oak Lawn, IL.

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http://dx.doi.org/10.14309/crj.2018.104DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6317835PMC
December 2018

Elevated α-Fetoprotein in the Absence of Carcinoma Caused by Relapse of Hepatitis C Viral Infection after Liver Transplantation.

ACG Case Rep J 2018 19;5:e103. Epub 2018 Dec 19.

Department of Internal Medicine, Institute of Gastroenterology, Tokyo Women's Medical University, Tokyo, Japan.

We report a rare case of marked elevation of α-fetoprotein in the absence of hepatocellular carcinoma caused by a relapse of hepatitis C virus (HCV) infection. A 58-year-old man underwent liver transplantation to treat hepatocellular carcinoma caused by HCV-related liver cirrhosis. The HCV was of genotype 2a, and the ribonucleic acid titer was >8. Read More

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http://dx.doi.org/10.14309/crj.2018.103DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6317834PMC
December 2018

Ganciclovir-Resistant CMV Colitis in a Donor-Seronegative/Recipient-Seronegative Liver Transplant Patient.

ACG Case Rep J 2018 19;5:e102. Epub 2018 Dec 19.

Delta Pathology, Shreveport, LA.

Cytomegalovirus (CMV) disease in liver transplant patients with donor-seronegative and recipient-seronegative (D-/R-) status is a rarity. Ganciclovir-resistant CMV disease in this population has not been reported in the literature. We present a 62-year-old man who underwent orthotopic liver transplant from a cadaveric donor. Read More

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http://dx.doi.org/10.14309/crj.2018.102DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6317837PMC
December 2018
1 Read

A Unique Case of Esophageal Bleeding: Arterioenteric Fistula Secondary to Intercostal-Bronchial Trunk Pseudoaneurysm Rupture.

ACG Case Rep J 2018 19;5:e101. Epub 2018 Dec 19.

Sanford School of Medicine, University of South Dakota, Sioux Falls, SD.

Esophageal bleeding has a broad differential. One rare cause of esophageal bleeding is an intercostal artery pseudoaneurysm, which usually presents as hemothorax secondary to trauma or an iatrogenic cause; we identified only 9 reported cases in the English literature. Rarer still is pseudoaneurysm of the intercostal-bronchial trunk, which has not been reported in the literature. Read More

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http://dx.doi.org/10.14309/crj.2018.101DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6317841PMC
December 2018
1 Read

Endoscopic Ultrasound-Guided Creation of a Gastrogastric Conduit After Pancreaticoduodenectomy in a Patient with Prior Roux-en-Y Gastric Bypass.

ACG Case Rep J 2018 19;5:e100. Epub 2018 Dec 19.

Department of Gastroenterology, Hepatology, and Nutrition, University of Pittsburgh Medical Center, Pittsburgh, PA.

We present a 65-year-old man with a history of a Roux-en-Y gastric bypass and an ampullary adenocarcinoma, treated initially with a Whipple operation, who developed chronic left upper quadrant pain as a consequence of retained gastric contents within a dilated gastric remnant that was no longer in continuity. This was treated successfully with the endoscopic ultrasound-guided creation of a gastrogastric conduit via a covered metal stent. This represents a unique complication of pancreaticoduodenectomy in patients with a prior Roux-en-Y gastric bypass. Read More

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http://dx.doi.org/10.14309/crj.2018.100DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6317832PMC
December 2018

Severe Ileocolonic Crohn's Disease Flare Associated with Fecal Microbiota Transplantation Requiring Diverting Ileostomy.

ACG Case Rep J 2018 19;5:e97. Epub 2018 Dec 19.

Vatche and Tamar Manoukian Division of Digestive Diseases, University of California Los Angeles, Los Angeles, California.

Patients with inflammatory bowel disease (IBD) are at increased risk of developing infection (CDI). Fecal microbiota transplantation (FMT) is an effective therapy with a high success rate in preventing recurrent CDI. However, patients with IBD have decreased response to FMT for recurrent CDI, with several reports also suggesting potential IBD flare post-FMT. Read More

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http://dx.doi.org/10.14309/crj.2018.97DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6317833PMC
December 2018
1 Read

Gastric Angiomyolipoma Masquerading as Gastric Malignancy.

ACG Case Rep J 2018 19;5:e96. Epub 2018 Dec 19.

Department of Pathology, Amrita Institute of Medical Sciences, Kochi, Kerala, India.

Gastric angiomyolipoma (AML) is extremely rare, with only 3 cases reported in English literature, all of which presented with upper gastrointestinal bleed, either in the form of hematemesis or melena. A 42-year-old man presented with upper gastrointestinal bleed, the source of which was found to be a large mass in the stomach, which was shown histologically to be gastric AML. This is the fourth but largest tumor (9 × 6 × 5 cm) to be reported to date. Read More

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http://dx.doi.org/10.14309/crj.2018.96DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6317839PMC
December 2018

Vanishing Bile Duct Syndrome in a Patient with Uterine Cancer and Paraneoplastic Systemic Sclerosis.

ACG Case Rep J 2018 19;5:e95. Epub 2018 Dec 19.

Department of Internal Medicine, Division of Gastroenterology and Hepatology, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.

Vanishing bile duct syndrome (VBDS) is a rare entity of acquired disorders resulting in cholestasis secondary to progressive destruction of intrahepatic bile ducts. The syndrome has been described in the setting of autoimmune disorders, medication toxicities, genetic disorders, infectious etiologies, and in rare cases, neoplastic processes. There are no known case reports of VBDS in the setting of uterine malignancy. Read More

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http://dx.doi.org/10.14309/crj.2018.95DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6317838PMC
December 2018

Ileocecal IgG4-Related Disease: A Case Report Mimicking Malignancy.

ACG Case Rep J 2018 28;5:e84. Epub 2018 Nov 28.

Department of Pathology and Laboratory Medicine, University of British Columbia, Vancouver General Hospital, Vancouver, British Columbia, Canada.

Immunoglobulin G4-related disease (IgG4-RD) is a chronic mass-forming inflammatory disease characterized by fibroblastic proliferation and mixed inflammatory cell infiltration. IgG4-RD can involve one or multiple organs, and the most commonly affected organs include the pancreas, salivary glands, and the orbit. We present a case of a 66-year-old man, with a history of sarcoidosis, who presented with an obstructing ileocecal mass highly suspicious for malignancy. Read More

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http://acgcasereports.gi.org/ileocecal-igg4-related-disease-
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http://dx.doi.org/10.14309/crj.2018.84DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6277136PMC
November 2018
12 Reads

Sevelamer-Associated Rectosigmoid Ulcers in an End-Stage Renal Disease Patient.

ACG Case Rep J 2018 28;5:e83. Epub 2018 Nov 28.

Department of Pathology, Hartford Hospital, Hartford, CT.

Sevelamer carbonate is a commonly prescribed anion-exchange resin administered orally to prevent hyperphosphatemia in patients with chronic kidney disease. We present a rare case of a 33-year-old man with end-stage renal disease and diabetic gastroparesis on sevelamer carbonate, who presented with hematochezia and was found to have rectosigmoid ulcers induced by sevelamer crystals. His hematochezia resolved after switching from sevelamer carbonate to lanthanum carbonate. Read More

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http://dx.doi.org/10.14309/crj.2018.83DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6277133PMC
November 2018
3 Reads

Lymphocytic Colitis Diagnosis 40 Years after Onset of Ulcerative Colitis.

ACG Case Rep J 2018 28;5:e82. Epub 2018 Nov 28.

Division of Gastroenterology and Hepatology, Department of Medicine, University of Arizona, Tucson, AZ.

Lymphocytic colitis is a subtype of microscopic colitis characterized by normal colonoscopy findings and microscopic evidence of lymphocytic infiltration of colonic epithelial cells. The concomitant diagnosis of lymphocytic colitis and ulcerative colitis has been rarely reported. We present a 68-year-old man with a 40-year history of ulcerative colitis who was referred to our hospital for 3-4 weeks of non-bloody diarrhea with subsequent colonoscopy and biopsies confirming lymphocytic colitis. Read More

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http://dx.doi.org/10.14309/crj.2018.82DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6277135PMC
November 2018

Brunner's Gland Adenoma with High-Grade Dysplasia.

ACG Case Rep J 2018 28;5:e81. Epub 2018 Nov 28.

Division of Gastroenterology and Hepatology, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD.

Brunner's gland adenoma is a rare, benign, small-bowel neoplasm. In a few reported cases, it can cause gastrointestinal hemorrhage and can be associated with cellular atypia. We report an 84-year-old woman with a 12-mm Brunner's gland adenoma in the second part of the duodenum that was successfully removed with a saline injection-lift technique using a hot snare, followed by placement of clips to prevent postpolypectomy bleeding. Read More

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http://dx.doi.org/10.14309/crj.2018.81DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6277137PMC
November 2018
14 Reads

Metastatic Pancreatic Adenocarcinoma Presenting as a Klatskin Tumor.

ACG Case Rep J 2018 28;5:e80. Epub 2018 Nov 28.

Division of Gastroenterology, Advocate Lutheran General Hospital, Park Ridge, IL.

Cholangiocarcinoma is a rare clinical entity representing approximately 2% of all cancers diagnosed. More than 65% of these tumors can present at the bifurcation of the hepatic duct and are known as Klatskin tumors. Pancreatic cancer is among the top 5 leading causes of cancer death, and it usually presents at an advanced stage with metastasis commonly seen in the liver. Read More

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http://dx.doi.org/10.14309/crj.2018.80DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6277134PMC
November 2018
2 Reads

Gastric Metastasis of an Ovarian Granulosa Cell Tumor Diagnosed in a Patient with Worsening Reflux.

ACG Case Rep J 2018 7;5:e79. Epub 2018 Nov 7.

Division of Gastroenterology and Hepatology, University of Iowa Hospitals and Clinics, Iowa City, IA.

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http://dx.doi.org/10.14309/crj.2018.79DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6224866PMC
November 2018
2 Reads

Autoimmune Enteropathy in an Ulcerative Colitis Patient.

ACG Case Rep J 2018 7;5:e78. Epub 2018 Nov 7.

Yale University School of Medicine, New Haven, CT.

Autoimmune enteropathy is a rare but severe disorder with significant immune-mediated changes. We present a 54-year-old woman with history of refractory ulcerative colitis status post total colectomy with end ileostomy who presented 1 month after her surgery with high ostomy output of 4 L/d. After a negative workup, ileoscopy with biopsies showed severe chronic active ileitis. Read More

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http://dx.doi.org/10.14309/crj.2018.78DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6224868PMC
November 2018
13 Reads

A Rare Cause of Dysphagia and Cough: Bronchoesophageal Fistula from Silicosis.

ACG Case Rep J 2018 7;5:e77. Epub 2018 Nov 7.

Department of Internal Medicine, James J. Peters VA Medical Center, Bronx, NY.

Dysphagia and cough in an older male smoker raise concern for malignancy. However, a history of environmental exposures led to a much more interesting diagnosis in this case of pneumoconiosis due to silicosis. Silicosis is an uncommon pulmonary disease with rare associated gastrointestinal symptoms. Read More

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http://dx.doi.org/10.14309/crj.2018.77DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6224867PMC
November 2018
16 Reads

Duodenorenal Fistula after Microwave Ablation Presenting as Melena.

ACG Case Rep J 2018 24;5:e76. Epub 2018 Oct 24.

Division of Gastroenterology, John H. Stroger Jr. Hospital of Cook County, Chicago, IL.

A 53-year-old man presented with melena 3 months after microwave ablation of a renal mass. Esophago-gastroduodenoscopy and radiological imaging revealed that a fistulous tract extended from the duodenum to the right kidney. The patient had a hemorrhage that originated from a branch of the renal artery and bled through the fistulous tract into the duodenal lumen. Read More

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http://acgcasereports.gi.org/duodenorenal-fistula-after-micr
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http://dx.doi.org/10.14309/crj.2018.76DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6202425PMC
October 2018
16 Reads

Ischemic Cholangiopathy 11 Years after Liver Transplantation from Asymptomatic Chronic Hepatic Artery Thrombosis.

ACG Case Rep J 2018 24;5:e75. Epub 2018 Oct 24.

Division of Gastroenterology Department of Medicine, Indiana University School of Medicine, Indianapolis, IN.

Hepatic artery thrombosis is a concerning complication of orthotopic liver transplantation, and it most often occurs early in the posttransplant period. However, on rare occasions it can occur at a time remote from transplant. We present a case of ischemic cholangiopathy complicated by stricture and anastomotic bile leak from chronic hepatic artery thrombosis that occurred 11 years after the transplant. Read More

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http://dx.doi.org/10.14309/crj.2018.75DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6202426PMC
October 2018

One Oral Dose of Sodium Polystyrene Sulfonate Associated with Ischemic Colitis and Crystal Deposition in Colonic Mucosa.

ACG Case Rep J 2018 17;5:e74. Epub 2018 Oct 17.

Division of Gastroenterology & Hepatology, Department of Medicine, William Beaumont Hospital, Royal Oak, Royal Oak, MI.

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http://dx.doi.org/10.14309/crj.2018.74DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6195644PMC
October 2018
2 Reads

Acute Hepatitis Caused by Genotype 4 HCV Presenting with Microangiopathic Hemolytic Anemia.

ACG Case Rep J 2018 17;5:e73. Epub 2018 Oct 17.

Department of Clinical Pathology, Alexandria University, Alexandria, Egypt.

Many cases have been reported about the role of chronic hepatitis C and interferon therapy in the development and recurrence of thrombotic thrombocytopenic purpura (TTP), but to our knowledge there is no previous report about the association between acute hepatitis C and any microangiopathic hemolytic anemia (MAHA) including TTP. We report a case of acute hepatitis C that presented with MAHA resembling TTP, which resolved with spontaneous clearance of viral infection. Read More

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http://dx.doi.org/10.14309/crj.2018.73DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6195645PMC
October 2018
2 Reads

Double Trouble: A Rare Case of Concurrent Biliary Adenofibroma and Hepatobiliary Mucinous Cystic Neoplasm.

ACG Case Rep J 2018 17;5:e72. Epub 2018 Oct 17.

Section of Gastroenterology, Rush University Medical Center, Chicago, IL.

Biliary adenofibroma and hepatobiliary mucinous cystic neoplasm are exceedingly rare tumors. To our knowledge, no case of co-existent biliary adenofibroma and mucinous cystic neoplasm has been previously reported. We present a patient who was diagnosed with both tumors concurrently. Read More

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http://dx.doi.org/10.14309/crj.2018.72DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6195646PMC
October 2018
2 Reads

Barium Enema for Treatment for Diverticular Bleeding.

ACG Case Rep J 2018 26;5:e71. Epub 2018 Sep 26.

Department of Abdominal Surgery, Isala Hospital, Zwolle, Netherlands.

Diverticula of the colon are the most common cause of lower gastrointestinal bleeding in adults. In cases of persistent loss of blood or severe acute hemorrhage, treatment is required. However, if these modern intervention techniques are inadequate, surgical resection of the colon may be required. Read More

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http://acgcasereports.gi.org/barium-enema-for-treatment-for-
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http://dx.doi.org/10.14309/crj.2018.71DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6160609PMC
September 2018
5 Reads

Multiple Hepatic Abscess from : An Emerging Gastrointestinal Microbe.

ACG Case Rep J 2018 26;5:e70. Epub 2018 Sep 26.

University of Illinois, College of Medicine at Peoria, Peoria, IL.

is an obligate anaerobic bacterium and a known commensal of the human oral cavity and gastrointestinal tract. It is rarely associated with infections outside the oral cavity. Recently it has been isolated as a causative agent in a variety of systemic infections, but it has never been previously identified to cause a hepatic abscess. Read More

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http://acgcasereports.gi.org/multiple-hepatic-abscess-from-p
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http://dx.doi.org/10.14309/crj.2018.70DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6160613PMC
September 2018
2 Reads

Intragastric Balloon Hyperinsufflation as a Cause of Acute Obstructive Abdomen.

ACG Case Rep J 2018 26;5:e69. Epub 2018 Sep 26.

Gastroenterology Department, Centro Hospitalar de São João, Porto Medical School, Porto, Portugal.

Recently, the Food and Drug Administration approved the use of the Orbera balloon for obesity treatment. However, the Food and Drug Administration later issued a warning about the possibility of 2 complications not previously reported: acute pancreatitis and balloon hyperinsufflation. This case report is intended to alert all clinicians that, although rare, cases of hyperinsufflation should be considered in patients with an intragastric balloon (IGB) and acute abdomen. Read More

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http://dx.doi.org/10.14309/crj.2018.69DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6160611PMC
September 2018
5 Reads

Endoscopic Doppler Probe in the Diagnosis and Management of Upper Gastrointestinal Hemorrhage.

ACG Case Rep J 2018 26;5:e68. Epub 2018 Sep 26.

Digestive Health Institute, University Hospitals Cleveland Medical Center, Cleveland, OH.

Through-the-scope (TTS) endoscopic Doppler ultrasound probe technology is a tool that has garnered interest for the evaluation of variceal and non-variceal bleeding. In previous studies, this technology has been proposed as a more objective method of identifying the bleeding subsurface blood vessel in peptic ulcer hemorrhage. We describe 3 cases where the use of an endoscopic Doppler probe guided the diagnosis and management of upper gastrointestinal (GI) hemorrhage due to causes other than peptic ulcer disease. Read More

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http://dx.doi.org/10.14309/crj.2018.68DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6160614PMC
September 2018
52 Reads

Osteomyelitis as a Result of Pancreaticojejunostomy Stent Migration after Whipple Procedure.

ACG Case Rep J 2018 26;5:e67. Epub 2018 Sep 26.

Division of Gastroenterology, Advocate Lutheran General Hospital, Park Ridge, IL.

Pancreaticoduodenectomy, or Whipple procedure, is a high-risk surgical procedure commonly performed for tumors of the pancreatic head. The pancreatico-enteric anastomosis is an important component of this procedure. The maturation and adequate healing of this anastomotic site is critical to decrease the risk of postoperative pancreatic fistulas. Read More

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http://acgcasereports.gi.org/osteomyelitis-as-a-result-of-pa
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http://dx.doi.org/10.14309/crj.2018.67DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6160612PMC
September 2018
4 Reads

Spontaneous Intramural Esophageal Rupture: An Uncommon Presentation of Eosinophilic Esophagitis Requiring Endoscopic Clipping.

ACG Case Rep J 2018 26;5:e66. Epub 2018 Sep 26.

Division of Epidemiology and Biostatistics, Western Michigan University, MD Homer Stryker School of Medicine, Kalamazoo, MI.

Spontaneous intramural esophageal rupture (SIER) is a form of acute esophageal trauma defined as an injury deeper than a Mallory-Weiss tear but not extending completely through the muscular propria as in Boerhaave syndrome. SIER is a rare complication of eosinophilic esophagitis (EoE); after extensive literature review, we found 7 case reports of SIER complicating EoE. We present a case of SIER complicating EoE in a 46-year-old man with an atypical presentation requiring endoscopic clipping to achieve successful hemostasis. Read More

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http://Insights.ovid.com/crossref?an=02075970-201805000-0006
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http://dx.doi.org/10.14309/crj.2018.66DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6160610PMC
September 2018
6 Reads

A Second Attack of : Intestinal Anisakiasis Following Gastric Anisakiasis.

ACG Case Rep J 2018 12;5:e65. Epub 2018 Sep 12.

Department of Surgery, Bellland General Hospital, Sakai, Japan.

A 50-year-old man presented with epigastric pain after eating raw mackerel. Abdominal computed tomography revealed submucosal edema of the gastric antrum and pelvic ileum. Gastroscopy revealed an in the gastric antrum. Read More

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http://acgcasereports.gi.org/a-second-attack-of-anisakis-int
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http://dx.doi.org/10.14309/crj.2018.65DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6137290PMC
September 2018
17 Reads

Solitary Extrahepatic Intramuscular Metastasis from Cryptogenic Hepatocellular Carcinoma.

ACG Case Rep J 2018 12;5:e64. Epub 2018 Sep 12.

Internal Medicine, VA Palo Alto Health Care System, Palo Alto, CA.

Although hepatocellular carcinoma (HCC) recurrence after curative resection is not uncommon, it primarily recurs in the liver prior to metastatic progression. We report a case of resected pT2N0 cryptogenic HCC that recurred in the superior paracervical musculature without evident intrahepatic recurrence. The patient also developed cervical spine instability requiring urgent neurosurgery. Read More

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http://dx.doi.org/10.14309/crj.2018.64DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6137291PMC
September 2018

Elongated Styloid Processes of the Temporal Bone as a Cause of Dysphagia.

ACG Case Rep J 2018 12;5:e63. Epub 2018 Sep 12.

Department of ENT Surgery, Dudley Group NHS Foundation Trust, Dudley, UK.

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http://dx.doi.org/10.14309/crj.2018.63DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6137292PMC
September 2018

Cholesterol Crystal Embolization to the Kidney and to a Duodenal Leiomyoma.

ACG Case Rep J 2018 29;5:e62. Epub 2018 Aug 29.

Division of Gastroenterology Hepatology and Nutrition, NYU-Winthrop Hospital, Mineola, NY.

Cholesterol crystal embolism can be spontaneous or iatrogenic, and it can involve any organ of the gastrointestinal tract, presenting with common gastrointestinal symptoms such as bleeding, perforation, obstruction, and inflammation. It is therefore considered the "great masquerader," requiring a high level of suspicion because the condition is associated with increased morbidity and mortality. We present a 69-year-old man who presented with gastrointestinal bleeding and azotemia. Read More

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http://dx.doi.org/10.14309/crj.2018.62DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6119206PMC
August 2018
3 Reads

Primary Pancreatic Chondrosarcoma.

ACG Case Rep J 2018 29;5:e61. Epub 2018 Aug 29.

Guangdong Provincial Key Laboratory of Gastroenterology, Institute of Gastroenterology of Guangdong Province, Nanfang Hospital, Southern Medical University, Guangzhou, China.

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http://dx.doi.org/10.14309/crj.2018.61DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6119205PMC

Stone-Induced Purulent Choledocoduodenal Fistula Presenting with Ascending Cholangitis.

ACG Case Rep J 2018 29;5:e60. Epub 2018 Aug 29.

Department of Internal of Medicine, Beaumont Health, Royal Oak, MI.

A biliary enteric fistula (BEF) is a rare, abnormal communication between any segment of the biliary tree with any portion of the small or large intestine. BEF is more frequently diagnosed with the increasingly widespread use of endoscopic retrograde cholangiopancreatography. Different theories have been postulated regarding the etiology of this fistula formation, with the most likely cause being gallstones. Read More

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http://dx.doi.org/10.14309/crj.2018.60DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6119204PMC
August 2018
1 Read

Pneumopericardium Complicating Per-Oral Endoscopic Myotomy Due to Inadvertent Use of Air Instead of Carbon Dioxide.

ACG Case Rep J 2018 15;5:e59. Epub 2018 Aug 15.

Division of Gastroenterology, Penn State Health Milton S. Hershey Medical Center, Hershey, PA.

Per-oral endoscopic myotomy (POEM) is a relatively novel endoscopic technique for the treatment of achalasia. POEM has been shown to have outcomes comparable to those with Heller myotomy, but it is less invasive and has fewer complications. A 72-year-old man with progressive solid and liquid dysphagia underwent POEM, but soon after the procedure went into cardiac arrest; spontaneous circulation returned after 10 minutes of CPR. Read More

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http://dx.doi.org/10.14309/crj.2018.59DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6095639PMC
August 2018
15 Reads

Not All Roads Lead to the Cecum: A Rare Case of Colonic Duplication in an Adult.

ACG Case Rep J 2018 15;5:e58. Epub 2018 Aug 15.

Division of Gastroenterology and Hepatology, University of Iowa Hospitals and Clinics, Iowa City, IA.

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http://dx.doi.org/10.14309/crj.2018.58DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6095640PMC

Esophageal and Gastroduodenal Hemorrhagic Necrosis: A Unique Finding in the Setting of Septic Shock and Vasopressor Use.

ACG Case Rep J 2018 1;5:e57. Epub 2018 Aug 1.

Intensive Care Medicine Department, Hospital Central do Funchal, Funchal, Madeira Island, Portugal.

Esophageal and gastroduodenal necrosis are rare conditions with poor prognosis. We describe a case that was diagnosed with upper endoscopy in the setting of severe septic shock. To our knowledge, this is the first case in which esophageal and gastroduodenal necrosis occurred simultaneously in this setting. Read More

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http://dx.doi.org/10.14309/crj.2018.57DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6072804PMC
August 2018
3 Reads