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


Unexpected Improvement of Liver Function by Intravenous Immunoglobulin in a Steroid-Experienced Severe Alcoholic Hepatitis.

ACG Case Rep J 2020 Feb 2;7(2):e00337. Epub 2020 Mar 2.

Department of Internal Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Corticosteroid is the treatment of choice for severe alcoholic hepatitis; however, it can also lead to severe life-threatening infection. We report a 28-year-old severe alcoholic hepatitis patient who did not achieve a satisfactory improvement of the liver function by corticosteroid use but obtained a significant improvement of the liver function by intravenous immunoglobulin. Intravenous immunoglobulin was administered to control infection after prolonged corticosteroid usage; however, it led to an unexpected remarkable decrease in the serum total bilirubin level and restored the responsiveness to the additional corticosteroid used after the resolution of the infection. Read More

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http://dx.doi.org/10.14309/crj.0000000000000337DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7209802PMC
February 2020

Vanishing Bile Duct Syndrome Preceding the Diagnosis of Hodgkin Lymphoma.

ACG Case Rep J 2020 Feb 2;7(2):e00336. Epub 2020 Mar 2.

Division of Gastroenterology, Hepatology and Nutrition, University of Minnesota, Minneapolis, MN.

Vanishing bile duct syndrome is an acquired liver disease characterized by the progressive destruction and loss of intrahepatic bile ducts. It usually signifies end-stage cholestatic liver disease and is characterized by ductopenia on liver biopsy specimen. We present a case of vanishing bile duct syndrome as the presenting symptom in a patient with Hodgkin lymphoma with subsequent improvement after adequate treatment of the lymphoma. Read More

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http://dx.doi.org/10.14309/crj.0000000000000336DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7209801PMC
February 2020

Myelofibrosis and Portal Hypertension: The Case for Primary Variceal Screening.

ACG Case Rep J 2020 Feb 2;7(2):e00333. Epub 2020 Mar 2.

Division of Gastroenterology, Massachusetts General Hospital and Harvard Medical School, Boston, MA.

Myelofibrosis is a hematologic condition that predisposes to the formation of large and small portal venous clots. Portal injury is believed to underlie the mechanism of development of noncirrhotic portal hypertension in this population. We describe a patient with myelofibrosis, proven portal hypertension, and extramedullary hematopoiesis with no imaging or pathologic evidence of microvascular or macrovascular portal clot. Read More

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http://dx.doi.org/10.14309/crj.0000000000000333DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7209799PMC
February 2020

Primary Esophageal Tuberculosis Without Dysphagia or Odynophagia in a Patient Without HIV.

ACG Case Rep J 2020 Feb 2;7(2):e00323. Epub 2020 Mar 2.

Division of Gastroenterology, University of Alberta, Alberta, Canada.

We report a case of primary esophageal tuberculosis in a 35-year-old woman without HIV who presented with a month's history of epigastric and chest pain without dysphagia or odynophagia and was found to have histologic evidence of multiple caseating granulomata on esophageal biopsy, which was confirmed positive for complex DNA and cultures. Read More

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http://dx.doi.org/10.14309/crj.0000000000000323DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7209795PMC
February 2020

Lung Metastasis Postradioembolization of Hepatocellular Carcinoma With Tumor in Vein.

ACG Case Rep J 2020 Feb 2;7(2):e00322. Epub 2020 Mar 2.

Department of Radiology, University of Kentucky Chandler Medical Center, Lexington, KY.

Transarterial radioembolization (TARE) is one of the few treatment options available for infiltrative hepatocellular carcinoma with tumor in vein. This is backed by the published data showing marginally favorable toxicity profile compared with other locoregional and systemic therapies. Although lung shunt fraction studies are performed to prevent radiation injury to the lungs, TARE-induced embolization/metastasis to the lungs has not been reported before. Read More

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http://dx.doi.org/10.14309/crj.0000000000000322DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7209796PMC
February 2020

Pseudoachalasia Following Nissen Fundoplication.

ACG Case Rep J 2020 Feb 2;7(2):e00318. Epub 2020 Mar 2.

Department of Gastroenterology, Wake Forest University Baptist Medical Center, Winston Salem, NC.

Pseudoachalasia, clinically indistinct from achalasia in symptoms and high-resolution manometry findings, differs by a secondary etiology with more than half of the occurrences arising from malignancy. Rarely pseudoachalasia presents after surgeries of the esophagus and gastroesophageal junction. This case offers an additional example of pseudoachalasia after Nissen fundoplication; however, it is unique to the literature by documenting complete manometric progression from normal to pseudoachalasia in a single patient. Read More

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http://dx.doi.org/10.14309/crj.0000000000000318DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7209797PMC
February 2020

Ixekizumab Associated New-Onset Inflammatory Bowel Disease.

ACG Case Rep J 2020 Feb 2;7(2):e00316. Epub 2020 Mar 2.

Department of Medicine, Queen's University, Kingston, Ontario, Canada.

Ixekizumab is a monoclonal antibody targeting interleukin-17 approved for the treatment of psoriasis. In a recent post hoc meta-analysis of Phase-I to Phase-III clinical trials of anti-interleukin-17 agents for the treatment of plaque psoriasis, there was a rare association (<1%) with induction or exacerbation of inflammatory bowel disease. We report a case of new-onset ileal Crohn's disease in a 48-year-old woman on ixekizumab for psoriasis. Read More

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http://dx.doi.org/10.14309/crj.0000000000000316DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7209798PMC
February 2020

A Therapeutic Approach to Cecal Varices.

ACG Case Rep J 2020 Feb 2;7(2):e00315. Epub 2020 Mar 2.

Department of Gastroenterology, Upstate Medical University, Syracuse, NY.

Ectopic varices account for 1%-5% of all variceal bleeding episodes. The most common presentation of cecal varices is an acute episode of a massive lower gastrointestinal hemorrhage. However, cecal varices can be found incidentally and can be silent for a prolonged period of time before presenting with a massive gastrointestinal hemorrhage. Read More

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http://dx.doi.org/10.14309/crj.0000000000000315DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7209800PMC
February 2020

Gastric Electrical Stimulators Causing Erosion Through the Colonic Wall.

ACG Case Rep J 2020 Feb 2;7(2):e00313. Epub 2020 Mar 2.

Division of Gastroenterology, Hepatology and Nutrition, Department of Medicine, University of Louisville, KY.

Gastroparesis is a chronic motor disorder of the stomach characterized by the demonstration of delayed gastric emptying without obstruction and a grouping of symptoms including nausea, vomiting, early satiety, postprandial fullness, bloating and abdominal pain. When conservative medical management is not effective, gastric electrical stimulation is an effective alternative. Gastric electrical stimulation, in general, has had a low complication rate as of yet, with the most common being infection of the implanted device. Read More

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http://dx.doi.org/10.14309/crj.0000000000000313DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7209803PMC
February 2020

Lumen-Apposing Metal Stent Used to Treat Malignant Esophageal Stricture.

ACG Case Rep J 2020 Mar 19;7(3):e00362. Epub 2020 Mar 19.

Interventional Gastroenterology, Orange Regional Medical Center, Middletown, NY.

Malignant esophageal strictures often require stent placement to alleviate dysphagia and improve quality of life. We present a novel application of a lumen-apposing metal stent to bypass a malignant esophageal stricture in the setting of altered gastric anatomy. Read More

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http://dx.doi.org/10.14309/crj.0000000000000362DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162117PMC

Hepatitis E Infection With Acute Liver Failure.

ACG Case Rep J 2020 Mar 18;7(3):e00361. Epub 2020 Mar 18.

Department of Gastroenterology, Monash Health, Clayton, Melbourne, Victoria, Australia.

A 21-year-old man from India presented with acute hepatitis associated with a 1-week history of abdominal pain, pruritus, and dark urine. Over a 7-day admission, the patient's acute hepatitis evolved into acute liver failure with low-grade encephalopathy, markedly elevated transaminases, bilirubin, and impaired hepatic synthetic function. He was eventually diagnosed with acute hepatitis E virus (HEV) and was transitioned to supportive management. Read More

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http://dx.doi.org/10.14309/crj.0000000000000361DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162134PMC

Training in Bariatric Endoscopy.

ACG Case Rep J 2020 Mar 26;7(3):e00358. Epub 2020 Mar 26.

Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital/Harvard Medical School, Boston, MA.

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http://dx.doi.org/10.14309/crj.0000000000000358DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162124PMC

Microforceps in the Diagnosis of Pancreatic Bronchogenic Cyst Under Endoscopic Ultrasound Guidance.

ACG Case Rep J 2020 Mar 19;7(3):e00356. Epub 2020 Mar 19.

Department of Gastroenterology, University of California, San Francisco, San Francisco, CA.

Bronchogenic cysts belong in the category of foregut duplication cysts, along with esophageal and neuroenteric duplication cysts. They are often found incidentally on cross-sectional imaging. Although they are benign, patients often undergo surgical resection because of diagnostic uncertainties. Read More

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http://dx.doi.org/10.14309/crj.0000000000000356DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162121PMC

Very Early Onset of Inflammatory Bowel Disease in a Patient With Long-Segment Hirschsprung's Disease.

ACG Case Rep J 2020 Mar 20;7(3):e00353. Epub 2020 Mar 20.

Department of Pediatrics, Texas Children's Hospital, Baylor College of Medicine, Houston, TX.

Hirschsprung's disease (HSCR) is a congenital defect caused by impaired development of the enteric nervous system. Inflammatory bowel disease has an increased prevalence in patients with HSCR. We describe the clinical course of a patient with long-segment HSCR who, at the age of 12 months, developed diffuse intestinal inflammation most clinically consistent with very early onset inflammatory bowel disease. Read More

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http://dx.doi.org/10.14309/crj.0000000000000353DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162129PMC

Behcet's Disease With Budd-Chiari Syndrome and Challenges in Its Management.

ACG Case Rep J 2020 Mar 19;7(3):e00352. Epub 2020 Mar 19.

Department of Gastroenterology, All India Institute of Medical Sciences, New Delhi, India.

Budd-Chiari syndrome may rarely occur as a complication of Behcet's disease, and presentation with thrombosis of both inferior vena cava (IVC) and hepatic veins is rarer still. We present a young woman with Behcet's disease who presented with acute Budd-Chiari syndrome, with thrombosis of IVC and all 3 hepatic veins. An IVC stent was placed, followed by a transjugular intrahepatic portosystemic shunt through the IVC stent. Read More

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http://dx.doi.org/10.14309/crj.0000000000000352DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162122PMC

Ischemic Duodenal Ulceration After Thoracic Endovascular Aortic Repair.

ACG Case Rep J 2020 Mar 17;7(3):e00351. Epub 2020 Mar 17.

Division of Gastroenterology and Hepatology, Virginia Tech Carilion School of Medicine, Roanoke, VA.

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http://dx.doi.org/10.14309/crj.0000000000000351DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162127PMC

Cholestatic Hepatitis as a Possible Paraneoplastic Syndrome of Endometrial Carcinoma.

ACG Case Rep J 2020 Mar 17;7(3):e00350. Epub 2020 Mar 17.

Division of Gastroenterology, Department of Internal Medicine, Saint Louis University College of Medicine, Saint Louis, MO.

Cholestatic hepatitis has not been reported as a paraneoplastic syndrome of endometrial adenocarcinoma to our knowledge. We present a patient who, shortly after endometrial adenocarcinoma diagnosis, presented with elevated liver chemistries in the setting of an acute, paraneoplastic sensorimotor polyneuropathy. Infectious, autoimmune, pharmacologic, malignant, metabolic, and structural causes of cholestatic hepatitis were screened for and ruled out. Read More

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http://dx.doi.org/10.14309/crj.0000000000000350DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162118PMC

Idiopathic Adulthood Ductopenia Causing Cirrhosis.

ACG Case Rep J 2020 Mar 17;7(3):e00349. Epub 2020 Mar 17.

Department of Pathology, Medical University of South Carolina, Charleston, SC.

Idiopathic adulthood ductopenia (IAD) is a chronic small duct cholestatic biliary disease that is characterized by the loss of interlobular bile ducts. It is diagnosed when there is biochemical evidence of cholestatic liver disease, ductopenia on liver biopsy, and no other identifiable cause of cholestasis. We present a patient with 10 days of progressive abdominal pain, jaundice, and worsening liver function tests who advanced to fulminant liver failure with no apparent underlying cause. Read More

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http://dx.doi.org/10.14309/crj.0000000000000349DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162123PMC

The Role of Automatically Generated Chicago Classification in Delayed Achalasia Diagnosis.

ACG Case Rep J 2020 Mar 23;7(3):e00345. Epub 2020 Mar 23.

Division of Community Gastroenterology-Hepatology, Department of Medicine, Albany Medical College, Albany, NY.

Achalasia is an esophageal motility disorder characterized by a lack of peristalsis and an increased lower esophageal sphincter pressure that does not relax with swallowing. High-resolution manometry (HRM), a valuable diagnostic tool for esophageal disorders, often comes with software for automated study interpretation. Although helpful, there are certain caveats in the diagnostic criteria for achalasia which the software may miss. Read More

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http://dx.doi.org/10.14309/crj.0000000000000345DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162120PMC

Eosinophilic Enterocolitis: Gastric Outlet Obstruction.

ACG Case Rep J 2020 Mar 19;7(3):e00344. Epub 2020 Mar 19.

Department of Gastroenterology, University of Illinois at Chicago, Advocate Christ Medical Center, Oak Lawn, IL.

Eosinophilic enterocolitis is a rare condition representing the least frequent manifestation of eosinophilic gastrointestinal disorders. We report a 49-year-old man who presented with abdominal pain, diarrhea, and intractable vomiting for 2 weeks. Abdominal computed tomography demonstrated gastric wall thickening with mural wall thickening of the small intestine and colon. Read More

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http://dx.doi.org/10.14309/crj.0000000000000344DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162128PMC

Radiofrequency Ablation for Hepatocellular Carcinoma Adjacent to the Bile Duct Via Intraductal Cooling Through an Endoscopic Nasobiliary Drainage Tube.

ACG Case Rep J 2020 Mar 16;7(3):e00343. Epub 2020 Mar 16.

Department of Gastroenterology and Hepatology, National Hospital Organization Osaka National Hospital, Osaka, Japan.

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http://dx.doi.org/10.14309/crj.0000000000000343DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162125PMC

Post-Treatment Ulceration and Bleeding After Cyanoacrylate Injection of Duodenal Varices.

ACG Case Rep J 2020 Mar 17;7(3):e00342. Epub 2020 Mar 17.

Division of Gastroenterology and Hepatology, University of Virginia Health Sciences Center, Charlottesville, VA.

We report a case of recurrent gastrointestinal bleeding in the setting of diffuse duodenal and colorectal varices. These varices were secondary to either congenital absence of the portal vein or chronic occlusion of the portal vein leading to cavernous transformation of a collateral network of varices. He was acutely managed with injection of N-butyl-2-cyanoacrylate into a large complex of duodenal varices. Read More

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http://dx.doi.org/10.14309/crj.0000000000000342DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162136PMC

Successful Treatment of a Reinfected Liver Graft Because of Receipt of a HCV-Positive Kidney.

ACG Case Rep J 2020 Mar 16;7(3):e00341. Epub 2020 Mar 16.

Division of Gastroenterology and Hepatology, Department of Medicine, University of Calgary, Calgary, Alberta, CA.

Transplantation of hepatitis C virus (HCV)-positive organs has undergone a paradigm shift because of the advent of direct-acting antivirals. We present the case of a 57-year-old man successfully treated initially with pegylated interferon and ribavirin after HCV recurrence postliver transplantation. He subsequently developed end-stage renal disease and received a genotype 1a HCV-positive kidney transplant. Read More

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http://dx.doi.org/10.14309/crj.0000000000000341DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162115PMC

High-Resolution Esophageal Manometry in Myasthenia Gravis.

ACG Case Rep J 2020 Mar 16;7(3):e00340. Epub 2020 Mar 16.

Division of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, FL.

Myasthenia gravis (MG) is an autoimmune disease that affects the postsynaptic membrane at the neuromuscular junction. In MG, antibodies bind to acetylcholine receptors inducing muscle weakness. The weakness typically increases with exercise and repetitive muscle use. Read More

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http://dx.doi.org/10.14309/crj.0000000000000340DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162132PMC

Undigested Gum Found During Colonoscopy.

ACG Case Rep J 2020 Mar 16;7(3):e00339. Epub 2020 Mar 16.

Endoscopy Center and Gastroenterology Clinic, Madigan Army Medical Center, Tacoma, WA.

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http://dx.doi.org/10.14309/crj.0000000000000339DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162131PMC

Low-Grade Appendiceal Mucinous Neoplasm in an Adolescent Patient With Untreated Crohn's Disease.

ACG Case Rep J 2020 Mar 16;7(3):e00338. Epub 2020 Mar 16.

Division of Gastroenterology, Hepatology and Nutrition, Jackson Memorial Hospital, Miami, FL.

Appendiceal mucinous neoplasms are rarely diagnosed in pediatric patients. We present a 16-year-old adolescent boy with severe Crohn's disease who was not on maintenance medication for his underlying diagnosis. He was referred for nutritional optimization and small bowel obstruction. Read More

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http://dx.doi.org/10.14309/crj.0000000000000338DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162130PMC

Overcoming the Challenge of Full-Thickness Resection of Gastric Lesions Using a Colonic Full-Thickness Resection Device.

ACG Case Rep J 2020 Mar 17;7(3):e00329. Epub 2020 Mar 17.

Department of Gastroenterology and Hepatology, Advanced Endoscopy Unit, University of South Alabama, Mobile, AL.

Endoscopic full-thickness resection device (FTRD) is a new and promising device for endoscopic full-thickness resection of gastrointestinal lesions. Limited data is available regarding its role in endoscopic full-thickness resection of upper gastrointestinal lesions compared with its well-studied role in colorectal lesions. Colonic FTRD is a preloaded device with a large cap which limits peroral insertion. Read More

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http://dx.doi.org/10.14309/crj.0000000000000329DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162135PMC

Endoscopic Resection of a Giant Duodenal Lipoma.

ACG Case Rep J 2020 Mar 17;7(3):e00327. Epub 2020 Mar 17.

Division of Digestive Diseases and Advanced Endoscopy, Yale University School of Medicine, New Haven, CT.

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http://dx.doi.org/10.14309/crj.0000000000000327DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162116PMC

Autoimmune Hepatitis Associated With Turmeric Consumption.

ACG Case Rep J 2020 Mar 16;7(3):e00320. Epub 2020 Mar 16.

Department of Internal Medicine, University of California, Riverside School of Medicine, Riverside, CA.

Turmeric is a popular herbal dietary supplement that has been considered safe and even shown to have hepatoprotective properties. In the recent times, however, there have been a few case reports of turmeric-induced liver injury. We report a 55-year-old woman with chronic turmeric consumption whose initial diagnosis was acute autoimmune hepatitis. Read More

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http://dx.doi.org/10.14309/crj.0000000000000320DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162126PMC

Adult-Onset Immunoglobulin A Vasculitis.

ACG Case Rep J 2020 Mar 16;7(3):e00306. Epub 2020 Mar 16.

Flint Gastroenterology Associates, Grand Blanc, MI.

Immunoglobulin A vasculitis (IgAV), formerly Henoch-Schönlein purpura vasculitis, is a vasculitis commonly seen in children and only rarely described in adult patients. IgAV can present as arthralgia, rash, discolored urine, acute kidney injury, and gastrointestinal symptoms. We present a case of a 56-year-old man who presented with 1 month of worsening abdominal pain followed by a bilateral lower extremity rash. Read More

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http://dx.doi.org/10.14309/crj.0000000000000306DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162119PMC

Acute Liver Failure due to Miliary Liver Metastasis.

ACG Case Rep J 2020 Mar 16;7(3):e00294. Epub 2020 Mar 16.

Division of Gastroenterology, Department of Medicine, Central Arkansas Veterans Health Care System, Little Rock, AR.

Acute liver failure (ALF) is a medical emergency with high mortality. Accurate etiological diagnosis, intensive liver support, and liver transplantation are critical for the management of these patients. Malignant infiltration of the liver uncommonly results in ALF. Read More

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http://dx.doi.org/10.14309/crj.0000000000000294DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162133PMC

Esophageal Squamous Cell Carcinoma With Colonic Metastases.

ACG Case Rep J 2020 Feb 24;7(2):e00335. Epub 2020 Feb 24.

Division of Gastroenterology, McGill University, Montreal, Quebec, Canada.

Esophageal squamous cell carcinoma (ESCC) is recognized as one of the most lethal malignancies worldwide. The disease's tendency to quickly metastasize precludes many patients from receiving curative therapy. The most common sites of distal metastases include the liver, lungs, bones, and brain. Read More

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http://dx.doi.org/10.14309/crj.0000000000000335DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7145180PMC
February 2020

Correction to: Thinking Outside the Box: Visualization of an Ectopic Stomach via Surgically Advanced Endoscopy at Site of Intussusception.

Authors:
Sabine Hazan

ACG Case Rep J 2020 Feb 12;7(2):e00334. Epub 2020 Feb 12.

[This corrects the article on p. e00236 in vol. 6, PMID: 31832463. Read More

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http://dx.doi.org/10.14309/crj.0000000000000334DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7145176PMC
February 2020

Endoscopic Mucosal Resection of a Gastric Perineurioma.

ACG Case Rep J 2020 Feb 24;7(2):e00332. Epub 2020 Feb 24.

Division of Gastroenterology, John T. Milliken Department of Medicine, Washington University School of Medicine in St. Louis, St. Louis, MO.

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http://dx.doi.org/10.14309/crj.0000000000000332DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7145183PMC
February 2020

Simultaneous Metastases of Adenocarcinoma of the Lung to the Small and Large Intestine.

ACG Case Rep J 2020 Feb 24;7(2):e00331. Epub 2020 Feb 24.

Centre for Colorectal Disease, St. Vincent's University Hospital, Dublin, Ireland.

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http://dx.doi.org/10.14309/crj.0000000000000331DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7145186PMC
February 2020

Ancient Schwannoma of the Gallbladder.

ACG Case Rep J 2020 Feb 28;7(2):e00330. Epub 2020 Feb 28.

Department of Surgery, Cancer Center Amsterdam, Amsterdam UMC, VU University Amsterdam, Amsterdam, Netherlands.

Schwannomas are benign tumors which arise in the Schwann cells of the peripheral nerves. They develop anywhere in the human body but are less frequent found in the digestive tract. A 67-year-old female patient was referred to our tertiary HPB department with a asymptomatic mass of the gallbladder. Read More

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http://dx.doi.org/10.14309/crj.0000000000000330DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7145185PMC
February 2020

Making Heads or Tails of an Unexpected Colonoscopy Finding.

ACG Case Rep J 2020 Feb 20;7(2):e00328. Epub 2020 Feb 20.

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

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http://dx.doi.org/10.14309/crj.0000000000000328DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7145175PMC
February 2020

A Gastrocolic Fistula Presenting as Chronic Diarrhea.

ACG Case Rep J 2020 Feb 19;7(2):e00326. Epub 2020 Feb 19.

Division of Gastroenterology and Hepatology, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI.

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http://dx.doi.org/10.14309/crj.0000000000000326DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7145174PMC
February 2020

Acute Liver Injury due to Severe Epstein-Barr Virus Infection.

ACG Case Rep J 2020 Feb 24;7(2):e00325. Epub 2020 Feb 24.

Department of Pathology and Laboratory Medicine, Rutgers New Jersey Medical School, Newark, NJ.

Epstein-Barr virus (EBV) is a widely dispersed herpesvirus, transferred through close personal contact between susceptible individuals and asymptomatic shedders of the virus. The liver is often affected, and involvement is usually subclinical and self-limited. However, immunocompromised patients and, more rarely, immunocompetent individuals can develop a severe and potentially fatal acute liver injury. Read More

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http://dx.doi.org/10.14309/crj.0000000000000325DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7145184PMC
February 2020

Von Hippel-Lindau Disease Presenting as Obstructive Jaundice.

ACG Case Rep J 2020 Feb 19;7(2):e00324. Epub 2020 Feb 19.

Department of Gastroenterology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India.

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http://dx.doi.org/10.14309/crj.0000000000000324DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7145179PMC
February 2020

Esophageal Actinomycosis Masquerading as Cancer in an Immunocompetent Patient.

ACG Case Rep J 2020 Feb 26;7(2):e00321. Epub 2020 Feb 26.

Division of Gastroenterology, Department of Internal Medicine, Richmond University Medical Center, Staten Island, NY.

A 79-year-old African American woman presented with acute hematemesis after progressive dysphagia for 6 weeks and 12-pound weight loss. She had no predisposing immunocompromising comorbidity such as the human immunodeficiency virus or active malignancy. Computed tomography showed air-fluid levels within the esophagus with partial obstruction. Read More

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http://dx.doi.org/10.14309/crj.0000000000000321DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7145182PMC
February 2020

Treatment of Idiosyncratic Drug-Induced Liver Injury Using Steroids.

ACG Case Rep J 2020 Feb 24;7(2):e00319. Epub 2020 Feb 24.

Division of Gastroenterology and Hepatology, Indiana University School of Medicine, Indianapolis, IN.

Idiosyncratic drug-induced liver injury (DILI), when severe, can be associated with significant morbidity and mortality. Currently, there are no specific therapies for DILI, apart from corticosteroids for drug-induced autoimmune hepatitis caused by drugs such as nitrofurantoin or minocycline. We present 2 cases of DILI that improved with corticosteroid therapy despite the lack of autoimmune features by serology or histology. Read More

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http://dx.doi.org/10.14309/crj.0000000000000319DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7145177PMC
February 2020

Gastrointestinal Bleeding in a Patient With Gastric Lymphoma, Tuberculosis Enteritis, and Cytomegalovirus Enteritis.

ACG Case Rep J 2020 Feb 20;7(2):e00317. Epub 2020 Feb 20.

Division of Gastroenterology and Hepatology, Department of Medicine, NYU Langone Medical Center, New York, NY.

Bleeding from the small bowel can be challenging to identify by endoscopic or radiographic evaluation. We present the case of a patient with incompletely treated latent tuberculosis and medical history of T-cell lymphoma who developed gastrointestinal bleeding because of concurrent Burkitt lymphoma, tuberculosis enteritis, and cytomegalovirus enteritis. The interplay of these 3 diagnoses is discussed. Read More

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http://dx.doi.org/10.14309/crj.0000000000000317DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7145173PMC
February 2020

Gastric Outlet Obstruction Caused by Gravid Uterus.

ACG Case Rep J 2020 Feb 20;7(2):e00314. Epub 2020 Feb 20.

Division of Gastroenterology and Hepatology, University of New Mexico, Albuquerque, NM.

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http://dx.doi.org/10.14309/crj.0000000000000314DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7145178PMC
February 2020

Polypoid Growth of Benign Tissue After Endoscopic Full-Thickness Resection.

ACG Case Rep J 2020 Feb 24;7(2):e00312. Epub 2020 Feb 24.

Division of Gastroenterology and Hepatology, Saint Louis University, St. Louis, MO.

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http://dx.doi.org/10.14309/crj.0000000000000312DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7145187PMC
February 2020

Successful Hemostasis With Endoscopic Suturing of Recurrent Duodenal Ulcer Bleeding After Failed Initial Endoscopic Therapy and Embolization.

ACG Case Rep J 2020 Feb 20;7(2):e00275. Epub 2020 Feb 20.

Division of Gastroenterology and Hepatology, University of Maryland Medical Center, Baltimore, MD.

Peptic ulcer bleeding is a common condition where endoscopic therapy offers a safe and definitive treatment. However, management of peptic ulcer bleeding can be more complex when there is large volume, recurrent bleeding in a critically ill patient. We present a patient with life-threatening, recurrent duodenal ulcer bleeding who failed both standard endoscopic therapy and transarterial embolization. Read More

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http://dx.doi.org/10.14309/crj.0000000000000275DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7145181PMC
February 2020

Gastric Duplication Cyst With Occult GIST Component.

ACG Case Rep J 2020 Feb 7;7(2):e00260. Epub 2020 Feb 7.

Division of Gastroenterology, Tohoku University Hospital, Sendai, Miyagi, Japan.

A 37-year-old man underwent screening examinations, and a pale-colored submucosal tumor was detected on gastric cardia. Endosonography showed a 15-mm cyst with hypoechoic nodules in the muscularis propria, and endoscopic ultrasound-guided fine-needle aspiration obtained mucinous fluid with atypical spindle cells positive for , indicating a gastrointestinal stromal tumor. Surgical resection was recommended, but he initially agreed to surveillance. Read More

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http://dx.doi.org/10.14309/crj.0000000000000260DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7145172PMC
February 2020

Correction to: Pill-Induced Esophagitis From Intake of Dietary Supplements.

ACG Case Rep J 2020 Jan 15;7(1):e00311. Epub 2020 Jan 15.

[This corrects the article on p. e00106 in vol. 6, PMID: 31616773. Read More

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http://dx.doi.org/10.14309/crj.0000000000000311DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7145154PMC
January 2020

Sweet Potato Esophagus.

ACG Case Rep J 2020 Jan 17;7(1):e00310. Epub 2020 Jan 17.

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

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http://dx.doi.org/10.14309/crj.0000000000000310DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7145155PMC
January 2020

Management of Early-Stage Esophageal Adenocarcinoma by Endoscopic Spray Cryotherapy in the Setting of Portal Hypertension With Varices.

ACG Case Rep J 2020 Jan 20;7(1):e00309. Epub 2020 Jan 20.

University of Virginia, Charlottesville, VA.

The use of endoscopic spray cryotherapy to manage pathological conditions of the esophagus has become increasingly common. This mucosal ablation technique is believed to carry a lower risk of bleeding than other modalities. A 71-year-old woman and a 64-year-old man with portal hypertension and varices were diagnosed with invasive esophageal adenocarcinoma during routine variceal surveillance. Read More

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http://dx.doi.org/10.14309/crj.0000000000000309DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7145164PMC
January 2020