464 results match your criteria Case reports in gastrointestinal medicine[Journal]


Acute Pancreatitis after Colonoscopy: A Case Presentation and Literature Review.

Case Rep Gastrointest Med 2019 15;2019:4587371. Epub 2019 Jan 15.

Division of Gastroenterology, Department of Medicine, Hospital of the University of Pennsylvania, University of Pennsylvania, Philadelphia, PA, USA.

We report a case of acute pancreatitis after an elective screening colonoscopy. A 51-year-old male with a left ventricular assist device for end-stage nonischemic cardiomyopathy and a family history of colorectal cancer was admitted for an expedited heart transplant evaluation. He underwent screening colonoscopy during this admission which was technically uncomplicated apart from requiring slight maneuvering at the splenic flexure. Read More

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http://dx.doi.org/10.1155/2019/4587371DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350525PMC
January 2019

The Impact of Repeating Endosonography with Confocal Endomicroscopy for the Diagnosis of Cystic Neuroendocrine Tumor.

Case Rep Gastrointest Med 2019 14;2019:5187874. Epub 2019 Jan 14.

Department of Gastroenterology, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USA.

Cystic pancreatic neuroendocrine tumors represent around 13% of all neuroendocrine tumors (Hurtado-Pardo 2017). There has been an increase in the incidence of cases due to improvement in imaging modalities. This is a case of a 68-year-old male with the incidental finding of a pancreatic cyst on CT. Read More

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http://dx.doi.org/10.1155/2019/5187874DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348892PMC
January 2019

Burkitt's Lymphoma of the Gastrohepatic Omentum: A Malignant Presentation of Pseudoachalasia.

Case Rep Gastrointest Med 2019 13;2019:1803036. Epub 2019 Jan 13.

Division of Gastroenterology and Hepatology, SBH Health System, 4422 Third Ave, Bronx, New York 10457, USA.

Achalasia is an intrinsic disorder of the esophagus that results from loss of ganglion cells in the lower esophageal sphincter. Clinically it is manifested by dysphagia to solids and liquids, weight loss, regurgitation, and chest pain. Pseudoachalasia, in contrast, is a rare entity that causes identical symptoms, but has a divergent underlying pathogenesis. Read More

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http://dx.doi.org/10.1155/2019/1803036DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348844PMC
January 2019
1 Read

Esophageal Stricture Caused by in a Patient with No Apparent Predisposing Factors.

Case Rep Gastrointest Med 2019 2;2019:7182976. Epub 2019 Jan 2.

Division of Gastroenterology and Hepatobiliary Diseases, New York-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY, 11215, USA.

species are Gram positive anaerobic or microaerophilic bacteria that are part of the human flora in the oropharyngeal, gastrointestinal, and genitourinary tract. In the presence of a mucosal injury, they can become pathogenic and infect the underlying tissue without respect for tissue planes, leading to abscesses, fistulas, and sinus tracts. Through contiguous and hematogenous spread, virtually any organ can become infected. Read More

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https://www.hindawi.com/journals/crigm/2019/7182976/
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http://dx.doi.org/10.1155/2019/7182976DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6334373PMC
January 2019
2 Reads

Adhesion Ileus after Fecal Microbiota Transplantation in Long-Standing Radiation Colitis.

Case Rep Gastrointest Med 2019 2;2019:2543808. Epub 2019 Jan 2.

Department of Internal Medicine II, Division of Gastroenterology, Rainweg 68, 07318 Saalfeld/Saale, Germany.

Fecal microbiota transplantation (FMT) is a novel strategy for the therapy of dysbiosis-associated disorders via modulation of the gut microbiota. Intestinal dysbiosis is associated not only with digestive disorders, but also with a variety of extra-digestive disorders. A worldwide increasing number of FMT can be expected in the future as well as an increase in adverse events. Read More

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http://dx.doi.org/10.1155/2019/2543808DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6334349PMC
January 2019

Novel Endoscopic Management of Eroding Laparoscopic Adjustable Gastric Band: A Case Series.

Case Rep Gastrointest Med 2018 30;2018:2747852. Epub 2018 Dec 30.

2 Department of Surgery, 'Aretaieion' University Hospital, Medical School of Athens, Greece.

Complications of laparoscopic adjustable gastric bands include migration and slippage of the band, dilation of the proximal gastric pouch, troublesome gastroesophageal reflux symptoms, and erosion of the stomach. The latter occurs in 0.6-12. Read More

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http://dx.doi.org/10.1155/2018/2747852DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6332995PMC
December 2018
1 Read

Duodenum Inversum: A Rare Cause of Chronic Nausea and Vomiting.

Case Rep Gastrointest Med 2018 25;2018:7538601. Epub 2018 Dec 25.

Department of Gastroenterology and Hepatology, University of Nebraska Medical Center, Omaha NE, USA.

Duodenum inversum (DI), also known as inverted duodenum or duodenum reflexum, is a congenital malformation in which the third portion of the duodenum, instead of continuing leftward to the ligament of Treitz, reverses direction and travels in a superior, posterior track prior to crossing the midline above the pancreas. We present a case of a 62-year-old woman presenting with chronic nausea and vomiting, subsequently found to have DI. Read More

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http://dx.doi.org/10.1155/2018/7538601DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323429PMC
December 2018

Successful Elimination of Gallbladder Ascariasis by Conservative Therapy, Followed by Cholecystectomy due to Developing Cholecystitis.

Case Rep Gastrointest Med 2018 10;2018:5831257. Epub 2018 Dec 10.

Gastroenterology Department, Faculty of Medicine, Aleppo University Hospital, University of Aleppo, Aleppo, Syria.

Background: is the most common parasitic infection in human. The worm is usually located in the small intestine, but may invade into the pancreatic or biliary tree, but rarely into gallbladder because of the anatomic features of the cystic duct.

Case Presentation: We report a case of gallbladder ascariasis that was diagnosed incidentally in a 70-year-old man, with negative ova and parasite test and no eosinophilia. Read More

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http://dx.doi.org/10.1155/2018/5831257DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6311234PMC
December 2018
2 Reads

Unexplained Portal Gas in a Patient with an Esophageal Ulcer.

Case Rep Gastrointest Med 2018 10;2018:2496193. Epub 2018 Dec 10.

Sinai Hospital, Baltimore, Maryland, USA.

Emphysematous gastritis is the infection of gastric mucosa by gas producing microorganisms. It is a rare infection with less than 100 cases reported in the literature. The association of portal venous gas along with emphysematous gastritis is a rare entity. Read More

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http://dx.doi.org/10.1155/2018/2496193DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6311260PMC
December 2018
2 Reads

Intraluminal Apple as a Rare Cause of Small Bowel Obstruction.

Case Rep Gastrointest Med 2018 13;2018:1304519. Epub 2018 Dec 13.

Department of Acute Care Surgery, Sakai City Medical Center, 1-1-1 Ebaraji-cho, Nishi-ku, Sakai, Osaka 593-8304, Japan.

Small bowel obstruction due to ingested foreign bodies is rare in adults. A 48-year-old male visited our hospital with abdominal pain and vomiting. Computed tomography revealed intestinal obstruction by a 3 × 4 cm apple-shaped foreign body. Read More

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http://dx.doi.org/10.1155/2018/1304519DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6311299PMC
December 2018
2 Reads

Black Esophagus: A Rare Case of Acute Esophageal Necrosis Induced by Diabetic Ketoacidosis in a Young Adult Female.

Case Rep Gastrointest Med 2018 29;2018:7363406. Epub 2018 Nov 29.

Division of Academic Affairs and Research, Orlando Regional Healthcare, Orlando, FL, USA.

Background: Acute esophageal necrosis is an uncommon clinical disorder diagnosed on endoscopy as a black esophagus. It has a multifactorial etiology that probably represents a combination of poor nutritional status, gastric outlet obstruction, and ischemia secondary to hypoperfusion of the distal esophagus. It typically occurs in older males with comorbidities. Read More

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https://www.hindawi.com/journals/crigm/2018/7363406/
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http://dx.doi.org/10.1155/2018/7363406DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304633PMC
November 2018
8 Reads

TTF1 Expression in Pulmonary Metastatic Rectal Adenocarcinoma.

Case Rep Gastrointest Med 2018 5;2018:6405125. Epub 2018 Dec 5.

Department of Medical Biotechnologies, Section of Pathology, University of Siena, 53100 Siena, Italy.

Thyroid transcription factor (TTF-1) is a tissue-specific nuclear transcription factor expressed developing thyroid, respiratory epithelium, and diencephalon. TTF-1 is thought to be expressed specifically in most thyroid tumors and in a significant subset of pulmonary neoplasms. However, recent studies on its expression in extrapulmonary carcinomas have demonstrated that TTF-1 is not as specific for lung and thyroid carcinomas as was previously thought: positivity of this marker can be observed, although much less frequently, in some carcinomas arising in other organs, such as the ovaries, endometrium, colon, and breast, as well as in some tumors of the central nervous system. Read More

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http://dx.doi.org/10.1155/2018/6405125DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304559PMC
December 2018
3 Reads

Simultaneous Occurrence of Colonic Mucosa-Associated Lymphoid Tissue (MALT) Lymphoma (MALToma) and Lung Cancer.

Authors:
Monjur Ahmed

Case Rep Gastrointest Med 2018 9;2018:3607101. Epub 2018 Dec 9.

Thomas Jefferson University, Philadelphia, PA, USA.

Colonic MALToma accounts for 2.5% of all MALTomas. MALToma can be associated with certain chronic infections, autoimmune disorders, Waldenstrom's macroglobulinemia, and old age. Read More

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http://dx.doi.org/10.1155/2018/3607101DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304642PMC
December 2018
2 Reads

Blue Rubber Bleb Nevus Syndrome with Long-Term Follow-Up: A Case Report and Review of the Literature.

Case Rep Gastrointest Med 2018 25;2018:8087659. Epub 2018 Nov 25.

Department of Pediatric Surgery, Shizuoka Children's Hospital, 860 Urushiyama, Aoi-ku, Shizuoka 420-8660, Shizuoka, Japan.

Blue rubber bleb nevus syndrome (BRBNS) is a rare disease in which venous malformations (VMs) involve any body organ, most commonly the skin and the gastrointestinal (GI) tract. Treatment of BRBNS aims at preserving the GI tract as much as possible. Although there are several dozen case reports about BRBNS that describe short-term clinical courses, a few provide an account of long-term clinical course. Read More

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http://dx.doi.org/10.1155/2018/8087659DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6286777PMC
November 2018
1 Read

Two Cases of Acute Cholecystitis and Symptomatic Choledocholithiasis in Two Women Less than 40-Years-of-Age with Hormonal Intrauterine Devices.

Case Rep Gastrointest Med 2018 21;2018:2390213. Epub 2018 Nov 21.

Hasrat Sidhu, M.B.B.S, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.

Levonorgestrel uterine implants are accepted as a safe and efficacious method of contraception. One of the two major health side effects in a large controlled study of subcutaneous hormonal implants with levonorgestrel was a significant increase in gallbladder disease. Gallbladder hypomotility is recognized as a side effect of the levonorgestrel (progesterone). Read More

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http://dx.doi.org/10.1155/2018/2390213DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280224PMC
November 2018
2 Reads

Corrigendum to "Spontaneous Resolution of Symptomatic Hepatic Sarcoidosis".

Case Rep Gastrointest Med 2018 6;2018:8603896. Epub 2018 Nov 6.

Department of Community Medicine, Department of Internal Medicine, Mercer University School of Medicine, Macon, GA, USA.

[This corrects the article DOI: 10.1155/2018/1535049.]. Read More

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http://dx.doi.org/10.1155/2018/8603896DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247645PMC
November 2018
2 Reads

Pericardial Effusion due to Infliximab Therapy for Ulcerative Colitis.

Case Rep Gastrointest Med 2018 6;2018:4324592. Epub 2018 Nov 6.

Department of Internal Medicine, Medstar Washington Hospital Center, USA.

Ulcerative colitis is characterized by ulcers and inflammation of the inner lining of the gastrointestinal tract. Antitumor necrosis factor alpha (anti-TNF alpha) agents such as infliximab are drugs that have been used for the treatment of ulcerative colitis for decades. Infliximab is known to be associated with various adverse effects including anti-TNF alpha induced lupus (ATIL). Read More

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http://dx.doi.org/10.1155/2018/4324592DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247658PMC
November 2018
2 Reads

Two Cases of White Globe Appearance in Autoimmune Atrophic Gastritis.

Case Rep Gastrointest Med 2018 30;2018:7091520. Epub 2018 Oct 30.

Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama 700-8558, Japan.

In this report, we described two patients with white globe appearance in autoimmune atrophic gastritis. Endoscopy revealed multiple white substances in the stomach in both cases. Biopsied specimens from the lesions contained dilated glands and showed a decrease in parietal cells. Read More

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http://dx.doi.org/10.1155/2018/7091520DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6232817PMC
October 2018
8 Reads

Rare Benign Large Lymphoid Colonic Polyp.

Case Rep Gastrointest Med 2018 28;2018:5758689. Epub 2018 Oct 28.

Haya Al-Habeeb Gastroenterology Center, Mubarak Al-Kabeer Hospital, Jabriya, Kuwait.

Benign lymphoid polyps are uncommon lesions of the small bowel and the colon to a lesser degree that are mostly found in children. There are only few reported cases in adults in which the lesions were predominantly polypoid and described as lymphonodular hyperplasia. We present a case of a large benign lymphoid polyp in the transverse colon of a 64-year-old lady who was referred to our care for a history of alteration in her bowel habit and anemia. Read More

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http://dx.doi.org/10.1155/2018/5758689DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6230425PMC
October 2018
4 Reads

Gastrointestinal Bleeding Secondary to Portal Hypertensive Duodenopathy in a Patient with Decompensated Liver Cirrhosis.

Case Rep Gastrointest Med 2018 18;2018:9430701. Epub 2018 Oct 18.

Department of Gastroenterology and Hepatology, Louisiana State University Health Sciences Center, Shreveport, LA, USA.

With alcoholic cirrhosis and nonalcoholic fatty liver disease continuously on the rise in the United States, there is also a corresponding rise in portal hypertension. Portal hypertensive duodenopathy (PHD) is a complication of portal hypertension not commonly seen in cirrhotic patients. We present a case of a 46-year-old man who presented with decompensated liver cirrhosis secondary to gastrointestinal bleed. Read More

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http://dx.doi.org/10.1155/2018/9430701DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220751PMC
October 2018
11 Reads

A Case of Complete Remission from Advanced Gastric Adenocarcinoma with Synchronous Liver Metastasis in Response to EOX Chemotherapy.

Case Rep Gastrointest Med 2018 23;2018:3954260. Epub 2018 Oct 23.

Department of Abdominal Surgery, Third Affiliated Hospital of Kunming Medical University, Kunming, Yunnan 650118, China.

Gastric cancer is a malignant tumor with a high degree of malignancy. Multiple liver metastases from gastric cancer (LMGCs) are common. However, the treatment of LMGCs is very difficult. Read More

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https://www.hindawi.com/journals/crigm/2018/3954260/
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http://dx.doi.org/10.1155/2018/3954260DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6218800PMC
October 2018
14 Reads

Infected Renal Cyst as a Complication of Dropped Gallstones during Laparoscopic Cholecystectomy.

Case Rep Gastrointest Med 2018 30;2018:2478245. Epub 2018 Sep 30.

NYU Winthrop Hospital, Department of Radiology, 259 1st Ave, Mineola, NY 11501, USA.

Dropped gallstones are a relatively common complication, occurring in 3% to 32% of laparoscopic cholecystectomies performed, depending on various intraoperative risk factors. However, complications arising from dropped gallstones are relatively rare, occurring in fewer than 1% of such patients, and can include abscesses and inflammatory masses confined to the subhepatic space, presenting days to years later. We report a patient who developed an infected renal cyst as a result of dropped gallstones, which created a fistula from the duodenum to a previously simple right renal cyst, which was initially identified on an abdominal CT scan. Read More

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https://www.hindawi.com/journals/crigm/2018/2478245/
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http://dx.doi.org/10.1155/2018/2478245DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6186367PMC
September 2018
17 Reads

First Reported Case of Endoscopic Ultrasound-Guided Core Biopsy Yielding Diagnosis of Primary Adrenal Leiomyosarcoma.

Case Rep Gastrointest Med 2018 3;2018:8196051. Epub 2018 Oct 3.

Division of Gastroenterology and Hepatology, University of Florida and Malcom Randall VA Medical Center, Gainesville, FL, USA.

Primary adrenal leiomyosarcoma (PAL) is an extremely rare mesenchymal tumor with only a few isolated case reports in the medical literature. Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) or endoscopic ultrasound-guided core biopsy (EUS-CB) is a safe, effective modality for sampling lesions in the gastrointestinal tract and adjacent organs, including the adrenal glands. We describe the case of a 50-year-old male presenting with abdominal pain and unintentional weight loss over the course of one year. Read More

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https://www.hindawi.com/journals/crigm/2018/8196051/
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http://dx.doi.org/10.1155/2018/8196051DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6192140PMC
October 2018
12 Reads

Gastrocolic Fistula: A Rare Presentation of Colon Cancer.

Case Rep Gastrointest Med 2018 1;2018:6958925. Epub 2018 Oct 1.

Division of Gastroenterology, Bronx Care Health System-Affiliate of Mount Sinai Hospital System, New York, USA.

Gastrocolic fistulae have been described for benign conditions including penetrating peptic ulcer and complicated pancreatitis. Malignant etiology can arise from gastric or colon cancer and is a rare and late complication with an incidence of 0.3-0. Read More

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https://www.hindawi.com/journals/crigm/2018/6958925/
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http://dx.doi.org/10.1155/2018/6958925DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6188725PMC
October 2018
10 Reads

Salivary Gland Heterotopia in the Gastroesophageal Junction: A Case Series and Review of the Literature.

Case Rep Gastrointest Med 2018 30;2018:6078581. Epub 2018 Sep 30.

Medstar Georgetown University Hospital, Washington, DC, USA.

Heterotopia is defined as the presence of mature, histologically normal, tissue in unusual anatomic sites. When this heterotopic tissue forms a mass, it is called a choristoma. This case series describes 3 cases of gastroesophageal junction (GEJ) salivary heterotopias. Read More

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http://dx.doi.org/10.1155/2018/6078581DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6186366PMC
September 2018
1 Read

Medical Treatment of Postendoscopic Submucosal Dissection Phlegmonous Gastritis in an Elderly Diabetic Woman with Myelodysplastic Syndrome.

Case Rep Gastrointest Med 2018 30;2018:8046817. Epub 2018 Sep 30.

Department of Gastroenterology, Kishiwada Tokushukai Hospital, 4-27-1 Kamori-cho, Kishiwada, Osaka 596-0042, Japan.

Phlegmonous gastritis is a rare, suppurative disease characterized by full-thickness exudative changes, infiltration of inflammatory cells, and edema primarily in the submucosal layer. A 76-year-old woman with type 2 diabetes and myelodysplastic syndrome underwent endoscopic submucosal dissection (ESD) for early gastric cancer. Postoperatively, she developed persistent fever and computed tomography displayed full-circumference thickening of the gastric wall and increased levels of fat stranding. Read More

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https://www.hindawi.com/journals/crigm/2018/8046817/
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http://dx.doi.org/10.1155/2018/8046817DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6186326PMC
September 2018
14 Reads

Acute Appendicitis Masquerading Distal Intestinal Obstruction Syndrome in Adult Cystic Fibrosis.

Case Rep Gastrointest Med 2018 26;2018:8475060. Epub 2018 Sep 26.

Department of Gastroenterology, St. Joseph's University Medical Center-New York Medical College, USA.

Overshadowed by Sino-pulmonary infections, Cystic Fibrosis (CF) commonly affects gastrointestinal organs because of secretory and motility dysfunction. Infrequently, these changes result in Distal Intestinal Obstruction Syndrome (DIOS), an increasingly diagnosed gastrointestinal entity in adult Cystic Fibrosis patients. We present a case 22-year-old male who presented to our hospital with right lower quadrant abdominal pain with suspicion of acute appendicitis and was subsequently diagnosed as DIOS. Read More

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https://www.hindawi.com/journals/crigm/2018/8475060/
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http://dx.doi.org/10.1155/2018/8475060DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6178186PMC
September 2018
13 Reads

Combined Approach of Cryoablation and Stent-In-Stent Technique for Removal of an Embedded Esophageal Stent.

Case Rep Gastrointest Med 2018 25;2018:8619252. Epub 2018 Sep 25.

Center for Advanced Endoscopy, Division of Gastroenterology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA.

Self-expanding removable stents are used for the treatment of esophageal strictures. Partially covered metal stents become embedded in the esophageal wall due to mucosal tissue reaction providing good anchorage. This can also lead to extreme difficulty in the removal of such stents. Read More

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http://dx.doi.org/10.1155/2018/8619252DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6176298PMC
September 2018
1 Read

Moderate Hypertriglyceridemia Causing Recurrent Pancreatitis: A Case Report and the Literature Review.

Case Rep Gastrointest Med 2018 24;2018:8714390. Epub 2018 Sep 24.

Department of Medicine, Wayne State University/Detroit Medical Center, Detroit, MI, USA.

Recurrent acute pancreatitis secondary to hypertriglyceridemia (HTG) with levels below 1000 mg/dL has been rarely reported in the literature. HTG is the third most common cause of acute pancreatitis and has been established in the literature as a risk factor when levels are greater than 1000 mg/dL. A 43-year-old patient presented to the hospital with severe epigastric abdominal pain. Read More

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https://www.hindawi.com/journals/crigm/2018/8714390/
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http://dx.doi.org/10.1155/2018/8714390DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6174808PMC
September 2018
12 Reads

Focal Intramucosal Adenocarcinoma Occurring in Gastric Hyperplastic Polyps Treated with Endoscopic Mucosal Resection.

Case Rep Gastrointest Med 2018 24;2018:7431290. Epub 2018 Sep 24.

Hospital Nacional Edgardo Rebagliati Martins, Lima, Peru.

Hyperplastic polyps are the most frequent benign epithelial gastric polyps. Although they are considered nonneoplastic, some cases have been reported with focal adenocarcinoma. We present the case of a 59-year-old woman with a sessile lesion of 15 mm on the distal gastric body associated with an extensive atrophic gastritis. Read More

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https://www.hindawi.com/journals/crigm/2018/7431290/
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http://dx.doi.org/10.1155/2018/7431290DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6174740PMC
September 2018
12 Reads

A Case Report and Literature Review of Negative Antibiotic Associated Hemorrhagic Colitis Caused by .

Case Rep Gastrointest Med 2018 24;2018:7264613. Epub 2018 Sep 24.

General Internal Medicine Section Head, Beaumont Health, Royal Oak, MI, USA.

hemorrhagic colitis is a rare form of antibiotic associated hemorrhagic colitis that is negative. colitis has been shown to be triggered by penicillin administration, yet other antibiotics have been implicated as well. It can mimic the appearance of ischemic colitis on endoscopy; however it will generally be found in young, otherwise healthy patients without risk factors. Read More

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http://dx.doi.org/10.1155/2018/7264613DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6174797PMC
September 2018
2 Reads

Hemophilia A Complicated by Ulcerative Colitis.

Case Rep Gastrointest Med 2018 4;2018:2342618. Epub 2018 Sep 4.

Department of Pathology, Orlando Regional Healthcare, Orlando, Florida, USA.

Background: Hemophilia A is an X-linked recessive disorder characterized by defective synthesis of Factor VIII protein. Depending on the level of FVIII activity, patients may present with easy bruising, inadequate clotting of traumatic or mild injury, or in severe hemophilia, spontaneous hemorrhage. Ulcerative colitis (UC) is an inflammatory bowel disease (IBD) that is reported to have a decreased frequency of occurrence in subjects with coagulation disorders. Read More

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https://www.hindawi.com/journals/crigm/2018/2342618/
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http://dx.doi.org/10.1155/2018/2342618DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6142740PMC
September 2018
5 Reads

Fenofibrate: A Nonlithogenic Means of Recurrent Drug-Induced Pancreatitis.

Case Rep Gastrointest Med 2018 9;2018:4580860. Epub 2018 Sep 9.

Department of Medicine, Division of Gastroenterology, Creighton University, Omaha, NE, USA.

Medications account for a small portion of the various etiologies of acute pancreatitis. Prompt identification of drugs as the inciting factor decreases disease recurrence and unnecessary invasive diagnostic intervention. This case is a report of fenofibrate-induced acute pancreatitis including a disease recurrence with continuation of fenofibrate which subsequently resolved after drug discontinuation. Read More

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http://dx.doi.org/10.1155/2018/4580860DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6151234PMC
September 2018
16 Reads

Pyogenic Liver Abscess with No Predisposing Risk Factors.

Case Rep Gastrointest Med 2018 4;2018:9509356. Epub 2018 Sep 4.

Department of Gastroenterology, Genesys Regional Medical Center, 1 Genesys Pkwy, Grand Blanc, MI 48439, USA.

Pyogenic liver abscesses (PLA) are an uncommon cause of hospitalization in the United States. The majority of such cases are polymicrobial and are most commonly caused by seeding of infection from the biliary system. PLA is frequently associated with specific comorbidities such as diabetes mellitus, history of liver transplant, underlying hepatobiliary, or pancreatic disease. Read More

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http://dx.doi.org/10.1155/2018/9509356DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6142760PMC
September 2018
20 Reads

Biliary Obstruction due to a Pancreatic Plasmacytoma.

Case Rep Gastrointest Med 2018 4;2018:9017617. Epub 2018 Sep 4.

Division of Gastroenterology, MedStar Washington Hospital Center, Washington, DC, USA.

Obstructive jaundice, weight loss, and anorexia often raise a concern for pancreatic malignancy. Although pancreatic adenocarcinoma is the most common form of pancreatic cancer, not all pancreatic malignancies are exocrine in origin. With advancement in endoscopic ultrasound with fine needle aspiration, it has become easier to make correct diagnosis. Read More

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http://dx.doi.org/10.1155/2018/9017617DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6142722PMC
September 2018
3 Reads

Acute Pancreatitis Secondary to Hemobilia after Percutaneous Liver Biopsy: A Rare Complication of a Common Procedure, Presenting in an Atypical Fashion.

Case Rep Gastrointest Med 2018 2;2018:1284610. Epub 2018 Sep 2.

Genesys Regional Medical Center Gastroenterology, 1 Genesys Parkway, ATTN: Medical Education, Grand Blanc, MI 48439, USA.

Percutaneous Liver Biopsy is an often-required procedure for the evaluation of multiple liver diseases. The complications are rare but well reported. Here we present a case of a 60-year-old overweight female who underwent liver biopsy for elevated alkaline phosphatase. Read More

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https://www.hindawi.com/journals/crigm/2018/1284610/
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http://dx.doi.org/10.1155/2018/1284610DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6139222PMC
September 2018
10 Reads

Thromboelastometry Identified Alteration of Clot Stabilization and Factor XIII Supplementation Need in a Patient with Decompensated Liver Disease Undergoing Liver Biopsy.

Case Rep Gastrointest Med 2018 29;2018:6360543. Epub 2018 Aug 29.

Hospital Leforte, Department of Critical Care, São Paulo, SP, Brazil.

Liver disease has been considered the prototype of hemorrhagic disease. Disorder in any component of coagulation system can lead to hemorrhage. Deficiency of factor XIII may impair clot strength and clot stabilization and can be accessed by thromboelastometry. Read More

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http://dx.doi.org/10.1155/2018/6360543DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6136510PMC
August 2018
5 Reads

When the Benign Pneumatosis Intestinalis Becomes No Longer Benign: A Rare Case of Bowel Perforation in a Patient with Systemic Sclerosis.

Case Rep Gastrointest Med 2018 26;2018:5124145. Epub 2018 Aug 26.

Central Florida Hepatology & Gastroenterology, Florida Hospital, 2415 N. Orange Ave., Suite 200, Orlando, FL 32804, USA.

Systemic sclerosis is a multisystem disease featured with autoimmunity and organ fibrosis. Although gastrointestinal (GI) tract involvement is common in patients with systemic sclerosis, colonic perforation is extremely rare. Benign pneumatosis intestinalis, a phenomenon more frequently seen in rheumatologic conditions, makes the diagnosis of colonic perforation even more challenging. Read More

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http://dx.doi.org/10.1155/2018/5124145DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6129327PMC
August 2018
5 Reads

Pancreaticopleural Fistula: A Review of Imaging Diagnosis and Early Endoscopic Intervention.

Case Rep Gastrointest Med 2018 19;2018:7589451. Epub 2018 Aug 19.

Department of Radiology, University of Illinois at Chicago, USA.

A 49-year-old male with history of chronic alcohol-induced pancreatitis presented with one month of worsening left pleuritic chest pain and shortness of breath. Chest radiograph demonstrated bilateral pleural effusions. Thoracentesis revealed increased amylase in the pleural fluid. Read More

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http://dx.doi.org/10.1155/2018/7589451DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6120288PMC
August 2018
4 Reads

A Case of Phlegmonous Gastritis in a Patient with Psoriatic Arthritis on Infliximab.

Case Rep Gastrointest Med 2018 15;2018:3624627. Epub 2018 Aug 15.

Department of Gastroenterology, Sherbrooke University Hospital Center, Sherbrooke, QC, Canada.

Phlegmonous gastritis is a pyogenic infection affecting the submucosa of the gastric wall. Although rarely diagnosed, it remains a disease with high mortality. We thereby describe the case of a 42-year-old male patient known for psoriatic arthritis on Infliximab who was diagnosed with phlegmonous gastritis secondary to immunosuppressive therapy. Read More

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http://dx.doi.org/10.1155/2018/3624627DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6114249PMC
August 2018
3 Reads

Endoscopy- and Monitored Anesthesia Care-Assisted High-Resolution Impedance Manometry Improves Clinical Management.

Case Rep Gastrointest Med 2018 7;2018:9720243. Epub 2018 Aug 7.

Division of Gastroenterology and Hepatology, University of Maryland School of Medicine, Veterans Affairs Maryland Health Care System, Baltimore, MD 21201, USA.

Background: High-resolution impedance manometry (HRiM) is the test of choice to diagnose esophageal motility disorders and is particularly useful for identifying achalasia subtypes, which often guide therapy. HRiM is typically performed without sedation in the office setting. However, a substantial number of patients fail this approach. Read More

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http://dx.doi.org/10.1155/2018/9720243DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6106847PMC
August 2018
5 Reads

Portomesenteric Thrombosis Secondary to Acute Cholecystitis: A Case Report.

Case Rep Gastrointest Med 2018 8;2018:9409081. Epub 2018 Aug 8.

Department of Medicine, Hamad Medical Corporation, Doha, Qatar.

Portomesenteric venous thrombosis (PMVT) is an uncommon clinical problem. Common risk factors include intra-abdominal infections, abdominal surgeries, malignancy, cirrhosis, and inherited thrombophilia. Early recognition and treatment of PMVT are important to avoid serious complications like mesenteric ischemia and infarction. Read More

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https://www.hindawi.com/journals/crigm/2018/9409081/
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http://dx.doi.org/10.1155/2018/9409081DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6106975PMC
August 2018
22 Reads

Primary Mucosal Melanoma of the Stomach.

Case Rep Gastrointest Med 2018 12;2018:6040693. Epub 2018 Aug 12.

Division of Surgical Pathology, Trinitas Regional Medical Center, Elizabeth, NJ, USA.

Considered to be rare, mucosal melanomas are rare type of melanoma that are found on mucosal surfaces and are primary or metastatic in origin. We report a case of a 66-year-old Hispanic female who presented with vague abdominal pain and upon further endoscopic work-up revealed 2 gastric lesions. Endoscopic biopsy results revealed gastric melanoma in the distal lesion. Read More

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http://dx.doi.org/10.1155/2018/6040693DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6109490PMC
August 2018
2 Reads

Case Report and Literature Review Illustrating the Clinical, Endoscopic, Radiologic, and Histopathologic Findings with Prepouch Ileitis after IPAA and Restorative Proctocolectomy for Refractory Ulcerative Colitis.

Case Rep Gastrointest Med 2018 30;2018:7506069. Epub 2018 Jul 30.

Division of Gastroenterology & Hepatology, Department of Medicine, William Beaumont Hospital and Oakland University William Beaumont School of Medicine, 3535 W. Thirteen Mile Rd, Royal Oak, MI 48073, USA.

Prepouch ileitis (PI) is an uncommon complication of ileal pouch anal anastomosis (IPAA) and restorative proctocolectomy (RPC) for treatment of refractory ulcerative colitis (UC). A case is reported of PI in a 16-year-old girl who presented with severe UC that was initially stabilized with infliximab therapy but re-presented 1 year later with severe UC, refractory to infliximab and corticosteroid therapy, which required IPAA and RPC. Her symptoms resolved postoperatively, but she re-presented 1 year later with 10 loose, bloody, bowel movements/day and involuntary 6-Kg weight-loss. Read More

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http://dx.doi.org/10.1155/2018/7506069DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6091410PMC
July 2018
2 Reads

Pneumatosis Coli Formation via Counterperfusion Supersaturation in a Patient with Severe Diarrhea.

Case Rep Gastrointest Med 2018 5;2018:6931747. Epub 2018 Aug 5.

Rhode Island Hospital and Brown University, USA.

We present the case of an elderly male patient with known multiple myeloma who was hospitalized with profuse watery diarrhea and abdominal pain after a course of induction chemotherapy. Intestinal intramural gas was found on imaging and the diagnosis of pneumatosis intestinalis was confirmed by colonoscopy. We propose counterperfusion supersaturation as the etiology for this patient's pneumatosis coli via disruption of homeostasis between nitrogen and hydrogen normally present in the bowel. Read More

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http://dx.doi.org/10.1155/2018/6931747DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6098868PMC
August 2018
4 Reads

Spontaneous Resolution of Symptomatic Hepatic Sarcoidosis.

Case Rep Gastrointest Med 2018 1;2018:1535049. Epub 2018 Aug 1.

Department of Community Medicine, Department of Internal Medicine, Mercer University School of Medicine, Macon, GA, USA.

Sarcoidosis is an inflammatory process of unknown etiology, characterized by noncaseating granulomas. Isolated extrapulmonary disease is rare. We present a case of a 60-year-old woman with chronically elevated alkaline phosphatase. Read More

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http://dx.doi.org/10.1155/2018/1535049DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6093030PMC
August 2018
18 Reads

A Case of Gastric Metastatic Melanoma 15 Years after the Initial Diagnosis of Cutaneous Melanoma.

Case Rep Gastrointest Med 2018 29;2018:7684964. Epub 2018 Jul 29.

Gastroenterology Department, William Beaumont Hospital, Royal Oak & Oakland University William Beaumont School of Medicine, USA.

Melanoma is the most common cancer to metastasize to the gastrointestinal tract; however, metastasis to the stomach is a rare occurrence. We present the case of a patient with a history of melanoma of the chest wall 15 years prior to presentation who initially presented to the hospital with sepsis but was later found to have metastatic melanoma in the gastric cardia. This case illustrates the rare occurrence of metastatic melanoma to the stomach which occurred 15 years after the initial skin diagnosis of melanoma was made, its endoscopic appearance, and how the nonspecific symptoms frequently lead to a delayed diagnosis or one that is not made at all until after autopsy. Read More

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http://dx.doi.org/10.1155/2018/7684964DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6087584PMC
July 2018
4 Reads

Acute Hepatitis due to Garcinia Cambogia Extract, an Herbal Weight Loss Supplement.

Case Rep Gastrointest Med 2018 26;2018:9606171. Epub 2018 Jul 26.

Program Director, Department of Internal Medicine, Division of Gastroenterology, Detroit Medical Center/Wayne State University, USA.

The Drug Induced Liver Injury Network reports dietary supplements as one of the most important causes of drug induced hepatotoxicity, yet millions of people use these supplements without being aware of their potential life-threatening side effects. Garcinia cambogia (GC) extract is an herbal weight loss supplement, reported to cause fulminant hepatic failure. We present a case of a 57-year-old female with no previous history of liver disease, who presented with acute hepatitis due to GC extract taken for weight loss, which resolved after stopping it and got reaggravated on retaking it. Read More

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http://dx.doi.org/10.1155/2018/9606171DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6083529PMC
July 2018
24 Reads

Pseudoephedrine Induced Ischemic Colitis: A Case Report and Review of Literature.

Case Rep Gastrointest Med 2018 28;2018:8761314. Epub 2018 Jun 28.

Department of Gastroenterology and Hepatology, University of Kansas Medical Center, Kansas City, KS, USA.

Ischemic colitis due to medications is common, and a number of cases have been described with pseudoephedrine as the culprit agent. We present here an interesting case of a healthy female with no risk factors who developed pseudoephedrine induced ischemic colitis. This case serves to remind the healthcare providers about the utmost importance of obtaining a comprehensive history to aid with the diagnosis. Read More

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http://dx.doi.org/10.1155/2018/8761314DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6046157PMC
June 2018
2 Reads

The Importance of Recognizing Wandering Spleen as a Cause of Recurrent Acute Pancreatitis.

Case Rep Gastrointest Med 2018 21;2018:7573835. Epub 2018 Jun 21.

Department of Gastroenterology and Hepatology, Brandon Regional Hospital, Brandon, Florida 33511, USA.

Wandering spleen, as its name suggests, is a rare condition where the spleen wanders in the abdomen and is most commonly found in the inferior quadrant as a palpable mass. It can have varying presentations and commonly presents as splenic torsion and very rarely as acute pancreatitis. It is imperative not to miss this diagnosis as it can lead to life-threatening complications in the form of splenic torsion/infarction. Read More

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http://dx.doi.org/10.1155/2018/7573835DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6032662PMC
June 2018
8 Reads