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


A Rare Case of Splenic in a HIV-Positive Patient.

Case Rep Gastrointest Med 2020 10;2020:8509591. Epub 2020 Jun 10.

Department of Medicine, BronxCare Hospital Center, Bronx, NY 10457, USA.

Introduction: Human immunodeficiency virus (HIV) positive individuals with the CD4 count less than 200 cells/mm are at risk for opportunistic infections. , a fungal pathogen, is a common cause of opportunistic infections with predominantly pulmonary involvement. Disseminated infection presenting with hepatosplenic lesion is extremely rare. Read More

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http://dx.doi.org/10.1155/2020/8509591DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7303748PMC

Squamous Cell Papilloma of the Esophagus: A Case Series Highlighting Endoscopic and Histologic Features.

Case Rep Gastrointest Med 2020 1;2020:7645926. Epub 2020 Jun 1.

Department of Gastroenterology and Hepatology, MercyOne Des Moines Medical Center, Des Moines, IA, USA.

Esophageal squamous papillomas are rare epithelial lesions typically discovered incidentally during EGD. Their prevalence is estimated to be less than 0.01% in the general population. Read More

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http://dx.doi.org/10.1155/2020/7645926DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7288206PMC

Eosinophilic Gastritis in a Patient Previously Treated with Dupilumab.

Case Rep Gastrointest Med 2020 3;2020:6381670. Epub 2020 Jun 3.

Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan.

A 77-year-old Japanese man with bronchial asthma was treated with dupilumab. Dupilumab treatment was discontinued at the patient's request after two injections separated by a 2-week interval. The blood eosinophil count was elevated, and an esophagogastroduodenoscopy performed 3 months after dupilumab treatment revealed gastric ulcers; subsequently, eosinophilic gastritis was diagnosed from biopsy examinations. Read More

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http://dx.doi.org/10.1155/2020/6381670DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292988PMC

Pernicious Anemia and Vitiligo in an HIV Patient: An Unfamiliar Case Presentation.

Case Rep Gastrointest Med 2020 29;2020:7942453. Epub 2020 May 29.

Dermatology and Venereology Section, University Teaching Hospital, University of Zambia, School of Medicine, Lusaka, Zambia.

Pernicious anemia (PA) is a rarely considered cause of anemia in HIV-infected population and is seldom on the list of differential diagnoses. However, PA can have serious consequences if misdiagnosed or left untreated. We present the case of a 38-year-old HIV-positive man who was diagnosed with PA, which was preceded by a one-year history of vitiligo. Read More

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http://dx.doi.org/10.1155/2020/7942453DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7277020PMC

A Case of Acute Esophageal Necrosis from Unruptured Thoracic Aortic Aneurysm.

Case Rep Gastrointest Med 2020 29;2020:3575478. Epub 2020 May 29.

Gastroenterology and Hepatology, Staten Island University Hospital, Northwell Health, Staten Island, New York, USA.

Acute esophageal necrosis (AEN), also known as black esophagus due to its appearance on endoscopy, classically involves the distal esophagus (97% of cases). AEN affecting the midesophagus with sparing of the distal esophagus is rare and usually occurs in patients with thoracic aortic aneurysmal (TAA) rupture or aortic dissection. Herein, we report a unique case of AEN in the midesophagus in a patient with an unruptured and undissected TAA. Read More

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http://dx.doi.org/10.1155/2020/3575478DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7275959PMC

Extensive Superior Vena Caval Territory Thrombosis and Pulmonary Embolism: A Rare Clinical Entity of Haemorrhagic Pancreatitis.

Case Rep Gastrointest Med 2020 24;2020:8072307. Epub 2020 May 24.

University Medical Unit, Teaching Hospital, Jaffna, Sri Lanka.

Acute haemorrhagic pancreatitis is a severe form of pancreatitis often encountered in ethanol abuse. Extensive venous thrombosis resulting in pulmonary embolism is a rare presenting clinical entity of acute haemorrhagic pancreatitis. Here, we report a young male with an extensive deep vein thrombosis involving superior vena caval territory associated with haemorrhagic pancreatitis presented with pulmonary embolism managed supportively. Read More

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http://dx.doi.org/10.1155/2020/8072307DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7267868PMC

Esomeprazole-Induced Chest Pain: A Case of an Unexpected Serious Adverse Reaction to a Proton Pump Inhibitor.

Case Rep Gastrointest Med 2020 14;2020:5693545. Epub 2020 May 14.

Department of Pharmacology, Zagreb University School of Medicine, Zagreb, Croatia.

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http://dx.doi.org/10.1155/2020/5693545DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7244967PMC

Colonic Angiosarcoma Arising in Association with Amyloid Deposits.

Case Rep Gastrointest Med 2020 16;2020:3780763. Epub 2020 May 16.

Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.

Angiosarcoma of the colon is rare, as is colonic amyloidosis. To our knowledge, there have been no reported cases of angiosarcoma arising in association with amyloid deposition. Herein, we described a case of 77-year-old man who presented with hematochezia, and a sigmoid mass was found on colonoscopy. Read More

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http://dx.doi.org/10.1155/2020/3780763DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7246417PMC

Acute Esophageal Necrosis in a Septic Patient with a History of Cardiovascular Disease.

Case Rep Gastrointest Med 2020 11;2020:1416743. Epub 2020 May 11.

Augusta University, 1120 15 Street, Augusta, Georgia 30912, USA.

Acute esophageal necrosis (AEN), or colloquially named "black esophagus," is a rare clinical condition often associated with ischemic injury to the esophagus secondary to splanchnic vasoconstriction during hypotensive episodes. We present a case of a 78-year-old man with extensive cardiovascular disease who was initially admitted for gallstone pancreatitis and possible cholangitis. His hospital course was complicated by possible sepsis secondary to aspiration pneumonia and hematemesis secondary to acute ischemic esophageal necrosis as noted on upper endoscopy. Read More

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http://dx.doi.org/10.1155/2020/1416743DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7238344PMC

A Rare Granular Cell Tumor with a Center Ulcer of the Rectum.

Case Rep Gastrointest Med 2020 13;2020:8563718. Epub 2020 Jan 13.

Green Cross Reference Laboratory, Yongin, Republic of Korea.

We report a very rare case of granular cell tumor with a center ulcer of the rectum, which was detected in a 47-year-old man during screening colonoscopy. It is difficult to distinguish granular cell tumor from other subepithelial tumors. However, our case had a center ulcer unlike previous cases. Read More

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http://dx.doi.org/10.1155/2020/8563718DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7201473PMC
January 2020

Stevens-Johnson Syndrome and Herpes Simplex Type 1 Infection during Adalimumab Therapy for Crohn's Disease.

Case Rep Gastrointest Med 2020 15;2020:3875024. Epub 2020 Apr 15.

Department of Biomedical, Experimental and Clinical Sciences, University of Florence, Florence, Italy.

Stevens-Johnson syndrome (SJS) is a severe mucocutaneous adverse drug reaction with a relatively high mortality rate. SJS is described during herpes simplex virus type 1 (HSV1) infection and, rarely, even during adalimumab therapy. We report the case of a patient with Crohn's disease who developed SJS during an HSV1 infection and a contemporaneous anti-TNF therapy with adalimumab. Read More

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http://dx.doi.org/10.1155/2020/3875024DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7180430PMC

Intestinal Diffuse Large B-Cell Lymphoma in a Patient with Systemic Lupus Erythematosus.

Case Rep Gastrointest Med 2020 9;2020:7947540. Epub 2020 Apr 9.

Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama 700-8558, Japan.

A 44-year-old Japanese woman with systemic lupus erythematosus (SLE) presented to our hospital with abdominal pain. Radiological and endoscopic examinations led to the diagnosis of diffuse large B-cell lymphoma of the jejunum, which was subsequently resected. Patients with SLE reportedly have an increased risk of non-Hodgkin lymphoma, as demonstrated by our patient. Read More

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http://dx.doi.org/10.1155/2020/7947540DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7171631PMC

Atypical Manifestation of DRESS Syndrome.

Case Rep Gastrointest Med 2020 12;2020:6863582. Epub 2020 Apr 12.

Department of Gastroenterology, Ascension Providence Hospital, Michigan State University College of Human Medicine, Southfield, USA.

The differential for liver transaminases over 1000 units/liter typically includes liver ischemia, acute viral hepatitis, acetaminophen toxicity, and autoimmune hepatitis. Prompt evaluation is imperative as these etiologies can lead to fulminant liver failure. We present a case of transaminases over 1000 units/liter from an atypical etiology. Read More

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http://dx.doi.org/10.1155/2020/6863582DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7174907PMC

Ulcerative Colitis in Hematological Malignancies: Paraneoplastic Manifestation or Coincidental Bystander?

Case Rep Gastrointest Med 2020 23;2020:6135425. Epub 2020 Mar 23.

Department of Surgery, University Hospital of Larissa, Mezourlo 41110, Larissa, Greece.

Evidence of coexistence of diverse hematological malignancies-lymphoma, leukemia, multiple myeloma, and myelodysplastic syndromes-and either ulcerative colitis or Crohn's disease can be found in the literature. However, a more "systemic" effort to reach further and examine the potential of either one as paraneoplastic manifestation has not been performed. Based on these, three cases of ulcerative colitis manifesting before, simultaneously, and after the onset of different hematological malignancies are presented and critically evaluated. Read More

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http://dx.doi.org/10.1155/2020/6135425DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7128061PMC

A Case of Heterotopic Pancreatic Tissue Discovered in the Distal Esophagus.

Case Rep Gastrointest Med 2020 9;2020:4695184. Epub 2020 Apr 9.

Division of Gastroenterology and Hepatology, St. Joseph's University Medical Center, Paterson, NJ, USA.

Heterotopic pancreas (HP) is a congenital abnormality that represents ectopic pancreatic tissue that does not have anatomic, vascular, or ductal continuity. The prevalence of HP is 0.55% to 13. Read More

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http://dx.doi.org/10.1155/2020/4695184DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7171671PMC

Bouveret Syndrome: A Rare Case of Instance and Treatment in a Younger Patient.

Case Rep Gastrointest Med 2020 16;2020:1837387. Epub 2020 Mar 16.

Kaiser Permanente, Oakland, CA, USA.

Bouveret syndrome, a specific form of gallstone ileus, is the obstruction of the gastric outlet by a gallstone, which can enter the duodenum through a fistula. While the average age of individuals with Bouveret syndrome is 74 years, our patient was 42 years of age at the time of operation, significantly younger than the average patient afflicted with this condition. In the treatment of our patient's condition, the operation conducted entailed a partial duodenectomy, gastrojejunostomy, cholecystectomy, common bile duct exploration, extraction of bile duct stones, and insertion of a t-tube in the bile duct. Read More

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http://dx.doi.org/10.1155/2020/1837387DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7102472PMC

Benign Recurrent Intrahepatic Cholestasis (BRIC): An African Case Report.

Case Rep Gastrointest Med 2020 10;2020:2894293. Epub 2020 Mar 10.

Department of Medicine, Aga Khan University Hospital, Nairobi, Kenya.

Benign recurrent intrahepatic cholestasis (BRIC) is a rare disorder characterised by recurrent episodes of cholestatic jaundice. First described in 1959, BRIC has been reported in patients all over the world including of African descent. Here, we describe a case of a 21-year-old male with recurring episodes of cholestatic jaundice where we diagnosed BRIC and terminated an episode with rifampicin. Read More

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http://dx.doi.org/10.1155/2020/2894293DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7085836PMC

Systemic Lupus Erythematosus Presenting with Ischemic Proctitis and Abdominal Compartment Syndrome.

Case Rep Gastrointest Med 2020 13;2020:5723403. Epub 2020 Feb 13.

Department of Medicine, Section of Pulmonary and Critical Care Medicine, West Virginia University, Morgantown, WV, USA.

Ischemic colitis and proctitis is a rare manifestation of systemic lupus erythematosus (SLE) and results from mesenteric vasculitis. Owing to diverse blood supply and presence of multiple collaterals, rectum is the least effected site in SLE enteritis. Ischemic proctocolitis as the presenting feature of SLE is exceedingly rare, with only three cases reported in the published scientific literature. Read More

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http://dx.doi.org/10.1155/2020/5723403DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7040385PMC
February 2020

Transhepatic Insertion of Percutaneous Endoscopic Gastrostomy Tube.

Case Rep Gastrointest Med 2020 12;2020:4516032. Epub 2020 Feb 12.

Gastroenterology and Hepatology Department, Digestive Diseases Institute, Cleveland Clinic, Cleveland, OH, USA.

Inadvertent injury to interposing organs during percutaneous endoscopic gastrostomy (PEG) tube placement is a feared complication of this common and generally safe procedure. Transhepatic PEG insertion is likely an underrepresented complication which may be identified incidentally on imaging or present with life-threatening conditions such as sepsis or massive bleeding. Use of ultrasound in patients with known hepatomegaly may possibly help avoid this complication. Read More

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http://dx.doi.org/10.1155/2020/4516032DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7037529PMC
February 2020

Complete Radiologic Response of Metastatic Pancreatic Ductal Adenocarcinoma to Microwave Ablation Combined with Second-Line Palliative Chemotherapy.

Case Rep Gastrointest Med 2020 31;2020:4138215. Epub 2020 Jan 31.

Department of Surgery and Department of Clinical and Experimental Medicine, Linköping University, 58183 Linköping, Sweden.

Pancreatic ductal adenocarcinoma (PDAC) has a bleak prognosis, especially for the majority of patients diagnosed with metastatic disease. The primary option for palliative treatment is chemotherapy, and responses beyond first-line treatment are rare and typically short. Here, we report a case of a 63-year-old woman with PDAC in the head of the pancreas who was initially successfully treated by pancreaticoduodenectomy followed by adjuvant chemotherapy with gemcitabine. Read More

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http://dx.doi.org/10.1155/2020/4138215DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7016399PMC
January 2020

Pylephlebitis Associated with Inferior Mesenteric Vein Thrombosis Treated Successfully with Anticoagulation and Antibiotics in a 37-Year-Old Male.

Case Rep Gastrointest Med 2020 13;2020:3918080. Epub 2020 Feb 13.

Internal Medicine, University of South Dakota Sanford School of Medicine, Vermillion, SD 57069, USA.

Pylephlebitis is a condition in which there is septic thrombophlebitis of the portal-mesenteric venous system. It is a rare condition that usually arises as a complication of an intra-abdominal infection or inflammation. Being rare, it may be overlooked as a differential in cases of abdominal pain when the more common causes have been excluded. Read More

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http://dx.doi.org/10.1155/2020/3918080DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7040378PMC
February 2020

Endoscopic Repair of Gastrocolic and Colocutaneous Fistulas Complicating Percutaneous Endoscopic Gastrostomy Tube.

Case Rep Gastrointest Med 2020 11;2020:7262514. Epub 2020 Feb 11.

Department of Gastroenterology, Bronx Care Health Systems-Affiliate of Mount Sinai Hospital Systems, Bronx, NY 10457, USA.

Percutaneous endoscopic gastrostomy (PEG) tube feeding has become one of the options for supplemental feeding in a selected group of patients. It is a generally safe procedure usually undertaken by a gastroenterologist or a surgeon in most cases but with over 200,000 tubes being placed yearly, there is bound to be complications. Some of the encountered complications include bleeding, site infection, tube migration, and inadvertent creation of fistula. Read More

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http://dx.doi.org/10.1155/2020/7262514DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7036111PMC
February 2020

Endoscopic Ultrasound in Guiding Local Resection and Ampullary Preservation of a High-Risk Periampullary GIST.

Case Rep Gastrointest Med 2020 30;2020:8418905. Epub 2020 Jan 30.

Division of Gastroenterology & Hepatology, Department of Medicine, Univeristy of WIsconsin School of Medicine and Public Health, Madison, WI, USA.

Gastrointestinal stromal tumors (GISTs) typically develop in the stomach or small intestine and rarely involve the ampulla of Vater, with only 13 cases reported in the world literature since 2004. Most authors advocate performing pancreaticoduodenectomy for such lesions. However, this operation can carry higher rates of morbidity and mortality compared to local resection. Read More

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http://dx.doi.org/10.1155/2020/8418905DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7013300PMC
January 2020

Increased Risk of Liver Cirrhosis during Azathioprine Therapy for Crohn's Disease.

Case Rep Gastrointest Med 2020 28;2020:6726384. Epub 2020 Jan 28.

Department of Experimental and Clinical Biomedical Sciences "Mario Serio", University of Florence, Florence, Italy.

Azathioprine is a cornerstone of the therapy of Crohn's disease. Unfortunately, infections and malignancies are relatively common adverse effects related to this drug; however, cirrhosis is exceptionally reported as a side effect. We report the case of a 49-year-old male patient with ileocolonic steno-penetrating Crohn's disease who developed hepatic cirrhosis while treated with azathioprine. Read More

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http://dx.doi.org/10.1155/2020/6726384DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7008285PMC
January 2020

First Documented Case of Percutaneous Endoscopic Gastrostomy (PEG) Tube-Associated Bacterial Peritonitis due to Species with Literature Review.

Case Rep Gastrointest Med 2020 16;2020:4397930. Epub 2020 Jan 16.

Department of Internal Medicine, University of Kentucky, Lexington, KY, USA.

species (spp.) peritonitis has seldom been identified in medical literature. Scarce cases of peritonitis described previously have been correlated with peritoneal dialysis and more sparingly with spontaneous bacterial peritonitis. Read More

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http://dx.doi.org/10.1155/2020/4397930DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7007964PMC
January 2020

A Rare Etiology of Abnormally Large Gastric Folds: Menetrier's Disease.

Case Rep Gastrointest Med 2019 30;2019:7927083. Epub 2019 Dec 30.

Department of Medicine, BronxCare Health System, Bronx, NY 10457, USA.

Menetrier's disease (MD) is described as hypertrophied giant gastric folds causing hypoproteinemia due to protein losing gastropathy and is associated with higher risk of gastric adenocarcinoma. We present a case of a 58-year-old male who presented to our clinic with Melena and endoscopic work up showed enlarged gastric folds and erythematous mucosa in the antrum and three nonbleeding angioectasias in the duodenum. Mucosa biopsies were negative for infection. Read More

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http://dx.doi.org/10.1155/2019/7927083DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6955129PMC
December 2019

Two Cases of Atraumatic Chylous Ascites Characterized by Hypotriglyceridemia and Partially Managed with an Oral Fat-Free Elemental Diet.

Case Rep Gastrointest Med 2020 7;2020:7641476. Epub 2020 Jan 7.

Department of Internal Medicine, Saiseikai Kure Hospital, 2-1-13 Sanjo, Kure City, Hiroshima Prefecture 737-0821, Japan.

Most cases of chylous ascites occur after surgery, but it also develops in nonoperative cases, although rarely. Such cases are often difficult to treat. In this study, we treated 2 cases of atraumatic chylous ascites, which were controlled by combining diuretic treatment with an oral fat-free elemental diet (Elental®, EA Pharma Co. Read More

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http://dx.doi.org/10.1155/2020/7641476DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6969991PMC
January 2020

Severe Hyperbilirubinemia: A Rare Complication of Lyme Disease.

Case Rep Gastrointest Med 2019 24;2019:2762389. Epub 2019 Dec 24.

Division of Hospital Medicine, Department of Medicine, Cooper Medical School of Rowan University, Camden, NJ 08103, USA.

Gastrointestinal signs and symptoms are common in the early stages of Lyme disease. However, hyperbilirubinemia from Lyme disease is extremely uncommon. There are only two case reports in literature attributing Lyme disease to hyperbilirubinemia. Read More

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http://dx.doi.org/10.1155/2019/2762389DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6949660PMC
December 2019

Massive Lipomatosis of the Small Intestine Causing Intussusception.

Case Rep Gastrointest Med 2019 20;2019:9701478. Epub 2019 Dec 20.

A.M. Rywlin, MD Department of Pathology, Mount Sinai Medical Center, Miami Beach, FL, USA.

Lipomatosis is a rare condition characterized by diffuse, unencapsulted adipose tissue deposition. Intestinal involvement is rare, and presentation as intussusception is rarer still. We report a 40-year-old man who presented with abdominal pain and fecal urgency. Read More

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http://dx.doi.org/10.1155/2019/9701478DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6939428PMC
December 2019

Intestinal Tuberculosis Masquerading as Crohn's Disease? A Case of Disseminated Tuberculosis after Anti-TNF Therapy for Suspected Crohn's Disease.

Case Rep Gastrointest Med 2019 14;2019:6053503. Epub 2019 Dec 14.

University of California Irvine Medical Center, Orange, USA.

Intestinal tuberculosis (ITB) and Crohn's disease (CD) very closely resemble each other in symptomatology, imaging, appearance, and pathology. While ITB is rare in the United States, its prevalence is significantly higher in endemic areas, thus presenting a diagnostic dilemma in immigrant populations from high-risk countries. This patient was diagnosed with CD and treated with anti-TNF agents after indeterminate screening for latent tuberculosis. Read More

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http://dx.doi.org/10.1155/2019/6053503DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6942708PMC
December 2019

Group A Streptococcal Toxic Shock-Like Syndrome in a Male Presenting as Primary Peritonitis: A Case Report and a Review in Japan.

Case Rep Gastrointest Med 2019 17;2019:4984679. Epub 2019 Dec 17.

Department of Surgery, Juntendo Shizuoka Hospital, Shizuoka, Japan.

Background: Streptococcal toxic shock-like syndrome (TSLS) is a severe infection caused by group A hemolytic streptococcus. It is clinically characterized by rapidly progressive septic shock and multiple organ failure within just a few hours. TSLS presenting as primary peritonitis is rare, especially in a male. Read More

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http://dx.doi.org/10.1155/2019/4984679DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6942788PMC
December 2019

A Rare Case of Disseminated Presenting as Proctitis.

Case Rep Gastrointest Med 2019 3;2019:8129597. Epub 2019 Dec 3.

Division of Gastroenterology, BronxCare Hospital Center a Clinical Affiliate of Mt Sinai Health Systems and Academic Affiliate of Icahn School of Medicine, Bronx, NY 10457, USA.

(MAI) infections are common in (HIV) positive patients. MAI infection can have localized or disseminated presentation, patients with low CD4 count presenting with disseminated infection. Fever, abdominal pain, diarrhea, and weight loss are generally the presenting symptoms of disseminated MAI. Read More

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http://dx.doi.org/10.1155/2019/8129597DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6914957PMC
December 2019

Cap-Assisted Endoscopic Mucosal Resection of an Incidental Rectal Traumatic Neuroma.

Case Rep Gastrointest Med 2019 27;2019:8328456. Epub 2019 Oct 27.

Division of Gastroenterology, St. Joseph's University Medical Center-New York Medical College, Paterson, NJ 07503, USA.

A traumatic neuroma is a well-known complication after acute trauma to a peripheral nerve; the nerve tries to re-establish continuity by an orderly growth of axons from the peripheral to distal stump through the proliferation of Schwann cells. However, this process is not always perfect, and aberrant repair gives rise to a neuroma. We present a 50-year-old female who underwent an initial colonoscopy for change in bowel habits and was found to have a 7 mm submucosal lesion in the proximal rectum. Read More

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http://dx.doi.org/10.1155/2019/8328456DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6855018PMC
October 2019

Drug Induced Liver Injury Attributed to a Curcumin Supplement.

Case Rep Gastrointest Med 2019 20;2019:6029403. Epub 2019 Oct 20.

Departments of Internal Medicine, William Beaumont Hospital, Royal Oak, MI, USA.

More severe reactions, higher acute liver failure rates, and higher recurrence rates on re-challenge occur with supplement-related Drug Induced Liver Injury (DILI) (Medina-Caliz et al., 2018). We report a case of curcumin-induced hepatocellular DILI in a 78-year old female admitted with jaundice, with a one-month latency. Read More

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http://dx.doi.org/10.1155/2019/6029403DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6855017PMC
October 2019

A Case of Ileocecal IgG4-Related Sclerosing Mesenteritis Diagnosed by Endoscopic Ultrasound-Guided Fine Needle Aspiration using Forward-Viewing Linear Echoendoscope.

Case Rep Gastrointest Med 2019 27;2019:2530487. Epub 2019 Oct 27.

Division of Gastroenterology, Department of Internal Medicine, Showa University Fujigaoka Hospital, Yokohama, Kanagawa, Japan.

A 25-year-old woman had undergone removal of a cryptogenic tumor in the left maxillary sinus 1 year prior to presentation. The patient experienced abdominal pain for 4 days with repeated vomiting episodes; therefore, she was transferred to our hospital by an ambulance. Contrast-enhanced computed tomography revealed a 3-cm tumor in the ileocecal region, which caused small bowel obstruction. Read More

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http://dx.doi.org/10.1155/2019/2530487DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6855009PMC
October 2019

Removal of Common Bile Ducts Stones via Percutaneous Access with a Flexible Ureteroscope and Laser Assistance.

Case Rep Gastrointest Med 2019 15;2019:4684631. Epub 2019 Oct 15.

Department of Interventional Radiology, Zaans Medisch Centrum, Zaandam, Netherlands.

Two patients are described with large stones in the common bile duct. Standard ERCP was not possible. Both patients were successfully treated with percutaneous access and use of the ureteroscope with the holmium laser. Read More

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http://dx.doi.org/10.1155/2019/4684631DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6815618PMC
October 2019

Severe Human Intestinal Spirochetosis: An Unusual Cause of Diffuse Colonic Ulcerations in a Patient Living with HIV.

Case Rep Gastrointest Med 2019 15;2019:1504079. Epub 2019 Oct 15.

Division of General Internal Medicine, Department of Medicine, Morehouse School of Medicine, Atlanta, GA, USA.

We describe a case of a homosexual male with human immunodeficiency virus (HIV) and CD4 count of 246 presenting with acute severe bloody diarrhea. Infectious work up was negative, and colonoscopy revealed severe diffuse colonic ulcerations. Histopathologic analysis and Treponemal pallidum immunostaining confirmed the diagnosis of intestinal spirochetosis. Read More

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http://dx.doi.org/10.1155/2019/1504079DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6815633PMC
October 2019

Unusual Presentation of Recurrent Gallstone Ileus: A Case Report and Literature Review.

Case Rep Gastrointest Med 2019 3;2019:8907068. Epub 2019 Oct 3.

West Virginia University, Department of Surgery, Morgantown, WV, USA.

Background: Gallstone ileus (GSI) is a rare form of small bowel obstruction (SBO) in patients with cholelithiasis, which is often poorly managed. Enhanced abdominal computed tomography (CT) with contrast is considered the most helpful diagnostic tool, as it is highly sensitive, specific, and accurate. We report an interesting case of recurrent GSI that was not detected by CT but diagnosed intraoperatively. Read More

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http://dx.doi.org/10.1155/2019/8907068DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6794980PMC
October 2019
1 Read

Ciliated Hepatic Foregut Cyst: A Report of a Case Incidentally Discovered during Transplant Evaluation.

Case Rep Gastrointest Med 2019 9;2019:7828427. Epub 2019 Oct 9.

Department of Pathology, University of Nebraska Medical Center, Omaha, NE, USA.

Ciliated hepatic foregut cyst (CHFC) is a rare benign cyst of the liver derived from an embryonic remnant of foregut epithelium. CHFC is typically asymptomatic and is found incidentally. Recent reports of malignant transformation may warrant surgical removal of CHFC. Read More

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http://dx.doi.org/10.1155/2019/7828427DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6803733PMC
October 2019

Metastatic Primary Gastric Squamous Cell Carcinoma: An Uncommon Presentation of a Rare Malignancy.

Case Rep Gastrointest Med 2019 7;2019:5305023. Epub 2019 Oct 7.

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

Primary gastric squamous cell carcinoma is a very rare disease. A 53-year-old male with history of hypertension, alcoholism, and nicotine abuse presented to the hospital after a syncopal episode. He complained of bloating abdominal pain, early satiety, and poor appetite. Read More

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http://dx.doi.org/10.1155/2019/5305023DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6800939PMC
October 2019

A Rare Case of Duodenal Adenocarcinoma Presenting as a Subepithelial Lesion in a Patient Undergoing Investigation for Iron Deficiency Anaemia.

Case Rep Gastrointest Med 2019 7;2019:3434620. Epub 2019 Oct 7.

A.W. Morrow Gastroenterology and Liver Centre, Royal Prince Alfred Hospital, Sydney, Australia.

Introduction: Adenocarcinomas account for approximately 40% of small bowel cancers. They are typically mucosal lesions with distinctive features on endoscopy. We describe a rare case of duodenal adenocarcinoma presenting as a subepithelial lesion which posed a diagnostic challenge. Read More

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http://dx.doi.org/10.1155/2019/3434620DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6800942PMC
October 2019
1 Read

Endoscopic Mucosal Resection of a Proximal Esophageal Pyogenic Granuloma.

Case Rep Gastrointest Med 2019 29;2019:9869274. Epub 2019 Sep 29.

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

Pyogenic Granuloma (PG), also known as lobular capillary hemangioma, is usually seen as a polypoid red lesion found on the skin or the mucosal surface of the oral cavity. PG of the gastrointestinal tract is rare, in particular involving the esophagus, only 14 cases have been reported in the English literature. We present an 80-year-old male who underwent endoscopy for evaluation of dysphagia and was found to have a single, red, bilobed 10 mm polyp with adherent white exudate approximately 19 cm from the incisors. Read More

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http://dx.doi.org/10.1155/2019/9869274DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6791219PMC
September 2019

Urosepsis Causing Gastric Ischemia: A Rare but Deadly Complication.

Case Rep Gastrointest Med 2019 24;2019:3682049. Epub 2019 Sep 24.

St. Mary Mercy Livonia Hospital, Department of Gastroenterology, Livonia, MI 48154, USA.

A 70-year-old male presented with abdominal pain and altered mental status. He was found to have sepsis secondary to a urinary tract infection with imaging showing hepatic portal venous gas and gastric pneumatosis. Esophagogastroduodenoscopy revealed gastric ischemia extending to the midbody with necrosis and biopsies confirming ischemia. Read More

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http://dx.doi.org/10.1155/2019/3682049DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6778919PMC
September 2019

Menotrophin Induced Autoimmune Hepatitis.

Case Rep Gastrointest Med 2019 2;2019:7343805. Epub 2019 Sep 2.

Multiorgan Transplant Unit, King Fahd Specialist Hospital, Dammam, Saudi Arabia.

Menotrophin is a protein-based hormonal therapy. It is used as a fertility medication that is given as injection either subcutaneously or intramuscularly. Menotrophin has not been previously reported to cause drug-induced liver injury. Read More

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http://dx.doi.org/10.1155/2019/7343805DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6745122PMC
September 2019
2 Reads

Denture Impaction Causing an Upper Esophageal Diverticulum.

Case Rep Gastrointest Med 2019 16;2019:9621383. Epub 2019 Jul 16.

Department of Otolaryngology-Head and Neck Surgery, King Abdulaziz University, Jeddah, Saudi Arabia.

Background: Dentures are a common cause of inadvertent foreign body ingestion particularly in the elderly. Due to their radiolucent nature, they often present a diagnostic challenge to care providing physicians.

Case Presentation: A 66-year-old female presented to our otolaryngology clinic with a 2-year history of dysphagia. Read More

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http://dx.doi.org/10.1155/2019/9621383DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6662433PMC
July 2019
1 Read

Long-Term Survival in Locally Advanced Wild-Type Pancreatic Adenocarcinoma.

Case Rep Gastrointest Med 2019 10;2019:8598635. Epub 2019 Jul 10.

Sorbonne Université, Department of Medical Oncology, AP-HP, Hôpital Saint-Antoine, F-75012 Paris, France.

Pancreatic adenocarcinoma remains a cancer associated with a poor prognosis. For locally advanced pancreatic cancer (LAPC), median overall survival is approximately 16 months. Here we report the case of a 52-year-old LAPC patient treated with chemotherapy followed by chemoradiotherapy that was associated with a 14-year complete remission. Read More

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http://dx.doi.org/10.1155/2019/8598635DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6652025PMC
July 2019
1 Read

Finding the Dieulafoy's Lesion: A Case of Recurrent Rectal Bleeding in an Immunosuppressed Patient.

Case Rep Gastrointest Med 2019 3;2019:9402968. Epub 2019 Jul 3.

Department of Medicine, Gastroenterology Service, Tripler Army Medical Center, 1 Jarrett White Road, Honolulu, HI 96859, USA.

A Dieulafoy's lesion (DL) is rare cause of acute gastrointestinal bleeding defined as a vascular abnormality of the submucosa. With a high prevalence for the stomach and upper gastrointestinal tract, it is rarely observed in the lower gastrointestinal tract. Its prevalence is rare accounting for less than 2% of all cases of acute gastrointestinal bleeding. Read More

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http://dx.doi.org/10.1155/2019/9402968DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6636443PMC
July 2019
6 Reads

Nonfatal Hyperammonemic Encephalopathy as a Late Complication of Roux-en-Y Gastric Bypass.

Case Rep Gastrointest Med 2019 1;2019:9031087. Epub 2019 Jul 1.

Division of Hospital Medicine, University of Miami Medical Towers, University of Miami Miller School of Medicine, Miami, FL, USA.

Roux-en-Y gastric bypass (RYGB) is the most common weight loss procedure performed in the US. Gastric bypass-related hyperammonemia (GaBHA) is a potentially fatal entity, characterized by encephalopathy associated with hyperammonemia and various nutritional deficiencies, which can present at variable time intervals after RYGB. Twenty-five cases of hyperammonemic encephalopathy after bariatric surgery have been previously reported in the literature. Read More

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http://dx.doi.org/10.1155/2019/9031087DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6632496PMC
July 2019
3 Reads

Colon Cancer with Aortic Valve Endocarditis: A Missing Link?

Case Rep Gastrointest Med 2019 3;2019:4205603. Epub 2019 Jul 3.

BronxCare Health System, A Clinical Affiliate of Mt Sinai Health Systems and an Academic Affiliate of Icahn School of Medicine, USA.

Bacterial endocarditis is commonly encountered in clinical practice. Many bacterial species have been implicated; however, species (formerly "") has driven attention given a historical association with colon cancer. Colonoscopy is recommended in an individual with endocarditis or bacteremia to evaluate the possibility of high-grade adenoma or colon cancer. Read More

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http://dx.doi.org/10.1155/2019/4205603DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6636574PMC
July 2019
1 Read

Hepatic Rearranged Epithelioid Hemangioendothelioma.

Case Rep Gastrointest Med 2019 23;2019:7530845. Epub 2019 Jun 23.

Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.

Epithelioid hemangioendothelioma (EHE) is an uncommon low-grade malignant vascular tumor that may arise in soft tissue/bone or visceral sites such as the liver and lung. As this tumor exhibits epithelioid morphology, it frequently causes diagnostic confusion with other epithelioid vascular neoplasms as well as carcinoma. While 90% of classic EHE are driven by a fusion gene, a histologically distinctive subset of EHE has been recently shown to harbor a different fusion gene, . Read More

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http://dx.doi.org/10.1155/2019/7530845DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6612390PMC
June 2019
7 Reads