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

    1 OF 8

    Gastrointestinal Involvement of Testicular Germ Cell Tumor: A Case Report and Literature Review.
    Case Rep Gastrointest Med 2017 10;2017:4789259. Epub 2017 Oct 10.
    Department of Internal Medicine, Reading Health System, Sixth Avenue and Spruce Street, West Reading, PA 19611, USA.
    Testicular germ cell tumors (GCT) are the commonest solid tumors in young men. Typical presentation is with painless scrotal swelling; however, symptoms related to complications or metastasis may be the initial presentation. Gastrointestinal (GI) metastasis is seen in about 5% of patients with germ cell tumors and presentation is commonly with GI bleed. Read More

    Debut of Gastroesophageal Reflux Concomitant with Administration of Sublingual Immunotherapy.
    Case Rep Gastrointest Med 2017 4;2017:8905372. Epub 2017 Oct 4.
    Department of Plastic Surgery, Aalborg University Hospital, Aalborg, Denmark.
    Gastroesophageal reflux disease (GORD) is an often debilitating condition characterised by retrograde flow of content from stomach into the oesophagus, where the low pH of the stomach acid irritates the mucosa of the oesophagus. The most dominant symptoms in GORD are pyrosis, regurgitation, and dysphagia. Sublingual immunotherapy (SLIT) was first described in 1986. Read More

    A Severe Case of Tuberculosis Radiologically and Endoscopically Mimicking Colorectal Cancer with Peritoneal Carcinomatosis.
    Case Rep Gastrointest Med 2017 3;2017:6206951. Epub 2017 Oct 3.
    Department of Medicine 1, Friedrich-Alexander University Erlangen-Nuremberg, Division of Gastroenterology, Endocrinology and Pneumology, Ludwig Demling Endoscopy Center of Excellence, Ulmenweg 18, 91054 Erlangen, Germany.
    Although generally rising in incidence, intestinal tuberculosis is still rare in western countries and due to unspecific manifestations mainly as ulcerations on endoscopy, diagnosis of intestinal tuberculosis is challenging. Within this report, we describe a case of severe intestinal tuberculosis radiologically and endoscopically masquerading as colorectal cancer with peritoneal carcinomatosis. Our case exemplifies that intestinal tuberculosis needs to be considered as a differential diagnosis in patients at risk and that undelayed and sensitive diagnosis of intestinal tuberculosis is of central importance for avoiding unfavorable disease outcome. Read More

    Esophageal Lichen Planus: Understanding a Potentially Severe Stricturing Disease.
    Case Rep Gastrointest Med 2017 4;2017:5480562. Epub 2017 Oct 4.
    Department of Gastroenterology, Allegheny Health Network, Pittsburgh, PA, USA.
    A 67-year-old woman with a long-standing history of recurrent dysphagia and esophageal strictures failed to respond to aggressive antireflux management. She required multiple dilations for symptomatic strictures that were discovered throughout the esophagus. Intralesional, topical, and systemic glucocorticoid therapies were utilized without resolution in symptoms. Read More

    The Traumatic Tube: Bleeding Rectal Ulcer Caused by Flexi-Seal Device.
    Case Rep Gastrointest Med 2017 4;2017:5278971. Epub 2017 Oct 4.
    Department of Gastroenterology, University of Toledo Medical Center, Toledo, OH, USA.
    Diarrhea and fecal incontinence are common in critically ill patients and present a challenging problem in patient management. The Flexi-Seal® Fecal Management System is a device to divert the stools away from the patient, thus improving the care to patients with fecal incontinence. There have been only few case reports describing the complications with the use of this device. Read More

    A Calcium Enterolith in a Patient with Crohn's Disease and Its In Vitro Dissolubility in Citric Acid.
    Case Rep Gastrointest Med 2017 7;2017:2951547. Epub 2017 Sep 7.
    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.
    The microstructure and dissolubility of a calcified enterolith and enterolith pieces removed from a 26-year-old Japanese woman with Crohn's disease were analyzed using scanning electron microscopy and energy dispersive X-ray spectroscopy. The enterolith showed a multilayered structure with fatty acid calcium and magnesium phosphate. The amount of calcium, magnesium, and phosphate decreased after they were immersed in a citric acid solution, suggesting a potential contribution of acidic aqueous solution to elute inorganic substances contained in calcified enteroliths. Read More

    Asymptomatic Pancreatic Metastasis from Renal Cell Carcinoma Diagnosed 21 Years after Nephrectomy.
    Case Rep Gastrointest Med 2017 30;2017:8765264. Epub 2017 Aug 30.
    Department of Gastroenterology, Komatsu Municipal Hospital, Ishikawa, Japan.
    This report presents our experience with a case of pancreatic metastasis of renal cell carcinoma (RCC) at a long-term follow-up after nephrectomy. A 73-year-old man underwent nephrectomy for right RCC 21 years ago; computed tomography (CT) scanning on routine follow-up revealed a solid mass in the tail of the pancreas, and magnetic resonance imaging (MRI) showed some tumors in the head and tail of the pancreas. The patient was asymptomatic and allergic to contrast medium. Read More

    Gastric Metastasis from Renal Cell Carcinoma, Clear Cell Type, Presenting with Gastrointestinal Bleeding.
    Case Rep Gastrointest Med 2017 29;2017:5879374. Epub 2017 Aug 29.
    Saint Luke's Hospital of Kansas City, University of Missouri-Kansas City School of Medicine, Kansas City, MO, USA.
    Renal cell carcinoma (RCC) accounts for 80-85% of all primary renal neoplasms. Although RCC can metastasize to any organ, gastric metastases from RCC are exceedingly rare. A 67-year-old male presented with melena and acute blood loss anemia. Read More

    Percutaneous Endoscopic Management for Oriental Cholangiohepatitis: A Case Report and a Brief Review of the Literature.
    Case Rep Gastrointest Med 2017 27;2017:8575674. Epub 2017 Aug 27.
    Department of Gastroenterology, University of South Dakota Sanford School of Medicine, Sioux Falls, SD, USA.
    Oriental cholangiohepatitis (OCH) is a disease characterized by intrabiliary pigment stone formation, resulting in recurrent bouts of cholangitis. OCH is found mostly in Southeast Asia but it is occasionally recognized in Western societies. OCH etiology is largely unknown. Read More

    Isolated Splenic Cold Abscesses with Perisplenic Extension: Treated Successfully without Splenectomy.
    Case Rep Gastrointest Med 2017 20;2017:9864543. Epub 2017 Aug 20.
    Institute of Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
    Splenic tuberculosis (TB) in the form of multiple splenic cold abscesses with perisplenic extensions is a rare disease, especially in an immunocompetent host. It demonstrates diagnostic complexity, which makes identification of the disease difficult. We report a case of an immunocompetent adult male who presented with fever, pain in the left lower chest, decreased appetite, and significant weight loss. Read More

    Caecal Perforation from Primary Intestinal Tuberculosis in Pregnancy.
    Case Rep Gastrointest Med 2017 17;2017:2173724. Epub 2017 Aug 17.
    Department of Obstetrics & Gynecology, Sarawak General Hospital, Kuching, Malaysia.
    The incidence of tuberculosis (TB) is rising worldwide, despite the efficacy of the BCG vaccination. Populations at greatest risk of contracting TB are migrant communities, as well as immunocompromised individuals. The diagnosis of extrapulmonary TB (EPTB) can often present as a diagnostic conundrum, due to its nonspecific and varied presentation, often mimicking inflammatory bowel disease or malignancy. Read More

    Metastatic Melanoma of the Gallbladder in an Asymptomatic Patient.
    Case Rep Gastrointest Med 2017 22;2017:1767418. Epub 2017 Aug 22.
    Department of Nuclear Medicine, SUNY Upstate Medical University, Syracuse, NY 13210, USA.
    Malignant Melanoma (MM) is among the most dangerous malignancies with some of the least known survival rates. Melanoma most commonly metastasizes to regional lymph nodes, the lungs, and brain. Metastatic disease of the gallbladder (GB) is exceptionally rare making it difficult to diagnose. Read More

    An Endoscopic Nasomediastinal Approach to a Mediastinal Abscess Developing after Zenker's Diverticulectomy.
    Case Rep Gastrointest Med 2017 2;2017:8726706. Epub 2017 Aug 2.
    Department of General Surgery, Sakarya University Research and Educational Hospital, Sakarya, Turkey.
    Zenker's diverticulum is the most frequent symptomatic diverticulum of the esophagus, but the prevalence is <0.1%. The optimal treatment is surgery. Read More

    Synchronous Upper Squamous and Lower Adenocarcinoma of the Oesophagus: A Rarely Reported Case Treated with Palliative Chemotherapy and Stenting.
    Case Rep Gastrointest Med 2017 31;2017:2713589. Epub 2017 Jul 31.
    Department of Gastroenterology, Mater Misericordiae University Hospital, Dublin, Ireland.
    Oesophageal cancer is divided into two main subtypes, squamous and adenocarcinoma. It is the eighth most common cancer in the world with squamous more common in the developing world and adenocarcinoma most prevalent in the developed world. Incidences of concomitant squamous carcinoma with adenocarcinoma are exceedingly rare with only a few documented occurrences in the form of case reports existing. Read More

    Fatal Systemic Vasoconstriction in a Case of Metastatic Small-Intestinal NET.
    Case Rep Gastrointest Med 2017 18;2017:9810194. Epub 2017 Jul 18.
    Department of Clinical Toxicology, Klinikum rechts der Isar, Technical University of Munich, Ismaningerstrasse 22, 81675 Munich, Germany.
    An increased release of serotonin secreted by ileal NETs is thought to be the major factor causing the carcinoid syndrome. However, in acutely arising carcinoid crisis also other vasoactive factors may lead to hazardous fluctuations in blood pressure and bronchial constriction. In rare cases, systemic vasoconstriction can be observed, probably caused by catecholamines or similar acting substances. Read More

    Extensive Causative Esophagitis Caused by Thermal Injury: A Case Report and Review of the Literature.
    Case Rep Gastrointest Med 2017 19;2017:8243567. Epub 2017 Jul 19.
    Nursing Department, Changhua Christian Hospital, Changhua City, Taiwan.
    Esophagus thermal injury is a rare case that can be easily overlooked by practitioners. We herein present a case of thermally induced diffuse corrosive esophagitis with complaints of dysphagia and retrosternal chest pain after having steamed pork. A thorough disease course was demonstrated by serials of endoscopy images and video. Read More

    Successful Endoscopic Treatment of Bouveret Syndrome in a Patient with Choledochoduodenal Fistula Complicating Duodenal Ulcer.
    Case Rep Gastrointest Med 2017 19;2017:6918905. Epub 2017 Jun 19.
    Department of Internal Medicine, University of Toledo Medical Center, Toledo, OH, USA.
    Introduction: Cholecystoduodenal fistulas represent the most common type of bilioenteric fistulas while choledochoduodenal fistulas account for only 1-25% of cases. Bilioenteric fistula cases are associated with cholelithiasis and are rarely associated with duodenal peptic ulcers. Here we present the first case of Bouveret syndrome secondary to choledochoduodenal fistula complicating peptic duodenal ulcer managed successfully via endoscopic mechanical lithotripsy. Read More

    Diarrhea as a Presenting Symptom of Disseminated Toxoplasmosis.
    Case Rep Gastrointest Med 2017 20;2017:3491087. Epub 2017 Jun 20.
    Baylor College of Medicine, Houston, TX, USA.
    Disseminated toxoplasmosis is uncommon in both immunocompetent and immunocompromised hosts with gastrointestinal involvement being rarely described. We report a case of disseminated gastrointestinal toxoplasmosis in an immunocompromised man who presented with one month of diarrhea and abdominal pain. Imaging showed thickening of the ascending colon and cecum. Read More

    Metastatic Renal Cell Carcinoma Presenting as Gastric Ulcer: Case Report and Literature Review.
    Case Rep Gastrointest Med 2017 21;2017:2509294. Epub 2017 Jun 21.
    University of Nevada School of Medicine, Reno, NV, USA.
    Renal cell carcinoma (RCC) accounts for approximately 3% of all adult malignancies. True gastrointestinal metastases, specifically to gastric wall, have been rarely observed. Herein we describe a case of delayed metastasis to gastric wall occurring more than a decade after previously curative nephrectomy for RCC. Read More

    Acute Esophageal Necrosis in an Alcoholic after Successful Resuscitation from Cardiac Arrest.
    Case Rep Gastrointest Med 2017 19;2017:5092906. Epub 2017 Jun 19.
    Pulmonary/Critical Care Department, State University of New York Upstate Medical University, 750 E Adams St, Syracuse, NY 13210, USA.
    Introduction: We present a patient who presented to the ICU after successful resuscitation from cardiac arrest who was subsequently diagnosed with AEN.

    Case Presentation: A 66-year-old female presented after cardiac arrest in which return of spontaneous circulation was achieved within 7 minutes after the initiation of CPR. She was intubated on the scene and found to have coffee ground emesis in her bathroom when found unresponsive. Read More

    Total Parenteral Nutrition Successfully Treating Black Esophagus Secondary to Hypovolemic Shock.
    Case Rep Gastrointest Med 2017 18;2017:4396870. Epub 2017 Jun 18.
    Department of Internal Medicine, University of Florida, Gainesville, FL, USA.
    We present a patient who developed black esophagus secondary to hypovolemic shock and was placed on total parenteral nutrition for three weeks after hospital discharge. The area of interest is the multimodal approach used in treatment of this noncompliant patient. Even with a high mortality rate, this case illustrates a successful outcome of a patient who responded to appropriate immediate therapy resulting in complete resolution of the necrosis with no further development of complications. Read More

    E. coli Sepsis: Red Flag for Colon Carcinoma-A Case Report and Review of the Literature.
    Case Rep Gastrointest Med 2017 13;2017:2570524. Epub 2017 Jun 13.
    Department of Gastroenterology & Hepatology, New York Medical College/St. Joseph's Regional Medical Center, Paterson, NJ, USA.
    We present an atypical case of newly diagnosed colon cancer and provide insight into the infectious predispositions of E. coli bacteremia to the development of colon adenocarcinoma. A 66-year-old female was admitted to the hospital with one-week symptoms of subjective fevers, chills, and lower back pain. Read More

    A Case of Thermal Esophageal Injury Induced by Sodium Picosulfate with Magnesium Citrate.
    Case Rep Gastrointest Med 2017 4;2017:9879843. Epub 2017 Jun 4.
    Division of Gastroenterology, Department of Internal Medicine, Inha University School of Medicine, Incheon, Republic of Korea.
    Although thermal esophageal injuries caused by hot food or tea have been reported, thermal esophageal injury due to sodium picosulfate with magnesium citrate (PSMC) used for bowel preparation is rarely reported. We report the case of a 56-year-old man who presented with esophageal injury after ingestion of PSMC. Instead of dissolving the PSMC in water before ingestion, he drank water immediately after swallowing PSMC powder. Read More

    Two Cases of Rectal Xanthoma Presenting as Yellowish to Whitish Lesions during Colonoscopy.
    Case Rep Gastrointest Med 2017 1;2017:5975107. Epub 2017 Jun 1.
    Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan.
    Two cases of rectal xanthomas are described. One case is that of a 56-year-old Japanese man in whom multiple yellowish spots measuring approximately 3 to 5 mm were observed in the rectum during colonoscopy. The other case is that of a 78-year-old Japanese man in whom colonoscopy showed a whitish plaque of 4 mm in diameter in the rectum. Read More

    A Mass of Pancreatic and Gastric Heterotopia Causing a Small Bowel Obstruction in a 61-Year-Old Male.
    Case Rep Gastrointest Med 2017 1;2017:3126108. Epub 2017 Jun 1.
    Department of Pathology, St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA.
    Heterotopic tissue is a congenital anomaly that has been previously reported. Gastric and pancreatic heterotopia are among the most studied ones. Herein, we describe a case of a combined pancreatic and gastric heterotopia that formed a mass and caused a small intestine obstruction in a 61-year-old male. Read More

    A Rare Case of Esophageal Adenocarcinoma with Urinary Bladder Metastasis.
    Case Rep Gastrointest Med 2017 31;2017:9343896. Epub 2017 May 31.
    Department of Hematology/Oncology, Joan C. Edwards School of Medicine, Marshall University, 1600 Medical Center Dr, Huntington, WV 25701, USA.
    Metastatic esophageal adenocarcinoma to the urinary bladder is extremely rare. We describe a previously healthy 49-year-old female with recent diagnosis of adenocarcinoma of the gastroesophageal junction with metastatic disease to the liver. Biopsy was positive for human epidermal growth factor receptor 2 (HER2) by Fluorescence In Situ Hybridization (FISH). Read More

    Foreign Body Moves Retrograde through Ileocecal Valve during Colonoscopy.
    Case Rep Gastrointest Med 2017 17;2017:8707959. Epub 2017 May 17.
    Department of Pulmonary Diseases, Infectious Diseases, Gastroenterology, Nephrology and Intensive Care Unit, University Hospital of Giessen, Klinikstr. 33, 35392 Giessen, Germany.
    Ingestion of foreign bodies and particularly of button or/and cylindrical batteries is frequent in children and adults with underlying psychiatric diseases. We present a case of a 30-year-old woman with unstable borderline disorder, where overall 4 button and 2 cylindrical batteries were endoscopically removed from her digestive system. During the last session of colonoscopy a peculiar incident was observed, as a cylindrical battery of 15 mm diameter and 43 mm length moved retrograde through ileocecal valve into the small bowel. Read More

    An Unusual Case of Pancreatic Metastasis from Squamous Cell Carcinoma of the Lung Diagnosed by EUS-Guided Fine Needle Biopsy.
    Case Rep Gastrointest Med 2017 17;2017:3212056. Epub 2017 May 17.
    Division of Gastroenterology and Hepatology, Department of Medicine, University of Calgary, Calgary, AB, Canada.
    We report a case of a 70-year-old man who presented with abdominal pain and weight loss, with initial imaging showing simultaneous mass lesions in the pancreas and lungs along with extensive lymphadenopathy in the thorax up to the left supraclavicular region. Core biopsies of the left supraclavicular lymph node showed squamous cell carcinoma, which required differentiation between secondary and primary pancreatic neoplasms. Endoscopic ultrasound-guided sampling using a novel fine needle biopsy system was key to making a definite histological diagnosis and determining the best treatment plan. Read More

    Recurrent Enterolithiasis Small Bowel Obstruction: A Case Seldom Described.
    Case Rep Gastrointest Med 2017 14;2017:4684182. Epub 2017 May 14.
    Department of General Surgery, United Mission Hospital, Tansen, Palpa, Nepal.
    Background: Enterolithiasis of the small bowel is a rare phenomenon in humans although it has been frequently described in equines. Primary enteroliths have been described including those occurring secondary to conditions like Crohn's disease, small bowel diverticula, tuberculous or postoperative strictures, and blind loops but those occurring in an otherwise normal gut are exceedingly rare. Of even greater rarity is a recurrent small bowel enterolith presenting with obstruction. Read More

    Gastric Schwannoma: A Tumor Must Be Included in Differential Diagnoses of Gastric Submucosal Tumors.
    Case Rep Gastrointest Med 2017 9;2017:9615359. Epub 2017 May 9.
    Department of Gastrointestinal Surgery, The Affiliated Hospital of Binzhou Medical University, Binzhou, Shandong, China.
    Gastric schwannoma (GS) is a rare neoplasm of the stomach. It accounts for 0.2% of all gastric tumors and is mostly benign, slow-growing, and asymptomatic. Read More

    Diagnosis of Splenic Lymphoma by Endoscopic Ultrasound Guided Fine Needle Aspiration: A Case Report and Review of the Literature.
    Case Rep Gastrointest Med 2017 30;2017:3602910. Epub 2017 Apr 30.
    University of Toledo Medical Center, Toledo, OH, USA.
    Introduction. Splenic tumor is usually found as an incidental finding on CT of abdomen. Traditionally, ultrasound (US) or computed tomography (CT) guided biopsies were employed for the purpose of sampling; however they have been reported to have a complication rate of 5. Read More

    Identification of Abnormal Biliary Anatomy Utilizing Real-Time Near-Infrared Cholangiography: A Report of Two Cases.
    Case Rep Gastrointest Med 2017 27;2017:8628206. Epub 2017 Apr 27.
    Walter Reed National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889, USA.
    Biliary duct anomalies are commonly encountered during laparoscopic cholecystectomy. Advancements in the field of surgery allow for enhanced intraoperative detection of these abnormalities. Fluorophore injection and near-infrared (NIR) imaging can provide real-time intraoperative anatomic feedback without intraoperative delays and ionizing radiation. Read More

    Aberrant Pancreatic Tissue in a Mediastinal Enteric Duplication Cyst: A Rarity with Review of Literature.
    Case Rep Gastrointest Med 2017 26;2017:7294896. Epub 2017 Apr 26.
    Department of Pediatric Surgery, Chacha Nehru Bal Chikitsalaya, New Delhi, India.
    Mediastinal enteric duplication cysts are a rare congenital malformation encountered mainly in neonates and infants. It is a distinct entity within the family of foregut duplication cysts. It can present with respiratory distress due to mass effect and hence surgical excision is the preferred treatment. Read More

    Mirrizi Syndrome and Markedly Elevated Levels of Carbohydrate Antigen 19-9 in the Absence of Malignant Disease.
    Case Rep Gastrointest Med 2017 26;2017:2416901. Epub 2017 Apr 26.
    University of Illinois at Chicago/Christ Hospital Advocate Medical Center, Oak Lawn, IL, USA.
    Elevated carbohydrate antigen 19-9 (CA19-9) beyond 1000 U/L occurs in nonneoplastic conditions which is causing questioning of the use of CA19-9 as a marker for screening. We report a case where a 51-year-old male with Mirrizi Syndrome (MS) presented with markedly increased CA19-9 level (4,618 U/mL). MS is a rare complication characterized by compression of the common bile or hepatic duct caused by an impacted gallstone in the cystic duct or neck of the gallbladder. Read More

    Adenocarcinoma In Situ Arising from Brunner's Gland Treated by Endoscopic Mucosal Resection.
    Case Rep Gastrointest Med 2017 23;2017:7916976. Epub 2017 Apr 23.
    Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan.
    An 86-year-old Japanese man was presented to our hospital for further investigation of duodenal adenocarcinoma. The tumor was endoscopically resected. Pathological analysis revealed coexistence of gastric foveolar metaplasia and a surrounding hyperplastic Brunner's gland, in addition to an adenocarcinoma component. Read More

    Delayed Awareness of the History of Barium Examination: Perforated Barium Appendicitis.
    Case Rep Gastrointest Med 2017 9;2017:6316175. Epub 2017 Apr 9.
    Department of Surgery, Iga City General Hospital, 831 Shijuku-cho, Iga, Mie 518-0823, Japan.
    A 41-year-old man presented to our hospital with lower abdominal pain and a high-grade fever. Physical examination revealed rebound tenderness and guarding in the lower abdomen. Abdominal X-ray examination showed a radiopaque object in the right lower quadrant of the abdomen. Read More

    Nodular Esophageal Xanthoma: A Case Report and Review of the Literature.
    Case Rep Gastrointest Med 2017 10;2017:1503967. Epub 2017 Apr 10.
    Department of Gastroenterology, Our Lady of Lourdes Hospital, Willingboro, NJ, USA.
    Xanthomas are localized nonneoplastic lesions within tissues that may manifest as papules, plaques, or nodules. These lesions can be found anywhere along the gastrointestinal tract, commonly in the stomach and colon, and rarely in the small intestine and esophagus. Esophagogastroduodenoscopy (EGD) with biopsy is the gold standard tool for diagnosis. Read More

    Hematochezia: An Uncommon Presentation of Colonic Tuberculosis.
    Case Rep Gastrointest Med 2017 3;2017:7831907. Epub 2017 Apr 3.
    Department of Medicine, Division of Gastroenterology, University of Florida, Gainesville, FL 32608, USA.
    Abdominal tuberculosis (TB) is an uncommon entity in the United States. Colonic TB is reported in 2-3% of patients with abdominal TB. It is frequently misdiagnosed as Crohn's disease or carcinoma of the colon due to their shared clinical, radiographic, and endoscopic presentations. Read More

    Post-ERCP Emphysematous Cholecystitis in a Young Woman: A Rare and Potentially Fatal Complication.
    Case Rep Gastrointest Med 2017 21;2017:1971457. Epub 2017 Mar 21.
    Department of Gastroenterology, Tallaght Hospital and Trinity College, Dublin, Ireland.
    A 45-year-old woman with suspected Functional Biliary Sphincter Disorder (FBSD) developed Clostridium perfringens related emphysematous cholecystitis after ERCP. A low index of suspicion for emphysematous cholecystitis in this young, otherwise healthy woman led to a significant delay in making the correct diagnosis, and air in the gallbladder was wrongly attributed to a possible gallbladder perforation. ERCP is associated with significant risks, particularly in patients with FBSD, where diagnostic uncertainty renders the balance of risk versus benefit even more critical. Read More

    An Uncommon Cause of a Small-Bowel Obstruction.
    Case Rep Gastrointest Med 2017 12;2017:1628215. Epub 2017 Mar 12.
    Department of Internal Medicine, Division of Pulmonology, Providence-Providence Park Hospital, Michigan State University College of Human Medicine, Southfield, MI, USA.
    Sarcoidosis is a systemic granulomatous disease of unknown etiology, characterized by the formation of noncaseating granulomas. Gastrointestinal (GI) system involvement that is clinically recognizable occurs in less than 0.9% of patients with sarcoidosis, with data revealing small intestine involvement in 0. Read More

    Postural Syncope and Constipation: An Unusual Presentation of a Duodenal Dieulafoy's Lesion.
    Case Rep Gastrointest Med 2017 7;2017:6983434. Epub 2017 Mar 7.
    Department of Internal Medicine, Seton Hall University School of Health and Medical Sciences, Saint Francis Medical Center, Trenton, NJ, USA.
    Dieulafoy lesions are a rare etiology of gastrointestinal bleeding from a large caliber-persistent tortuous submucosal artery. They account for 1-2% of all causes of acute gastrointestinal hemorrhage with 80%-95% of these lesions located in the stomach along the lesser curvature. One-third of these lesions present at an extragastric location, with the proximal duodenum accounting for 15% of them. Read More

    "Black Esophagus" or Gurvits Syndrome: A Rare Complication of Diabetic Ketoacidosis.
    Case Rep Gastrointest Med 2017 5;2017:4815752. Epub 2017 Mar 5.
    Aventura Hospital & Medical Center, Aventura, FL, USA.
    Acute esophageal necrosis (AEN) also known as "black esophagus" or necrotizing esophagitis is a rare syndrome characterized by a striking diffuse patchy or circumferential black appearance of the esophageal mucosa that preferentially affects the distal esophagus and terminates at the gastroesophageal junction. Only 88 patients over a span of 40 years have received this diagnosis, and the prevalence of this disease ranges from 0.001 to 0. Read More

    A Case of Hepatic Portal Venous Gas: Hypothesis of a Transient Direct Communication between a Penetrating Antral Gastric Ulcer and Mesenteric Varices.
    Case Rep Gastrointest Med 2017 26;2017:8185132. Epub 2017 Feb 26.
    Division of Gastroenterology and Hepatology, Tufts Medical Center, Tufts School of Medicine, Boston, MA, USA.
    Hepatic portal venous gas (HPVG) is a rare radiological sign that usually signifies an acute intra-abdominal process, most commonly bowel ischemia and sepsis. Few reports described an association with underlying gastric pathologies. We report a 60-year-old patient who presented with melena and chills and was discovered to have a gastric ulcer that appeared to have penetrated into a mesenteric varix. Read More

    Chronic Hepatitis with Liver Granulomas in a Patient with Granuloma Annulare: A Case Report and Review of the Literature.
    Case Rep Gastrointest Med 2017 23;2017:8768529. Epub 2017 Feb 23.
    Division of Gastroenterology, University of British Columbia, Vancouver, BC, Canada.
    Granuloma annulare (GA) is a benign granulomatous skin disorder of unknown etiology. GA is rarely associated with liver diseases. We report a unique case of chronic hepatitis with liver granulomas in a patient with GA. Read More

    Shigella sonnei Bacteremia Presenting with Profound Hepatic Dysfunction.
    Case Rep Gastrointest Med 2017 23;2017:7293281. Epub 2017 Feb 23.
    Department of Internal Medicine, Reading Health System, Spruce Street and 6th Avenue, West Reading, PA 19610, USA.
    Worldwide, Shigellosis is a significant public health issue, associated with nearly one million deaths annually. About half a million cases of Shigella infection are reported annually in the United States. Shigella bacteremia is uncommon and generally seen in children and immunocompromised adults. Read More

    Association of Chronic Pancreatitis and Malignant Main Duct IPMN: A Rare but Difficult Clinical Problem.
    Case Rep Gastrointest Med 2017 22;2017:8705195. Epub 2017 Feb 22.
    Universidad de los Andes, Santiago, Chile.
    We report the case of a 70-year-old woman who consulted for recurrent short episodes of mild-to-moderate abdominal pain. Dilated main pancreatic duct was seen on CAT scan and magnetic resonance, with multiple calcifications and intraductal stones, typical in CP. However, for a more pronounced cystic dilatation in the pancreatic head, we could not exclude the coexistence of a main duct IPMN. Read More

    A Perplexing Case of Abdominal Pain That Led to the Diagnosis of Zollinger-Ellison Syndrome.
    Case Rep Gastrointest Med 2017 21;2017:7636952. Epub 2017 Feb 21.
    Division of Gastroenterology and Hepatology, Henry Ford Hospital, Detroit, MI 48202, USA.
    Zollinger-Ellison syndrome (ZES) is a rare clinical disorder, characterized by hypersecretion of gastric acid and multiple ulcers distal to the duodenal bulb. This occurs via the release of gastrin by neuroendocrine tumors known as gastrinomas. Patients with ZES present with nonspecific GI symptoms, which often leads to a delay in diagnosis. Read More

    A Patency Capsule Remained Intact in the Colon over 210 Hours.
    Case Rep Gastrointest Med 2017 22;2017:1201404. Epub 2017 Feb 22.
    Department of Gastroenterology, Iida Municipal Hospital, Iida, Japan.
    We present an unusual case of a 35-year-old male patient whom a patency capsule stayed in his gut without breaking. He has a history of Peutz-Jeghers syndrome and multiple abdominal surgeries. Prestudy was performed for abdominal searching, but a patency capsule remained in the colon over 9 days. Read More

    Hemorrhagic Shock as Complication of Intramural Intestinal Bleeding.
    Case Rep Gastrointest Med 2017 12;2017:5424631. Epub 2017 Feb 12.
    Radiology Department, Habib Thameur University Hospital, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.
    Introduction. Mural intestinal hematoma (MIH) is an uncommon complication of anticoagulant therapy. Hemorrhagic shock has been rarely reported as a revealing modality. Read More

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