85 results match your criteria enterography revealed


Clinical Features of Ischemic Enteritis Diagnosed by Double-Balloon Endoscopy.

Can J Gastroenterol Hepatol 2021 14;2021:8875564. Epub 2021 Apr 14.

Department of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, Japan.

Introduction: Ischemic enteritis (IE) is a relatively rare small bowel disease that is diagnosed via double-balloon endoscopy (DBE), although the lack of established diagnostic criteria can make it difficult to confirm the diagnosis. This study aimed to describe the clinical characteristics, endoscopic imaging features, and treatments for IE at our center. . Read More

View Article and Full-Text PDF

Surgical Excision of Sclerosing Mesenteritis, Exploration of an Unknown Mesenteric Mass.

Cureus 2021 Jan 7;13(1):e12546. Epub 2021 Jan 7.

General Surgery, Beaumont Health, Farmington Hills, USA.

Sclerosing mesenteritis is a rare and often benign condition characterized as a fibrotic disease consisting of non-suppurative inflammation of adipose tissue. Through mass effect, sclerosing mesenteritis can compromise the gastrointestinal lumen as well as mesenteric vessel integrity. There is a poor understanding of this disorder and its pathogenesis, which presents with various symptomatology and often without identification of inciting factors. Read More

View Article and Full-Text PDF
January 2021

Systematic reporting of computed tomography enterography/enteroclysis as an aid to reduce diagnostic dilemma when differentiating between intestinal tuberculosis and Crohn's disease: A prospective study at a tertiary care hospital.

JGH Open 2021 Feb 14;5(2):180-189. Epub 2020 Dec 14.

Department of Radiodiagnosis Sanjay Gandhi Post Graduate Institute of Medical Sciences Lucknow India.

Background And Aim: Crohn's disease (CD) and intestinal tuberculosis (ITB) have similar symptomatology and overlapping features on imaging, endoscopy, and histopathology. It is important to differentiate ITB from CD to initiate correct medical management. This prospective study aimed to characterize imaging features on computed tomography enteroclysis/enterography (CTE) that help in differentiating ITB from CD. Read More

View Article and Full-Text PDF
February 2021

Small bowel adenocarcinoma diagnosed by video capsule endoscopy in a patient with celiac disease: a case report and review of literature.

Vnitr Lek 2020 ;66(7):39-42

Celiac disease is an immune mediated entheropathy triggered by gluten in genetically predisposed individuals. Patients with celiac disease are at a higher risk of gastrointestinal malignancies. Diagnosis at an advance stage is one of the factors of an unfavorable prognosis of these complications. Read More

View Article and Full-Text PDF
January 2021

Ileal Signet Ring Cell Carcinoma Masked by Crohn Disease.

Ochsner J 2020 ;20(3):323-325

Department of Internal Medicine, Florida Atlantic University, Charles E. Schmidt College of Medicine, Boca Raton Regional Hospital, Boca Raton, FL.

Signet ring cell carcinoma (SRCC) is a rare, highly malignant adenocarcinoma that generally involves the stomach; ileal involvement is uncommon. Crohn disease (CD) is associated with long-standing inflammation that may predispose to small intestine adenocarcinoma. A 67-year-old male with ileal CD since age 23 years, maintained in remission by mesalamine, presented with mild intermittent attacks of abdominal cramping, an increase in bowel movements from 3 to 5 daily, and bloating for 3 months. Read More

View Article and Full-Text PDF
January 2020

Clinical Manifestations of Copper Deficiency: A Case Report and Review of the Literature.

Nutr Clin Pract 2020 Oct 9. Epub 2020 Oct 9.

Division of Gastroenterology and Hepatology, University of Florida College of Medicine, Gainesville, Florida, USA.

Background: Copper is a mineral that is absorbed in the stomach, duodenum, and jejunum. Gastric bypass surgery, gastrectomy, and short-bowel syndrome commonly lead to copper malabsorption. Copper deficiency primarily presents with hematological and neurological sequelae, including macrocytic anemia and myelopathy. Read More

View Article and Full-Text PDF
October 2020

Obscure gastrointestinal bleeding caused by congenital enteropathy in a Chinese young child-a case report.

BMC Pediatr 2020 09 17;20(1):438. Epub 2020 Sep 17.

Department of Gastroenterology, The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, 3333 Bin Sheng RoadZhejiang Province, Hangzhou, 310052, China.

Background: SLCO2A1 was recently reported to cause nonspecific ulcers at small bowel, it was named as chronic enteropathy associated with SLCO2A1 (CEAS). It was rarely reported beyond the Japanese population.

Case Presentation: A 4-year-5-month old girl presented with intractable anemia since 1-year-3-month. Read More

View Article and Full-Text PDF
September 2020

Multiple Small Bowel Diverticula Were an Unexpected Finding During Laparoscopic Enterectomy for Crohn's Disease.

Med Arch 2020 Apr;74(2):142-145

Second Department of Surgery, Aretaieion University Hospital, National and Kapodistrian University of Athens, Athens 11528, Greece.

Introduction: Small bowel diverticulosis (SBD) is a rare entity. Although it is usually an asymptomatic condition, clinical manifestations may vary from non-specific clinical signs to severe and complicated disease. The coexistence of SBD and Crohn's disease (CD) is rarely reported in the current literature. Read More

View Article and Full-Text PDF

Primary extranodal jejunal diffuse large B cell lymphoma as a diagnostic challenge for intractable emesis: a case report and review of literature.

J Community Hosp Intern Med Perspect 2019 14;9(6):518-523. Epub 2019 Dec 14.

Department of Medicine, Temple University Hospital, Philadelphia, PA, USA.

: The gastrointestinal tract is the most common extranodal site for non-Hodgkin's lymphoma, with the most common being diffuse large B cell lymphoma. Unlike the stomach or the ileum, the jejunum is a rare site for primary extranodal lymphomas, given the scarcity of lymphoid tissue. Due to its location, inflammation in the jejunum may not be visualized on routine imaging or endoscopy, making jejunal lymphoma difficult to diagnose. Read More

View Article and Full-Text PDF
December 2019

Jejunal cavernous lymphangioma manifested as gastrointestinal bleeding with hypogammaglobulinemia in adult: A case report and literature review.

World J Clin Cases 2020 Jan;8(1):140-148

Department of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China.

Background: Lymphangioma is a benign lesion that rarely involves the gastrointestinal tract, especially in adults. Small bowel lymphangioma is a rare cause of gastrointestinal bleeding. Here, we report a case of an adult diagnosed with jejunal lymphangioma presenting with melena, anemia and hypogammaglobulinemia. Read More

View Article and Full-Text PDF
January 2020

Pyloric stenosis as a manifestation of isolated gastric Crohn's disease responding to intralesional steroid injection and balloon dilation: a case report.

J Med Case Rep 2019 Nov 13;13(1):331. Epub 2019 Nov 13.

Gastroenterology & Hepatology unit, National Hospital of Sri Lanka, Colombo, 10, Sri Lanka.

Background: Crohn's disease is a chronic inflammatory condition that can affect the gut from mouth to anus. Gastroduodenal involvement is seen in less than 5% of all patients with Crohn's disease. Among those cases, isolated gastric Crohn's disease is even rarer. Read More

View Article and Full-Text PDF
November 2019

Distal Ileal Ulcers as Gastrointestinal Manifestation of Waldenstrom Macroglobulinemia.

ACG Case Rep J 2019 Apr 8;6(4):e00058. Epub 2019 Apr 8.

Allegheny Health Network, Allegheny General Hospital, Division of Gastroenterology, Pittsburgh, PA.

Waldenstrom macroglobulinemia (WM) is a neoplastic disorder of the B-cell lymphoid system. A 69-year-old man with WM presented with diarrhea for 6 months. Magnetic resonance enterography showed thickening of the terminal ileum (TI). Read More

View Article and Full-Text PDF

Synergistic effect of enteral nutrition on remission induction in a patient with penetrating Crohn disease: A case report.

Medicine (Baltimore) 2019 Aug;98(32):e16750

Department of Gastroenterology, Zhongshan Hospital, Xiamen University, Xiamen, Fujian Province, China.

Rationale: Crohn disease includes 3 phenotypes, inflammatory, stricturing, and penetrating. In cases where corticosteroids and immunosuppressive agents are not suitable treatment options, enteral nutrition (EN) can be used to reduce disease severity and enhance barrier defense with fewer potential adverse effects.

Patient Concerns: A 23-year-old man with abdominal pain and diarrhea presented at our hospital in 2014. Read More

View Article and Full-Text PDF

Supplementary Anal Imaging by Magnetic Resonance Enterography in Patients with Crohn's Disease Not Suspected of Having Perianal Fistulas.

Clin Gastroenterol Hepatol 2020 02 25;18(2):415-423.e4. Epub 2019 Jul 25.

Inflammatory Bowel Disease Center, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea; Department of Gastroenterology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea.

Background & Aims: Few data are available to guide the use of anal imaging for patients with Crohn's disease (CD) who are not suspected of having perianal fistulas. We aimed to evaluate the role of anal imaging supplementary to magnetic resonance enterography (MRE) in these patients.

Methods: In a prospective study, we added a round of anal MR imaging (MRI), collecting axial images alone, to MRE evaluation of 451 consecutive adults who were diagnosed with or suspected of having CD but not believed to have perianal fistulas. Read More

View Article and Full-Text PDF
February 2020

Early onset Peutz-Jeghers syndrome, the importance of appropriate diagnosis and follow-up: A case report.

Medicine (Baltimore) 2019 Jul;98(27):e16381

Department of Pediatrics III, University of Medicine, Pharmacy, Sciences and Technology, Târgu Mureş, Romania.

Rationale: Peutz-Jeghers syndrome (PJS) is currently defined as an inherited condition, also called a familial hamartomatous polyposis syndrome, characterized by the association between pigmented mucocutaneous lesions and hamartomatous polyps in the gastrointestinal tract, especially in the small bowel.

Patient Concerns: We present the case of a 7-year-old male patients, diagnosed at the age of 3 years with PJS due to a surgical intervention for acute abdominal pain that revealed a rectal polyp associated with hyperpigmented maculae on the lips and oral mucosa. His family history revealed the same condition in his mother, who was diagnosed much later, at the age of 25 years. Read More

View Article and Full-Text PDF

Jejunal GIST: Hunting down an unusual cause of gastrointestinal bleed using double balloon enteroscopy. A case report.

Int J Surg Case Rep 2019 27;60:303-306. Epub 2019 Jun 27.

Department of General Surgery, Faculty of Medicine, The National University of Malaysia, Jalan Yaacob Latiff, Bandar Tun Razak, Postcode 56000, Selangor, Malaysia. Electronic address:

Introduction: Gastrointestinal stromal tumours (GISTs) are the most common mesenchymal neoplasms of the alimentary tract but accounts for only 0.1-3% of all gastrointestinal neoplasms. The most common presentation of GISTs is acute or chronic gastrointestinal bleeding, in which the patient presents with symptomatic anaemia. Read More

View Article and Full-Text PDF

Chronic enteropathy associated with SLCO2A1 gene: A case report and literature review.

Clin Res Hepatol Gastroenterol 2019 10 10;43(5):e68-e72. Epub 2019 Jun 10.

Department of Radiology, Zhejiang University School of Medicine, Sir Run Run Shaw hospital, 3 East Qingchun Road, 310016 Hangzhou City, Zhejiang Province, China. Electronic address:

A case of chronic enteropathy associated with SLCO2A1 gene (CEAS) is presented. The female patient was readmitted four times during a three-year follow-up period for intractable dropsy and anemia. Multiple ulcers of small bowel wall were revealed by endoscopic examination. Read More

View Article and Full-Text PDF
October 2019

Simple Endoscopic Score of Crohn Disease and Magnetic Resonance Enterography in Children: Report From ImageKids Study.

J Pediatr Gastroenterol Nutr 2019 10;69(4):461-465

Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv.

Objectives: We aimed to explore the ability of magnetic resonance enterography (MRE) to impute the simple endoscopic score of Crohn disease (SES-CD) in children with CD, in whom failure of ileal intubation is common and may impair SES-CD calculation in clinical studies.

Methods: This is a substudy of the prospective ImageKids study in which children with CD underwent ileocolonoscopy (scored by SES-CD) and MRE (scored on a 100 mm visual analogue scale [VAS] and by MaRIA). Mucosal healing (MH) was defined as SES-CD <3, MRE-VAS <20 mm, and/or MaRIA <7. Read More

View Article and Full-Text PDF
October 2019

Jejunoileal GIST: A Rare Case of Transient Intussusception and Gastrointestinal Bleeding.

Case Rep Surg 2019 4;2019:1492965. Epub 2019 Apr 4.

General Surgery Department, Centro Hospitalar Tondela-Viseu, Avenida Rei D. Duarte, 3504-509 Viseu, Portugal.

Gastrointestinal stromal tumors (GIST) comprised 0,2% of all GI tumors. They are typically asymptomatic, but can manifest with nonspecific GI symptoms, GI bleeding, or intussusception. The authors report a case of a 55-year-old female patient with hematochezia and a palpable mass on the left lower quadrant. Read More

View Article and Full-Text PDF

Development of an Objective Model to Define Near-Term Risk of Ileocecal Resection in Patients with Terminal Ileal Crohn Disease.

Inflamm Bowel Dis 2019 10;25(11):1845-1853

Department of Colon and Rectal Surgery, Mayo Clinic, Rochester, Minnesota, USA.

Background: The decision to either escalate medical therapy or proceed to ileocecal resection (ICR) in patients with terminal ileal Crohn disease (CD) remains largely subjective. We sought to develop a risk score for predicting ICR at 1 year from computed tomography or magnetic resonance enterography (CTE/MRE).

Methods: We conducted a retrospective cohort study including all consecutive adult (> 18 years) patients with imaging findings of terminal ileal CD (Montreal classification: B1, inflammatory predominant; B2, stricturing; or B3, penetrating) on CTE/MRE between January 1, 2016, and December 31, 2016. Read More

View Article and Full-Text PDF
October 2019

A case of ectopic pancreas in the ileum presenting as obscure gastrointestinal bleeding and abdominal pain.

BMC Gastroenterol 2019 Apr 17;19(1):57. Epub 2019 Apr 17.

Clinic of Gastroenterology, Nephrourology and Surgery, Vilnius University, Santariskiu street 2, 08406, Vilnius, LT, Lithuania.

Background: Ectopic pancreas is an infrequent submucosal tumor in the gastrointestinal tract defined as a pancreatic tissue lacking vascular or anatomic continuity with the main body of the pancreas. Ectopic pancreas in the ileum is a rare and often an incidental finding. We report a case of ectopic pancreas in the ileum causing obscure gastrointestinal bleeding and episodes of abdominal pain. Read More

View Article and Full-Text PDF

A young man with persistent dyspepsia: the unexpected virtue of proton-pump inhibitors.

Acta Biomed 2019 01 15;89(4):569-572. Epub 2019 Jan 15.

Clinica Medica, Dipartimento di Scienze Cliniche e Molecolari, Università Politecnica delle Marche, Ancona, Italy.

A 26-year-old man was referred to our department for a 3-year history of dyspepsia responsive to oral pump-inhibitors therapy. During the last year, he underwent a gastroscopy, a colonoscopy and a computed tomography enterography that failed to reveal an underlying organic disease: a diagnosis of functional dyspepsia was made. Because of the persistence of symptoms, he came to our ambulatory where we performed an abdominal ultrasound that revealed the presence of multiple bi-lobar lesions of the liver suspected for metastases and a hypoechoic solid lesion of the pancreas body, confirmed by a contrast enhanced computed tomography. Read More

View Article and Full-Text PDF
January 2019

Mitochondrial neurogastrointestinal encephalopathy: a clinicopathological mimic of Crohn's disease.

BMC Gastroenterol 2019 Jan 15;19(1):11. Epub 2019 Jan 15.

Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, CB2 0QQ, UK.

Background: Mitochondrial neurogastrointestinal encephalopathy (MNGIE), due to mutations in TYMP, often presents with gastrointestinal symptoms. Two sisters, initially managed for Crohn's disease based upon clinical, imaging and pathological findings, were later found to have MNGIE. The cases provide novel clinicopathological insight, for two further reasons: both sisters remain ambulant and in employment in their late 20s and 30s; diagnosis in one sister was made after a suspected azathioprine-precipitated acute illness. Read More

View Article and Full-Text PDF
January 2019

Optimizing Patient Management in Crohn's Disease in a Tertiary Referral Center: the Impact of Fast-Track MRI on Patient Management and Outcomes.

J Gastrointestin Liver Dis 2018 Dec;27(4):391-397

Semmelweis University, First Department of Medicine, Budapest, Hungary;Division of Gastroenterology, McGill University Health Centre, Montreal, Quebec, Canada.

Background And Aims: Rapid optimization of treatment algorithms and disease outcomes requires an objective measurement of disease activity in patients with Crohn's disease (CD). Our aim was to evaluate the impact of rapid-access to magnetic resonance imaging (MRI) on treatment optimization, clinical decision-making and outcomes for CD patients in a specialized tertiary care for inflammatory bowel disease (IBD) patients.

Methods: A cohort of 75 referral CD patients (median age: 34, IQR: 25-43 years) who had underwent 90 fast-track MR enterography (MRE) scans between January 2014 and June 2016 were retrospectively enrolled. Read More

View Article and Full-Text PDF
December 2018

Faecal Calprotectin and Magnetic Resonance Enterography in Ileal Crohn's Disease: Correlations Between Disease Activity and Long-Term Follow-Up.

J Crohns Colitis 2019 Mar;13(4):442-450

Western General Hospital, Gastrointestinal Unit, Edinburgh, UK.

Background And Aims: Magnetic resonance enterography [MRE] is the gold standard for assessing ileal inflammation in Crohn's disease [CD]. The aim of the present study was to correlate faecal calprotectin [FC] to MRE via a simple score in an exclusive ileal cohort with long-term follow-up for association with time to surgery or biologic therapy.

Methods: In total, 150 MRE studies with matched FC [±30 days] were identified from the Edinburgh FC Register [2008-12; n = 18138]. Read More

View Article and Full-Text PDF

Quantitative Analysis of Apparent Diffusion Coefficient for Disease Assessment in Paediatric Inflammatory Bowel Disease.

J Pediatr Gastroenterol Nutr 2019 03;68(3):353-359

Radiology, Department of Translational Research on New Technologies in Medicine and Surgery, University of Pisa, Pisa.

Objective: The aim of the study was to establish an apparent diffusion coefficient (ADC) cut-off value to classify active and non-active lesions in inflammatory bowel disease.

Methods: We reviewed 167 paediatric magnetic resonance enterographies executed for suspected inflammatory bowel disease by using a 1.5- and 3-T scanner. Read More

View Article and Full-Text PDF

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

View Article and Full-Text PDF

Rare intestinal fistula caused by primary lymphoma of the gastrointestinal tract: Two case reports and literature review.

Medicine (Baltimore) 2018 Jul;97(27):e11407

Department of Ultrasound Department of Radiology Department of Gastroenterology Department of Pathology, Peking Union Medical College Hospital, Beijing, China.

Rationale: Primary lymphoma that arises from the intestine is an uncommon malignant tumour, while intestinal fistula caused by primary lymphoma is even rarer. Non-specific clinical performance makes early diagnosis difficult, although imaging modalities might play an essential role in the detection of intestinal fistula.

Patient Concerns: Patient 1: A 60-year-old male hospitalized with diarrhoea and abdominal pain for seven months underwent computed tomography enterography (CTE) that demonstrated ileum internal fistula and ileac-sigmoid colon fistula. Read More

View Article and Full-Text PDF

Primary malignant melanoma of the small intestine: a report of 2 cases and a review of the literature.

Ann Surg Treat Res 2018 May 30;94(5):274-278. Epub 2018 Apr 30.

Division of Colon and Rectal Surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

The majority of malignant melanomas in the small intestine are metastases from primary cutaneous lesions, it can also develop as a primary mucosal tumor in the gastrointestinal tract. In this report, we present rare cases of primary small bowel melanoma and review the current literature. A 78-year-old male presented with abdominal pain and CT enterography identified a ileal mass. Read More

View Article and Full-Text PDF

Filiform Polyposis in Ulcerative Colitis: A Rare Pediatric Case

Balkan Med J 2018 09 24;35(5):400-401. Epub 2018 Apr 24.

Department of Patology, University of Health Sciences, Şişli Etfal Training and Research Hospital, İstanbul, Turkey

Background: Filiform polyposis is a rare benign condition referred to as inflammatory polyposis, or pseudopolyposis that is usually found in association with Crohn’s disease, ulcerative colitis or granulomatous colitis which is formed by non-specific mucosal and submucosal reactions to previous severe inflammation. It is characterized by multiple finger-like projections most commonly in the transverse and descending colon.

Case Report: A 15-year-old girl with a history of ulcerative colitis was admitted to the pediatric emergency department with abdominal pain attacks for the past 2 weeks. Read More

View Article and Full-Text PDF
September 2018