Clinical Journal of Gastroenterology最新文献_第9页

A case of spontaneous acute obstructive suppurative pancreatic ductitis associated with intraductal papillary mucinous neoplasms. 一例伴有导管内乳头状粘液瘤的自发性急性阻塞性化脓性胰导管炎。

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Clinical Journal of Gastroenterology Pub Date : 2024-08-01 Epub Date: 2024-05-06 DOI: 10.1007/s12328-024-01973-4

Shinnosuke Nakayama, Akihisa Fukuda, Satoru Nishikawa, Ayako Hirata, Mari Teramura, Atsushi Takai, Hiroshi Seno

{"title":"A case of spontaneous acute obstructive suppurative pancreatic ductitis associated with intraductal papillary mucinous neoplasms.","authors":"Shinnosuke Nakayama, Akihisa Fukuda, Satoru Nishikawa, Ayako Hirata, Mari Teramura, Atsushi Takai, Hiroshi Seno","doi":"10.1007/s12328-024-01973-4","DOIUrl":"10.1007/s12328-024-01973-4","url":null,"abstract":"A 77-year-old woman was referred to our hospital due to left upper abdominal pain, appetite loss and body weight loss for 1 month. Her past medical history was diabetes and intraductal papillary mucinous neoplasms (IPMNs). She had no fever and physical examination revealed mild tenderness in the left upper abdomen. Blood tests showed elevated inflammatory response with normal serum pancreatic enzymes. Contrast-enhanced CT showed marked swelling of the pancreatic tail, increased peripancreatic fatty tissue density, multiple IPMNs and obscuration of the enlarged main pancreatic duct at the tail. EUS showed there was no obvious mass in the pancreas and protein plug was suspected in the main pancreatic duct. EUS-FNA was performed and pathology showed no malignancy. ERCP showed discharge of purulent pancreatic fluid from the major duodenal papilla and stenosis of the main pancreatic duct at the tail. The culture of the purulent pancreatic fluid revealed Streptococcus aureus, Klebsiella pneumoniae and Pseudomonas aeruginosa, leading to diagnosis of acute obstructive suppurative pancreatic ductitis (AOSPD). Endoscopic nasopancreatic drainage and antimicrobial treatment were started. The inflammatory response improved rapidly and the patient was discharged 30 days after admission. To our knowledge, this is the second reported case of spontaneous AOSPD associated with IPMNs.","PeriodicalId":10364,"journal":{"name":"Clinical Journal of Gastroenterology","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140847631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A rare case of polyarthritis panniculitis and pancreatitis. 一个罕见的多关节炎泛发性胰腺炎病例。

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Clinical Journal of Gastroenterology Pub Date : 2024-08-01 Epub Date: 2024-05-22 DOI: 10.1007/s12328-024-01977-0

Joseph M Cappuccio, Karim T Osman, David Burns

引用次数: 0

A case of cytomegalovirus esophagitis difficult to distinguish from Crohn's disease exacerbation. 一例巨细胞病毒食管炎与克罗恩病加重难以区分。

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Clinical Journal of Gastroenterology Pub Date : 2024-08-01 Epub Date: 2024-05-23 DOI: 10.1007/s12328-024-01978-z

Mika Misaki, Shintaro Sagami, Yoko Yamana, Masa Maeda, Aya Hojo, Yusuke Miyatani, Ichiro Maeda, Masaru Nakano, Toshifumi Hibi, Taku Kobayashi

引用次数: 0

A rare case of hypervirulent Klebsiella pneumoniae liver abscess and bacterial endophthalmitis associated with distal bile duct cancer. 一例与远端胆管癌相关的高病毒性肺炎克雷伯菌肝脓肿和细菌性眼内炎罕见病例。

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Clinical Journal of Gastroenterology Pub Date : 2024-08-01 Epub Date: 2024-06-18 DOI: 10.1007/s12328-024-01985-0

Yasuhisa Ando, Hiroyuki Matsukawa, Hironobu Suto, Minoru Oshima, Takayuki Sanomura, Hideki Kamada, Kensuke Kumamoto, Kyoko Yokota, Yasuyuki Suzuki, Keiichi Okano

{"title":"A rare case of hypervirulent Klebsiella pneumoniae liver abscess and bacterial endophthalmitis associated with distal bile duct cancer.","authors":"Yasuhisa Ando, Hiroyuki Matsukawa, Hironobu Suto, Minoru Oshima, Takayuki Sanomura, Hideki Kamada, Kensuke Kumamoto, Kyoko Yokota, Yasuyuki Suzuki, Keiichi Okano","doi":"10.1007/s12328-024-01985-0","DOIUrl":"10.1007/s12328-024-01985-0","url":null,"abstract":"We report a case of a patient with distal bile duct cancer who presented with ocular pain and eye redness due to a liver abscess. The patient developed a liver abscess while waiting for surgery. Since Klebsiella pneumoniae with high viscosity was identified and imaging studies showed systemic infection, a diagnosis of klebsiella invasive syndrome was made. In addition, infectious intraocular inflammation was also observed at the same time. In addition to antibiotic therapy, vitrectomy and percutaneous transhepatic abscess drainage successfully normalized the inflammatory response and negative blood cultures were obtained. Thirty-four days after the start of treatment, surgery was performed and the postoperative course was uneventful, and the patient was discharged from the hospital on the 39th postoperative day. Forty-six months after that surgery, there has been no evidence of recurrence of cholangiocarcinoma or recurrence of infection, but unfortunately, vision loss in the right eye remains. Some Klebsiella pneumoniae are highly pathogenic and are often reported from Southeast Asia, and ocular pain and hyperemic symptoms are important physical findings.","PeriodicalId":10364,"journal":{"name":"Clinical Journal of Gastroenterology","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141418190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Analysis of peripheral immune markers to predict liver injury during COVID-19. 分析外周免疫标记物以预测 COVID-19 期间的肝损伤。

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Clinical Journal of Gastroenterology Pub Date : 2024-08-01 Epub Date: 2024-06-09 DOI: 10.1007/s12328-024-01994-z

Manaswita Tappata, Thomas M Leventhal, Nwando Ikeogu, Anne Frosch, Jose D Debes

引用次数: 0

Endoscopic sealing hemostasis with polyglycolic acid sheet and fibrin glue as a novel endoscopic hemostatic technique: a report of three cases. 使用聚乙二醇酸片和纤维蛋白胶进行内窥镜密封止血是一种新型内窥镜止血技术：三例病例报告。

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Clinical Journal of Gastroenterology Pub Date : 2024-08-01 Epub Date: 2024-04-27 DOI: 10.1007/s12328-024-01975-2

Kai Korekawa, Atsushi Kunimitsu

{"title":"Endoscopic sealing hemostasis with polyglycolic acid sheet and fibrin glue as a novel endoscopic hemostatic technique: a report of three cases.","authors":"Kai Korekawa, Atsushi Kunimitsu","doi":"10.1007/s12328-024-01975-2","DOIUrl":"10.1007/s12328-024-01975-2","url":null,"abstract":"Polyglycolic acid sheets and fibrin glue are routinely used in surgical procedures. Their usefulness in gastrointestinal endoscopy is mainly to prevent complications (bleeding, delayed perforation, stenosis, etc.) associated with procedures such as endoscopic submucosal dissection and endoscopic mucosal resection, with most reports on iatrogenic and secondary conditions. However, there are few reports on primary gastrointestinal diseases. Herein, we report three cases of gastrointestinal bleeding that were successfully treated with endoscopic hemostasis by sealing the lesions with polyglycolic acid sheets and fibrin glue. Case 1 was of an 83-year-old woman with a rare duodenal perforation that was treated with omental plugging who experienced subsequent bleeding from the greater omentum. Case 2 was of a 73-year-old woman with an acute hemorrhagic rectal ulcer that was difficult to treat even after performing standard endoscopic hemostasis techniques; however, surgery was avoided by sealing. Case 3 was that of an 89-year-old woman with a stercoral ulcer, treated curatively using a combination of sealing and argon plasma coagulation right from presentation based on the lessons learned from Cases 1 and 2. Endoscopic hemostasis using a polyglycolic acid sheet and fibrin glue may be a new treatment option for gastrointestinal bleeding particularly in refractory or rare causes.","PeriodicalId":10364,"journal":{"name":"Clinical Journal of Gastroenterology","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140862271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Spontaneous bilateral avascular necrosis of knees and hip leading to early bilateral total hip arthroplasty: a case report of an 18-year-old man recently diagnosed with Crohn's disease. 自发性双侧膝关节和髋关节血管性坏死导致早期双侧全髋关节置换术：一名最近被诊断出患有克罗恩病的 18 岁男子的病例报告。

IF 0.8

Clinical Journal of Gastroenterology Pub Date : 2024-08-01 Epub Date: 2024-05-26 DOI: 10.1007/s12328-024-01987-y

Amir Khanmirzaei, Kimia Jazi, Gelareh Azarinoush, Maryam Shirmohammadi, Hajar Karimtabar, Mehdi Pezeshgi Modarres, Maryam Masoumi

引用次数: 0

Analysis of peripheral immune markers to predict liver injury during COVID-19. 分析外周免疫标记物以预测 COVID-19 期间的肝损伤。

IF 0.8

Clinical Journal of Gastroenterology Pub Date : 2024-08-01 Epub Date: 2024-06-05 DOI: 10.1007/s12328-024-01995-y

Hidetaka Matsuda, Takuto Nosaka, Katsushi Hiramatsu, Kazuto Takahashi, Tatsushi Naito, Kazuya Ofuji, Masahiro Ohtani, Yoshiaki Imamura, Hiromichi Iwasaki, Yasunari Nakamoto

引用次数: 0

Follicular dendritic cell sarcoma arising from the lymph node of the pancreatic head: a case report with literature review. 胰头淋巴结出现的滤泡树突状细胞肉瘤：病例报告与文献综述。

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Clinical Journal of Gastroenterology Pub Date : 2024-08-01 Epub Date: 2024-03-26 DOI: 10.1007/s12328-024-01956-5

Takahiro Yamada, Keinosuke Ishido, Norihisa Kimura, Taiichi Wakiya, Hayato Nagase, Shintaro Goto, Tadashi Yoshizawa, Hiroshi Kijima, Seiichi Kato, Kenichi Hakamada

{"title":"Follicular dendritic cell sarcoma arising from the lymph node of the pancreatic head: a case report with literature review.","authors":"Takahiro Yamada, Keinosuke Ishido, Norihisa Kimura, Taiichi Wakiya, Hayato Nagase, Shintaro Goto, Tadashi Yoshizawa, Hiroshi Kijima, Seiichi Kato, Kenichi Hakamada","doi":"10.1007/s12328-024-01956-5","DOIUrl":"10.1007/s12328-024-01956-5","url":null,"abstract":"A 72-year-old man was referred to our hospital for the examination of a pancreatic head mass. Abdominal computed tomography revealed a contrasted 8-cm-diameter tumor extending from the dorsal pancreatic head to the porta hepatis. The preoperative diagnosis was challenging due to the absence of specific imaging findings and the inability to perform a biopsy. Positron emission tomography/computed tomography and diffusion-weighted imaging suggested a malignant tumor originating from the organs surrounding the pancreatic head. Subtotal stomach-preserving pancreaticoduodenectomy with regional lymph node dissection was performed, as dissection from the pancreatic head proved unfeasible. Pathological examination identified the tumor as an enlarged lymph node consisting of pleomorphic large cells forming clusters, positive for follicular dendritic cell markers cluster of differentiation (CD) 21 and CD23. No evidence of tumor capsule infiltration, other organ infiltration, or metastasis to other lymph nodes was observed. The final diagnosis was nodal follicular dendritic cell sarcoma (FDCS) originating from the pancreatic head lymph nodes. No recurrence occurred at 3 years postoperatively with no postoperative treatment. Intraperitoneal nodal FDCS is extremely rare, and occasionally, it can lead to postoperative recurrence and progression. It is crucial to differentiate neoplastic lymph node enlargement around the pancreatic head from nodal FDCS.","PeriodicalId":10364,"journal":{"name":"Clinical Journal of Gastroenterology","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140293030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rectal implantation cyst successfully diagnosed using endoscopic myotomy and endoscopic ultrasonography. 利用内窥镜肌切开术和内窥镜超声波检查成功诊断出直肠种植囊肿。

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Clinical Journal of Gastroenterology Pub Date : 2024-08-01 Epub Date: 2024-05-18 DOI: 10.1007/s12328-024-01968-1

Eisuke Kameoka, Takuto Hikichi, Minami Hashimoto, Jun Nakamura, Tsunetaka Kato, Takumi Yanagita, Wataru Sakamoto, Masao Kobayakawa, Yuko Hashimoto, Hiromasa Ohira

{"title":"Rectal implantation cyst successfully diagnosed using endoscopic myotomy and endoscopic ultrasonography.","authors":"Eisuke Kameoka, Takuto Hikichi, Minami Hashimoto, Jun Nakamura, Tsunetaka Kato, Takumi Yanagita, Wataru Sakamoto, Masao Kobayakawa, Yuko Hashimoto, Hiromasa Ohira","doi":"10.1007/s12328-024-01968-1","DOIUrl":"10.1007/s12328-024-01968-1","url":null,"abstract":"An 81-year-old woman who underwent laparoscopic-assisted low anterior resection with instrumented anastomosis using the double stapling technique for rectal cancer 5 years ago was found to have an enlarged anastomotic mass on computed tomography. On colonoscopy, the anastomotic mass was observed as a 30-mm-sized subepithelial lesion, which was presumed to be the submucosa on endoscopic ultrasonography (EUS). EUS-guided fine-needle aspiration was performed; however, no cellular components were collected. Therefore, endoscopic submucosal dissection (ESD) was performed to remove the entire anastomotic mass. However, any lesion in the submucosa was not detected during ESD, and the lesion was suspected to be located deeper than the submucosa. Therefore, EUS was performed from the muscule layer just below the dissected submucosa, and the mass was detected outside the muscle layer in contact with the rectal wall. Upon endoscopic incision of the muscle layer, milky white mucus was excreted into the rectal lumen. Subsequently, the scope was advanced to an area outside the muscle layer where the mass was located, which was a closed lumen with mucus retention. Surface biopsy of the closed lumen revealed normal colonic mucosa. Therefore, the subepithelial lesion was diagnosed as an implantation cyst arising outside the rectal wall.","PeriodicalId":10364,"journal":{"name":"Clinical Journal of Gastroenterology","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140956415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0