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A rare case of pancreatic pseudocyst-portal vein fistula in a patient with chronic pancreatitis. 慢性胰腺炎患者胰腺假性囊肿-门静脉瘘的罕见病例。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-09-13 DOI: 10.17235/reed.2024.10705/2024
Sónia Barros, Luís Miguel Relvas, Isabel Malta Carvalho, Ana Margarida Vaz, Bruno Peixe
{"title":"A rare case of pancreatic pseudocyst-portal vein fistula in a patient with chronic pancreatitis.","authors":"Sónia Barros, Luís Miguel Relvas, Isabel Malta Carvalho, Ana Margarida Vaz, Bruno Peixe","doi":"10.17235/reed.2024.10705/2024","DOIUrl":"https://doi.org/10.17235/reed.2024.10705/2024","url":null,"abstract":"<p><p>A 60-year-old female with chronic pancreatitis and a history of splenectomy presented with epigastric pain, vomiting, and asthenia. Elevated pancreatic enzymes and CT imaging revealed a pseudocyst in the pancreatic head with suspected communication to the portal vein, confirmed by MR Cholangiopancreatography and endoscopic ultrasound (EUS). EUS-guided puncture revealed high amylase levels. Given her manageable symptoms, a conservative approach was adopted, leading to symptomatic relief and pseudocyst size reduction. Pancreatic pseudocyst-portal vein fistula is a rare pancreatitis complication, challenging to diagnose, with no gold-standard treatment. Endoscopic stenting offers a promising alternative to surgery for severe cases.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142294313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Endoscopic treatment of postoperative intestinal stenosis combined with bilioenteric anastomotic stenosis. 内窥镜治疗术后肠道狭窄合并胆肠吻合口狭窄。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-09-13 DOI: 10.17235/reed.2024.10741/2024
Zheng Li, Sen-Lin Hou, Lichao Zhang, Haiming Du
{"title":"Endoscopic treatment of postoperative intestinal stenosis combined with bilioenteric anastomotic stenosis.","authors":"Zheng Li, Sen-Lin Hou, Lichao Zhang, Haiming Du","doi":"10.17235/reed.2024.10741/2024","DOIUrl":"https://doi.org/10.17235/reed.2024.10741/2024","url":null,"abstract":"<p><p>Postoperative anastomotic stenosis is a common complication after biliary, pancreatic and gastrointestinal surgery, which may be caused by multiple factors such as tissue proliferation and cancer recurrence. Endoscopic therapy is often hampered when the lens is difficult to pass through. A patient with intestinal stricture complicated by bilioenterostomy stenosis was treated by superselection of guide wire and stent.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142294323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","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 submucosal eminence of the colon. 罕见的结肠粘膜下突起。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-09-05 DOI: 10.17235/reed.2024.10707/2024
Ji Xu, Yao Liu, Zhenguo Qiao
{"title":"A rare submucosal eminence of the colon.","authors":"Ji Xu, Yao Liu, Zhenguo Qiao","doi":"10.17235/reed.2024.10707/2024","DOIUrl":"https://doi.org/10.17235/reed.2024.10707/2024","url":null,"abstract":"<p><p>A 38-year-old man came to our outpatient department with abdominal pain. The computed tomography (CT) scan shows no obvious abnormalities. The colonoscopy showed a submucosal eminence about 0.6cm in diameter in ascending colon, with a yellow surface color and moderate motion. Subsequently, we performed endoscopic mucosal dissection (ESD) surgery on the patient. The postoperative pathology revealed a submucosal granular cell tumor (GCT) of the ascending colon with a diameter of about 4mm. The immunohistochemistry suggestsed CD117 (-), Desmin (mucosal muscle +), S-100 (+++), CD68 (++), SOX-10 (++), Syn (+), CgA (-) , and Ki-67 (approximately 5%+).</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142133587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Uncommon gastric hernia in parastomal defect. 胃旁缺损中的罕见胃疝。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-09-05 DOI: 10.17235/reed.2024.10747/2024
Ángel González Fernández, Michelle Yeh Ahumada
{"title":"Uncommon gastric hernia in parastomal defect.","authors":"Ángel González Fernández, Michelle Yeh Ahumada","doi":"10.17235/reed.2024.10747/2024","DOIUrl":"https://doi.org/10.17235/reed.2024.10747/2024","url":null,"abstract":"<p><p>An 84-year-old woman with a Barthel Index of 40 and a history of rectal adenocarcinoma treated with total mesorectal excision and colostomy presented with a 24-hour history of abdominal pain, vomiting, and a defunctioning ileostomy. Examination revealed hemodynamic instability, a distended abdomen, and diffuse tenderness around the parastomal hernia. CT scan revealed significant gastric dilation extending through the parastomal hernia with obstructive changes at the gastroduodenal junction. Parastomal hernias are relatively common, with an incidence of 0-48.1%.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142133594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lymphocytic esophagitis - A little-known cause of dysphagia. 淋巴细胞性食管炎 - 一种鲜为人知的吞咽困难病因。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-09-05 DOI: 10.17235/reed.2024.10656/2024
Lorena González Otero, Lucía Seoane Blanco, Andrea García Gómez, María Gómez Rivas, Ana Armesto Pérez, Leopoldo López Rosés
{"title":"Lymphocytic esophagitis - A little-known cause of dysphagia.","authors":"Lorena González Otero, Lucía Seoane Blanco, Andrea García Gómez, María Gómez Rivas, Ana Armesto Pérez, Leopoldo López Rosés","doi":"10.17235/reed.2024.10656/2024","DOIUrl":"https://doi.org/10.17235/reed.2024.10656/2024","url":null,"abstract":"<p><p>Lymphocytic esophagitis is a little-known entity whose cause is not fully established, and which basically presents with dysphagia. It is characterized by the presence of an infiltrate mainly formed by lymphocytes and other signs of epithelial damage in the absence of other granulocytes. The lack of knowledge about this pathology as well as standardized diagnostic criteria complicates its diagnosis. We present the case of an 84-year-old male with dysphagia and pathological findings compatible with lymphocytic esophagitis, requiring several lines of treatment and even endoscopic dilation with subsequent clinical improvement.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142133593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rectal cancer with solitary hepatic metastasis and Lambert-Eaton myasthenic syndrome. 直肠癌伴单发肝转移和兰伯特-伊顿肌萎缩综合征。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-09-05 DOI: 10.17235/reed.2024.10682/2024
Xiaorong Chen, Wenyuan Xie, Xiang Zhang, Jie Zhang, Yujun Zhu
{"title":"Rectal cancer with solitary hepatic metastasis and Lambert-Eaton myasthenic syndrome.","authors":"Xiaorong Chen, Wenyuan Xie, Xiang Zhang, Jie Zhang, Yujun Zhu","doi":"10.17235/reed.2024.10682/2024","DOIUrl":"https://doi.org/10.17235/reed.2024.10682/2024","url":null,"abstract":"<p><p>Lambert-Eaton myasthenic syndrome (LEMS) is a rare autoimmune neuromuscular disease mediated by antibodies to voltage-gated calcium channels (VGCCs) at the neuromuscular junction. LEMS often presents as a paraneoplastic disease. Between 40% to 62% of patients diagnosed with LEMS are confirmed to have small cell lung cancer (SCLC). There are few concerned reports on Gastrointestinal carcinomas. This article reports the treatment process of a young woman with rectal cancer and liver metastasis who associated with LEMS to summarize relevant clinical experience and reduce the rate of clinical misdiagnosis.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142133604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diagnostic significance of EyeMAX in diagnosing patients with tumor in the terminal end of the common bile duct. EyeMAX 对诊断胆总管末端肿瘤患者的诊断意义。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-09-05 DOI: 10.17235/reed.2024.10672/2024
Zhi-Chao Yu, Rui-Yue Shi, Qin Yan, Jun Yao, Li-Sheng Wang, Ben-Hua Wu
{"title":"Diagnostic significance of EyeMAX in diagnosing patients with tumor in the terminal end of the common bile duct.","authors":"Zhi-Chao Yu, Rui-Yue Shi, Qin Yan, Jun Yao, Li-Sheng Wang, Ben-Hua Wu","doi":"10.17235/reed.2024.10672/2024","DOIUrl":"https://doi.org/10.17235/reed.2024.10672/2024","url":null,"abstract":"<p><p>A biliary stricture is an abnormal narrowing in the ductal drainage system of the liver. There are many etiologies of biliary stricture, the most common and ominous of which is malignancy, either primary or metastatic.It is difficult to obtain pathological tissue of the terminal end of the common bile duct. A 72-year-old woman, complained of abdominal pain for 2 months, underwent cholecystectomy for acute cholecystitis 11 years ago. Abdominal CT and MRI examination revealed soft tissue occupation (12*8 mm) in the duodenal papillary area, and endoscopic ultrasonography revealed a hypoechoic lesion (11.1*10.7 mm) in the ampulla. We performed ERCP, and intraoperative biliary cell brushing on the patient, but no positive pathological results were obtained. We further performed novel 9F digital single operator cholangioscopy system (DSOC) (eyeMAX, Micro-Tech, Nanjing, China) and observed intraoperative hyperemia and edema of the mucosa in the terminal end of the common bile duct, presenting fish-like changes with mucous attachment and clear lesion boundaries. The pathological results suggested cholangiocarcinoma.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142133588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lamotrigine induced drug reaction with eosinophilia and systemic symptoms (DRESS) presenting with eosinophilic pan-colitis, cholestasis and cytomegalovirus reactivation. 拉莫三嗪诱发药物反应伴嗜酸性粒细胞增多和全身症状（DRESS），表现为嗜酸性粒细胞泛发性胆炎、胆汁淤积和巨细胞病毒再激活。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-09-05 DOI: 10.17235/reed.2024.10681/2024
Joel Omar Jáquez-Quintana, César Ramos-Matamoros, Carlos Eugenio Gonzalez-Martinez, José Luis Herrera Elizondo
{"title":"Lamotrigine induced drug reaction with eosinophilia and systemic symptoms (DRESS) presenting with eosinophilic pan-colitis, cholestasis and cytomegalovirus reactivation.","authors":"Joel Omar Jáquez-Quintana, César Ramos-Matamoros, Carlos Eugenio Gonzalez-Martinez, José Luis Herrera Elizondo","doi":"10.17235/reed.2024.10681/2024","DOIUrl":"https://doi.org/10.17235/reed.2024.10681/2024","url":null,"abstract":"<p><p>The Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) syndrome is an idiosyncratic drug-induced reaction that primarily affects the liver, lungs, and kidneys. While several organs are commonly involved, the incidence of DRESS affecting the gastrointestinal tract is rarely reported. We present a 72-year-old man with a history of epilepsy who developed DRESS syndrome manifested by eosinophilic pancolitis, cholestasis, and reactivation of cytomegalovirus (CMV) following the initiation of lamotrigine.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142133592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Eosinophilic colitis with favorable response to vedolizumab. 嗜酸性粒细胞结肠炎对韦多珠单抗反应良好。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-09-05 DOI: 10.17235/reed.2024.10660/2024
Cristina Galindo García, Claudia Moreno Pimentel, Reyes Serrano Giménez, Claudia Palomar Ávila, Manuel Castro Fernández, María José Fobelo Lozano
{"title":"Eosinophilic colitis with favorable response to vedolizumab.","authors":"Cristina Galindo García, Claudia Moreno Pimentel, Reyes Serrano Giménez, Claudia Palomar Ávila, Manuel Castro Fernández, María José Fobelo Lozano","doi":"10.17235/reed.2024.10660/2024","DOIUrl":"https://doi.org/10.17235/reed.2024.10660/2024","url":null,"abstract":"<p><p>Eosinophilic gastroenteritis is a rare, chronic inflammatory disease with eosinophil infiltration in the digestive tract. Treatment typically involves corticosteroids, but new therapies, including vedolizumab, are under evaluation. Vedolizumab inhibits lymphocyte migration to intestinal tissue, impacting eosinophil activity. We report a 34-year-old male with eosinophilic colitis, dependent on corticosteroids, who showed clinical improvement with vedolizumab. Despite a mild flare-up, intensifying vedolizumab resulted in prolonged stability and reduced steroid use over seventeen months. Although corticosteroids are the primary treatment, vedolizumab shows promise in some cases, warranting further investigation to confirm its effectiveness.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142133589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Primary Splenic Ectopic Pregnancy: A Rare Derivation. 原发性脾脏异位妊娠：罕见的衍生物
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-09-05 DOI: 10.17235/reed.2024.10699/2024
Yemin Liu, Fang Liu
{"title":"Primary Splenic Ectopic Pregnancy: A Rare Derivation.","authors":"Yemin Liu, Fang Liu","doi":"10.17235/reed.2024.10699/2024","DOIUrl":"https://doi.org/10.17235/reed.2024.10699/2024","url":null,"abstract":"<p><p>Splenic ectopic pregnancy refers to the implantation of fertilized ovum in the spleen, which occurs extremely rare. Due to the abundance of splenic blood and its fragile texture, the lethality of ruptured hemorrhage in splenic ectopic pregnancy is higher than that of other ectopic pregnancies. Hence, prompt diagnosis and treatment are critical. Here, we report the case of a 34-year-old woman who was presented with amenorrhea. Computed tomography demonstrated a 1.4-cm solid-cystic lesion in the lower pole of the spleen with patchy and spotty enhancement. Therefore, a laparoscopic splenectomy was performed. Microscopically, the lesion contained placental villous tissues, diagnosing a splenic pregnancy.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142133603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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