Case Reports in Gastrointestinal Medicine最新文献

{"title":"Rare Bilateral Massive Pneumothorax, Pneumomediastinum, Pneumoperitoneum, and Diffuse Subcutaneous Emphysema During Colonoscopy: Multidisciplinary Collaboration: Case Report.","authors":"Li-Li Liu, Mai-Qiao Yang, Rui Wu, Bing-Xing Li","doi":"10.1155/crgm/6444675","DOIUrl":"10.1155/crgm/6444675","url":null,"abstract":"<p><p>While colonoscopy is generally considered to be a safe procedure, serious complications such as intestinal perforation may also occur. Herein, we describe an extremely rare clinical case of acute colonic perforation during colonoscopy treatment. A 55-year-old female patient with good health presented to our hospital with abdominal pain for 2 months. While undergoing endoscopic submucosal dissection (ESD) of a colonic polyp, the patient developed sudden abdominal distension and dyspnea. An emergency computed tomography (CT) scan was performed and demonstrated bilateral massive pneumothorax, pneumomediastinum, pneumoperitoneum, and generalized subcutaneous emphysema (SCE). The patient underwent gas extraction, bilateral intercostal pneumothorax drainage, and conservative medical management. The patient had a favorable postoperative course and was discharged home on day 14. This case report highlights the clinical rarity of gas extravasation complications during colonoscopy and underscores the importance of multidisciplinary collaboration for accurate diagnosis and effective management, thereby avoiding surgical procedures.</p>","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2025 ","pages":"6444675"},"PeriodicalIF":0.5,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12473745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Autoimmune Pancreatitis Not Otherwise Specified (AIP-NOS): The Importance of Gastroenterology Consultation When Clinical Findings Are Concerning for Pancreatic Cancer.","authors":"Cooper Alden Josephs, Daniel Mullady, Taylor Templeton-Jager, Nicholas Fuerstenau, Steve Xie","doi":"10.1155/crgm/8916499","DOIUrl":"10.1155/crgm/8916499","url":null,"abstract":"<p><p><b>Introduction:</b> Autoimmune pancreatitis (AIP) and pancreatic cancer are top differentials of obstructive jaundice originating from the pancreas. <b>Case Description/Methods:</b> The patient's findings were concerning for malignant biliary obstruction, but a thorough workup determined that the patient had AIP-NOS. She underwent EBS and was discharged on a steroid taper. Follow-up demonstrated complete resolution of symptoms, laboratory markers, and imaging. <b>Conclusion:</b> Adequate pancreatic tissue is not always obtained with 22-gauge needles. Biliary stenting is justifiable in AIP with significant hyperbilirubinemia. It is important to consider AIP for with a pancreatic head mass and obstructive jaundice to optimize outcome.</p>","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2025 ","pages":"8916499"},"PeriodicalIF":0.5,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12440655/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Giant Renal Cyst Causing Malnutrition and Weight Loss: A Case Report.","authors":"Kemal Ertaş, Abdullah Akkurt","doi":"10.1155/crgm/6635819","DOIUrl":"10.1155/crgm/6635819","url":null,"abstract":"<p><p>Simple renal cysts are the most common cystic abnormalities of the kidney, typically observed in older individuals and often asymptomatic, requiring no treatment. These cysts are usually detected incidentally during imaging for unrelated conditions. Giant renal cysts, defined as those exceeding 15 cm in diameter and containing over 1500 mL of serous fluid, are exceptionally rare. We report a case of a 34-year-old male presenting with a rapidly growing giant renal cyst (40 × 28 cm) in the left kidney, resulting in malnutrition and significant weight loss. The patient underwent successful laparoscopic transperitoneal cyst excision. At the 1-year follow-up, the patient was asymptomatic, with no evidence of residual cyst recurrence.</p>","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2025 ","pages":"6635819"},"PeriodicalIF":0.5,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12440653/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Solid Serous Cystadenoma Mimicking Neuroendocrine Tumor of the Pancreas: A Case Report.","authors":"Adriano Carneiro da Costa, Jayant Kumar, Mohamed Ali Chaouch, Isabella Reccia, Camila Ramos Martins, Flavio Silano, Paulo Cezar Galvão do Amaral, Nagy Habib","doi":"10.1155/crgm/4945872","DOIUrl":"10.1155/crgm/4945872","url":null,"abstract":"<p><p>Solid-type serous cystadenoma (SSCA) of the pancreas is an extremely rare benign condition among pancreatic cystic neoplasms. Although the imaging characteristics are not pathognomonic, this entity may mimic other solid pancreatic tumors. In particular, it can closely resemble a pancreatic neuroendocrine neoplasm (pNEN) on radiologic studies. We report the case of a 67-year-old woman who presented with abdominal pain. Preoperative abdominal magnetic resonance imaging (MRI) with contrast demonstrated a solid, hypervascular lesion at the pancreas, measuring 3.5 × 2.2 × 1.9 cm, with marked enhancement on dynamic imaging. A nonfunctioning pancreatic neuroendocrine tumor was initially suspected. The patient underwent laparoscopic pancreaticoduodenectomy. Histopathologic examination revealed a solid variant of serous cystadenoma, a rare subtype of pancreatic cysts. The patient remains asymptomatic, with no evidence of recurrence or residual disease at 7 years postoperatively. This case highlights the diagnostic challenge of distinguishing solid-type serous cystadenomas from other pancreatic lesions based on imaging alone, underscoring the role of pathology in definitive diagnosis.</p>","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2025 ","pages":"4945872"},"PeriodicalIF":0.5,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12419928/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nonsteroidal Anti-Inflammatory Drug-Induced Granulomatous Colitis: A Case Report and Literature Review of a Vanishing Colonic Mass Mimicking Malignancy.","authors":"Joel Gabin Konlack Mekontso, Akil Olliverrie, Nitin Pendyala, Joseph Yvan Bena Nnang, Guy Loic Nguefang Tchoukeu, Vera Platsky, Roy Chaudhury, Christopher Chum","doi":"10.1155/crgm/1169139","DOIUrl":"10.1155/crgm/1169139","url":null,"abstract":"<p><p>This case report describes a rare occurrence of nonsteroidal anti-inflammatory drugs (NSAID)-induced focal colonic granulomatous mass mimicking a malignant colonic mass. It highlights the diagnostic challenges of NSAID-related gastrointestinal complications and stresses the importance of considering such causes in similar presentations. Prompt recognition and withdrawal of the offending NSAID can prevent unnecessary surgical intervention and facilitate symptom resolution. This case underscores the value of a detailed medication history and cautious NSAID use to reduce the risk of adverse gastrointestinal effects.</p>","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2025 ","pages":"1169139"},"PeriodicalIF":0.5,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12390562/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hemostasis With Fully Covered Self-Expanding Bare Metal Stent as a Bridge to Liver Transplantation in a Patient With Acute Liver Failure and Hemodynamically Unstable Hemobilia.","authors":"Joshua Morny, Samuel Koebe, Michael Woods, Patrick Pfau","doi":"10.1155/crgm/8873661","DOIUrl":"10.1155/crgm/8873661","url":null,"abstract":"<p><p>We present the case of a 49-year-old man admitted for acute liver failure complicated by hemodynamically unstable hemobilia secondary to bleeding varices in the bile duct. Placement of a fully covered self-expanding bare metal stent (FCSEMS) was considered the best treatment of choice over hepatic artery embolization in this patient because of the venous source of bleeding. The success of this procedure indicates that FCSEMS can be considered as a bridge to liver transplantation in patients with acute liver failure who develop hemodynamically unstable hemobilia secondary to portal hypertensive biliopathy.</p>","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2025 ","pages":"8873661"},"PeriodicalIF":0.5,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12381408/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility of a Hospital at Home for Management of Acute Severe Ulcerative Colitis: A Retrospective Case Series.","authors":"Anupama A Goyal, Jeffrey A Berinstein, Bishu Shrinivas, Peter D R Higgins, Stephanie Taylor","doi":"10.1155/crgm/4355773","DOIUrl":"10.1155/crgm/4355773","url":null,"abstract":"<p><p>The Centers for Medicare and Medicaid's Acute Hospital Care at Home waiver in 2020 has enabled the management of acute conditions that were traditionally cared for in the hospital to transition to the home setting. To our knowledge, data regarding the management of patients with acute severe ulcerative colitis (ASUC) in hospital at home (HaH) programs has not been reported. We conducted a retrospective review of ASUC patients admitted to our HaH program from our adult hospital, who demonstrated early clinical response but required a comprehensive, closely monitored treatment environment that was provided in the patients' homes. Patients received daily evaluations by hospitalists, gastroenterologists, and registered nurses with clinical assessments, monitoring of vitals, and therapeutics (e.g., intravenous fluids, corticosteroids, etc.), alongside daily blood monitoring for worsening inflammation. Patient demographics and UC disease characteristics were extracted from electronic health records. Outcomes of interest included emergency department (ED) visit, readmission, and mortality within 30 days of index admission; hospital-acquired conditions (HACs) of interest (delirium, catheter associated infections, and falls) during HaH stay; length of stay (LOS) in traditional hospital vs. HaH phase; and need for escalation back to traditional hospital. Three eligible and consenting ASUC patients were transferred to HaH. Two were female and one male, with a mean age of 59.7 years. The mean LOS in the traditional hospital was 8.7 days (range: 4-18), and 6 days (range: 4-9) in HaH. There were no escalations from HaH back to the traditional hospital. One patient had a 30-day ED visit (33%) with readmission (33%). There were no deaths within 30 days of index admission or documented HACs during HaH stay. Our case series highlights the preliminary feasibility of HaH for the management of ASUC patients, as a promising alternative to prolonged hospital-based care, without compromising patient safety or care quality.</p>","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2025 ","pages":"4355773"},"PeriodicalIF":0.5,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12377951/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Rare Case Report on Bowel Obstruction due to Seed Bezoar at the Rectum.","authors":"Kritick Bhandari, Maria Qadri, Saili Chothe, Anil Pathak, Saujanya Jung Pandey, Sakar Paudel","doi":"10.1155/crgm/9699209","DOIUrl":"10.1155/crgm/9699209","url":null,"abstract":"<p><p>Bezoars are rare gastrointestinal masses composed of indigestible substances, typically found in the stomach but at times occurring at more distal locations. Rectal seed bezoars are particularly unusual and manifest with nonspecific gastrointestinal complaints, predisposing to making the diagnosis difficult and delaying appropriate therapy. We describe a case of a 68-year-old female presenting with acute constipation, tenderness of the rectum, and per-rectal bleeding. The patient had a history of recent consumption of approximately 100 g of sunflower seeds. Examination and imaging of the abdomen revealed findings of obstruction at the rectum. Following the rectal enema, the patient passed a clumped mass of sunflower seeds per rectum, which is consistent with a rectal seed bezoar. She was treated conservatively with stool softeners, antibiotics, ointments, and sitz baths. This case is striking because it illustrates the clinical significance of rectal seed bezoars as a rare but reversible cause of acute constipation. Strong suspicion, meticulous dietary history, and focused examination are needed for diagnosis. Early diagnosis and conservative management can prevent complications and make the employment of invasive diagnostics unnecessary.</p>","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2025 ","pages":"9699209"},"PeriodicalIF":0.5,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12367360/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute Pancreatitis as a Complication of a Hydatid Liver Cyst.","authors":"Charbel Saad, Shaza Mortada, Ali Dakroub, Makram Abou Ghaida, Lory Hage, Radwan Zahreddine, Abdallah Slim, Rodrigue Chemaly, Georges Al Hajj","doi":"10.1155/crgm/1244948","DOIUrl":"10.1155/crgm/1244948","url":null,"abstract":"<p><p><b>Introduction and Importance:</b> Cystic echinococcosis is a common cystic infection in endemic areas. Solitary lesions are commonly found in the liver and are primarily caused by <i>Echinococcus granulosus</i>. Other organs can be involved as well but to a lesser degree. This paper presents a rare manifestation of a hydatid liver cyst causing acute pancreatitis. <b>Case Presentation:</b> A 67-year-old female presented with right upper quadrant pain, nausea, and vomiting. She was found to have a large hepatic cystic echinococcosis occupying the right lobe of the liver with associated acute pancreatitis. After endoscopic retrograde cholangiopancreatography (ERCP), three small yellow membrane fragments-presumed to be daughter cyst membranes-were found obstructing the common bile duct at the ampulla of Vater. The patient underwent laparoscopic unroofing of the hepatic cystic echinococcosis and laparoscopic cholecystectomy with an uneventful postoperative course. <b>Clinical Discussion:</b> Treatment modalities for hepatic cystic echinococcosis depend on the size of the cyst, imaging findings, cyst activity status, and associated complications. In nonendemic countries, where demographic changes occur due to travel from endemic regions, a high index of suspicion is necessary for timely diagnosis. A laparoscopic approach was chosen for its benefits related to minimally invasive surgery. While laparoscopic management of hepatic cystic echinococcosis is well described, its use in cases complicated by acute pancreatitis remains infrequently reported. <b>Conclusion:</b> Cystic echinococcosis most commonly presents in the liver. When associated with acute pancreatitis, a combined approach involving albendazole, ERCP, and sphincterotomy is typically required, with surgical resection depending on cyst classification.</p>","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2025 ","pages":"1244948"},"PeriodicalIF":0.5,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12356676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of Chyloperitoneum in Laparoscopic Colorectal Surgery for Cancer: A Case Report.","authors":"B Picardi, S Rossi, F Cortese, S Rossi Del Monte, G Mazzarella, S Molica, C Puccioni, A D'Urso","doi":"10.1155/crgm/6690258","DOIUrl":"10.1155/crgm/6690258","url":null,"abstract":"<p><p>Chyloperitoneum after colorectal surgery remains a relatively rare complication with estimated incidence of 1%-6.5%. In colorectal surgery, this complication is mostly described after D3 right colectomy. Nonoperative treatment involves several approaches. We present a rare case of chyloperitoneum after laparoscopic left hemicolectomy for left-sided colonic adenocarcinoma. A CT scan and a triglycerides dosage on the chylous liquid were performed to confirm the diagnosis. The patient was successfully treated only by nutritional measures, avoiding prolonged fasting or invasive treatment. Fasting and complete parenteral nutrition are not necessarily required in the treatment of chyle leakage.</p>","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2025 ","pages":"6690258"},"PeriodicalIF":0.5,"publicationDate":"2025-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12335908/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}