Case Reports in Gastrointestinal Medicine最新文献_第10页

Neurologic Imaging in a Patient with Cirrhosis and Altered Mental Status: To CT or Not to CT. 肝硬化和精神状态改变患者的神经影像学:CT或不CT。

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Case Reports in Gastrointestinal Medicine Pub Date : 2021-07-30 eCollection Date: 2021-01-01 DOI: 10.1155/2021/5588208

Alexander Polyak, Serguei Bannykh, Andrew Klein, Vinay Sundaram

引用次数: 1

Refractory Spontaneous Bacterial Empyema in Cirrhotic Patient. 肝硬化患者难治性自发性细菌性脓胸。

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Case Reports in Gastrointestinal Medicine Pub Date : 2021-07-14 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6685998

Erica Chow, Bashar Khiatah, Amanda Frugoli

{"title":"Refractory Spontaneous Bacterial Empyema in Cirrhotic Patient.","authors":"Erica Chow, Bashar Khiatah, Amanda Frugoli","doi":"10.1155/2021/6685998","DOIUrl":"https://doi.org/10.1155/2021/6685998","url":null,"abstract":"Spontaneous bacterial empyema (SBEM), also called spontaneous bacterial pleuritis, is an infection of the pleural space that arises in the setting of cirrhosis and, by definition, the absence of pneumonia. It is likely underdiagnosed as its symptoms are nonspecific and it lacks standardized diagnostic and therapeutic recommendations. SBEM represents a distinct complication of hepatic hydrothorax with different pathogenesis, presentation, and treatment strategy from those of empyema secondary to pneumonia. Surprisingly, nearly 40% of episodes of spontaneous empyema are not associated with spontaneous bacterial peritonitis. Although SBEM is amenable to prompt antibiotic therapy, it has a high rate of mortality and morbidity. A high clinical suspicion is crucial for patient survival and timely initiation of appropriate antibiotics. Increased understanding, recognition, and standardization of treatment would help alleviate the relatively high burden of SBEM. In this case vignette, we provide a review of the relevant literature, and we describe a rare case of SBEM in a patient with a history of alcohol-associated liver cirrhosis and prior episode of spontaneous bacterial peritonitis (SBP). SBEM was diagnosed with thoracentesis and analysis of the aspirate, and he was treated with ceftriaxone with resolution of his presenting abdominal pain and leukocytosis.","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2021 ","pages":"6685998"},"PeriodicalIF":0.7,"publicationDate":"2021-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8298155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39265843","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}

引用次数: 2

Intraoperative Endoscopy in Transient Adult Jejunojejunal Intussusception. 成人短暂性空肠肠套叠的术中内镜检查。

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Case Reports in Gastrointestinal Medicine Pub Date : 2021-07-12 eCollection Date: 2021-01-01 DOI: 10.1155/2021/3718089

Takeshi Okamoto, Hidekazu Suzuki, Katsuyuki Fukuda

{"title":"Intraoperative Endoscopy in Transient Adult Jejunojejunal Intussusception.","authors":"Takeshi Okamoto, Hidekazu Suzuki, Katsuyuki Fukuda","doi":"10.1155/2021/3718089","DOIUrl":"https://doi.org/10.1155/2021/3718089","url":null,"abstract":"Despite improvements in imaging modalities, causative lead points in adult intussusception may be difficult to diagnose. Such lead points can be malignant, causing recurrence or metastases if left unresected. We describe a case of transient adult jejunojejunal intussusception, in which intraoperative endoscopy was used to confirm the absence of a lead point. A 39-year-old woman with a history of laparoscopic oophorectomy presented with epigastric pain, nausea, and vomiting. Contrast computed tomography revealed jejunojejunal intussusception, with no visible lead point. Spontaneous reduction was confirmed during exploratory laparoscopy. After lysis of adhesions, intraoperative peroral jejunoscopy was performed with the surgeons' assistance. Endoscopy confirmed the absence of tumor, and bowel resection was avoided. No recurrence has been observed during 24 months of follow-up. Intraoperative endoscopy may provide additional reassurance for the absence of a lead point in cases where preoperative enteroscopy cannot be performed and no lead points can be identified on imaging.","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2021 ","pages":"3718089"},"PeriodicalIF":0.7,"publicationDate":"2021-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8289613/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39265883","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}

引用次数: 0

Hepatic Squamous Cell Carcinoma Diagnosed by Endoscopic Ultrasound-Guided Fine-Needle Aspiration. 超声内镜引导下细针穿刺诊断肝鳞状细胞癌。

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Case Reports in Gastrointestinal Medicine Pub Date : 2021-07-05 eCollection Date: 2021-01-01 DOI: 10.1155/2021/9939898

Koki Yamada, Susumu Shinoura, Kaoru Kikuchi

{"title":"Hepatic Squamous Cell Carcinoma Diagnosed by Endoscopic Ultrasound-Guided Fine-Needle Aspiration.","authors":"Koki Yamada, Susumu Shinoura, Kaoru Kikuchi","doi":"10.1155/2021/9939898","DOIUrl":"https://doi.org/10.1155/2021/9939898","url":null,"abstract":"Primary hepatic squamous cell carcinoma (SCC) is a rare malignancy with aggressive clinical features. This is the first case report of a primary hepatic SCC diagnosed by endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA), which is a reliable and safe procedure for the histopathological diagnosis of liver lesions, even if the percutaneous approach is difficult due to ascites or hypervascularity at the puncture site. A 52-year-old man presented to the emergency department of a tertiary referral hospital with right upper quadrant abdominal pain and abdominal distention. Given the laboratory data, a diagnosis of spontaneous bacterial peritonitis (SBP) was made. Concurrently, an abdominal computed tomography (CT) scan revealed an 8 cm hypodense mass with delayed peripheral enhancement in the left hepatic lobe and paraaortic and perihepatic lymphadenopathy. As persistent ascites precluded percutaneous liver biopsy, we performed EUS-FNA of the liver mass, and the obtained specimen showed SCC. As otorhinolaryngological consultation and whole-body investigations, including chest CT, upper and lower endoscopy, and positron emission tomography CT, were all unremarkable except for the liver lesion and lymph nodes, a diagnosis of primary hepatic SCC with systemic lymph node metastasis was made. After treatment of SBP with antibiotics, we initiated chemotherapy concurrent with radiation therapy, adapted to his liver function. Radiation and three cycles of chemotherapy were not effective as the disease progressed, as seen on the follow-up CT scan, and the patient died of hepatic failure on the 134th day after diagnosis. In conclusion, EUS-FNA was a reliable method for tissue sampling in liver malignancies, particularly in selected patients with contraindications for percutaneous biopsy.","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2021 ","pages":"9939898"},"PeriodicalIF":0.7,"publicationDate":"2021-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8277514/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39258524","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}

引用次数: 1

Retrograde Balloon-Assisted Deep Enteroscopy in the Diagnosis of Metastatic Melanoma. 逆行球囊辅助深肠镜诊断转移性黑色素瘤。

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Case Reports in Gastrointestinal Medicine Pub Date : 2021-06-30 eCollection Date: 2021-01-01 DOI: 10.1155/2021/5572230

William Barge, Mark R Albertini, Christopher Cold, Daniel Abbott, Deepak Gopal

引用次数: 0

Management of Refractory Gastrointestinal Bleeding in Hereditary Hemorrhagic Telangiectasia with Bevacizumab. 贝伐单抗治疗遗传性出血性毛细血管扩张难治性胃肠道出血。

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Case Reports in Gastrointestinal Medicine Pub Date : 2021-06-29 eCollection Date: 2021-01-01 DOI: 10.1155/2021/2242178

Muaaz Masood, Michael Coles, Humberto Sifuentes

引用次数: 2

Chemical Gastroenterocolitis after Dental Root Canal Therapy with Camphorated and Mentholated Chlorophenol. 樟脑和薄荷脑氯酚根管治疗后的化学性胃肠结肠炎。

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Case Reports in Gastrointestinal Medicine Pub Date : 2021-06-28 eCollection Date: 2021-01-01 DOI: 10.1155/2021/9918830

Mikheil Kalandarishvili, Ernst-Wolfgang Kolbe, Günther Winde, Michael Kaspari

引用次数: 1

From an Incidental Finding to an Emergent Treatment: A Case Report of a Hepatic Adenomatosis and Large Ruptured Hepatic Adenoma. 从偶然发现到紧急治疗:1例肝腺瘤病和大破裂的肝腺瘤。

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Case Reports in Gastrointestinal Medicine Pub Date : 2021-06-19 eCollection Date: 2021-01-01 DOI: 10.1155/2021/9963440

Maria Mironova, Mohammed K Mahdi, Jyoti Bhatia, Rosemarie C Nielson, Cataldo Doria

{"title":"From an Incidental Finding to an Emergent Treatment: A Case Report of a Hepatic Adenomatosis and Large Ruptured Hepatic Adenoma.","authors":"Maria Mironova, Mohammed K Mahdi, Jyoti Bhatia, Rosemarie C Nielson, Cataldo Doria","doi":"10.1155/2021/9963440","DOIUrl":"https://doi.org/10.1155/2021/9963440","url":null,"abstract":"Introduction. Hepatic adenoma is an uncommon benign liver tumor presenting as solitary lesions or even rarely as hepatic adenomatosis. Large lesions carry a risk of rupture, hemorrhage, and malignant transformation. This case report aims to increase awareness about risk factors for hepatic adenomas, considering the increasing prevalence of obesity and the widespread use of oral contraceptive pills. Case Presentation. A 20-year-old obese female who was taking oral contraceptive pills for seven years presented to the emergency department with vomiting and abdominal pain caused by gastroenteritis. On imaging, multiple hepatic adenomas, including two lesions 6 and 9 cm in diameter, were incidentally found. During the hospitalization, the patient suddenly developed acute anemia and rupture of the largest lesion, which was promptly treated with arterial embolization. Discussion. Obesity and exposure to hormones are well-known risk factors for hepatic adenomas. The incidence of hepatic adenomas is steadily increasing because of the prevalence of obesity, especially among females. Lifestyle interventions for weight loss and discontinuation of oral contraceptive pills are considered a conservative treatment of hepatic adenomas. Large lesions possess the risk of malignant transformation and rupture and require surgical excision.","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2021 ","pages":"9963440"},"PeriodicalIF":0.7,"publicationDate":"2021-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8238616/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39167277","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}

引用次数: 1

Adult Intestinal Intussusception Caused by the Gastrojejunostomy Tube: An Endoscopically Treatable Phenomenon. 由胃空肠造口管引起的成人肠套叠:一种内镜下可治疗的现象。

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Case Reports in Gastrointestinal Medicine Pub Date : 2021-06-11 eCollection Date: 2021-01-01 DOI: 10.1155/2021/4325443

Kermit S Zhang, Jash Bansal, Anmol Bansal, Vikas Chitnavis

{"title":"Adult Intestinal Intussusception Caused by the Gastrojejunostomy Tube: An Endoscopically Treatable Phenomenon.","authors":"Kermit S Zhang, Jash Bansal, Anmol Bansal, Vikas Chitnavis","doi":"10.1155/2021/4325443","DOIUrl":"https://doi.org/10.1155/2021/4325443","url":null,"abstract":"Adult duodenoduodenal intussusception is extremely rare due to the retroperitoneal fixation of the second, third, and fourth parts of the duodenum. A majority of clinically significant intussusception with identifiable etiologies is typically neoplastic with more rare causes including retained food and indwelling enteral tubes, specifically with gastrojejunostomy (GJ) tubes. Herein, we discuss the case of a 23-year-old male who developed duodenoduodenal intussusception upon a PEGJ placement with associated gastroduodenal dilation and telescope phenomenon. To the best of our knowledge, there are no reports of intussusception found to be caused by GJ tubes in the adult population. The reported patient was found to have a 4-cm enteroenteric intussusception without obstruction or ischemia with bowel thickening proximal to the pathology. Although adult intussusception cases are typically managed surgically, we were able to reduce the intussusception via endoscopy due to rapid diagnosis upon presentation and intervention before the bowel wall could be compromised.","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2021 ","pages":"4325443"},"PeriodicalIF":0.7,"publicationDate":"2021-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8213475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39148220","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}

引用次数: 3

Massive Hematochezia from a Large Bleeding Duodenal Diverticulum. 十二指肠憩室大量出血导致大量便血。

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Case Reports in Gastrointestinal Medicine Pub Date : 2021-06-08 eCollection Date: 2021-01-01 DOI: 10.1155/2021/5585264

Marcus Juan Esteban, Amit Sureen, Daniel Herlihy, Sherif Elhanafi, Marc J Zuckerman

引用次数: 1