Case Reports in Gastrointestinal Medicine最新文献_第3页

Migration of a Nasopharyngeal Airway Into the Gastrointestinal Tract During Endoscopic Retrograde Cholangiopancreatography: A Rare Complication in Obstructive Jaundice Management. 内镜逆行胰胆管造影时鼻咽气道迁移至胃肠道：梗阻性黄疸治疗中一种罕见的并发症。

IF 0.6

Case Reports in Gastrointestinal Medicine Pub Date : 2026-06-30 eCollection Date: 2026-01-01 DOI: 10.1155/crgm/2476267

Xu Yan, Zhiqiang Zhou, Ailin Luo, Xue Zhang, Yilin Zhao

{"title":"Migration of a Nasopharyngeal Airway Into the Gastrointestinal Tract During Endoscopic Retrograde Cholangiopancreatography: A Rare Complication in Obstructive Jaundice Management.","authors":"Xu Yan, Zhiqiang Zhou, Ailin Luo, Xue Zhang, Yilin Zhao","doi":"10.1155/crgm/2476267","DOIUrl":"10.1155/crgm/2476267","url":null,"abstract":"Background: Obstructive jaundice often requires endoscopic retrograde cholangiopancreatography (ERCP) for diagnosis and management. Airway management during sedation in ERCP poses unique challenges, though device-related complications are rarely reported.Case presentation: A 35-year-old male with obstructive jaundice due to distal common bile duct stenosis underwent ERCP under sedation with propofol and oxycodone. A 16Fr silicone nasopharyngeal airway (NPA) was inserted due to mild upper airway obstruction. During the prolonged procedure (185 min), the NPA migrated unnoticed into the stomach, where it was discovered upon endoscope withdrawal and successfully retrieved using rat-tooth forceps.Intervention: The NPA was removed without mucosal injury, and a biliary metal stent was deployed uneventfully.Outcome: The patient recovered without gastrointestinal or pulmonary complications, with normalized bilirubin levels at 1-month follow-up.Conclusion: This first reported case of NPA migration into the gastrointestinal tract during ERCP highlights the need for improved fixation, monitoring, and awareness of airway devices during prolonged endoscopic procedures.","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2026 ","pages":"2476267"},"PeriodicalIF":0.6,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13316947/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148362908","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

Recurrent Upper Gastrointestinal Bleeding due to Gastric Arteriovenous Malformation. 胃动静脉畸形所致复发性上消化道出血。

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Case Reports in Gastrointestinal Medicine Pub Date : 2026-06-29 eCollection Date: 2026-01-01 DOI: 10.1155/crgm/4276818

Lavender Otom, Priyanka Panwar, Gerald Odong, Peter Chacha Magabe, Christopher Opio, Saleem Abdulkarim

引用次数: 0

Superior Mesenteric Artery Syndrome After Previous Nuss Procedure: A Case Report of Anatomical Realignment With Unintended Consequences. 先前Nuss手术后的肠系膜上动脉综合征：一例解剖调整导致意外后果的报告。

IF 0.6

Case Reports in Gastrointestinal Medicine Pub Date : 2026-06-29 eCollection Date: 2026-01-01 DOI: 10.1155/crgm/2887106

Pin Wen Wang, Chun-Hsiang Wang, Hui-Ting Hsu, Yi-Wei Chou

{"title":"Superior Mesenteric Artery Syndrome After Previous Nuss Procedure: A Case Report of Anatomical Realignment With Unintended Consequences.","authors":"Pin Wen Wang, Chun-Hsiang Wang, Hui-Ting Hsu, Yi-Wei Chou","doi":"10.1155/crgm/2887106","DOIUrl":"10.1155/crgm/2887106","url":null,"abstract":"Background: Superior mesenteric artery (SMA) syndrome is a rare condition resulting from compression of the third segment of the duodenum. The condition is associated with a reduction of the aortomesenteric angle and distance between the SMA and the abdominal aorta, often due to weight loss or anatomical changes. The Nuss procedure, a minimally invasive corrective procedure for pectus excavatum, may inadvertently alter this anatomy.Case presentation: We report a case of a 22-year-old male with a history of pectus excavatum who presented with two weeks of abdominal pain and vomiting. Abdominal A CT scan and esophagogastroduodenoscopy examinations were performed, revealing duodenal compression with a narrowed aortomesenteric distance of 6 mm, which is consistent with SMA syndrome. The patient then underwent laparoscopic duodenojejunostomy anastomosis bypass after failed conservative management with complete symptom resolution.Conclusion: Clinicians should be aware of the potential development of SMA syndrome in patients following the Nuss procedure. Monitoring nutritional status and prompt evaluation of gastrointestinal symptoms are essential to early diagnosis and intervention.","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2026 ","pages":"2887106"},"PeriodicalIF":0.6,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13312034/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148354152","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

McKittrick-Wheelock Syndrome Caused by Giant Tubulovillous Adenomas With Malignant Transformation: A Case Report. 巨管绒毛腺瘤致McKittrick-Wheelock综合征伴恶性转化1例。

IF 0.6

Case Reports in Gastrointestinal Medicine Pub Date : 2026-06-23 eCollection Date: 2026-01-01 DOI: 10.1155/crgm/1802324

Marko Kalezic, Emilija Krsmanovic, Srdjan Marinkovic, Miljan Milanovic, Djordje Miladinovic, Branka Filipovic, Predrag Savic, Dusan Popovic

{"title":"McKittrick-Wheelock Syndrome Caused by Giant Tubulovillous Adenomas With Malignant Transformation: A Case Report.","authors":"Marko Kalezic, Emilija Krsmanovic, Srdjan Marinkovic, Miljan Milanovic, Djordje Miladinovic, Branka Filipovic, Predrag Savic, Dusan Popovic","doi":"10.1155/crgm/1802324","DOIUrl":"10.1155/crgm/1802324","url":null,"abstract":"Giant villous adenomas of the colon are a rare cause of chronic secretory diarrhea. These lesions can produce excessive mucus, fluid, and electrolyte loss, leading to life-threatening hypokalemia, hyponatremia, and acute kidney injury. Chronic secretory diarrhea with electrolyte imbalance and possible acute kidney injury caused by secretory giant tubulovillous adenomas constitutes McKittrick-Wheelock syndrome, a rare condition described in 257 patients worldwide. We report two cases of McKittrick-Wheelock syndrome caused by giant tubulovillous adenomas of the rectum and rectosigmoid junction with malignant transformation. The first case, a 72-year-old female, presented with profound electrolyte depletion and acute renal failure, managed in the intensive care unit with supportive therapy. The second case, a 73-year-old male, had chronic diarrheal syndrome and marked electrolyte depletion due to three giant colonic tubulovillous adenomas with malignant transformation. After rehydration and electrolyte replacement, both patients underwent surgical resection with low anterior rectal resection and protective loop ileostomy. The male patient required reoperation with total proctocolectomy due to coloanal anastomotic dehiscence. Postoperative courses were uneventful, and both patients were discharged with normalized laboratory values and scheduled for regular follow-up. McKittrick-Wheelock syndrome should be suspected in patients with chronic diarrhea and electrolyte disturbances. Prompt endoscopic evaluation allows accurate diagnosis, and timely fluid and electrolyte replacement combined with surgical resection of the secretory lesion is essential for effective treatment and prevention of serious complications.","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2026 ","pages":"1802324"},"PeriodicalIF":0.6,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13287968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148319878","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

Delayed-Onset Hepatocellular Liver Injury Associated With Nitrofurantoin and Herbal Supplement Use: A Case Report With Multiple Potential Exposures. 与呋喃妥因和草药补充剂使用相关的迟发型肝细胞性肝损伤：一个有多重潜在暴露的病例报告。

IF 0.6

Case Reports in Gastrointestinal Medicine Pub Date : 2026-06-19 eCollection Date: 2026-01-01 DOI: 10.1155/crgm/1187155

Edwin Mendoza, Manas Pustake, Jeffrey Annabi, Joshua Torres, Joanna Mendez, Lakshmi Kattamuri, Benjamin Williams, Abhizith Deoker

{"title":"Delayed-Onset Hepatocellular Liver Injury Associated With Nitrofurantoin and Herbal Supplement Use: A Case Report With Multiple Potential Exposures.","authors":"Edwin Mendoza, Manas Pustake, Jeffrey Annabi, Joshua Torres, Joanna Mendez, Lakshmi Kattamuri, Benjamin Williams, Abhizith Deoker","doi":"10.1155/crgm/1187155","DOIUrl":"10.1155/crgm/1187155","url":null,"abstract":"Nitrofurantoin, a first-line antibiotic, works effectively for treating uncomplicated urinary tract infections, but it can cause severe liver damage. In the setting of concurrent supplement use, distinguishing what caused liver damage is challenging. A 57-year-old woman who had nonalcoholic fatty liver disease developed sudden jaundice after finishing her short nitrofurantoin treatment while consuming a commercial weight-loss supplement. The laboratory results demonstrated a significant liver cell damage pattern with autoimmune test results positive while liver biopsy showed nonspecific inflammation that supported drug-induced liver injury over drug-induced autoimmune such as hepatitis. The patient received intravenous N-acetylcysteine emergently after removing all suspected hepatotoxic substances from her treatment plan. N-acetylcysteine was administered empirically due to concern for progression, although its role in nonacetaminophen DILI remains uncertain. The case demonstrates that clinicians should evaluate for polysubstance-induced liver damage when patients present with multiple possible liver-damaging substances.","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2026 ","pages":"1187155"},"PeriodicalIF":0.6,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13282457/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148296799","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

Correction to "Clostridium difficile Peritonitis Complicated by Splenic Rupture and Pelvic Abscess Formation in a Patient Previously on Continuous Ambulatory Peritoneal Dialysis". 更正“1例连续动态腹膜透析患者难辨梭菌腹膜炎并发脾破裂和盆腔脓肿”。

IF 0.6

Case Reports in Gastrointestinal Medicine Pub Date : 2026-06-17 eCollection Date: 2026-01-01 DOI: 10.1155/crgm/9815752

引用次数: 0

Beyond the Surface: Duodenal-Type Follicular Lymphoma Diagnosed Despite Normal-Appearing Duodenal Mucosa and Absence of Focal Duodenal FDG Uptake. 表面以外：十二指肠型滤泡性淋巴瘤，尽管十二指肠粘膜表面正常，且没有局灶性十二指肠FDG摄取。

IF 0.6

Case Reports in Gastrointestinal Medicine Pub Date : 2026-06-16 eCollection Date: 2026-01-01 DOI: 10.1155/crgm/1030883

Zachary Vinton, Carter Schulz, William McGuire, Safina Hafeez, Sarah Malik

{"title":"Beyond the Surface: Duodenal-Type Follicular Lymphoma Diagnosed Despite Normal-Appearing Duodenal Mucosa and Absence of Focal Duodenal FDG Uptake.","authors":"Zachary Vinton, Carter Schulz, William McGuire, Safina Hafeez, Sarah Malik","doi":"10.1155/crgm/1030883","DOIUrl":"10.1155/crgm/1030883","url":null,"abstract":"Duodenal-type follicular lymphoma (DTFL) is an uncommon and often indolent extranodal lymphoma that may be difficult to recognize when characteristic endoscopic or imaging findings are absent. We report a 60-year-old man evaluated for progressive fatigue, epigastric pain, and iron deficiency whose esophagogastroduodenoscopy showed normal-appearing duodenal mucosa. Random duodenal biopsies revealed follicular lymphoma with morphology and immunophenotype consistent with follicular lymphoma, duodenal type, in the absence of systemic follicular lymphoma. Staging positron emission tomography/computed tomography (PET/CT) showed no focal duodenal fluorodeoxyglucose uptake but demonstrated equivocal low-level uptake in mildly prominent mesenteric lymph nodes. Given unclear staging and persistent gastrointestinal symptoms affecting quality of life, the patient was treated with rituximab monotherapy. Follow-up PET/CT findings were consistent with complete metabolic response, and repeat duodenal biopsies showed no residual lymphoma. This case highlights the diagnostic value of random duodenal biopsy in unexplained iron deficiency and emphasizes the staging complexity of DTFL when PET/CT findings are equivocal.","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2026 ","pages":"1030883"},"PeriodicalIF":0.6,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13270414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273305","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

An Unusual Case of Pancreatic Ductal Adenocarcinoma With Synchronous Rectal Metastasis in a Younger Female. 年轻女性胰腺导管腺癌合并直肠同步转移1例。

IF 0.6

Case Reports in Gastrointestinal Medicine Pub Date : 2026-06-14 eCollection Date: 2026-01-01 DOI: 10.1155/crgm/9940087

Olanrewaju Adeniran, Farirai Marwizi, Abdullahi Sulaiman, Nolan Holley, Omotomilola Fadipe, Budoor Alqinai, Ayowumi Adekolu, Joshua Kirkpatrick, Ethan M Cohen, Joseph Simmons, Mohamed Zitun, Asad Pervez

{"title":"An Unusual Case of Pancreatic Ductal Adenocarcinoma With Synchronous Rectal Metastasis in a Younger Female.","authors":"Olanrewaju Adeniran, Farirai Marwizi, Abdullahi Sulaiman, Nolan Holley, Omotomilola Fadipe, Budoor Alqinai, Ayowumi Adekolu, Joshua Kirkpatrick, Ethan M Cohen, Joseph Simmons, Mohamed Zitun, Asad Pervez","doi":"10.1155/crgm/9940087","DOIUrl":"10.1155/crgm/9940087","url":null,"abstract":"Background: Pancreatic cancer (PC) remains one of the leading causes of cancer mortality in the United States. There has been a concerning trend in recent years where younger females are experiencing a faster annual percentage increase than their male counterparts (2.36% vs. 0.62%). Metastasis of pancreatic ductal adenocarcinoma (PDAC) to the rectum is uncommon, and synchronous rectal metastasis occurs even less frequently.Case presentation: We describe a case of a 49-year-old woman with Stage IV PDAC with synchronous rectal metastases. The hallmark of her symptoms was hematochezia and epigastric pain, initially misdiagnosed as gastritis. However, the patient returned with new laboratory and imaging findings of the synchronous pancreatic tail and rectal masses confirmed by histology. Immunohistochemistry was crucial in distinguishing a primary PC from a rectal primary. The patient continues to undergo chemotherapy 14 months after presentation.Conclusion: This represents the first documented case in the United States and the sixth reported case of synchronous rectal metastasis from PDAC. It highlights the increasing incidence and the demographic shift of PC among young women in the United States, which needs further investigation. The case adds to our knowledge of the unusual metastatic pattern of PDAC and the need for a multidisciplinary approach, including the role of immunohistochemistry in distinguishing between the primary etiology of malignancy to establish an accurate diagnosis, instituting an appropriate treatment plan, and preventing unwanted treatment and surgeries.","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2026 ","pages":"9940087"},"PeriodicalIF":0.6,"publicationDate":"2026-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13266272/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266481","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

Gastrointestinal Beriberi Secondary to Intermittent Hemodialysis With Rapid Improvement Following Thiamine Administration. 间歇性血液透析继发的胃肠性脚气病在服用硫胺素后迅速改善。

IF 0.6

Case Reports in Gastrointestinal Medicine Pub Date : 2026-06-08 eCollection Date: 2026-01-01 DOI: 10.1155/crgm/3195006

Benjamin Dale Day, Jacelyn Emily Peabody Lever, Kathryn Vickers, Robert Centor

引用次数: 0

A Rare Case of Pneumobilia and Pancreatitis Following Difficult IRIS-Guided Nasoenteric Tube Placement With Additional Air Insufflation: A Case Report and Literature Review. 在iris引导下置入困难的鼻肠管并额外充气后出现罕见的肺炎和胰腺炎病例：1例报告和文献复习。

IF 0.6

Case Reports in Gastrointestinal Medicine Pub Date : 2026-06-07 eCollection Date: 2026-01-01 DOI: 10.1155/crgm/1251527

Alaa Alresheq, Mustafa A Shahrori, Mohammad Almeqdadi

{"title":"A Rare Case of Pneumobilia and Pancreatitis Following Difficult IRIS-Guided Nasoenteric Tube Placement With Additional Air Insufflation: A Case Report and Literature Review.","authors":"Alaa Alresheq, Mustafa A Shahrori, Mohammad Almeqdadi","doi":"10.1155/crgm/1251527","DOIUrl":"10.1155/crgm/1251527","url":null,"abstract":"This article presents a rare case of acute pancreatitis and pneumobilia identified after difficult Kangaroo feeding tube with Integrated Real-time Imaging System (IRIS) Technology insertion in a 40-year-old female with multiple comorbidities. The patient's profound cardiogenic shock, recently initiated captopril, and imaging evidence of descending and sigmoid colitis suggested a likely multifactorial process that may also have included ischemic pancreatic and bowel injury. Although a temporal association with additional air insufflation was noted, the exact causal relationship remains uncertain, with a procedure-related contribution considered more plausible for pneumobilia than for pancreatitis. To our knowledge, no similar published case was identified. The article highlights the possible etiologies of these complications after NG tube insertion and emphasizes the need for careful insufflation practices and thoughtful deployment of advanced NG tube technologies in critically ill patients.","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2026 ","pages":"1251527"},"PeriodicalIF":0.6,"publicationDate":"2026-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13243761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148212813","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