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Endoscopic Resection of Tailgut Cyst. 尾肠囊肿内窥镜切除术
IF 0.6
Case Reports in Gastrointestinal Medicine Pub Date : 2024-06-11 eCollection Date: 2024-01-01 DOI: 10.1155/2024/5538439
Oleksandr Kiosov, Vladyslav Tkachov, Sergii Gulevskyi
{"title":"Endoscopic Resection of Tailgut Cyst.","authors":"Oleksandr Kiosov, Vladyslav Tkachov, Sergii Gulevskyi","doi":"10.1155/2024/5538439","DOIUrl":"10.1155/2024/5538439","url":null,"abstract":"<p><p>Tailgut cyst or retrorectal cystic hamartoma is a rare congenital lesion, thought to arise from a portion of the embryological hindgut, usually benign, with no or unspecific symptoms, mainly diagnosed in middle-aged women. Complete surgical resection of the cyst is recommended to avoid complications and confirm the diagnosis. In this report, we present our experience in the successful endoscopic management of a tailgut cyst, outlining the endoscopic resection technique and discussing under what conditions this approach may be applicable.</p>","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2024 ","pages":"5538439"},"PeriodicalIF":0.6,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11208811/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471482","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
Rectal Stricture Caused by a Rare Plasmacytoid Urothelial Carcinoma. 一种罕见的浆细胞性尿路上皮癌引发的直肠狭窄
IF 0.7
Case Reports in Gastrointestinal Medicine Pub Date : 2024-05-24 eCollection Date: 2024-01-01 DOI: 10.1155/2024/4823396
Ahmad Alnasarat, Rasheed Musa, Asaiel Makahleh, Mohammad N Kloub
{"title":"Rectal Stricture Caused by a Rare Plasmacytoid Urothelial Carcinoma.","authors":"Ahmad Alnasarat, Rasheed Musa, Asaiel Makahleh, Mohammad N Kloub","doi":"10.1155/2024/4823396","DOIUrl":"10.1155/2024/4823396","url":null,"abstract":"<p><p>Malignant rectal strictures are uncommon, but they may pose a diagnostic challenge in clinical practice. We report the case of an 85-year-old male with an initially puzzling presentation of abdominal distention and discomfort. The patient was ultimately diagnosed with a rectal stricture caused by a plasmacytoid variant of urothelial cell carcinoma originating from the bladder. This case emphasizes the necessity of considering unique etiologies when evaluating rectal strictures and the aggressive character of this type of urothelial carcinoma.</p>","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2024 ","pages":"4823396"},"PeriodicalIF":0.7,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11142857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141200777","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
Low Dose Pregabalin Improves Gastrointestinal Symptoms of Crohn's Disease. 小剂量普瑞巴林可改善克罗恩病的胃肠道症状
IF 0.7
Case Reports in Gastrointestinal Medicine Pub Date : 2024-03-15 eCollection Date: 2024-01-01 DOI: 10.1155/2024/3744500
Antonio Maria D'Onofrio, Federica Di Vincenzo, Gaspare Filippo Ferrajoli, Franco Scaldaferri, Giovanni Camardese
{"title":"Low Dose Pregabalin Improves Gastrointestinal Symptoms of Crohn's Disease.","authors":"Antonio Maria D'Onofrio, Federica Di Vincenzo, Gaspare Filippo Ferrajoli, Franco Scaldaferri, Giovanni Camardese","doi":"10.1155/2024/3744500","DOIUrl":"10.1155/2024/3744500","url":null,"abstract":"<p><p>Inflammatory bowel diseases (IBD), including Crohn's disease and ulcerative colitis, are lifelong conditions with no definite cure. Several studies demonstrated that patients with IBD more frequently experience symptoms of common mental disorders, such as anxiety and depression, because of bidirectional communication through the gut-brain axis and the chronicity of symptoms, as well as because of impaired quality of life and reduced social functioning. However, psychological conditions of affected patients are often underestimated and not fully considered. Herein, we present the case of a 37-year-old woman with Crohn's disease and a mild depressive condition, characterized by anxious distress, tachycardia, tachypnea, tremors, sweating, avoidant behaviors, and intestinal somatizations (diarrhea), who was treated with Pregabalin upon indication of the referring psychiatrist. Following the beginning of the treatment, the patient rapidly reported an improvement in the overall clinical symptoms as well as a better management of psychic and physical anxiety with a marked reduction in diarrheal discharges under stress at work. After 6 months of Pregabalin therapy, we additionally observed an improvement in Crohn's disease activity, both clinically, in the laboratory, and endoscopically. Our case showed that patients with Crohn's disease and anxiety problems may benefit from low-dose Pregabalin medication to improve both their mental and physical condition.</p>","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2024 ","pages":"3744500"},"PeriodicalIF":0.7,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10959577/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140207870","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
Pancreatic Myeloid Sarcoma Causing Obstructive Jaundice: A Case Report and Literature Review. 胰腺髓样肉瘤导致阻塞性黄疸：病例报告与文献综述
IF 0.7
Case Reports in Gastrointestinal Medicine Pub Date : 2024-03-11 eCollection Date: 2024-01-01 DOI: 10.1155/2024/5513857
Laura E Lavette, Angela G Niehaus, Clancy J Clark, Jason D Conway, Girish Mishra, Darius A Jahann
{"title":"Pancreatic Myeloid Sarcoma Causing Obstructive Jaundice: A Case Report and Literature Review.","authors":"Laura E Lavette, Angela G Niehaus, Clancy J Clark, Jason D Conway, Girish Mishra, Darius A Jahann","doi":"10.1155/2024/5513857","DOIUrl":"10.1155/2024/5513857","url":null,"abstract":"<p><p>Myeloid sarcoma (MS) is an extramedullary manifestation of acute myeloid leukemia (AML) and commonly occurs in sites such as the lymph nodes, skin, soft tissues, and bone. It more rarely manifests in the pancreas, with less than 20 cases reported in the literature since 1987. Despite its rarity, MS should be considered in the differential diagnosis of a soft tissue mass causing obstructive jaundice, especially if the patient has a known hematologic disease. Isolated cases of pancreatic MS have been known to progress to AML; therefore, it is crucial to differentiate MS from more common diagnoses, such as pancreatic cancer or pancreatitis. This is a case of a 70-year-old male with symptomatic obstructive jaundice secondary to pancreatic MS, ultimately requiring endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP) for diagnosis and management. Also included is a comprehensive review of previous case reports with similar clinical presentations, management, and treatment of pancreatic MS.</p>","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2024 ","pages":"5513857"},"PeriodicalIF":0.7,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10948221/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140159189","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
Primary Yolk Sac Tumor of the Liver: A Rare Cause of Bile Duct Obstruction. 肝脏原发性卵黄囊肿瘤：胆管阻塞的罕见病因
IF 0.7
Case Reports in Gastrointestinal Medicine Pub Date : 2024-02-27 eCollection Date: 2024-01-01 DOI: 10.1155/2024/5549996
Sahil M Patel, Kenneth M Sigman, Mohannad F Dugum
{"title":"Primary Yolk Sac Tumor of the Liver: A Rare Cause of Bile Duct Obstruction.","authors":"Sahil M Patel, Kenneth M Sigman, Mohannad F Dugum","doi":"10.1155/2024/5549996","DOIUrl":"10.1155/2024/5549996","url":null,"abstract":"<p><p>Primary yolk sac tumor (YST) of the liver is an extremely rare extragonadal germ cell tumor. Here, we present a case of a young man who developed primary YST of the liver which metastasized to periductal lymph nodes causing bile duct obstruction. A 32-year-old male was referred from an outside hospital for evaluation of painless jaundice. Initial investigation showed common bile duct compression from periductal lymph nodes. Inital biopsy results were concerning for adenocarcinoma. The patient was ultimately diganosed with primary YST of the liver. He was then started on a curative-intent chemotherapy regimen of bleomycin, etoposide, and cisplatin. This case highlights the importance of keeping the primary YST of the liver on the differential diagnosis as initial staining patterns are similar to adenocarcinoma which has a very different management.</p>","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2024 ","pages":"5549996"},"PeriodicalIF":0.7,"publicationDate":"2024-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10914423/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140040634","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
Upper Gastrointestinal Bleeding Secondary to Sodium Polystyrene Sulfonate Use: A Rare Adverse Effect of Commonly Prescribed Treatment. 使用聚苯乙烯磺酸钠引起的上消化道出血：常见处方治疗的罕见不良反应。
IF 0.7
Case Reports in Gastrointestinal Medicine Pub Date : 2024-02-27 eCollection Date: 2024-01-01 DOI: 10.1155/2024/6004323
Hamzah Shariff, Shiva Naidoo, Ghazal Ghafari, Hongjie Li, Manisha Devi, Kishore Kumar
{"title":"Upper Gastrointestinal Bleeding Secondary to Sodium Polystyrene Sulfonate Use: A Rare Adverse Effect of Commonly Prescribed Treatment.","authors":"Hamzah Shariff, Shiva Naidoo, Ghazal Ghafari, Hongjie Li, Manisha Devi, Kishore Kumar","doi":"10.1155/2024/6004323","DOIUrl":"10.1155/2024/6004323","url":null,"abstract":"<p><p>We report a case of a 62-year-old man who was brought in by emergency medical services after a fall and change in mental status. He was found to have severe hyperkalemia, acute kidney injury, and rhabdomyolysis. The hyperkalemia was treated with sodium polystyrene sulfonate (SPS). During hospitalization, he witnessed having black tarry stools along with a significant drop in hemoglobin. Endoscopic evaluation demonstrated nonbleeding large diffuse gastric ulcers with stigmata of recent bleeding, and ulcer biopsy revealed findings consistent with SPS-induced gastric ulceration. No other source of bleeding was localized, suggesting acute upper gastrointestinal bleeding due to SPS mucosal injury.</p>","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2024 ","pages":"6004323"},"PeriodicalIF":0.7,"publicationDate":"2024-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10914429/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140040635","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
Deadly Aspiration Pneumonia Secondary to Superior Mesenteric Artery Syndrome. 继发于肠系膜上动脉综合征的致命吸入性肺炎。
IF 0.7
Case Reports in Gastrointestinal Medicine Pub Date : 2024-02-07 eCollection Date: 2024-01-01 DOI: 10.1155/2024/5055948
Rhea Akel, Iskandar Daou, Dany Jamal, Elham Hobeika, Rany Aoun, Georges Nawfal
{"title":"Deadly Aspiration Pneumonia Secondary to Superior Mesenteric Artery Syndrome.","authors":"Rhea Akel, Iskandar Daou, Dany Jamal, Elham Hobeika, Rany Aoun, Georges Nawfal","doi":"10.1155/2024/5055948","DOIUrl":"10.1155/2024/5055948","url":null,"abstract":"<p><p>Superior mesenteric artery syndrome (SMAS) is a rare and unusual disease, suspected clinically and confirmed radiologically. It represents a duodenal obstruction secondary to the impingement of the third portion of the duodenum between the abdominal aorta (AA) and the superior mesenteric artery (SMA) due to decreased intraabdominal fat. High morbidity and mortality rates are linked to missed or late diagnosis that can lead to complications, such as gastric perforation and gastric hemorrhage. We present the case of a 33-year-old man who was not previously known to have a SMAS, who presented to the emergency department with signs of septic shock, complaining of fever and respiratory symptoms for several days. Investigations showed aspiration pneumonia secondary to an upper gastrointestinal obstruction with signs of SMAS on a computed tomography (CT) scanner. Acute and rapid deterioration led to cardiac arrest and death. Through this article, we highlight the importance of early and correct diagnosis of SMAS which can sometimes be challenging, since no number is strictly diagnostic and radiological images must be interpreted in light of the clinical history and physical examination.</p>","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2024 ","pages":"5055948"},"PeriodicalIF":0.7,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10866627/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139736369","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
Symptomatic Liver Cyst Successfully Treated with Transgastric Drainage and Sclerotherapy Using Minocycline Hydrochloride. 使用盐酸米诺环素经胃引流术和硬化剂疗法成功治疗症状性肝囊肿
IF 0.6
Case Reports in Gastrointestinal Medicine Pub Date : 2024-01-17 eCollection Date: 2024-01-01 DOI: 10.1155/2024/6942345
Kengo Yoshitomi, Yudai Koya, Koichiro Miyagawa, Yuki Maruno, Koki Yamaguchi, Ryuta Taniguchi, Koji Onitsuka, Yoshitaka Sakamoto, Shinji Oe, Masaru Harada
{"title":"Symptomatic Liver Cyst Successfully Treated with Transgastric Drainage and Sclerotherapy Using Minocycline Hydrochloride.","authors":"Kengo Yoshitomi, Yudai Koya, Koichiro Miyagawa, Yuki Maruno, Koki Yamaguchi, Ryuta Taniguchi, Koji Onitsuka, Yoshitaka Sakamoto, Shinji Oe, Masaru Harada","doi":"10.1155/2024/6942345","DOIUrl":"10.1155/2024/6942345","url":null,"abstract":"<p><p>A liver cyst is hepatic fluid-filled cavities often detected in clinical surveillances such as a health examination. Although the liver cyst is usually asymptomatic and observed without any therapeutic intervention, it can be symptomatic and needs treatment due to its enlargement, hemorrhage, and infection. A 74-year-old woman presented with upper abdominal pain and a huge liver cyst in the left lobe. Several examinations including image findings revealed that the symptom could be derived from the liver cyst. Although there is no definite guideline of treatment for symptomatic liver cysts, percutaneous ultrasound-guided drainage with sclerotherapy or surgery is often selected. Because of anatomical accessibility to the liver cyst and the patient's wish, we performed endoscopic transgastric drainage with insertion of both an internal stent and an external nasocystic tube. Sclerotherapy with minocycline hydrochloride was performed through the nasocystic tube, and the liver cyst shrunk completely without any complications. This is the first reported method of administering minocycline hydrochloride through a nasocystic tube, which can be a therapeutic option for patients with symptomatic liver cysts.</p>","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2024 ","pages":"6942345"},"PeriodicalIF":0.6,"publicationDate":"2024-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10807977/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139565098","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
A Rare Association: Hereditary Hemorrhagic Telangiectasia with Liver Cirrhosis Causing Portal Hypertension. 罕见的关联：遗传性出血性远端血管扩张症与肝硬化导致的门静脉高压症。
IF 0.6
Case Reports in Gastrointestinal Medicine Pub Date : 2024-01-17 eCollection Date: 2024-01-01 DOI: 10.1155/2024/3574725
Denisse Morales-Tovar, Froylan D Martínez-Sánchez, Alejandro Gabutti-Thomas, Rodolfo Rivera-Martínez, Jacqueline Córdova-Gallardo
{"title":"A Rare Association: Hereditary Hemorrhagic Telangiectasia with Liver Cirrhosis Causing Portal Hypertension.","authors":"Denisse Morales-Tovar, Froylan D Martínez-Sánchez, Alejandro Gabutti-Thomas, Rodolfo Rivera-Martínez, Jacqueline Córdova-Gallardo","doi":"10.1155/2024/3574725","DOIUrl":"10.1155/2024/3574725","url":null,"abstract":"<p><p>Hereditary hemorrhagic telangiectasia (HHT), also known as Rendu-Osler-Weber syndrome, is a vascular disorder of autosomal dominant etiology. The hallmark clinical feature is the presence of recurrent episodes of epistaxis in patients with vascular malformations and a tendency to bleed. We present the case of a 71-year-old woman who presented to the emergency department with upper gastrointestinal bleeding caused by esophageal varices, in conjunction with gastric angiodysplasias. The presence of oronasopharyngeal telangiectasias and hepatomegaly raised suspicion of HHT. The diagnostic workup confirmed the presence of angiodysplasia in the gastric region, portal arteriovenous malformation, and a pulmonary shunt.</p>","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2024 ","pages":"3574725"},"PeriodicalIF":0.6,"publicationDate":"2024-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10807975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139565093","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
Refractory Cytomegalovirus Colitis in Common Variable Immunodeficiency Requiring Total Colectomy 需要进行全结肠切除术的常见变异性免疫缺陷症患者的难治性巨细胞病毒性结肠炎
IF 0.7
Case Reports in Gastrointestinal Medicine Pub Date : 2023-12-21 DOI: 10.1155/2023/8888429
Sulaiman Almushir, Faisal Aljohani, A. Qatomah
{"title":"Refractory Cytomegalovirus Colitis in Common Variable Immunodeficiency Requiring Total Colectomy","authors":"Sulaiman Almushir, Faisal Aljohani, A. Qatomah","doi":"10.1155/2023/8888429","DOIUrl":"https://doi.org/10.1155/2023/8888429","url":null,"abstract":"Cytomegalovirus (CMV) colitis is an uncommon infection in immunocompetent hosts, usually occurring in the presence of an underlying immunodeficiency condition that allows for the reactivation of latent CMV infection. CMV colitis typically presents with persistent diarrhea, sometimes accompanied by bloody stools and nonspecific abdominal pain. We present the case of a 76-year-old woman known to have chronic CMV colitis, which was diagnosed in the context of underlying common variable immunodeficiency (CVID). Despite multiple attempts at managing CMV colitis, her symptoms persisted over the years. Ultimately, the patient required a pan colectomy due to refractory CMV colitis.","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"31 5","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138948548","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
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