Case Reports in Gastrointestinal Medicine最新文献_第5页

Gastric Anisakiasis Masquerading as Gastroesophageal Reflux Disease. 伪装成胃食管反流病的胃异根线虫病。

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Case Reports in Gastrointestinal Medicine Pub Date : 2023-01-01 DOI: 10.1155/2023/8635340

Kevin Groudan, Tiago Martins, Ira J Schmelkin

{"title":"Gastric Anisakiasis Masquerading as Gastroesophageal Reflux Disease.","authors":"Kevin Groudan, Tiago Martins, Ira J Schmelkin","doi":"10.1155/2023/8635340","DOIUrl":"https://doi.org/10.1155/2023/8635340","url":null,"abstract":"Anisakiasis of the gastrointestinal tract is caused by the consumption of raw or undercooked seafood infected with Anisakis larvae. Penetration of Anisakis larvae into the gastrointestinal mucosa leads to severe epigastric pain, nausea, and vomiting, usually within hours of ingestion of the parasite. Suspicion for gastrointestinal Anisakiasis should be raised in patients with a compatible dietary history. Definitive diagnosis can be made by direct visualization of larvae via endoscopic examination. Although symptoms are self-limiting, the removal of larvae by gastroscopy can hasten relief of symptoms. There are a large number of cases of gastric anisakiasis reported from Japan, Korea, and Western Europe, where it is customary to consume raw fish. Cases reported from the United States are less common, and given the nonspecific symptoms of anisakiasis, the diagnosis can be missed. We report a patient who presented with gastroesophageal reflux disease like symptoms that started after ingesting raw fish. He was found by esophagogastroduodenoscopy to have white, filiform worms penetrating into the wall of his stomach, consistent with a diagnosis of gastric anisakiasis.","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2023 ","pages":"8635340"},"PeriodicalIF":0.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9931486/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10773194","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

Dramatic Response of Lupus Enteritis, Nephritis, and Pancytopenia to Plasmapheresis and Rituximab 血浆置换和利妥昔单抗对狼疮肠炎、肾炎和全血细胞减少症的显著反应

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Case Reports in Gastrointestinal Medicine Pub Date : 2022-06-06 DOI: 10.1155/2022/3443141

Adan Aftab, Nida Saleem, Syed Farhat Abbas, Z. Ullah, M. Haneef

{"title":"Dramatic Response of Lupus Enteritis, Nephritis, and Pancytopenia to Plasmapheresis and Rituximab","authors":"Adan Aftab, Nida Saleem, Syed Farhat Abbas, Z. Ullah, M. Haneef","doi":"10.1155/2022/3443141","DOIUrl":"https://doi.org/10.1155/2022/3443141","url":null,"abstract":"Background Although lupus enteritis is a rare manifestation of systemic lupus erythematosus yet results in significant distress. This disorder contributes to diagnostic and therapeutic dilemma leading to enhanced mortality. Case Description. We report a case history of a 29-year-old female who presented with severe abdominal pain, watery stools, and vomiting, and later on, she developed pancytopenia and renal impairment. On intensive workup, diagnosis of lupus-associated enteritis, nephritis, and pancytopenia was discovered. She improved drastically on initiation of plasmapheresis followed by low-dose intravenous rituximab. One year posttreatment, she remained in complete remission. Conclusion From this case, it can be suggested that in a young female with intractable abdominal pain, the remote possibility of lupus enteritis must be kept in mind. Besides this, plasmapheresis can have a potential role in refractory lupus enteritis. Furthermore, low-dose intravenous rituximab can be a safe and cost-effective treatment option in achieving sustained remission of clinical and laboratory parameters in lupus enteritis.","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"104 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2022-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80662559","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

Concurrent Tumors Revealed by an Autopsy-A Case Report and Literature Review 尸体解剖发现并发肿瘤一例报告及文献复习

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Case Reports in Gastrointestinal Medicine Pub Date : 2022-06-01 DOI: 10.1155/2022/2308065

Miruna Cristian, M. Boșoteanu, M. Așchie, A. Potamian, C. Boșoteanu, Gabriela Isabela Baltatescu

{"title":"Concurrent Tumors Revealed by an Autopsy-A Case Report and Literature Review","authors":"Miruna Cristian, M. Boșoteanu, M. Așchie, A. Potamian, C. Boșoteanu, Gabriela Isabela Baltatescu","doi":"10.1155/2022/2308065","DOIUrl":"https://doi.org/10.1155/2022/2308065","url":null,"abstract":"Introduction Multiple primary malignant neoplasms are an uncommon phenomenon, given the very low incidence of two or more different tumors, while neoplasm may be limited to a single organ or may involve multiple separate anatomical organs. The main purpose of this study is to highlight the importance of morphological and immunohistochemical tests to distinguish the origin of the primary tumor. Case Presentation. We report the case of a 65-year-old deceased male, presenting multiple tumors in the lung, stomach, kidneys, and adrenal organs. The main symptoms presented by the patient were dyspnea with a range of 77% with oxygen saturation, fatigability, and productive cough. Histopathological examination revealed a solid and papillary lung adenocarcinoma, concurrent with tubular gastric adenocarcinoma. Immunohistochemical testing was mandatory by using a panel of seven monoclonal mouse antibodies (TTF-1, Napsin A, CK7, CK20, p40, synaptophysin, and chromogranin A). The pulmonary tumoral immunophenotype (positive for TTF-1, Napsin A, CK7; negative for CK20, p40, synaptophysin, and chromogranin A) confirms the diagnosis of primary lung ADC and invalidates the hypothesis of a metastasis arisen from a gastric adenocarcinoma or other forms of lung cancer. Conclusion The importance of the ancillary test is to distinguish a primary tumor from a metastatic one.","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"81 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85951227","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

Intussusception in the Setting of an Ulcerative Colitis Flare 溃疡性结肠炎暴发的肠套叠

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Case Reports in Gastrointestinal Medicine Pub Date : 2022-05-30 DOI: 10.1155/2022/3559464

V. Abed, Alexis Faber, Cristina Jageka, Ryan Goleniak, R. Fadel

{"title":"Intussusception in the Setting of an Ulcerative Colitis Flare","authors":"V. Abed, Alexis Faber, Cristina Jageka, Ryan Goleniak, R. Fadel","doi":"10.1155/2022/3559464","DOIUrl":"https://doi.org/10.1155/2022/3559464","url":null,"abstract":"Intussusception is an extraordinary cause of acute abdomen in adults and has been defined as the telescoping of a bowel segment into the lumen of an adjacent segment. A 43-year-old female presented to our hospital's emergency department (ED) with 10+ episodes of bloody diarrhea per day, left-sided abdominal pain, and the inability to tolerate oral intake for one month. She was initially diagnosed with ulcerative colitis (UC) ten years ago and is currently on mesalamine oral and enema therapy. She presented to our gastroenterology clinic two weeks after the beginning of her flare and was started on prednisone 40 mg daily. This did not improve her symptoms, and she presented to the ED two weeks later. She underwent a computed tomography (CT) abdomen/pelvis which revealed intussusception in the left hemiabdomen with no definite lead point measuring 5.6 cm in the craniocaudal dimension with pneumatosis and no evidence of bowel obstruction. There were no other significant laboratory abnormalities. Acute care surgery was consulted and suggested obtaining a CT enterography for further evaluation which showed spontaneous resolution of intussusception with no evidence of pneumatosis, portal venous gas, or intraperitoneal free air. She reports that following oral contrast intake, she “felt movement and relaxation” in her abdomen with substantial pain relief. Infectious workup was negative, and therapy was initiated with intravenous steroids. In conclusion, intussusception has been very rarely reported in patients with UC with the most common treatment being surgical resection. However, conservative management in the absence of bowel obstruction can be attempted.","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"78 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2022-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83642270","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

Mucinous Signet-Cell Adenocarcinoma of the Ileum: A Diagnostic Challenge—Case Report and Review of the Literature 回肠黏液印细胞腺癌:诊断上的挑战-病例报告及文献回顾

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Case Reports in Gastrointestinal Medicine Pub Date : 2022-05-28 DOI: 10.1155/2022/5703407

T. Martins, Jalaluddin Umar, Kevin Groudan, H. Bharadwaj, D. Desilets

引用次数: 3

Report of a Misleading Case of the Superior Mesenteric Artery Syndrome 误读肠系膜上动脉综合征一例报告

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Case Reports in Gastrointestinal Medicine Pub Date : 2022-05-27 DOI: 10.1155/2022/6013579

A. Salehi, H. Salehi, Maryam Hasanzarrini, E. Khanlarzadeh

引用次数: 0

Silica Desiccant Canister: An Unusual Colonic Foreign Body 二氧化硅干燥剂罐:一种不寻常的结肠异物

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Case Reports in Gastrointestinal Medicine Pub Date : 2022-05-27 DOI: 10.1155/2022/9917884

Rajarajeshwari Ramachandran, Vikash Kumar, Giovannie Isaac-Coss, D. Etienne

引用次数: 0

Crohn's Disease Diagnosed in a Man with Sarcoidosis: Coincidence or Correspondence? 克罗恩病诊断为结节病:巧合还是对应?

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Case Reports in Gastrointestinal Medicine Pub Date : 2022-05-27 DOI: 10.1155/2022/5943468

Krystal Mills, S. Fatima, N. Fas

引用次数: 0

Intestinal Tuberculosis Presenting with Gastrointestinal Bleeding in Patient on Warfarin Therapy 肠结核患者在华法林治疗中出现胃肠道出血

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Case Reports in Gastrointestinal Medicine Pub Date : 2022-05-14 DOI: 10.1155/2022/9277789

Werimo Pascal Kuka, Joe Rakiro, J. Gatheru, F. Riunga, A. Rajula

引用次数: 0

Synchronous Gastric Adenocarcinoma and Diffuse Large B-Cell Lymphoma in the Pelvis: A Rare Case Presentation 盆腔内同步胃腺癌及弥漫性大b细胞淋巴瘤一例

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Case Reports in Gastrointestinal Medicine Pub Date : 2022-04-28 DOI: 10.1155/2022/7535036

E. Pliakou, D. Lampropoulou, N. Soupos, G. Aravantinos

引用次数: 3