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

Endoscopic View of the Aorta Through the Oesophagus: An Unusual Complication Post Thoracic Endovascular Aortic Repair. 经食道主动脉的内窥镜观察：胸腔血管内主动脉修复术后的一种罕见并发症。

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Case Reports in Gastrointestinal Medicine Pub Date : 2025-01-10 eCollection Date: 2025-01-01 DOI: 10.1155/crgm/6277906

Kushedison Yunus, Hasib Ahmadzai, Eleanor Noreen Dunlop, Andrew Thomson

{"title":"Endoscopic View of the Aorta Through the Oesophagus: An Unusual Complication Post Thoracic Endovascular Aortic Repair.","authors":"Kushedison Yunus, Hasib Ahmadzai, Eleanor Noreen Dunlop, Andrew Thomson","doi":"10.1155/crgm/6277906","DOIUrl":"10.1155/crgm/6277906","url":null,"abstract":"We present a case of an 80-year-old female who presented with chest pain, vomiting and night sweats a few weeks post thoracic endovascular aortic aneurysm repair (TEVAR). A computed tomography (CT) scan demonstrated a type 1B endoleak for which she underwent a repeat TEVAR. Postoperatively, she developed fever, dysphagia, haematemesis and melaena. CT angiography subsequently confirmed an aorto-oesophageal fistula (AEF). Gastroscopy was performed to confirm this and found an ovoid oesophageal perforation with visible aortic graft and purulent fluid. Serial endoscopic oesophageal stents were placed and the patient recovered after an oesophageal Ultraflex stent was placed. Unfortunately, however, the patient was found unresponsive at home with black vomitus and in cardiac arrest and passed away 18 months after her initial endoscopic procedure. This case highlights that AEF is a complication following a TEVAR procedure. This can be managed temporarily with oesophageal stent placement and an Ultraflex stent in the longer term. However, oesophageal stent placement is not curative in cases of significant oesophageal perforation as it does not lead to lead to closure of a large defect.","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2025 ","pages":"6277906"},"PeriodicalIF":0.6,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11748745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013338","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 Challenging Case of Recurrent Ogilvie Syndrome: Exploring Causes and Treatment Modalities. 一个具有挑战性的病例复发奥吉维综合征：探讨原因和治疗方式。

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Case Reports in Gastrointestinal Medicine Pub Date : 2024-12-14 eCollection Date: 2024-01-01 DOI: 10.1155/crgm/5378390

Ahmad Alnasarat, Mostafa Elrazzaz, Nouraldeen Manasrah

{"title":"A Challenging Case of Recurrent Ogilvie Syndrome: Exploring Causes and Treatment Modalities.","authors":"Ahmad Alnasarat, Mostafa Elrazzaz, Nouraldeen Manasrah","doi":"10.1155/crgm/5378390","DOIUrl":"10.1155/crgm/5378390","url":null,"abstract":"Introduction: Acute colonic pseudo-obstruction (ACPO), or Ogilvie syndrome, is a rare condition marked by significant colon distention without mechanical obstruction. Symptoms include abdominal pain, bloating, nausea, vomiting, and an inability to pass gas or stool. Although common in males over 60, we report a challenging case of a 44-year-old man from Africa with recurrent abdominal distention and discomfort. Ultimately, he improved after receiving multiple treatment modalities, highlighting the complexities of Ogilvie syndrome management. Case Presentation: A 44-year-old Nigerian male in the United States with hypertension and significant alcohol use disorder presented with altered mental status and bilateral lower extremity weakness after fasting and hydrochlorothiazide abuse. Initial diagnostics indicated metabolic encephalopathy from hypokalemia and dehydration. Despite aggressive treatment, he developed severe abdominal distension and obstipation. A CT scan showed diffuse colonic dilatation without a normal small bowel. Conservative measures failed, necessitating ICU transfer, TPN, and empiric antibiotics. Despite an initial response to colonoscopy decompression, the patient experienced recurrence. Neostigmine significantly improved his condition, leading to full recovery and discharge. Conclusion: This challenging case highlights the complexities of managing Ogilvie syndrome and the importance of early identification and a stepwise approach to treatment. Incorporating a patient-centered plan utilizing conservative measures, pharmacological agents and endoscopic interventions are essential for improving outcomes in these cases.","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2024 ","pages":"5378390"},"PeriodicalIF":0.6,"publicationDate":"2024-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11663046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878312","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 Esophageal Rhabdomyosarcoma: An Exceptionally Rare Cause of Pediatric Dysphagia. 原发性食管横纹肌肉瘤：小儿吞咽困难的罕见病因。

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Case Reports in Gastrointestinal Medicine Pub Date : 2024-12-12 eCollection Date: 2024-01-01 DOI: 10.1155/crgm/3648155

Maryam Ataollahi, Amirali Mashhadiagha, Fereshteh Karbasian, Reza Moshfeghinia, Javad Arabpour, Bita Geramizadeh

引用次数: 0

A Rare Case of Autoimmune Pancreatitis in a 9-Year-Old Male Patient: A Comprehensive Diagnosis and Successful Treatment. 一名 9 岁男性患者的自身免疫性胰腺炎罕见病例：综合诊断与成功治疗。

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Case Reports in Gastrointestinal Medicine Pub Date : 2024-12-05 eCollection Date: 2024-01-01 DOI: 10.1155/crgm/5564385

Hadi Farhat, Christie Dib, Yehya Tlaiss, Ayman Tabcheh, Pierre Hani

引用次数: 0

Jejunal Diverticular Bleeding on Long-Term Aspirin and Short-Term Corticosteroid Therapy. 长期阿司匹林和短期皮质类固醇治疗的空肠憩室出血。

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Case Reports in Gastrointestinal Medicine Pub Date : 2024-11-14 eCollection Date: 2024-01-01 DOI: 10.1155/crgm/8875482

Nikolaos Angelopoulos, William Beattie, Sern Wei Yeoh

{"title":"Jejunal Diverticular Bleeding on Long-Term Aspirin and Short-Term Corticosteroid Therapy.","authors":"Nikolaos Angelopoulos, William Beattie, Sern Wei Yeoh","doi":"10.1155/crgm/8875482","DOIUrl":"https://doi.org/10.1155/crgm/8875482","url":null,"abstract":"Haemorrhage is one of the most common complications of jejunal diverticula, which is a challenge to diagnose as the anatomical location of the jejunum renders it inaccessible to standard upper endoscopy, while routine imaging modalities may miss subtle or intermittent bleeding. Male gender, increasing age and colonic diverticula are known risk factors for jejunal diverticula. Nonsteroidal anti-inflammatory drugs and corticosteroids increase gastrointestinal bleeding risk. We present a case of an 80-year-old male admitted to our hospital with syncope and melaena, in the setting of colonic diverticula, long-term aspirin and short-term corticosteroid therapy. Push enteroscopy, using a paediatric colonoscope, was pivotal to establishing the diagnosis of jejunal diverticular bleeding after gastroduodenoscopy and computed tomography (CT) angiogram were negative. Management was conservative with repeat push enteroscopy confirming the cessation of bleeding. Clinicians should consider this diagnosis when there are clinical signs of gastrointestinal bleeding in patients with known risk factors for jejunal diverticula and no evidence of location on gastroduodenoscopy, colonoscopy or imaging. We advise that push enteroscopy is performed early during the diagnostic workup to assist in identifying jejunal sources of bleeding and initiating management. However, as reflected by our case, jejunal diverticular haemorrhage may be amenable to conservative measures.","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2024 ","pages":"8875482"},"PeriodicalIF":0.6,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11611427/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773542","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

Laparoscopic Cholecystectomy for Gall Bladder Volvulus: A Report of an Original Case With Review of Literature. 腹腔镜胆囊切除术治疗胆囊肿物：一个原始病例的报告及文献综述。

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Case Reports in Gastrointestinal Medicine Pub Date : 2024-11-04 eCollection Date: 2024-01-01 DOI: 10.1155/2024/9319605

Ayad Ahmad Mohammed

{"title":"Laparoscopic Cholecystectomy for Gall Bladder Volvulus: A Report of an Original Case With Review of Literature.","authors":"Ayad Ahmad Mohammed","doi":"10.1155/2024/9319605","DOIUrl":"https://doi.org/10.1155/2024/9319605","url":null,"abstract":"Background: Volvulus of gallbladder is defined as a rotation of the gallbladder on its mesentery along the axis of the cystic duct and cystic artery. Many factors are postulated to be the causes such as anatomical, mechanical, physiological, and hormonal risk factors but the presence of a distended gallbladder with a redundant mesentery is thought to be an important cause. Case presentation: A 68-year-old woman presented with right hypochondrial pain and vomiting for 2 days that was radiated to the interscapular region and associated with nausea and vomiting. The patient had no jaundice and the abdominal examination showed severe tenderness with guarding during palpation of the right upper abdomen with no palpable mass. The WBCs were elevated, with normal liver enzymes, bilirubin, and alkaline phosphatase. The ultrasound showed a single gallstone with increased wall thickness. There was no significant clinical improvement with antibiotics and analgesics. During laparoscopy, volvulus of the gallbladder was discovered causing gangrene of the gallbladder. Laparoscopic detorsion and successful laparoscopic cholecystectomy were performed. The patient was discharged on the third postoperative day with dramatic improvement with no postoperative complications. Conclusion: Gall bladder volvulus is an acute surgical emergency that is usually seen in the elderly population. It required a high index of suspicion especially in the absence of gallstones and must be differentiated from acalculous cholecystitis. Most cases are discovered at surgery. It must be managed with immediate detorsion and cholecystectomy, and the prognosis is excellent in most cases after an appropriate surgical intervention.","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2024 ","pages":"9319605"},"PeriodicalIF":0.6,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11554408/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629814","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

VCTE Overestimates Liver Fibrosis due to Abdominal-Truncal Adiposity and Not Hepatic Steatosis: A Case Report. VCTE 高估了腹部和躯干脂肪过多导致的肝纤维化，而非肝脏脂肪变性：病例报告

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Case Reports in Gastrointestinal Medicine Pub Date : 2024-10-28 eCollection Date: 2024-01-01 DOI: 10.1155/2024/7938701

Jordan S Woodard, Jena Velji-Ibrahim, Jay Alden, Gary A Abrams

引用次数: 0

Cervical Chylous Leakage Combined With Chylothorax: A Case Report of a Rare Complication Postretroperitoneal Surgery and Its Management: A Case Report of Chylous Leakage. 颈部乳糜漏合并乳糜胸：腹膜后手术后罕见并发症及其处理的病例报告：乳糜泻病例报告。

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Case Reports in Gastrointestinal Medicine Pub Date : 2024-10-22 eCollection Date: 2024-01-01 DOI: 10.1155/2024/8820322

Yao Zhou, Mingde Ding, Qiang Shi, Jing Wang, Guanghai Liu, Qianqian Zhang

引用次数: 0

Rectal Adenocarcinoma With Pagetoid Spread: A Novel Entity. 伴有片状扩散的直肠腺癌：一种新的实体。

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Case Reports in Gastrointestinal Medicine Pub Date : 2024-10-21 eCollection Date: 2024-01-01 DOI: 10.1155/2024/4952952

Lefika Bathobakae, Pasha Shenasan, Aakash Trivedi, Ruhin Yuridullah, Sohail Qayyum, Abraham El-Sedfy

引用次数: 0

White Globe Appearance-Like Findings Indicating Intralymphatic Cancer Involvement Beneath the Epithelium in Gastric Cancer. 显示胃癌上皮下淋巴内癌受累的白球样发现

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Case Reports in Gastrointestinal Medicine Pub Date : 2024-10-19 eCollection Date: 2024-01-01 DOI: 10.1155/2024/8504987

Hiroki Maruyama, Taku Yamagata, Yoshihide Kanno, Takeshi Shimizu, Takuho Itasaka, Fumiyoshi Fujishima, Takashi Sawai, Kei Ito

{"title":"White Globe Appearance-Like Findings Indicating Intralymphatic Cancer Involvement Beneath the Epithelium in Gastric Cancer.","authors":"Hiroki Maruyama, Taku Yamagata, Yoshihide Kanno, Takeshi Shimizu, Takuho Itasaka, Fumiyoshi Fujishima, Takashi Sawai, Kei Ito","doi":"10.1155/2024/8504987","DOIUrl":"10.1155/2024/8504987","url":null,"abstract":"A 75-year-old female was diagnosed with a type 0-I, moderately differentiated, early gastric carcinoma on the posterior wall of the middle gastric body during esophagogastroduodenoscopy (EGD). Several small whitish structures, referred to as white globe appearances (WGAs), were noted on the oral side outside the demarcation line of the cancerous protrusion. Although this area was flat without cancerous mucosal changes on the surface, subepithelial cancer extension was suspected. The histopathology of the resected specimen revealed that the carcinoma with submucosal invasion had significant lymphatic invasion with submucosal lateral extent along lymphatic vessels. In some areas, the carcinoma within the lymphatic vessels regressed from the submucosal layer towards the mucosal lamina propria, penetrating the muscularis mucosas. The intralymphatic carcinoma reaching just beneath the epithelium was considered to manifest WGA features during endoscopy.","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2024 ","pages":"8504987"},"PeriodicalIF":0.6,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11512643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510131","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