Case Reports in Gastrointestinal Medicine最新文献_第7页

Esophageal Pseudotumor Secondary to Treatment with a Potassium Binder Resin: A Case of Severe Esophagitis Mimicking a Malignancy 钾结合剂树脂治疗后继发的食管假瘤:1例模拟恶性肿瘤的严重食管炎

IF 0.7

Case Reports in Gastrointestinal Medicine Pub Date : 2022-02-27 DOI: 10.1155/2022/1329038

Luis Chavez, Marco Bustamante-Bernal, Osvaldo Padilla, Jose Gavito-Higuera, M. Zuckerman

{"title":"Esophageal Pseudotumor Secondary to Treatment with a Potassium Binder Resin: A Case of Severe Esophagitis Mimicking a Malignancy","authors":"Luis Chavez, Marco Bustamante-Bernal, Osvaldo Padilla, Jose Gavito-Higuera, M. Zuckerman","doi":"10.1155/2022/1329038","DOIUrl":"https://doi.org/10.1155/2022/1329038","url":null,"abstract":"Background. Sodium polystyrene sulfonate is a resin used to treat hyperkalemia. Colonic mucosal injury, intestinal ischemia, necrosis, and perforation have been widely reported in the literature, but few cases have reported upper gastrointestinal injury and identify the endoscopic features. Case Presentation. We describe a case of an 83-year-old male, with no prior esophageal symptoms, who developed dysphagia after being treated with sodium polystyrene sulfonate for hyperkalemia. Endoscopic features consistent with severe esophagitis and a mass in the lower esophagus mimicking a malignancy were found, and pathology confirmed resin-induced esophagitis. Discussion. The identification of basophilic crystals in the epithelium with surrounding inflammation is a hallmark of sodium polystyrene sulfonate-induced mucosal injury. Several direct and indirect mechanisms by which SPS may cause mucosal injury have been identified. Prolonged stasis of crystals in the lumen has the potential of developing erosions and ultimately necrosis. The internalization of these crystals to the underlying intestinal mucosa with the combination of the inflammatory response may give an appearance of a luminal mass that can mimic a malignancy. Recognizing the wide-ranging endoscopic findings of resin-induced mucosal injury in the esophagus is fundamental to consider a potential side effect of sodium polystyrene sulfonate. The use of this resin should be avoided in patients with suspected esophageal motility disorder.","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"7 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2022-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83047706","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

Simultaneous Massive Esophageal Mucosal Candidiasis and Profound Cytomegaloviral Esophageal Ulcers with Recurrence of Both Infections 12 Years Later in a Patient with Long-Standing AIDS: Endoscopic, Radiologic, and Pathologic Findings 长期艾滋病患者同时发生大量食管粘膜念珠菌病和深度巨细胞病毒性食管溃疡，12年后两种感染复发:内镜、放射学和病理结果

IF 0.7

Case Reports in Gastrointestinal Medicine Pub Date : 2022-02-27 DOI: 10.1155/2022/9956650

I. Gill, A. Edhi, M. Amin, M. Cappell

{"title":"Simultaneous Massive Esophageal Mucosal Candidiasis and Profound Cytomegaloviral Esophageal Ulcers with Recurrence of Both Infections 12 Years Later in a Patient with Long-Standing AIDS: Endoscopic, Radiologic, and Pathologic Findings","authors":"I. Gill, A. Edhi, M. Amin, M. Cappell","doi":"10.1155/2022/9956650","DOIUrl":"https://doi.org/10.1155/2022/9956650","url":null,"abstract":"Immunocompromised patients with acquired immunodeficiency syndrome (AIDS) can develop opportunistic esophageal candidial and cytomegaloviral infections. A case is reported which extends the clinico-endoscopic severity of these infections. A 32-year-old bisexual man with AIDS since 1997, and intermittently compliant with antiretroviral therapy, presented (2007) with dysphagia and 32 kg-weight loss. EGD revealed a massive, cheesy, esophageal mucosal exudate from Candida albicans. Cytomegalovirus was isolated by viral culture. The patient improved after fluconazole/ganciclovir therapy. The patient re-presented (2019) with hematemesis and dysphagia. EGD revealed cheesy esophageal exudate and profound “punched out” esophageal ulcers mimicking pseudo-diverticula. Histopathology confirmed candidiasis. Viral cultures revealed cytomegalovirus. Barium esophagram revealed deep esophageal ulcers/pseudo-diverticula. Repeat EGD 8 weeks later after ganciclovir/micafungin therapy revealed mostly healed lesions. This demonstrates that AIDS patients may have massive mucosal esophageal candidiasis; that both infections can recur years after apparent eradication; and that cytomegaloviral esophageal ulcers may be profound and mimic pseudo-diverticula. A comprehensive literature review revealed only one abstract of esophageal pseudo-diverticula associated with cytomegalovirus. Simultaneous esophageal candidial and CMV infections have also been rarely reported in immunocompromised patients without AIDS.","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"4 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2022-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73550562","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

Zinc Acetate Dihydrate Tablet-Associated Gastritis Occurring in a Post-Hematopoietic Stem Cell Transplant Recipient. 二水合醋酸锌片相关胃炎发生于造血干细胞移植后受者。

IF 0.7

Case Reports in Gastrointestinal Medicine Pub Date : 2022-01-01 DOI: 10.1155/2022/4637707

Masaya Iwamuro, Takehiro Tanaka, Akifumi Matsumura, Seiji Kawano, Yoshiro Kawahara, Hiroyuki Okada

引用次数: 0

An Obscure Presence of Gastroduodenal Involvement in a Newly Diagnosed Ileocolonic Crohn's Disease Patient. 一个新诊断的回结肠克罗恩病患者胃十二指肠受累的模糊存在。

IF 0.7

Case Reports in Gastrointestinal Medicine Pub Date : 2022-01-01 DOI: 10.1155/2022/2200438

Clive Jude Miranda, Murad Hayatt Ali, Muddasir Ayaz, Yousef Soofi, Thomas Christopher Mahl

引用次数: 0

McKittrick-Wheelock Syndrome: A Rare Case of Secretory Diarrhea. McKittrick-Wheelock综合征:罕见的分泌性腹泻病例。

IF 0.7

Case Reports in Gastrointestinal Medicine Pub Date : 2022-01-01 DOI: 10.1155/2022/2097364

Mohammad Nabil Rayad, Noreen Mirza, Maria Bernardeth Herrera-Gonzalez, Yatinder Bains, Sarahi Herrera-Gonzalez

引用次数: 1

A Rare Case of Pseudomembranous Colitis Presenting with Pleural Effusion and Ascites with Literature Review. 假膜性结肠炎以胸腔积液及腹水表现一例并附文献复习。

IF 0.7

Case Reports in Gastrointestinal Medicine Pub Date : 2021-12-31 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6019068

Hossain Salehi, Amir Mohammad Salehi

引用次数: 0

Hepatitis B-Associated Symptomatic Iron Overload, with Complete Resolution after Nucleoside Analogue Treatment. 乙型肝炎相关的症状性铁超载，核苷类似物治疗后完全解决。

IF 0.7

Case Reports in Gastrointestinal Medicine Pub Date : 2021-12-27 eCollection Date: 2021-01-01 DOI: 10.1155/2021/8407257

Tze Tong Tey, Richard Yiu, Wei Qiang Leow

引用次数: 4

Ileocaecal Tuberculosis Presenting with Massive Hematochezia: A Rare Clinical Manifestation. 以大量便血为表现的回盲肠结核:一种罕见的临床表现。

IF 0.7

Case Reports in Gastrointestinal Medicine Pub Date : 2021-12-10 eCollection Date: 2021-01-01 DOI: 10.1155/2021/1161135

Neha Mehta, Man Bahadur Paudyal, Sangam Shah, Rajan Chamlagain, Moon Shrestha, Ashish Mehta, Prabin Bhattarai

引用次数: 0

Bleeding Meckel's Diverticulum in a 33-Year-Old Female Diagnosed with Video Capsule Endoscopy and a Technetium-99 m Pertechnetate Scan with a Favorable Response to H₂ Blocker and PPI. 33岁女性梅克尔憩室出血患者，经视频胶囊内窥镜和锝-99米高锝酸盐扫描诊断，H2阻滞剂和PPI反应良好。

IF 0.7

Case Reports in Gastrointestinal Medicine Pub Date : 2021-12-09 eCollection Date: 2021-01-01 DOI: 10.1155/2021/1381395

Gregor Krstevski, Urim Isahi, Vladimir Andreevski

{"title":"Bleeding Meckel's Diverticulum in a 33-Year-Old Female Diagnosed with Video Capsule Endoscopy and a Technetium-99 m Pertechnetate Scan with a Favorable Response to H2 Blocker and PPI.","authors":"Gregor Krstevski, Urim Isahi, Vladimir Andreevski","doi":"10.1155/2021/1381395","DOIUrl":"https://doi.org/10.1155/2021/1381395","url":null,"abstract":"Meckel's diverticulum is a true diverticulum consisting of all three layers of the small intestine resulting from incomplete regression of the vitelline duct. While it is often benign, it can present with serious complications such as intussusception, ulceration, torsion, hemorrhage, obstruction, inflammation, and fistula formation. Although it typically presents in infancy and early childhood, it can also manifest much later into adulthood. We report a case of Meckel's diverticulum complicated by significant bleeding in a 33-year-old female patient. Diagnosis was accomplished with video capsule endoscopy and a technetium-99 m pertechnetate scan. The patient responded well to acid suppression, initially with an H2 blocker and later with a PPI (proton pump inhibitor), and remained asymptomatic for nearly four months in the interim to definitive surgical treatment. Microscopic examination of the resected diverticulum confirmed the presence of ectopic gastric mucosa. A PubMed literature search revealed several similar cases of Meckel's diverticulum complicated by hemorrhage with a favorable response to H2 blockers and PPIs. While surgical resection remains the mainstay of definitive treatment, medications aimed at acid suppression can delay the need for urgent surgery, allow for diagnostic assessment, and optimize conditions for elective surgical treatment.","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2021 ","pages":"1381395"},"PeriodicalIF":0.7,"publicationDate":"2021-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8677379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39827974","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

Gastric Signet-Ring Cell Carcinoma That Presented as an Elevated Lesion due to Fibromuscular Obliteration in the Lamina Propria. 胃印戒细胞癌因固有层纤维肌闭塞而表现为升高的病变。

IF 0.7

Case Reports in Gastrointestinal Medicine Pub Date : 2021-11-24 eCollection Date: 2021-01-01 DOI: 10.1155/2021/2887256

Yoshitsugu Misumi, Shin Ichihara, Kouichi Nonaka, Hiromi Onizuka, Yoji Nagashima

引用次数: 1