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

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":"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.","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

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

引用次数: 0

A Case Report and Literature Review of a Rare Jejunal Solitary Peutz–Jeghers-Type Polyp Resected Endoscopically in an Elderly Patient Presenting with Subacute Gastrointestinal Bleeding 一名出现亚急性胃肠道出血的老年患者在内镜下切除了一个罕见的空肠孤立性 Peutz-Jeghers 型息肉的病例报告和文献综述

IF 0.7

Case Reports in Gastrointestinal Medicine Pub Date : 2023-12-18 DOI: 10.1155/2023/2391602

Talal Alenezi, Victoria Marcus, T. Bessissow

{"title":"A Case Report and Literature Review of a Rare Jejunal Solitary Peutz–Jeghers-Type Polyp Resected Endoscopically in an Elderly Patient Presenting with Subacute Gastrointestinal Bleeding","authors":"Talal Alenezi, Victoria Marcus, T. Bessissow","doi":"10.1155/2023/2391602","DOIUrl":"https://doi.org/10.1155/2023/2391602","url":null,"abstract":"Solitary Peutz–Jeghers-type polyp (SPJP) is a rare hamartomatous lesion. It is considered a different entity from Peutz–Jeghers syndrome despite similar histopathological findings. It can be found in the GI tract but rarely in the jejunum. Jejunal SPJP is susceptible to necrosis, ulceration, and intussusception, resulting in GI bleeding or small bowel obstruction. We describe a case of subacute gastrointestinal bleeding secondary to jejunal SPJP to share our approach to this challenging case using therapeutic endoscopy. An 81-year-old male patient with a history of atrial fibrillation on warfarin with stable therapeutic INR levels presented with a 1-week history of melena, generalized fatigue, and shortness of breath on exertion and was found to have profound iron deficiency anemia. Esophageal gastroduodenoscopy and colonoscopy failed to identify the source of bleeding; however, single-balloon enteroscopy detected a 4 cm polyp with a stalk in the proximal jejunum. Endoscopic polypectomy was performed, and the whole polyp was removed. Histopathological examination was consistent with Peutz–Jeghers polyp. The genetic analysis was negative for STK11 mutation. Follow-up magnetic resonance enterography and video capsule endoscopy did not reveal any other polypoid lesion in the GI tract. The patient’s symptoms resolved gradually, and his hemoglobin level returned back to normal levels within 6 months. To our knowledge, this is the first case of endoscopic polypectomy during balloon-assisted enteroscopy for jejunal SPJP.","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"52 s180","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138995338","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

Dermatofibrosarcoma Protuberans (DFSP) with Fibrosarcomatous Changes in a Patient with Crohn's Disease Treated with Anti-TNF (Adalimumab). 抗肿瘤坏死因子（阿达木单抗）治疗克罗恩病患者的隆突皮肤纤维肉瘤（DFSP）伴纤维肉瘤改变。

IF 0.6

Case Reports in Gastrointestinal Medicine Pub Date : 2023-10-10 eCollection Date: 2023-01-01 DOI: 10.1155/2023/1057247

Ivo Klarin

引用次数: 0

Transient Intussusception Mimicking Acute Coronary Syndrome. 模拟急性冠状动脉综合征的短暂性肠套叠。

IF 0.7

Case Reports in Gastrointestinal Medicine Pub Date : 2023-10-09 eCollection Date: 2023-01-01 DOI: 10.1155/2023/7324188

Hiroshi Imamura, Yuichiro Kashima, Yujiro Hamano, Aoi Ogawara

{"title":"Transient Intussusception Mimicking Acute Coronary Syndrome.","authors":"Hiroshi Imamura, Yuichiro Kashima, Yujiro Hamano, Aoi Ogawara","doi":"10.1155/2023/7324188","DOIUrl":"10.1155/2023/7324188","url":null,"abstract":"Intussusception in adults is rare and usually associated with organic lesions. However, in the current era of computed tomography (CT), cases of idiopathic and transient intussusceptions are being increasingly diagnosed. Herein, we present a case of ileocecal intussusception with symptoms mimicking those of acute coronary syndrome. A male patient in his 80s with a history of myocardial infarction presented to the emergency department with acute onset of severe precordial and epigastric pain, cold sweating, and vomiting. Coronary angiography did not reveal any significant new lesion, while abdominal CT revealed ileocecal intussusception without bowel obstruction. The pain spontaneously subsided without any intervention, and the patient was discharged on the sixth hospital day. Cases of intussusception may go unnoticed in patients suspected of having chest pain with a normal coronary arteriogram, as idiopathic intussusception is relatively common and subsides spontaneously. Therefore, physicians should note that intussusception is one of the differential diagnoses of acute coronary syndrome.","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2023 ","pages":"7324188"},"PeriodicalIF":0.7,"publicationDate":"2023-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10578975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239730","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

Aeromonas caviae-Associated Severe Bloody Diarrhea. 豚鼠气单胞菌相关性严重血液性腹泻。

IF 0.7

Case Reports in Gastrointestinal Medicine Pub Date : 2023-10-09 eCollection Date: 2023-01-01 DOI: 10.1155/2023/4966879

Xiaolan Tang, Anuoluwa Oyetoran, Tyler Jones, Christopher Bray

引用次数: 0

Severe Gastrointestinal Hemorrhage due to Monkeypox Virus-Associated Proctocolitis. 猴痘病毒相关性直结肠炎致严重胃肠道出血。

IF 0.7

Case Reports in Gastrointestinal Medicine Pub Date : 2023-01-01 DOI: 10.1155/2023/9981631

Sobaan Taj, Chris Austin, Azhar Hussain, Maryam Salma Babar, Harshavardhan Sanekommu, Steven Imburgio, Anmol Johal, Alejandro CruzPonce, Apurva Vedire, Edward Liu

引用次数: 0

A Crohn's Disease Patient Found to Have Entamoeba histolytica Infection Causing Pyogenic Liver Abscess. 克罗恩病患者发现有溶组织内阿米巴感染导致化脓性肝脓肿。

IF 0.7

Case Reports in Gastrointestinal Medicine Pub Date : 2023-01-01 DOI: 10.1155/2023/9936613

Hannah Saven, Ashton Harmacinski, Andrew Canakis, Uni Wong

引用次数: 0

Gastrointestinal Stromal Tumours (GISTs) with KRAS Mutation: A Rare but Important Subset of GISTs. 伴有KRAS突变的胃肠道间质瘤(gist):一种罕见但重要的胃肠道间质瘤子集。

IF 0.7

Case Reports in Gastrointestinal Medicine Pub Date : 2023-01-01 DOI: 10.1155/2023/4248128

Dorinda Mullen, Rajkumar Vajpeyi, Jose-Mario Capo-Chichi, Klaudia Nowak, Newton Wong, Runjan Chetty

{"title":"Gastrointestinal Stromal Tumours (GISTs) with KRAS Mutation: A Rare but Important Subset of GISTs.","authors":"Dorinda Mullen, Rajkumar Vajpeyi, Jose-Mario Capo-Chichi, Klaudia Nowak, Newton Wong, Runjan Chetty","doi":"10.1155/2023/4248128","DOIUrl":"https://doi.org/10.1155/2023/4248128","url":null,"abstract":"Gastrointestinal stromal tumours (GISTs) are the most common mesenchymal tumours of the GI tract, usually found in the stomach, jejunum, and ileum. Typically, they are KIT or PDGFR-mutated, allowing for targetable treatments with tyrosine kinase inhibitors such as imatinib. Here, we present two KRAS-mutated wild-type gastrointestinal tumours (GISTs). Both cases occurred in the small bowel of females. Immunohistochemical studies on both tumours showed KIT and DOG-1 positivity, with SDHB retained. Molecular analysis revealed a KRAS G12D mutation and a KRAS G13D mutation, respectively. Wild-type GISTs are extremely uncommon. They typically occur in the stomach or the small bowel. KRAS is one of the genes implicated in this subset of GIST, with KRAS G12D being the most frequently encountered mutation. GIST KRAS mutations can arise alone or in conjunction with KIT, PDFRA, or BRAF mutations. Identification of these rare molecular subtypes is clinically important due to their resistance to imatinib therapy.","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2023 ","pages":"4248128"},"PeriodicalIF":0.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10471449/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10153240","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