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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
IF 0.7
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
{"title":"Mucinous Signet-Cell Adenocarcinoma of the Ileum: A Diagnostic Challenge—Case Report and Review of the Literature","authors":"T. Martins, Jalaluddin Umar, Kevin Groudan, H. Bharadwaj, D. Desilets","doi":"10.1155/2022/5703407","DOIUrl":"https://doi.org/10.1155/2022/5703407","url":null,"abstract":"Malignancies of the small intestine are rare. Signet-ring cell carcinoma (SRCC) is one of the rarest forms of adenocarcinoma that can arise in the small intestines. We present a case of a patient who originally presented with abdominal pain and radiographic findings suggestive of ileal congestion. The ileal biopsy specimens were nonspecific, and the patient began a trial of corticosteroid treatment for suspected Crohn's disease. A repeat colonoscopy yielded biopsies that were positive for malignancy. The patient then underwent an exploratory laparotomy which led to the diagnosis of SRCC. Given their similar presentations and the extreme rarity of this unusual malignancy, it can be difficult to differentiate between new-onset Crohn's disease and SRCC. A review of the literature was conducted to provide us with an improved understanding of previously documented cases of SRCC.","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2022-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88644548","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: 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
IF 0.7
Case Reports in Gastrointestinal Medicine Pub Date : 2022-05-27 DOI: 10.1155/2022/6013579
A. Salehi, H. Salehi, Maryam Hasanzarrini, E. Khanlarzadeh
{"title":"Report of a Misleading Case of the Superior Mesenteric Artery Syndrome","authors":"A. Salehi, H. Salehi, Maryam Hasanzarrini, E. Khanlarzadeh","doi":"10.1155/2022/6013579","DOIUrl":"https://doi.org/10.1155/2022/6013579","url":null,"abstract":"Superior mesenteric artery syndrome (SMAS), which is also known as the cast syndrome, Wilkie's syndrome, or chronic duodenal ileus, is a specific type of duodenal obstruction characterized by the obstruction of the inferior part of the duodenum due to its compression between the superior mesenteric artery (SMA) and the aorta. This problem is usually resulting from loss of the mesenteric fat pad. The present report describes a case of SMAS who was an 18-year-old woman presenting with weight loss and postprandial pain. The patient was initially diagnosed with Helicobacter pylori infection and underwent antibiotic therapy. However, the related symptoms did not resolve. Finally, she was ordered a CT scan, which led to the diagnosis of SMAS.","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"51 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2022-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90595308","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
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
IF 0.7
Case Reports in Gastrointestinal Medicine Pub Date : 2022-05-27 DOI: 10.1155/2022/9917884
Rajarajeshwari Ramachandran, Vikash Kumar, Giovannie Isaac-Coss, D. Etienne
{"title":"Silica Desiccant Canister: An Unusual Colonic Foreign Body","authors":"Rajarajeshwari Ramachandran, Vikash Kumar, Giovannie Isaac-Coss, D. Etienne","doi":"10.1155/2022/9917884","DOIUrl":"https://doi.org/10.1155/2022/9917884","url":null,"abstract":"We are reporting a case of incidental identification and removal of two silica desiccant canisters from the cecum in a patient undergoing screening colonoscopy.","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"18 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2022-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87566935","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
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?
IF 0.7
Case Reports in Gastrointestinal Medicine Pub Date : 2022-05-27 DOI: 10.1155/2022/5943468
Krystal Mills, S. Fatima, N. Fas
{"title":"Crohn's Disease Diagnosed in a Man with Sarcoidosis: Coincidence or Correspondence?","authors":"Krystal Mills, S. Fatima, N. Fas","doi":"10.1155/2022/5943468","DOIUrl":"https://doi.org/10.1155/2022/5943468","url":null,"abstract":"Crohn's disease and sarcoidosis are characterized by noncaseating granulomas, but rarely do they present in the same patient. Their coexistence presents a diagnostic challenge as they are often classified as clinically separate, despite their similarities. We present a case of a 59-year-old man previously diagnosed with pulmonary sarcoidosis who presented to the emergency room with abdominal pain and diarrhea. Colonoscopy revealed multiple ulcers in the colon, with histology in keeping with newly diagnosed Crohn's colitis. The patient had a good clinical response to initiation of steroid therapy and a tumor necrosis factor (TNF) inhibitor.","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"13 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2022-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78571309","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
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
IF 0.7
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
{"title":"Intestinal Tuberculosis Presenting with Gastrointestinal Bleeding in Patient on Warfarin Therapy","authors":"Werimo Pascal Kuka, Joe Rakiro, J. Gatheru, F. Riunga, A. Rajula","doi":"10.1155/2022/9277789","DOIUrl":"https://doi.org/10.1155/2022/9277789","url":null,"abstract":"Background Intestinal tuberculosis (ITB) constitutes less than 5% of overall cases of extrapulmonary disease and mostly affects the ileocecal region. The presentation and radiologic findings in enteric tuberculosis can mimic Crohn's disease (CD). Case Presentation. We present a case report of an African woman who presented to a Kenyan hospital with lower gastrointestinal bleeding while on anticoagulation for valvular atrial fibrillation, and was diagnosed with intestinal tuberculosis after colonoscopy, biopsy, and positive staining for tuberculous bacilli. Conclusion Intestinal tuberculosis causing gastrointestinal bleeding is rare but should be suspected in patients living in TB endemic regions.","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"72 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2022-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80957627","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
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
IF 0.7
Case Reports in Gastrointestinal Medicine Pub Date : 2022-04-28 DOI: 10.1155/2022/7535036
E. Pliakou, D. Lampropoulou, N. Soupos, G. Aravantinos
{"title":"Synchronous Gastric Adenocarcinoma and Diffuse Large B-Cell Lymphoma in the Pelvis: A Rare Case Presentation","authors":"E. Pliakou, D. Lampropoulou, N. Soupos, G. Aravantinos","doi":"10.1155/2022/7535036","DOIUrl":"https://doi.org/10.1155/2022/7535036","url":null,"abstract":"Multiple primary cancer (MPC) is defined as more than one primary tumour diagnosed at the same patient, either simultaneously or sequentially. Its incidence is low and varies in reporting among medical centers. Diffuse large B-cell lymphoma (DLBCL) is the most common subtype of non-Hodgkin lymphoma (NHL) while gastric cancer (GC) is the fifth most frequently diagnosed malignancy. The aim of this article is to present a rare case of a female patient who was diagnosed with two synchronous malignancies, an adenocarcinoma of the stomach (SRCC) and an aggressive extranodal NH lymphoma (DLBCL) within 2 months. Given the fact that there is an expanding availability of more sensitive diagnostic and screening methods, we aim to increase surveillance amongst medical doctors and provide valuable information for further systematic analysis and identification of such rare cases of concurrent malignancies.","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"12 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2022-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82849964","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: 3
Recurrent Ileal Variceal Bleeding as a Diagnostic and Therapeutic Challenge 复发性回肠静脉曲张出血作为诊断和治疗的挑战
IF 0.7
Case Reports in Gastrointestinal Medicine Pub Date : 2022-04-26 DOI: 10.1155/2022/7072961
Marek Cingel, J. Benko, M. Samoš, M. Mokáň
{"title":"Recurrent Ileal Variceal Bleeding as a Diagnostic and Therapeutic Challenge","authors":"Marek Cingel, J. Benko, M. Samoš, M. Mokáň","doi":"10.1155/2022/7072961","DOIUrl":"https://doi.org/10.1155/2022/7072961","url":null,"abstract":"Introduction Massive ileal variceal bleeding is a rare intricate condition that needs rapid management and treatment. The absence of randomized clinical trials in this field leads to a lack of evidence-based diagnostic and therapeutical approaches. We present a case report describing imaging, endoscopic, and surgical procedures leading to the diagnosis and resolution of severe ileal variceal bleeding. Case Report. We admitted a 63-year-old patient for recurrent anemia and ongoing bleeding from the gastrointestinal tract presenting as enterorrhagia. We were not able to elucidate the source by endoscopic, angiographic, or nuclear imaging methods. As a last resort, we carried out a surgical procedure with peroperative enteroscopy and subsequent resection of the affected part of the intestine. Conclusion We present a patient with a case of ileal variceal bleeding, which required extensive diagnostic and therapeutic effort with a unique peroperative enteroscopic approach.","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"36 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2022-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84029691","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
A Case of Systemic AL Amyloidosis Diagnosed by Screening Colonoscopy 结肠镜筛查诊断系统性AL淀粉样变1例
IF 0.7
Case Reports in Gastrointestinal Medicine Pub Date : 2022-04-20 DOI: 10.1155/2022/5562281
L. Alnimer, A. Zakaria, J. Patel, Y. Samhouri, S. Ahsan, Lyle S. Goldman, S. Sorser
{"title":"A Case of Systemic AL Amyloidosis Diagnosed by Screening Colonoscopy","authors":"L. Alnimer, A. Zakaria, J. Patel, Y. Samhouri, S. Ahsan, Lyle S. Goldman, S. Sorser","doi":"10.1155/2022/5562281","DOIUrl":"https://doi.org/10.1155/2022/5562281","url":null,"abstract":"Amyloidosis encompasses several diseases associated with deposition of low-molecular-weight proteins in an abnormal configuration. In light-chain amyloidosis (AL), monoclonal free lambda (λ) or kappa (κ) light chains are the amyloid proteins involved and can deposit in almost any organ. Symptoms vary depending on presence and extent of organ involvement, and thus, clinical presentation varies. Diagnosis requires biopsy of the affected tissue, and sometimes, fat pad or bone marrow biopsy is completed initially. Prognosis of AL amyloidosis depends on the presence of cardiac involvement. Treatment of AL amyloidosis involves systemic chemotherapy and evaluation for autologous stem cell transplant. Herein, we present a case report of an asymptomatic middle-aged female who was diagnosed with AL amyloidosis during an average-risk screening colonoscopy, which is an unusual setting. We discuss the workup involved, clinical presentation, and gastroenterology-related organ involvement.","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"8 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2022-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85034892","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
Two Cases of Duodenal Ulcers That Developed after Transcatheter Procedures for Unruptured Visceral Artery Aneurysms 未破裂的内脏动脉瘤经导管治疗后发生十二指肠溃疡2例
IF 0.7
Case Reports in Gastrointestinal Medicine Pub Date : 2022-04-07 DOI: 10.1155/2022/9988216
M. Iwamuro, Yusuke Kawai, M. Uka, Y. Matsui, T. Hiraki, Y. Kawahara, H. Okada
{"title":"Two Cases of Duodenal Ulcers That Developed after Transcatheter Procedures for Unruptured Visceral Artery Aneurysms","authors":"M. Iwamuro, Yusuke Kawai, M. Uka, Y. Matsui, T. Hiraki, Y. Kawahara, H. Okada","doi":"10.1155/2022/9988216","DOIUrl":"https://doi.org/10.1155/2022/9988216","url":null,"abstract":"Herein, we report two cases of duodenal ulcers that developed after transcatheter procedures for the treatment of unruptured artery aneurysms. Both patients recovered after the administration of nothing by mouth, intravenous fluids, and proton-pump inhibitors. Notably, the duodenal ulcer was unchanged in one patient six days after endovascular treatment and improved in the other patient 13 days after angiography. These cases suggest that conservative treatment is acceptable in patients with duodenal ischemia that develops as an adverse effect of endovascular procedures. The usefulness of esophagogastroduodenoscopy in such patients has also been highlighted.","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"75 4 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2022-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90571227","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: 1
An Uncommon Presentation of Carcinosarcoma of the Stomach and a Minimally Invasive Approach for Treatment 一种罕见的胃癌肉瘤的表现和一种微创治疗方法
IF 0.7
Case Reports in Gastrointestinal Medicine Pub Date : 2022-04-07 DOI: 10.1155/2022/1047334
Anoush Calikyan, A. Boto, Valeriia Klymenko, I. Siddiqui
{"title":"An Uncommon Presentation of Carcinosarcoma of the Stomach and a Minimally Invasive Approach for Treatment","authors":"Anoush Calikyan, A. Boto, Valeriia Klymenko, I. Siddiqui","doi":"10.1155/2022/1047334","DOIUrl":"https://doi.org/10.1155/2022/1047334","url":null,"abstract":"Carcinosarcoma is a rare malignant neoplasm that is composed of both epithelial and mesenchymal tumor components. Gastric carcinosarcoma is even more rare and is often diagnosed at a late stage. In this report, we investigate a case of early gastric carcinosarcoma with regional lymph node metastasis in a 78-year-old woman. The patient underwent partial gastrectomy, lymphadenectomy, and splenectomy. The tumor was confined to the gastric submucosa, and a biopsy specimen led to a histological diagnosis of carcinosarcoma with adenocarcinoma, squamous-cell carcinoma, and undifferentiated pleomorphic sarcoma components. Metastasis was present in one lymph node and displayed osteosarcomatous differentiation. Vigilant monitoring for recurrence and metastatic disease will be required for this patient.","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"112 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2022-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79633223","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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