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Case Reports in Gastrointestinal Medicine最新文献

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An Alarming Mimicry of Intra-Abdominal Infections: Acute Appendiceal Diverticulitis. 腹腔内感染的惊人模拟:急性阑尾憩室炎。
IF 0.7
Case Reports in Gastrointestinal Medicine Pub Date : 2021-11-12 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6131015
Youseung Kim, Varun Kesar, Douglas Grider, Maithili V Chitnavis
{"title":"An Alarming Mimicry of Intra-Abdominal Infections: Acute Appendiceal Diverticulitis.","authors":"Youseung Kim,&nbsp;Varun Kesar,&nbsp;Douglas Grider,&nbsp;Maithili V Chitnavis","doi":"10.1155/2021/6131015","DOIUrl":"https://doi.org/10.1155/2021/6131015","url":null,"abstract":"<p><p>A 65-year-old woman presented with three days of colicky abdominal pain. Abdominal imaging illustrated small bowel enteritis, ascites in both paracolic gutters, and incidental hepatic steatosis. Although ascites fluid demonstrated high neutrophil count consistent with peritonitis and the patient received adequate antibiotics, she clinically deteriorated. Subsequent exploratory laparotomy revealed necrotic appendix and multiple intra-abdominal abscesses. Histopathology showed acute suppurative appendicitis with multiple other intact small diverticula, indicating likely perforation of inflamed appendiceal diverticula with subsequent abscess formation and abdominal peritonitis. This case highlights the importance of ascites fluid analysis and continued clinical correlation, especially in cases of rare entities with atypical presentations.</p>","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2021 ","pages":"6131015"},"PeriodicalIF":0.7,"publicationDate":"2021-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8604594/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39897526","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
Acute Mesenteric Ischemia in a COVID-19 Patient: Delay in Referral and Recommendation for Surgery. 1例COVID-19患者急性肠系膜缺血:延迟转诊和推荐手术
IF 0.7
Case Reports in Gastrointestinal Medicine Pub Date : 2021-11-12 eCollection Date: 2021-01-01 DOI: 10.1155/2021/1999931
Mohammad Hossein Bagheripour, Mohammad Ali Zakeri
{"title":"Acute Mesenteric Ischemia in a COVID-19 Patient: Delay in Referral and Recommendation for Surgery.","authors":"Mohammad Hossein Bagheripour,&nbsp;Mohammad Ali Zakeri","doi":"10.1155/2021/1999931","DOIUrl":"10.1155/2021/1999931","url":null,"abstract":"<p><p>Coronavirus (COVID-19) is more common with symptoms such as fever, dry cough, and shortness of breath. However, it may be associated with COVID-19-induced gastrointestinal (GI) symptoms including acute mesenteric ischemia (AMI). These conditions make the diagnosis of AMI challenging. Timely referral with correct diagnosis and attention to the uncommon symptoms of COVID-19 can play an important role in the management and treatment of AMI in COVID-19 patients. We present a patient with AMI due to thrombotic complications of COVID-19, who referred to the hospital too late and ignored the recommendation for abdominal surgery.</p>","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2021 ","pages":"1999931"},"PeriodicalIF":0.7,"publicationDate":"2021-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8589525/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39877297","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: 3
CMV-Related Gastric Ulcer and Gastroduodenitis in an Immunocompetent Patient: A Case Report and Literature Review. 免疫正常患者巨细胞病毒相关胃溃疡和胃十二指肠炎1例报告及文献复习。
IF 0.7
Case Reports in Gastrointestinal Medicine Pub Date : 2021-11-12 eCollection Date: 2021-01-01 DOI: 10.1155/2021/3513223
Andrawus Beany, Tova Rainis
{"title":"CMV-Related Gastric Ulcer and Gastroduodenitis in an Immunocompetent Patient: A Case Report and Literature Review.","authors":"Andrawus Beany,&nbsp;Tova Rainis","doi":"10.1155/2021/3513223","DOIUrl":"https://doi.org/10.1155/2021/3513223","url":null,"abstract":"<p><strong>Background: </strong>Cytomegalovirus (CMV)- related gastroduodenal infection is rare in immunocompetent hosts, and although it is considered a self-limiting condition in most cases, there is scarce literature to assert its management. <i>Case Presentation</i>. We report a case of a 66-year-old immunocompetent male patient diagnosed with a giant gastric ulcer caused by CMV infection. The ulcer manifested as refractory vomiting and melena. Rapid and full resolution was observed on proton-pump inhibitor (PPI) monotherapy.</p><p><strong>Conclusion: </strong>Gastric CMV infection might mimic an advanced gastric tumor in individuals with an intact immune system. The condition is rare, and the diagnosis is challenging and oftentimes overlooked. However, a rapid resolution has been documented in all cases, even without antiviral therapy.</p>","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2021 ","pages":"3513223"},"PeriodicalIF":0.7,"publicationDate":"2021-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8604585/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39897527","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: 3
A Novel Cause of Biliary Peritonitis after Endoscopic Retrograde Cholangiopancreatography: Case Report and Literature Review. 内镜逆行胆管造影后胆性腹膜炎的新病因:病例报告及文献复习。
IF 0.7
Case Reports in Gastrointestinal Medicine Pub Date : 2021-10-21 eCollection Date: 2021-01-01 DOI: 10.1155/2021/3814080
Andrija Karačić, Paula Batur, Domagoj Štritof, Taro Fukui, Branko Bakula, Inka Kekez
{"title":"A Novel Cause of Biliary Peritonitis after Endoscopic Retrograde Cholangiopancreatography: Case Report and Literature Review.","authors":"Andrija Karačić,&nbsp;Paula Batur,&nbsp;Domagoj Štritof,&nbsp;Taro Fukui,&nbsp;Branko Bakula,&nbsp;Inka Kekez","doi":"10.1155/2021/3814080","DOIUrl":"https://doi.org/10.1155/2021/3814080","url":null,"abstract":"<p><strong>Background: </strong>Endoscopic retrograde cholangiopancreatography (ERCP) can lead to several complications such as duodenal or bile duct perforation. The incidence of pneumoperitoneum post-ERCP is rarely seen (<1%) and is associated with perforations of the duodenum or common bile duct in therapeutic ERCP after sphincterotomy. In this case, we disclose a novel cause of biliary peritonitis after ERCP. <i>Case Presentation</i>. A 65-year-old man presented with abdominal pain and distended abdomen after uneventful ERCP with sphincterotomy. An abdominal computed tomography (CT) was performed whose finding indicated duodenal perforation. The patient was rushed to an emergency laparotomy where only a rupture of an otherwise normal subcapsular intrahepatic bile duct was found. The surrounding liver parenchyma was healthy. The cause of this condition was probably post-ERCP pneumobilia and the increase of pressure in the biliary tract.</p><p><strong>Conclusions: </strong>This is the first case in literature describing the rupture of a subcapsular healthy bile duct as cause of biliary peritonitis after ERCP. This case also suggests that in the management of post-ERCP complications, the cooperation of radiologists and surgeons is vital for the patient's wellbeing.</p>","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2021 ","pages":"3814080"},"PeriodicalIF":0.7,"publicationDate":"2021-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8553500/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39580275","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
Sweet Syndrome, Not so Sweet during an Ulcerative Colitis Flare Especially When You Cannot Eat. 甜综合症，溃疡性结肠炎发作时不太甜，尤其是当你不能吃东西的时候。
IF 0.7
Case Reports in Gastrointestinal Medicine Pub Date : 2021-09-30 eCollection Date: 2021-01-01 DOI: 10.1155/2021/9940391
Courtney Stead, Shahrad Hakimian, Christina Luffman, Zendee Elaba, Gregory Orlowski, Neil Marya
{"title":"Sweet Syndrome, Not so Sweet during an Ulcerative Colitis Flare Especially When You Cannot Eat.","authors":"Courtney Stead,&nbsp;Shahrad Hakimian,&nbsp;Christina Luffman,&nbsp;Zendee Elaba,&nbsp;Gregory Orlowski,&nbsp;Neil Marya","doi":"10.1155/2021/9940391","DOIUrl":"https://doi.org/10.1155/2021/9940391","url":null,"abstract":"<p><p>Sweet syndrome is a rare skin condition characterized by painful papules, nodules, or plaques with dense neutrophilic infiltrate in the upper dermis. It has been observed as idiopathic (classical), malignancy-associated, and drug-induced. The pathogenesis is not completely understood, but it is thought to involve hypersensitivity reactions to specific triggers. In some cases the etiology is unclear or may be multifactorial. We present a case of Sweet syndrome secondary to ulcerative colitis flare versus adalimumab re-induction.</p>","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2021 ","pages":"9940391"},"PeriodicalIF":0.7,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8497118/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39503424","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
Novel Presentation of Terminal Ileitis Associated with Secukinumab Therapy. 与Secukinumab治疗相关的晚期回肠炎的新表现。
IF 0.7
Case Reports in Gastrointestinal Medicine Pub Date : 2021-09-28 eCollection Date: 2021-01-01 DOI: 10.1155/2021/5213876
Aciel Ahmed Shaheen, Ismail Hader, Zakaria Aqel
{"title":"Novel Presentation of Terminal Ileitis Associated with Secukinumab Therapy.","authors":"Aciel Ahmed Shaheen,&nbsp;Ismail Hader,&nbsp;Zakaria Aqel","doi":"10.1155/2021/5213876","DOIUrl":"https://doi.org/10.1155/2021/5213876","url":null,"abstract":"<p><p>Inflammatory bowel disease (IBD) and psoriasis are chronic inflammatory immune-mediated diseases. The interleukin-23- (IL23-) T helper (Th)17 pathway has been implicated in their pathogenesis, with multiple biologic therapies targeting this pathway. IL-17, the main proinflammatory cytokine produced by (TH)17, has been targeted by antibodies and IL-17 receptor blockers with favorable outcomes in treating psoriasis and psoriatic arthritis. However, their role in IBD is unpredictable as studies reported worsening of IBD with agents targeting IL-17 and rare case reports with new-onset IBD. We present a case of Crohn's-like severe terminal ileitis and worsening diverticulitis complicated by intestinal perforation requiring total parenteral nutrition shortly after being started on secukinumab.</p>","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2021 ","pages":"5213876"},"PeriodicalIF":0.7,"publicationDate":"2021-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8492294/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39495964","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
Leukocytoclastic Vasculitis as a Rare Dermatologic Extraintestinal Manifestation of Ulcerative Colitis in an Elderly Patient with Positive PR3-ANCA. PR3-ANCA阳性老年溃疡性结肠炎患者罕见的皮肤病学肠外表现:白细胞破碎性血管炎。
IF 0.7
Case Reports in Gastrointestinal Medicine Pub Date : 2021-09-23 eCollection Date: 2021-01-01 DOI: 10.1155/2021/5767699
Jacky Ng, David Zezoff, Hanadi Abou Dargham
{"title":"Leukocytoclastic Vasculitis as a Rare Dermatologic Extraintestinal Manifestation of Ulcerative Colitis in an Elderly Patient with Positive PR3-ANCA.","authors":"Jacky Ng,&nbsp;David Zezoff,&nbsp;Hanadi Abou Dargham","doi":"10.1155/2021/5767699","DOIUrl":"https://doi.org/10.1155/2021/5767699","url":null,"abstract":"<p><p>Ulcerative colitis is an inflammatory bowel disease that in rare cases may develop extraintestinal manifestations. This case report aims to add to the limited clinical data on leukocytoclastic vasculitis and possible ANCA-associated vasculitis as rare cutaneous and rheumatologic extraintestinal manifestations of IBD, particularly in elderly patients. Our case involves a 79-year-old male with a history of mild-moderate ulcerative colitis on oral mesalamine 2.4 g daily and pyoderma gangrenosum who presented with recurrent bilateral polyarthralgia, joint swelling, diffuse lower extremity purpura, acute kidney injury, and scrotal rash. Autoimmune titers were significant for positive ANA and PR3-ANCA. Biopsy of purpuric lesions demonstrated findings suggestive of leukocytoclastic vasculitis. The patient was promptly treated with pulse-dose methylprednisolone for 3 days with rapid improvement of symptoms.</p>","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2021 ","pages":"5767699"},"PeriodicalIF":0.7,"publicationDate":"2021-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8486499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39482678","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
Retroperitoneal Fat Necrosis in Response to an Episode of Acute Pancreatitis. 急性胰腺炎引起的腹膜后脂肪坏死。
IF 0.7
Case Reports in Gastrointestinal Medicine Pub Date : 2021-09-23 eCollection Date: 2021-01-01 DOI: 10.1155/2021/1051077
M B Gilani, T Akcan, M Peterson, A Zahid
{"title":"Retroperitoneal Fat Necrosis in Response to an Episode of Acute Pancreatitis.","authors":"M B Gilani,&nbsp;T Akcan,&nbsp;M Peterson,&nbsp;A Zahid","doi":"10.1155/2021/1051077","DOIUrl":"https://doi.org/10.1155/2021/1051077","url":null,"abstract":"<p><p>Acute pancreatitis can result in fat necrosis, typically occurring in the peripancreatic region within weeks to months, and it generally appears as a low attenuation collection, with minimal heterogeneity. There are no specific imaging features that can diagnose retroperitoneal fat necrosis which may imitate other entities including certain malignancies, which may lead to invasive studies for diagnosis. Herein, we present a case of extensive retroperitoneal fat necrosis beyond the peripancreatic region that developed 10 days after an episode of acute pancreatitis.</p>","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2021 ","pages":"1051077"},"PeriodicalIF":0.7,"publicationDate":"2021-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8486497/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39482677","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
Extraintestinal Amoebiasis in Women after 6th Day of Delivery. 产后第6天妇女肠外阿米巴病的发生。
IF 0.7
Case Reports in Gastrointestinal Medicine Pub Date : 2021-09-20 eCollection Date: 2021-01-01 DOI: 10.1155/2021/1395404
Awoke Minwuyelet, Yibeltal Aschale, Solomon Ayenew
{"title":"Extraintestinal Amoebiasis in Women after 6<sup>th</sup> Day of Delivery.","authors":"Awoke Minwuyelet,&nbsp;Yibeltal Aschale,&nbsp;Solomon Ayenew","doi":"10.1155/2021/1395404","DOIUrl":"https://doi.org/10.1155/2021/1395404","url":null,"abstract":"<p><strong>Background: </strong>Extraintestinal amoebiasis is more common in countries with lower socioeconomic status. Complication related to amoebiasis is common in pregnant patients with malnutrition and others. Severe cases can be associated with high fatality rates. We would like to report a patient with a presumptive diagnosis of extraintestinal amoebiasis who was on the 6th postpartum day after intrauterine fetal death (IUFD). <i>Case Presentation</i>. The patient was a 31 year-old female who was on 6th postpartum day after IUFD after the 9th month of amenorrhea. She presented with severe epigastric pain, hiccups, and bloody vomiting of ingested matter for 5 days. She also had right upper quadrat pain and fatigue. In addition, she had generalized body weakness and yellowish discoloration of the eyes for one week. Moreover, she had pruritus, fever, and a history of watery diarrhea 6 days ago which got subsided during the presentation. Laboratory investigation indicated leukocytosis and increased level of alkaline phosphatase and direct and total bilirubin. Trophozoite of <i>E. histolytica</i> was seen on stool microscope, negative for viral marker and <i>Helicobacter pylori</i>. Abdominal ultrasonography showed normal liver parenchyma and biliary system. She was treated onsite with 500 mg metronidazole and 500 mg ceftriaxone for five days and discharged with metronidazole 500 mg PO three times a day and cloxacillin 500 mg PO four times a day for 7 days.</p><p><strong>Conclusions: </strong>Extraintesinal amoebiasis can be resolved if it is diagnosed early and treated with metronidazole. Clinicians should not neglect amoebiasis in patients presenting with jaundice and right upper quadrant pain.</p>","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2021 ","pages":"1395404"},"PeriodicalIF":0.7,"publicationDate":"2021-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8476250/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39470486","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
Atypical Blue Rubber Bleb Nevus in an African-American Male. 非裔美国男性非典型蓝色橡胶水泡痣。
IF 0.7
Case Reports in Gastrointestinal Medicine Pub Date : 2021-09-17 eCollection Date: 2021-01-01 DOI: 10.1155/2021/9992111
Harpreet S Gill, Paul Beinhoff, Sarah Grond, Mohan S Dhariwal, Pinky Jha
{"title":"Atypical Blue Rubber Bleb Nevus in an African-American Male.","authors":"Harpreet S Gill,&nbsp;Paul Beinhoff,&nbsp;Sarah Grond,&nbsp;Mohan S Dhariwal,&nbsp;Pinky Jha","doi":"10.1155/2021/9992111","DOIUrl":"https://doi.org/10.1155/2021/9992111","url":null,"abstract":"<p><p>Blue Rubber Bleb Nevus Syndrome (BRBNS), also known as Bean Syndrome, is a rare condition characterized by vascular ectasias that typically present systemically. Most diagnoses are made in early childhood due to cutaneous lesions in Caucasians with familial inheritance. Treatment is usually patient centered due to the wide variance in clinical presentation of the disease. Here, we present a case of BRBNS in a 65-year-old African-American patient with episodic gastrointestinal (GI) bleeding with no previous history. This case emphasizes the need for a higher clinical suspicion of the disease in patients with recurrent GI bleeding.</p>","PeriodicalId":45645,"journal":{"name":"Case Reports in Gastrointestinal Medicine","volume":"2021 ","pages":"9992111"},"PeriodicalIF":0.7,"publicationDate":"2021-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8463248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39475404","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
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