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Novel Use of EndoFLIP to Characterize Kock Pouch Stricture Before and After Endoscopic Intervention. 新颖地使用 EndoFLIP 来描述内镜干预前后的 Kock Pouch 狭窄。
IF 0.6
ACG Case Reports Journal Pub Date : 2024-11-20 eCollection Date: 2024-11-01 DOI: 10.14309/crj.0000000000001555
Alexa M Choy, Sydney Pomenti, David A Katzka, Bo Shen
{"title":"Novel Use of EndoFLIP to Characterize Kock Pouch Stricture Before and After Endoscopic Intervention.","authors":"Alexa M Choy, Sydney Pomenti, David A Katzka, Bo Shen","doi":"10.14309/crj.0000000000001555","DOIUrl":"10.14309/crj.0000000000001555","url":null,"abstract":"<p><p>Stricture formation is a common complication after restorative proctocolectomy and Kock pouch surgery. Endoluminal functional lumen imaging probe (EndoFLIP) is a balloon catheter device that uses impedance planimetry to provide luminal pressure and dimension measurements. This case describes the first use of EndoFLIP to quantify the distensibility and diameter of a Kock pouch stricture before and after endoscopic balloon dilation and needle knife stricturotomy. EndoFLIP may be useful to more accurately define and quantify the technical success of endoscopic treatment of pouch strictures.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 11","pages":"e01555"},"PeriodicalIF":0.6,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11578196/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142680543","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
Monomorphic Epitheliotropic Intestinal T-Cell Lymphoma of the Duodenum. 十二指肠单形上皮细胞性肠T细胞淋巴瘤
IF 0.6
ACG Case Reports Journal Pub Date : 2024-11-20 eCollection Date: 2024-11-01 DOI: 10.14309/crj.0000000000001549
Shaili Babbar, Juan Cerezo, Renee Williams
{"title":"Monomorphic Epitheliotropic Intestinal T-Cell Lymphoma of the Duodenum.","authors":"Shaili Babbar, Juan Cerezo, Renee Williams","doi":"10.14309/crj.0000000000001549","DOIUrl":"10.14309/crj.0000000000001549","url":null,"abstract":"<p><p>Monomorphic epitheliotropic intestinal T-cell lymphomas (MEITLs) are rare neoplasms that carry a poor prognosis. MEITLs originating in the duodenum are uncommon. There are only 3 published case reports of primary duodenal MEITLs. They are typically found in the jejunum or ileum because these parts of the small bowel have more lymphoid tissue. We present a 41-year-old man with weight loss and abdominal pain for 2 months. Imaging showed a heterogeneous duodenal mass, and subsequent endoscopy demonstrated a fungating, ulcerative mass with stigmata of recent bleeding in the duodenal sweep. Pathology from the biopsy revealed an MEITL.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 11","pages":"e01549"},"PeriodicalIF":0.6,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11578210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142680532","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
Dynamic Presentations of Recurrent Post-Transplant Lymphoproliferative Disorder in a Heart Transplant Recipient: A Rare Case Study. 一名心脏移植受者移植后淋巴增生性疾病复发的动态表现：罕见病例研究。
IF 0.6
ACG Case Reports Journal Pub Date : 2024-11-20 eCollection Date: 2024-11-01 DOI: 10.14309/crj.0000000000001554
Avi Toiv, Kevin B Harris, Muhammad Zarrar Khan, Brian K Theisen, Adarsh Varma, Christopher Fain, Nirmal Kaur
{"title":"Dynamic Presentations of Recurrent Post-Transplant Lymphoproliferative Disorder in a Heart Transplant Recipient: A Rare Case Study.","authors":"Avi Toiv, Kevin B Harris, Muhammad Zarrar Khan, Brian K Theisen, Adarsh Varma, Christopher Fain, Nirmal Kaur","doi":"10.14309/crj.0000000000001554","DOIUrl":"10.14309/crj.0000000000001554","url":null,"abstract":"<p><p>Post-transplant lymphoproliferative disorders (PTLD) are complications that arise from post-transplantation immunosuppressive therapy. Although Epstein-Barr virus (EBV) viremia is often seen in PTLD, it is not a definitive feature for diagnosis. We report a rare case of recurrent PTLD in a 26-year-old heart transplant recipient on high-dose tacrolimus who presented with emesis, fatigue, and bloody diarrhea. Although substantial EBV viremia was seen in the first PTLD episode, the current episode was a gastrointestinal manifestation with barely detectable circulating EBV. The patient's history of gastrointestinal disease delayed definitive diagnosis, which was later established through endoscopy and biopsy sample analysis.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 11","pages":"e01554"},"PeriodicalIF":0.6,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11578195/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142680531","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 Glomus Tumor Resected by Submucosal Tunneling Endoscopic Resection. 通过粘膜下隧道内窥镜切除术切除胃结肠肿瘤
IF 0.6
ACG Case Reports Journal Pub Date : 2024-11-16 eCollection Date: 2024-11-01 DOI: 10.14309/crj.0000000000001553
Sérgio Bronze, Inês Botto, Leonor Ruivo, Tiago Oliveira, Miguel Moura, Luís Carrilho Ribeiro, Luís Correia
{"title":"Gastric Glomus Tumor Resected by Submucosal Tunneling Endoscopic Resection.","authors":"Sérgio Bronze, Inês Botto, Leonor Ruivo, Tiago Oliveira, Miguel Moura, Luís Carrilho Ribeiro, Luís Correia","doi":"10.14309/crj.0000000000001553","DOIUrl":"10.14309/crj.0000000000001553","url":null,"abstract":"<p><p>Gastric glomus tumor (GGT) is a rare mesenchymal neoplasm, that is usually asymptomatic. Although benign, malignant transformation has been reported. A 59-year-old man presented with dyspepsia refractory to treatment with proton-pump inhibitor over 6 months. Esophagogastroduodenoscopy revealed a 30 mm subepithelial lesion in the distal gastric antrum, in contact with the pylorus, but biopsies were nonspecific. Upper endoscopic ultrasound revealed a well-defined submucosal echogenic lesion measuring 30 × 20 mm, without muscularis propria involvement. A fine-needle aspiration biopsy showed GGT features. En bloc endoscopic resection was performed using the submucosal tunneling endoscopic resection technique. The histopathological study of the specimen confirmed the diagnosis of a GGT with free margins. The patient remains symptom-free after a 9-month follow-up. We highlight the rare diagnosis of GGT and the possibility of curative en bloc endoscopic resection with submucosal tunneling endoscopic resection.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 11","pages":"e01553"},"PeriodicalIF":0.6,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11573322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142666249","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
Orofacial Granulomatosis and Crohn's Disease: A Case Series. 口唇肉芽肿病与克罗恩病：病例系列。
IF 0.6
ACG Case Reports Journal Pub Date : 2024-11-16 eCollection Date: 2024-11-01 DOI: 10.14309/crj.0000000000001559
Siri A Urquhart, Grace Y Kim, Katelyn R Anderson, Victor G Chedid
{"title":"Orofacial Granulomatosis and Crohn's Disease: A Case Series.","authors":"Siri A Urquhart, Grace Y Kim, Katelyn R Anderson, Victor G Chedid","doi":"10.14309/crj.0000000000001559","DOIUrl":"10.14309/crj.0000000000001559","url":null,"abstract":"<p><p>Orofacial granulomatosis (OFG) is a rare syndrome that can occur in association with Crohn's disease (CD). The electronic medical record was searched for \"OFG\" and \"CD.\" A total of 297 patients were identified, and relevant data were abstracted. Five patients met inclusion criteria. Most (80%) had ileocolonic CD with nonstricturing/nonpenetrating phenotype. The most common treatments included intralesional corticosteroids (4 patients), oral corticosteroids (3 patients), and anti-TNF agents, specifically infliximab (3 patients). Intralesional corticosteroid administration was followed by partial response in 3 patients, but recurrences were common following initial injection. One patient had no response to topical or oral corticosteroids, antihistamines, or oral antibiotics, but partial response to intralesional corticosteroids and infliximab. None of the patients had complete response to any therapies directed at this condition. OFG may be characterized by partial response, often requiring long-term therapy. Additional investigations into novel treatments may improve future clinical outcomes.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 11","pages":"e01559"},"PeriodicalIF":0.6,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11573323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142666250","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
Coexistence of Intestinal Spirochetosis and Colorectal Cancer: Could the Coil be Carcinogenic? 肠螺旋体病与大肠癌并存：线圈会致癌吗？
IF 0.6
ACG Case Reports Journal Pub Date : 2024-11-16 eCollection Date: 2024-11-01 DOI: 10.14309/crj.0000000000001557
Hannah Zuercher, Arvin Daneshmand, Eugene Stolow, Matthew Giansiracusa, Robert Allan, Antonios Sapounas
{"title":"Coexistence of Intestinal Spirochetosis and Colorectal Cancer: Could the Coil be Carcinogenic?","authors":"Hannah Zuercher, Arvin Daneshmand, Eugene Stolow, Matthew Giansiracusa, Robert Allan, Antonios Sapounas","doi":"10.14309/crj.0000000000001557","DOIUrl":"10.14309/crj.0000000000001557","url":null,"abstract":"<p><p>Intestinal spirochetosis (IS) is an infectious gastrointestinal disease caused by <i>Brachyspira</i> bacteria. We detail an exceedingly rare case of IS with concomitant invasive colorectal adenocarcinoma (CRC) in a 58-year-old man presenting with abdominal discomfort and fever. Colonoscopic evaluation revealed abnormal-appearing, nodular cecal mucosa and a 35 mm rectosigmoid mass. Histopathology confirmed IS infection and CRC. Our case report is the first to detail IS diagnosed concurrently with colorectal cancer. It highlights the necessity of a high index of suspicion for IS in patients presenting with abdominal discomfort and endoscopic evidence of irregular nodular mucosa, particularly in the setting of suspected CRC. It further details potential pathophysiologic links between IS and colorectal malignancy.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 11","pages":"e01557"},"PeriodicalIF":0.6,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11573331/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142666228","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
Periampullary Diffuse Large B-Cell Lymphoma Presenting as Acute Pancreatitis. 表现为急性胰腺炎的髓周弥漫大 B 细胞淋巴瘤
IF 0.6
ACG Case Reports Journal Pub Date : 2024-11-15 eCollection Date: 2024-11-01 DOI: 10.14309/crj.0000000000001550
Binyamin R Abramowitz, Nicholas Ridout, Hagar Attia, Zhonghua Li, Patrick J Hammill, Evan B Grossman
{"title":"Periampullary Diffuse Large B-Cell Lymphoma Presenting as Acute Pancreatitis.","authors":"Binyamin R Abramowitz, Nicholas Ridout, Hagar Attia, Zhonghua Li, Patrick J Hammill, Evan B Grossman","doi":"10.14309/crj.0000000000001550","DOIUrl":"10.14309/crj.0000000000001550","url":null,"abstract":"<p><p>Periampullary malignancies are uncommon and encompass a wide variety of tumors. Early and accurate biopsy-proven diagnosis is important because different malignancy subtypes warrant different management and treatment plans. We present a unique and rare case of periampullary lymphoma, initially presenting as acute pancreatitis.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 11","pages":"e01550"},"PeriodicalIF":0.6,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11567703/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142646813","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
Utility of Endoscopic Full-Thickness Resection for Refractory Rectal Bleeding in Chronic Radiation Proctitis. 内窥镜全厚切除术治疗慢性放射性直肠炎难治性直肠出血的效用
IF 0.6
ACG Case Reports Journal Pub Date : 2024-11-09 eCollection Date: 2024-11-01 DOI: 10.14309/crj.0000000000001556
Benjamin I Richter, Yazan Abboud, Ben Flikshteyn, Kaveh Hajifathalian
{"title":"Utility of Endoscopic Full-Thickness Resection for Refractory Rectal Bleeding in Chronic Radiation Proctitis.","authors":"Benjamin I Richter, Yazan Abboud, Ben Flikshteyn, Kaveh Hajifathalian","doi":"10.14309/crj.0000000000001556","DOIUrl":"https://doi.org/10.14309/crj.0000000000001556","url":null,"abstract":"<p><p>Severe rectal bleeding is a rare complication of chronic radiation proctitis (CRP). Given CRP's propensity to involve the full thickness of the rectal tissue, we proposed that endoscopic full-thickness resection may be a successful therapeutic modality for treating CRP. A 76-year-old man with multiple comorbid conditions who was not a surgical candidate presented with severe bleeding secondary to CRP that was refractory to all medical and therapeutic interventions. An endoscopic full-thickness resection was performed, which initially resulted in hemostasis, but the patient ultimately developed recurrent rectal bleeding, and endoscopic resection was determined to be unsuccessful.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 11","pages":"e01556"},"PeriodicalIF":0.6,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11554342/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142611707","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
Rare Metastasis of Prostate Cancer in a Man With Ulcerative Colitis After Creation of an Ileal Pouch. 一名溃疡性结肠炎患者在建立回肠袋后罕见的前列腺癌转移。
IF 0.6
ACG Case Reports Journal Pub Date : 2024-11-09 eCollection Date: 2024-11-01 DOI: 10.14309/crj.0000000000001552
Mark Zemanek, Joseph Carter Powers, Katherine Westbrook, Emma Dester, Riley Smith, Taha Qazi
{"title":"Rare Metastasis of Prostate Cancer in a Man With Ulcerative Colitis After Creation of an Ileal Pouch.","authors":"Mark Zemanek, Joseph Carter Powers, Katherine Westbrook, Emma Dester, Riley Smith, Taha Qazi","doi":"10.14309/crj.0000000000001552","DOIUrl":"https://doi.org/10.14309/crj.0000000000001552","url":null,"abstract":"<p><p>Prostate cancer is one of the most common globally diagnosed cancers in men. It most frequently metastasizes to bones, lymph nodes, lungs, or the liver. There are limited data investigating the impact of prostate cancer on patients who have undergone ileal pouch-anal anastomosis. We explore the case and the diagnosis of a 68-year-old man with prostate adenocarcinoma that metastasized to the ileal pouch and ultimately required pouch explant. In addition, we discuss the challenges associated with screening and treating prostate cancer in patients with ileal pouch-anal anastomosis.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 11","pages":"e01552"},"PeriodicalIF":0.6,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11554348/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142611736","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 Delayed Postoperative Anastomotic Submucosal Abscess. 术后延迟性吻合口粘膜下脓肿
IF 0.6
ACG Case Reports Journal Pub Date : 2024-11-09 eCollection Date: 2024-11-01 DOI: 10.14309/crj.0000000000001545
Xiao-Tong Hu, Dong Wang
{"title":"A Delayed Postoperative Anastomotic Submucosal Abscess.","authors":"Xiao-Tong Hu, Dong Wang","doi":"10.14309/crj.0000000000001545","DOIUrl":"https://doi.org/10.14309/crj.0000000000001545","url":null,"abstract":"<p><p>Delayed anastomotic submucosal abscess is a rare complication of rectal tumor resection. A submucosal tumor-like lesion near the anastomotic site was detected in a 57-year-old woman, and pus and sutures were found through spontaneously formed fistulas. Endoscopic ultrasound confirmed the presence of hyperechoic pus flowing out from the fistulas on compression of the lesion. The patient recovered well without surgery. This case indicates that submucosal abscess should be taken into consideration if suspected submucosal tumor-like lesions are detected after rectal surgery. Endoscopic drainage combined with antibiotic treatment may be an effective strategy for limited postoperative anastomotic abscess.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 11","pages":"e01545"},"PeriodicalIF":0.6,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11554341/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142611713","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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