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Delayed Presentation of Metastatic Breast Cancer Masquerading as Nonspecific Gastritis. 伪装成非特异性胃炎的转移性乳腺癌的延迟表现。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-07-07 eCollection Date: 2025-07-01 DOI: 10.14309/crj.0000000000001761
Aagamjit Singh, Inayat Gill, Nishant Aggarwal, Atulkumar Patel
{"title":"Delayed Presentation of Metastatic Breast Cancer Masquerading as Nonspecific Gastritis.","authors":"Aagamjit Singh, Inayat Gill, Nishant Aggarwal, Atulkumar Patel","doi":"10.14309/crj.0000000000001761","DOIUrl":"10.14309/crj.0000000000001761","url":null,"abstract":"<p><p>Gastric metastasis from breast cancer is often difficult to diagnose due to nonspecific symptoms and variable endoscopic findings. We report a case of a 64-year-old woman with a long history of stable metastatic breast cancer to the spine who presented with new-onset weight loss and nausea. Cross-sectional imaging was negative for cancer spread to the gastrointestinal tract. She was found to have biopsy-proven breast cancer cells in the stomach, despite the absence of gastric lesions in a follow-up positron emission tomography scan. Apart from minimal gastritis, there were no visible nodules, ulcers, or features of linitis plastica on endoscopy.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 7","pages":"e01761"},"PeriodicalIF":0.6,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12233918/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144582808","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
Elusive Edematous Primary Intestinal Lymphangiectasia in an Adult Patient Presenting With New Onset of Protein-Losing Enteropathy. 隐蔽性水肿性原发性肠淋巴管扩张在一名成人患者中出现新发的蛋白质丢失性肠病。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-07-07 eCollection Date: 2025-07-01 DOI: 10.14309/crj.0000000000001764
Oscar Noble, Ramon O Minjares, Rebecca Yorke, Alberto Barroso
{"title":"Elusive Edematous Primary Intestinal Lymphangiectasia in an Adult Patient Presenting With New Onset of Protein-Losing Enteropathy.","authors":"Oscar Noble, Ramon O Minjares, Rebecca Yorke, Alberto Barroso","doi":"10.14309/crj.0000000000001764","DOIUrl":"10.14309/crj.0000000000001764","url":null,"abstract":"<p><p>Primary intestinal lymphangiectasia is a rare disorder characterized by the dilation of lymphatic vessels in the small intestine, resulting in the loss of proteins, particularly albumin, into the gastrointestinal tract which leads to a protein-losing enteropathy. We report the case of a 66-year-old African American man who presented with insidious abdominal pain, chronic diarrhea, hypoalbuminemia, leukopenia, and anemia. An elusive diagnosis of edematous subtype primary intestinal lymphangiectasia with protein-losing enteropathy was confirmed through a multimodal diagnostic approach, including video capsule endoscopy and small bowel endoscopy with biopsies. Treatment was focused on optimizing the patient's nutritional status.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 7","pages":"e01764"},"PeriodicalIF":0.6,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12233920/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144582809","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
Endoscopic Recanalization of a Long Segment Esophageal Obstruction Using the Combined Antegrade and Retrograde Rendezvous Procedure. 内镜下顺、逆行联合再通术治疗长段食管梗阻。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-07-03 eCollection Date: 2025-07-01 DOI: 10.14309/crj.0000000000001754
Himsikhar Khataniar, Katherine Albus, Inanc S Sarici, Sven E Eriksson, Shahin Ayazi
{"title":"Endoscopic Recanalization of a Long Segment Esophageal Obstruction Using the Combined Antegrade and Retrograde Rendezvous Procedure.","authors":"Himsikhar Khataniar, Katherine Albus, Inanc S Sarici, Sven E Eriksson, Shahin Ayazi","doi":"10.14309/crj.0000000000001754","DOIUrl":"10.14309/crj.0000000000001754","url":null,"abstract":"<p><p>The combined antegrade and retrograde endoscopic rendezvous technique effectively restores patency for esophageal short-segment obstructing strictures (<3 cm). However, long-segment strictures typically require complex surgery, with endoscopic management rarely reported. We report a 44-year-old man with a 9 cm esophageal obstruction due to peptic stricture who was at high risk of esophageal resection due to severe cardiac disease and prior abdominal surgeries. He underwent successful recanalization using a rendezvous technique. Serial dilations with subsequent esophageal stenting restored luminal patency. This case highlights the feasibility of an endoscopic approach as a safe and effective alternative to surgery in long-segment peptic strictures.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 7","pages":"e01754"},"PeriodicalIF":0.6,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12225991/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144558795","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
Safe Endoscopic Treatment for a Bleeding Infant With Multifocal Lymphangioendotheliomatosis and Thrombocytopenia (MLT). 多灶性淋巴管内皮瘤病合并血小板减少症出血婴儿的安全内镜治疗。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-06-27 eCollection Date: 2025-07-01 DOI: 10.14309/crj.0000000000001755
Or Steg Saban, Elena Pope, Govind B Chavhan, Manuel Carcao, Susanna Talarico, Simon C Ling
{"title":"Safe Endoscopic Treatment for a Bleeding Infant With Multifocal Lymphangioendotheliomatosis and Thrombocytopenia (MLT).","authors":"Or Steg Saban, Elena Pope, Govind B Chavhan, Manuel Carcao, Susanna Talarico, Simon C Ling","doi":"10.14309/crj.0000000000001755","DOIUrl":"10.14309/crj.0000000000001755","url":null,"abstract":"<p><p>We present the case of a 3-week-old girl with multiple cutaneous vascular lesions, melena, hematemesis, severe anemia (hemoglobin 4.4 g/dL), and thrombocytopenia (72 × 10<sup>3</sup>/µL), with clinical features consistent with multifocal lymphangioendotheliomatosis with thrombocytopenia (MLT). Upper gastrointestinal endoscopy revealed numerous actively bleeding angiomatous lesions, measuring 1-3 mm in diameter. Homeostasis was successfully achieved using argon plasma coagulation (APC). To our knowledge, this is among the few reports describing the effective use of APC in managing life-threatening gastric hemorrhage in an infant with MLT. While gastrointestinal perforation has been previously reported as a complication of endoscopic therapy in this context, our findings suggest that APC may be a viable option for refractory bleeding, provided that surgical support is immediately accessible.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 7","pages":"e01755"},"PeriodicalIF":0.6,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12204144/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144526018","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
Unraveled: Coil Migration After Embolization of Gastric Varices. 解开：胃静脉曲张栓塞后的线圈移动。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-06-27 eCollection Date: 2025-07-01 DOI: 10.14309/crj.0000000000001748
Sheel Patel, Dylan Flaherty, Nana Baah, Endashaw Omer
{"title":"Unraveled: Coil Migration After Embolization of Gastric Varices.","authors":"Sheel Patel, Dylan Flaherty, Nana Baah, Endashaw Omer","doi":"10.14309/crj.0000000000001748","DOIUrl":"10.14309/crj.0000000000001748","url":null,"abstract":"<p><p>Gastric varices are a severe complication of portal hypertension and may lead to life-threatening bleeding. Endovascular interventions, including transjugular intrahepatic portosystemic shunt and coil embolization, are effective treatment strategies. However, coil migration is a rare but serious complication. We present a unique case of coil migration from a gastric varix to the duodenum after transjugular intrahepatic portosystemic shunt and embolization.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 7","pages":"e01748"},"PeriodicalIF":0.6,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12204143/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144526020","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
Upadacitinib for the Treatment of Upper Gastrointestinal Crohn's Disease. Upadacitinib治疗上消化道克罗恩病
IF 0.6
ACG Case Reports Journal Pub Date : 2025-06-27 eCollection Date: 2025-07-01 DOI: 10.14309/crj.0000000000001749
Bader AlBader, Rishi Jairath, Haneen Baitalmal, Talat Bessissow
{"title":"Upadacitinib for the Treatment of Upper Gastrointestinal Crohn's Disease.","authors":"Bader AlBader, Rishi Jairath, Haneen Baitalmal, Talat Bessissow","doi":"10.14309/crj.0000000000001749","DOIUrl":"10.14309/crj.0000000000001749","url":null,"abstract":"<p><p>Data on the use of antitumor necrosis factor therapy have shown some positive outcomes in case reports or small observational studies such as the data showing the benefit of adalimumab in this rare presentation of Crohn's disease. To our knowledge, there is no published data on the use of upadacitinib in the treatment of upper gastrointestinal Crohn's disease. We present a case report of a young patient with severe oral and esophageal Crohn's disease that was successfully treated with upadacitinib.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 7","pages":"e01749"},"PeriodicalIF":0.6,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12204142/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144525978","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
Intestinal Lymphangioma Presenting With Small Bowel Bleeding. 肠淋巴管瘤表现为小肠出血。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-06-26 eCollection Date: 2025-07-01 DOI: 10.14309/crj.0000000000001743
Fatma Mahmoud, Jenan Ghaith, Javed Raza, Pascale Anglade
{"title":"Intestinal Lymphangioma Presenting With Small Bowel Bleeding.","authors":"Fatma Mahmoud, Jenan Ghaith, Javed Raza, Pascale Anglade","doi":"10.14309/crj.0000000000001743","DOIUrl":"10.14309/crj.0000000000001743","url":null,"abstract":"<p><p>Obscure gastrointestinal bleeding poses a diagnostic challenge for gastroenterologists, though advancements such as video capsule endoscopy and enteroscopy have led to increased detection of small bowel lymphangiomas. Lymphangiomas are benign tumors with dilated lymphatic channels that rarely affect the jejunum or ileum. We present a rare case of jejunal lymphangioma causing obscure gastrointestinal bleeding diagnosed by video capsule endoscopy, confirmed by enteroscopy, and successfully treated with surgical resection.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 7","pages":"e01743"},"PeriodicalIF":0.6,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12200224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144526017","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
The Diagnosis of Esophageal Lichen Planus: Recurrent Esophageal Strictures, Delayed-Onset Rash, and Tracheal Stenosis. 食管扁平苔藓的诊断：复发性食管狭窄、迟发性皮疹和气管狭窄。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-06-26 eCollection Date: 2025-07-01 DOI: 10.14309/crj.0000000000001744
Brian Gutermuth, Eric Shah, Linda Jiang
{"title":"The Diagnosis of Esophageal Lichen Planus: Recurrent Esophageal Strictures, Delayed-Onset Rash, and Tracheal Stenosis.","authors":"Brian Gutermuth, Eric Shah, Linda Jiang","doi":"10.14309/crj.0000000000001744","DOIUrl":"10.14309/crj.0000000000001744","url":null,"abstract":"<p><p>Lichen planus (LP) is a chronic inflammatory disorder involving the skin and mucous membranes. Esophageal LP is often under-recognized and may present with or without other mucocutaneous sites of involvement. Its diagnosis is made challenging by its variable presentation and high rate of negative biopsies. Although some studies have suggested diagnostic criteria and severity grading, no formal guidelines exist. Diagnosis is made with a combination of clinical presentation, macroscopic findings on endoscopy, and histologic evidence. This case report highlights the challenges in the diagnosis of biopsy-negative esophageal LP and importance of timely diagnosis and initiation of appropriate medical therapy.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 7","pages":"e01744"},"PeriodicalIF":0.6,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12204140/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144526019","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
Cracking the Code: A Practical Guide to Publishing in the ACG Case Reports Journal. 破解密码：ACG案例报告期刊出版的实用指南。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-06-26 eCollection Date: 2025-07-01 DOI: 10.14309/crj.0000000000001747
Himesh B Zaver, Daniyal Abbas, Prateek S Harne
{"title":"Cracking the Code: A Practical Guide to Publishing in the ACG Case Reports Journal.","authors":"Himesh B Zaver, Daniyal Abbas, Prateek S Harne","doi":"10.14309/crj.0000000000001747","DOIUrl":"10.14309/crj.0000000000001747","url":null,"abstract":"","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 7","pages":"e01747"},"PeriodicalIF":0.6,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12200211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144526016","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
New Diagnosis of Granulomatosis With Polyangiitis Presenting With Oral Ulcerations, Ileitis, and Hematochezia. 肉芽肿病合并多血管炎的新诊断表现为口腔溃疡、回肠炎和便血。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-06-25 eCollection Date: 2025-06-01 DOI: 10.14309/crj.0000000000001746
Stacey Rolak, Michael M Pham, Dora M Lam-Himlin, Mashal J Batheja
{"title":"New Diagnosis of Granulomatosis With Polyangiitis Presenting With Oral Ulcerations, Ileitis, and Hematochezia.","authors":"Stacey Rolak, Michael M Pham, Dora M Lam-Himlin, Mashal J Batheja","doi":"10.14309/crj.0000000000001746","DOIUrl":"10.14309/crj.0000000000001746","url":null,"abstract":"<p><p>Granulomatosis with polyangiitis (GPA) is a rare small vessel vasculitis that commonly presents with multiorgan involvement of the upper airways, lungs, and kidneys. We report a 55 year-old-man who presented with painful oral ulcers, diffuse joint pain, epistaxis, and intermittent maroon bowel movements. Infectious evaluation was unremarkable. Rheumatologic evaluation demonstrated elevated c-anti-neutrophil cytoplasmic antibody and proteinase 3 antibodies. Colonoscopy with terminal ileum biopsies demonstrated angiocentric inflammatory findings supportive of a diagnosis of GPA. This case was unusual in its presentation with predominately oral manifestations. A diagnosis of GPA should remain on the differential for patients with gastrointestinal bleeding, and these systemic symptoms require a high level of suspicion to lead to timely diagnosis.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 6","pages":"e01746"},"PeriodicalIF":0.6,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12189967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144493399","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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