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Management of Esophageal Inflammatory Myofibroblastic Tumor With Endoscopic Submucosal Dissection. 用内镜粘膜下剥离术治疗食管炎性肌纤维母细胞瘤
IF 0.6
ACG Case Reports Journal Pub Date : 2024-08-22 eCollection Date: 2024-08-01 DOI: 10.14309/crj.0000000000001470
Kais Zakharia, Venkata Muddana
{"title":"Management of Esophageal Inflammatory Myofibroblastic Tumor With Endoscopic Submucosal Dissection.","authors":"Kais Zakharia, Venkata Muddana","doi":"10.14309/crj.0000000000001470","DOIUrl":"10.14309/crj.0000000000001470","url":null,"abstract":"<p><p>Inflammatory myofibroblastic tumors are rare tumors that have been described in virtually all organs. Even though they are extremely rare in the esophagus, several cases have been described in the literature. Surgical resection has been the therapeutic modality used in most of those cases. In this report, we describe a case of inflammatory myofibroblastic tumor that was successfully managed endoscopically for the first time with the endoscopic submucosal dissection technique.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 8","pages":"e01470"},"PeriodicalIF":0.6,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11340912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142034880","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
Boerhaave Syndrome Mimicking Acute Coronary Syndrome. 模仿急性冠状动脉综合征的 Boerhaave 综合征
IF 0.6
ACG Case Reports Journal Pub Date : 2024-08-22 eCollection Date: 2024-08-01 DOI: 10.14309/crj.0000000000001453
Reid Schalet, Francis Carro Cruz, Ivan Berezowski, Cyrus Adams-Mardi, Hanna Haile, Samuel A Schueler, Marie L Borum
{"title":"Boerhaave Syndrome Mimicking Acute Coronary Syndrome.","authors":"Reid Schalet, Francis Carro Cruz, Ivan Berezowski, Cyrus Adams-Mardi, Hanna Haile, Samuel A Schueler, Marie L Borum","doi":"10.14309/crj.0000000000001453","DOIUrl":"10.14309/crj.0000000000001453","url":null,"abstract":"<p><p>Boerhaave syndrome, an esophageal perforation due to increased intraesophageal pressure, may mimic other cardiovascular conditions including acute coronary syndrome. In this report, we present a case of a 63-year-old man who presented with chest pain and ischemic electrocardiogram abnormalities, prompting an initial diagnosis of ST elevation myocardial infarction. After coronary stenting, the patient continued to have chest pain, ST segment elevations, and newly elevated cardiac enzymes. A computed tomography scan showed esophageal perforation, requiring endoscopic stenting. This case underscores the diagnostic and therapeutic challenges of Boerhaave syndrome and the importance of considering this condition in adults with chest pain and ischemic electrocardiogram changes.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 8","pages":"e01453"},"PeriodicalIF":0.6,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11340915/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142034876","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
Hemophagocytic Lymphohistiocytosis Syndrome: A Rare Manifestation of Acute Pancreatitis. 嗜血细胞淋巴组织细胞增多症综合征：急性胰腺炎的罕见表现。
IF 0.6
ACG Case Reports Journal Pub Date : 2024-08-17 eCollection Date: 2024-08-01 DOI: 10.14309/crj.0000000000001457
Gourav Jyoti Borah, Pritam Das, Kartik Balankhe, Naganath K Wodeyar, S Rakesh Kumar, Samir Mohindra
{"title":"Hemophagocytic Lymphohistiocytosis Syndrome: A Rare Manifestation of Acute Pancreatitis.","authors":"Gourav Jyoti Borah, Pritam Das, Kartik Balankhe, Naganath K Wodeyar, S Rakesh Kumar, Samir Mohindra","doi":"10.14309/crj.0000000000001457","DOIUrl":"10.14309/crj.0000000000001457","url":null,"abstract":"<p><p>Hemophagocytic lymphohistiocytosis syndrome (HLH) is a rare hyperinflammatory disorder linked to acute pancreatitis. While there are only a few case reports available on this particular association, we would like to share the case of a 60-year-old man who experienced acute-onset abdominal pain typical of pancreatitis. Three days after admission, he developed fever, pancytopenia, hypertriglyceridemia, and hyperferritinemia. A bone marrow biopsy performed for evaluation of fever revealed hemophagocytosis. Initiation of treatment for HLH showed dramatic improvement. It is important to note that while HLH may be rarely associated with pancreatitis, early diagnosis and treatment is critical and can be life-saving.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 8","pages":"e01457"},"PeriodicalIF":0.6,"publicationDate":"2024-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11332705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142003378","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
Successful Outcome Treating Pyoderma Gangrenosum and Pouchitis With Upadacitinib. 乌达帕替尼治疗脓疱疮和小袋炎的成功结果
IF 0.6
ACG Case Reports Journal Pub Date : 2024-08-10 eCollection Date: 2024-08-01 DOI: 10.14309/crj.0000000000001442
Paula Milena Prieto Jimenez, Siamak Tabib, Brook Abbott, Gil Melmed
{"title":"Successful Outcome Treating Pyoderma Gangrenosum and Pouchitis With Upadacitinib.","authors":"Paula Milena Prieto Jimenez, Siamak Tabib, Brook Abbott, Gil Melmed","doi":"10.14309/crj.0000000000001442","DOIUrl":"10.14309/crj.0000000000001442","url":null,"abstract":"","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 8","pages":"e01442"},"PeriodicalIF":0.6,"publicationDate":"2024-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11319309/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141974807","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
Late Presentation of Recurrent Solid Pseudopapillary Pancreatic Neoplasm With Liver Metastases During Pregnancy. 妊娠期复发性实性假乳头状胰腺肿瘤并发肝转移的晚期表现
IF 0.6
ACG Case Reports Journal Pub Date : 2024-08-05 eCollection Date: 2024-08-01 DOI: 10.14309/crj.0000000000001418
Ammad Javaid Chaudhary, Taher Jamali, Yara Dababneh, Abdulmalik Saleem, Reena Salgia
{"title":"Late Presentation of Recurrent Solid Pseudopapillary Pancreatic Neoplasm With Liver Metastases During Pregnancy.","authors":"Ammad Javaid Chaudhary, Taher Jamali, Yara Dababneh, Abdulmalik Saleem, Reena Salgia","doi":"10.14309/crj.0000000000001418","DOIUrl":"10.14309/crj.0000000000001418","url":null,"abstract":"<p><p>Our case highlights a rare instance of recurrent metastatic solid pseudopapillary epithelial neoplasms of the pancreas, emerging 8 years after radical pancreatic resection-an extended interval surpassing the reported average. Managing solid pseudopapillary epithelial neoplasm during pregnancy is uniquely challenging, given the increase in the expression of progesterone receptors during the intrapartum period, leading to tumor growth. Although surgical resection remains the primary approach, systemic chemotherapy, radiation therapy, and liver transplant are other considerations. The absence of consensus guidelines for recurrence monitoring emphasizes the need for vigilant, long-term surveillance extending beyond the conventional 5-year mark.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 8","pages":"e01418"},"PeriodicalIF":0.6,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11302941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141896460","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
Refractory Duodenal Ulcer in a Patient With Median Arcuate Ligament Compression: A Treatment Challenge. 正中弓形韧带受压患者的难治性十二指肠溃疡：治疗难题。
IF 0.6
ACG Case Reports Journal Pub Date : 2024-08-05 eCollection Date: 2024-08-01 DOI: 10.14309/crj.0000000000001407
Sérgio Manuel Tubal Bronze, Daniel Conceição, Milena Mendes, Filipe Cardoso, Daniel Torres, Elia Coimbra, Tiago Bilhim
{"title":"Refractory Duodenal Ulcer in a Patient With Median Arcuate Ligament Compression: A Treatment Challenge.","authors":"Sérgio Manuel Tubal Bronze, Daniel Conceição, Milena Mendes, Filipe Cardoso, Daniel Torres, Elia Coimbra, Tiago Bilhim","doi":"10.14309/crj.0000000000001407","DOIUrl":"10.14309/crj.0000000000001407","url":null,"abstract":"<p><p>Flexible esophagogastroduodenoscopy is the gold standard for the management of acute upper gastrointestinal bleeding. This is a case of a man who was admitted in the emergency department because of melena with hypotension because of an ulcer in the anterior face of the duodenal bulb, refractory to 3 attempts of endoscopic therapy. Then, a gastroduodenal arterial embolization was tried, being impossible because of the presence of the median arcuate ligament, compressing the celiac trunk. A balloon-expandable stent was inserted in the celiac trunk, and then, the embolization was performed. After unsuccessful endoscopic management, the arterial embolization is one of the treatment options in nonvariceal acute upper gastrointestinal bleeding.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 8","pages":"e01407"},"PeriodicalIF":0.6,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11302938/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141896461","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
Unveiling Multiple Myeloma: Actively Bleeding Extramedullary Gastric Myelomas Lead to Diagnosis. 揭开多发性骨髓瘤的神秘面纱：主动出血的髓外胃骨髓瘤导致诊断。
IF 0.6
ACG Case Reports Journal Pub Date : 2024-07-20 eCollection Date: 2024-07-01 DOI: 10.14309/crj.0000000000001449
Katherine Shepherd, George Obeng, Cara Randall, Joanna Kolodney, Megan Willard
{"title":"Unveiling Multiple Myeloma: Actively Bleeding Extramedullary Gastric Myelomas Lead to Diagnosis.","authors":"Katherine Shepherd, George Obeng, Cara Randall, Joanna Kolodney, Megan Willard","doi":"10.14309/crj.0000000000001449","DOIUrl":"10.14309/crj.0000000000001449","url":null,"abstract":"<p><p>Multiple myeloma (MM) is a disease of plasma cell replication, leading to a disruption of hematopoiesis, which commonly presents clinically with anemia and fatigue. Extramedullary myelomas are plasma cell collections in bone or soft tissue associated with MM and most often occur later in the disease process. We present a case of a patient with symptomatic anemia with actively bleeding gastric nodules, which were later found to be extramedullary gastric myelomas when pathology demonstrated kappa-restricted plasma cell neoplasms. To confirm the overall diagnosis, a bone marrow biopsy verified the patient had MM.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 7","pages":"e01449"},"PeriodicalIF":0.6,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11262812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141747149","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 Real Gut Punch: An Unexpected Diagnosis of Spontaneous Splenic Rupture. 一记真正的重拳：自发性脾破裂的意外诊断。
IF 0.6
ACG Case Reports Journal Pub Date : 2024-07-20 eCollection Date: 2024-07-01 DOI: 10.14309/crj.0000000000001441
Hannah Darnell, Sara Bidarian, Aaron Brenner, Joseph Auer
{"title":"A Real Gut Punch: An Unexpected Diagnosis of Spontaneous Splenic Rupture.","authors":"Hannah Darnell, Sara Bidarian, Aaron Brenner, Joseph Auer","doi":"10.14309/crj.0000000000001441","DOIUrl":"10.14309/crj.0000000000001441","url":null,"abstract":"<p><p>Atraumatic or spontaneous splenic rupture is a rare but life-threatening complication of infectious mononucleosis. We present a case of a 26-year-old man presenting with a 1-week history of sharp epigastric and right upper quadrant pain, associated with malaise and subjective fever. Although initial findings were concerning for acute cholangitis, abdominal computed tomography angiography scan revealed splenic rupture. Further exploration confirmed acute Epstein-Barr virus infection. Infectious mononucleosis must be considered in young patients with lymphocytosis, splenomegaly, and prolonged malaise. Awareness of this presentation will allow for timely diagnosis and treatment, thereby preventing potentially fatal complications of infectious mononucleosis such as splenic rupture.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 7","pages":"e01441"},"PeriodicalIF":0.6,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11262816/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141747146","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
Combining Endoscopic Submucosa Dissection and Endoscopic Full-Thickness Resection for Resection of a Gastric Schwannoma Mimicking Gastrointestinal Stroma Tumor. 结合内镜黏膜下切除术和内镜全厚切除术切除模仿胃肠道间质瘤的胃许旺瘤
IF 0.6
ACG Case Reports Journal Pub Date : 2024-07-20 eCollection Date: 2024-07-01 DOI: 10.14309/crj.0000000000001440
Stefan Kormann, Gian-Marco Semadeni, Matthias Weber, Stephan Brand, Jan Borovicka, Remus Frei
{"title":"Combining Endoscopic Submucosa Dissection and Endoscopic Full-Thickness Resection for Resection of a Gastric Schwannoma Mimicking Gastrointestinal Stroma Tumor.","authors":"Stefan Kormann, Gian-Marco Semadeni, Matthias Weber, Stephan Brand, Jan Borovicka, Remus Frei","doi":"10.14309/crj.0000000000001440","DOIUrl":"10.14309/crj.0000000000001440","url":null,"abstract":"<p><p>Subepithelial gastric tumors are a diagnostic challenge. Endoscopic ultrasound allows differentiation. Lesions originating from the submucosal layer can be resected using endoscopic submucosal dissection (ESD). Surgery or endoscopic full-thickness resection (EFTR) techniques are alternatives. We present a patient with an 11 × 8 mm submucosal tumor in the gastric antrum suggestive of a gastrointestinal stromal tumor, originating from the muscularis propria. Eventually endoscopic resection was performed, combining ESD and EFTR (hybrid ESD-EFTR). Contrary to expectations, histology revealed a gastric schwannoma. This case illustrates an efficient and safe endoscopic hybrid technique for the removal of submucosal gastric lesions.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 7","pages":"e01440"},"PeriodicalIF":0.6,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11262815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141747147","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
Extensive Cytomegalovirus Gastroduodenitis Causing Gastric Outlet Obstruction in an Immunocompetent Patient. 一名免疫功能正常患者因广泛的巨细胞病毒胃十二指肠炎导致胃出口梗阻
IF 0.6
ACG Case Reports Journal Pub Date : 2024-07-20 eCollection Date: 2024-07-01 DOI: 10.14309/crj.0000000000001420
Zunaira Jalil, Zubia Zaman, Sundarta Lund, Naresh Kumar Seetlani, Sidra Arshad
{"title":"Extensive Cytomegalovirus Gastroduodenitis Causing Gastric Outlet Obstruction in an Immunocompetent Patient.","authors":"Zunaira Jalil, Zubia Zaman, Sundarta Lund, Naresh Kumar Seetlani, Sidra Arshad","doi":"10.14309/crj.0000000000001420","DOIUrl":"10.14309/crj.0000000000001420","url":null,"abstract":"<p><p>Cytomegalovirus (CMV) has been extensively researched in immunocompromised people, causing conditions such as colitis, retinitis, esophagitis, encephalitis, and pneumonitis. However, there are limited data on how the disease presents itself in immunocompetent hosts, apart from a self-limited mononucleosis-like syndrome. This case report presents CMV gastroenteritis causing gastroduodenal obstruction in an immunocompetent woman. It is important to consider CMV as a potential cause of various gastric pathologies in immunocompetent people. Further research is necessary to establish guidelines for diagnosing and treating this pathogen.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 7","pages":"e01420"},"PeriodicalIF":0.6,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11262813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141747148","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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