ACG Case Reports JournalPub Date : 2024-12-20eCollection Date: 2024-12-01DOI: 10.14309/crj.0000000000001558
Jacob Draves, Halil Tekiner, Steven H Yale, Eileen S Yale
{"title":"Chilaiditi Sign: Involvement of the Large and Small Intestines?","authors":"Jacob Draves, Halil Tekiner, Steven H Yale, Eileen S Yale","doi":"10.14309/crj.0000000000001558","DOIUrl":"10.14309/crj.0000000000001558","url":null,"abstract":"","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 12","pages":"e01558"},"PeriodicalIF":0.6,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11661708/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142875913","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}
ACG Case Reports JournalPub Date : 2024-12-09eCollection Date: 2024-12-01DOI: 10.14309/crj.0000000000001560
Rached Zeghlache, Tijana Samardzic, Katelyn Norman
{"title":"Nonhepatic Hyperammonemic Encephalopathy: An Unmasked Urea Cycle Disorder in the Setting of Late Gastric Bypass Complication.","authors":"Rached Zeghlache, Tijana Samardzic, Katelyn Norman","doi":"10.14309/crj.0000000000001560","DOIUrl":"10.14309/crj.0000000000001560","url":null,"abstract":"<p><p>We present the case of a woman with nonhepatic hyperammonemic encephalopathy, a rare complication of bariatric surgery. Proposed mechanism include underlying urea cycle disorders and increased ammonia production. Clinically, states of hyperammonemia present with predominantly neurological symptoms of behavioral disturbances, lethargy, seizures, and coma. Given the high morbidity and mortality rate of nearly 40%, early recognition and treatment of the underlying mechanisms of hyperammonemia are crucial.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 12","pages":"e01560"},"PeriodicalIF":0.6,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11630914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142805971","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}
ACG Case Reports JournalPub Date : 2024-12-04eCollection Date: 2024-12-01DOI: 10.14309/crj.0000000000001563
Sabine Eid, Maureen Bauer, Nathalie Nguyen
{"title":"The Role of Transnasal Endoscopy in Diet Management of Eosinophilic Esophagitis.","authors":"Sabine Eid, Maureen Bauer, Nathalie Nguyen","doi":"10.14309/crj.0000000000001563","DOIUrl":"10.14309/crj.0000000000001563","url":null,"abstract":"<p><p>The diagnosis and monitoring of eosinophilic esophagitis (EoE) relies on clinical symptoms and histological examination of the esophageal mucosa. Currently, esophagogastroduodenoscopy with biopsy is the standard of care in the diagnosis and monitoring of EoE. Unsedated transnasal endoscopy (TNE) is a less invasive and less costly procedure that can be performed without general anesthesia. Here, we describe the first case of a 15-year-old adolescent girl who underwent TNE exclusively to identify all food triggers for EoE. She underwent 12 TNEs over a period of 4 years to identify food triggers for EoE to ultimately achieve the remission of her disease.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 12","pages":"e01563"},"PeriodicalIF":0.6,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11617342/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142783841","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}
ACG Case Reports JournalPub Date : 2024-12-04eCollection Date: 2024-12-01DOI: 10.14309/crj.0000000000001566
Erika Tsuchiyose, Michael Talanian, Haihui Liao, Erik Holzwanger
{"title":"Endoscopic Ultrasound-Guided Diagnosis of Gallbladder Mixed Neuroendocrine Non-Neuroendocrine Tumor With an Anomalous Pancreaticobiliary Junction.","authors":"Erika Tsuchiyose, Michael Talanian, Haihui Liao, Erik Holzwanger","doi":"10.14309/crj.0000000000001566","DOIUrl":"10.14309/crj.0000000000001566","url":null,"abstract":"<p><p>Mixed neuroendocrine non-neuroendocrine neoplasms are exceedingly rare tumors, especially those of gallbladder origin. Anomalous pancreaticobiliary junction is an uncommon congenital abnormality that can predispose various types of hepatobiliary malignancies. We present an unusual case of a 46-year-old woman with anomalous pancreaticobiliary junction who presented to the emergency department with nausea, vomiting, and right upper quadrant pain. Magnetic resonance imaging revealed a gallbladder mass concerning for primary malignancy and liver lesions. Endoscopic ultrasound and fine-needle biopsy were valuable diagnostic tools used to sample the gallbladder, liver lesions, and common hepatic duct under one minimally invasive procedure. Pathology showed a gallbladder mixed neuroendocrine non-neuroendocrine neoplasms, with neuroendocrine components in the liver and adenocarcinoma components in the common hepatic duct.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 12","pages":"e01566"},"PeriodicalIF":0.6,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11617348/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142783839","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}
ACG Case Reports JournalPub Date : 2024-12-04eCollection Date: 2024-12-01DOI: 10.14309/crj.0000000000001568
Chloe Lahoud, Mark Tawfik, Liliane Deeb, Sherif Andrawes
{"title":"Endoscopic Submucosal Dissection for En-Bloc Removal of a Large Obstructing Duodenal Mass.","authors":"Chloe Lahoud, Mark Tawfik, Liliane Deeb, Sherif Andrawes","doi":"10.14309/crj.0000000000001568","DOIUrl":"https://doi.org/10.14309/crj.0000000000001568","url":null,"abstract":"","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 12","pages":"e01568"},"PeriodicalIF":0.6,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11617344/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142783838","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}
ACG Case Reports JournalPub Date : 2024-12-04eCollection Date: 2024-12-01DOI: 10.14309/crj.0000000000001567
Cristina G Angelo, Sajjad M Malik, Eric D Nellis
{"title":"Anorectal Melanoma Diagnosed on Index Colonoscopy.","authors":"Cristina G Angelo, Sajjad M Malik, Eric D Nellis","doi":"10.14309/crj.0000000000001567","DOIUrl":"10.14309/crj.0000000000001567","url":null,"abstract":"","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 12","pages":"e01567"},"PeriodicalIF":0.6,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11617346/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142783837","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}
ACG Case Reports JournalPub Date : 2024-11-27eCollection Date: 2024-12-01DOI: 10.14309/crj.0000000000001562
Mohammed Abusuliman, Moataz Aboeldahb, Abdullah Olimy, Omar Abbas, Amr Abusuliman, Taher Jamali, Agustin Gavidia Rosario, Lisi Yuan, Robert Pompa
{"title":"Rare Thymoma With Solitary Liver Metastasis.","authors":"Mohammed Abusuliman, Moataz Aboeldahb, Abdullah Olimy, Omar Abbas, Amr Abusuliman, Taher Jamali, Agustin Gavidia Rosario, Lisi Yuan, Robert Pompa","doi":"10.14309/crj.0000000000001562","DOIUrl":"https://doi.org/10.14309/crj.0000000000001562","url":null,"abstract":"<p><p>Thymomas are rare, malignant, epithelial tumors of the thymus gland. Extrathoracic metastasis of thymoma is exceedingly rare, particularly when isolated to the liver. We report an 89-year-old man who presented with urinary retention. Exploratory computed tomography imaging revealed a heterogeneous mass in the aortopulmonary window and a 1.9 cm lesion in the left hepatic lobe. Results from magnetic resonance imaging, positron emission tomography-computed tomography, and histopathological analysis of biopsy samples collectively supported a diagnosis of metastatic type B2 thymoma. To the best of our knowledge, this is the oldest patient to be diagnosed with metastatic type B2 thymoma. Metastatic thymoma is difficult to identify, and patients with mediastinal mass identified after any presentation should be evaluated for malignant spread.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 12","pages":"e01562"},"PeriodicalIF":0.6,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11608641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142765505","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}
ACG Case Reports JournalPub Date : 2024-11-20eCollection Date: 2024-11-01DOI: 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}
ACG Case Reports JournalPub Date : 2024-11-20eCollection Date: 2024-11-01DOI: 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}