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Isolated Metachronous Intraluminal Colonic Metastasis in Carcinoma Gall Bladder: The Path Less Trodden. 离体异时性胆囊癌腔内结肠转移：较少涉足的途径。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-04-25 eCollection Date: 2025-05-01 DOI: 10.14309/crj.0000000000001683
Abhijna Soori, Raja Kalayarasan, Pothugunta Saikrishna, Pazhanivel Mohan, B H Srinivas, Biju Pottakkat
{"title":"Isolated Metachronous Intraluminal Colonic Metastasis in Carcinoma Gall Bladder: The Path Less Trodden.","authors":"Abhijna Soori, Raja Kalayarasan, Pothugunta Saikrishna, Pazhanivel Mohan, B H Srinivas, Biju Pottakkat","doi":"10.14309/crj.0000000000001683","DOIUrl":"https://doi.org/10.14309/crj.0000000000001683","url":null,"abstract":"<p><p>Gallbladder cancer (GBC) is characterized by late presentation, early systemic spread, and poor long-term survival. A 65-year-old woman presented with isolated intraluminal colonic metastasis 46 months after radical surgery for GBC. The patient also underwent subtotal cholecystectomy 12 years before the diagnosis of GBC. In view of gastrointestinal bleeding, the patient underwent laparoscopic transverse colectomy with colocolic anastomosis. Metachronous isolated intraluminal colonic metastasis is being reported for the first time in English literature. The possible routes of colonic metastasis and its optimum management in the metachronous setting are discussed in this report.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 5","pages":"e01683"},"PeriodicalIF":0.6,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970214","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
Colonic Stenting Before Endoscopic Ultrasound-Guided Enterocolostomy in Malignant Small Bowel Obstruction. 超声内镜引导下恶性小肠梗阻肠结肠造口术前结肠支架植入术。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-04-19 eCollection Date: 2025-04-01 DOI: 10.14309/crj.0000000000001671
Ritik Mahaveer Goyal, Sameer Rao, Anand Shah, Shivani Patel, Imran Qureshi, Ahmed Al-Khazraji, Kaveh Hajifathalian
{"title":"Colonic Stenting Before Endoscopic Ultrasound-Guided Enterocolostomy in Malignant Small Bowel Obstruction.","authors":"Ritik Mahaveer Goyal, Sameer Rao, Anand Shah, Shivani Patel, Imran Qureshi, Ahmed Al-Khazraji, Kaveh Hajifathalian","doi":"10.14309/crj.0000000000001671","DOIUrl":"https://doi.org/10.14309/crj.0000000000001671","url":null,"abstract":"<p><p>Malignant Small Bowel Obstruction (MSBO) is a debilitating complication of intra-abdominal malignancies, characterized by symptoms such as intractable nausea, vomiting, and abdominal pain. Surgical intervention may become necessary for symptom management if conservative measures fail, although it carries a significant risk of postoperative morbidity. Endoscopic ultrasound-guided enterocolostomy is an emerging alternative for palliative management of MSBO when other surgical or endoscopic interventions are not feasible or have failed. We present a case of a 50-year-old woman with MSBO secondary to metastatic squamous cell carcinoma of cervix who required the placement of a luminal colonic stent in the sigmoid colon before undergoing endoscopic ultrasound-guided enterocolostomy.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 4","pages":"e01671"},"PeriodicalIF":0.6,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12011569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143955846","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
Correction to: Tissue Remodeling for a More Homogenous Ablation in Transoral Outlet Reduction Using Suturing and Noncontact Argon Plasma Coagulation. 修正：使用缝合和非接触氩等离子体凝固在经口出口复位中进行更均匀消融的组织重塑。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-04-19 eCollection Date: 2025-04-01 DOI: 10.14309/crj.0000000000001697
Leandro Sierra, Arjun Chatterjee, Akash Khurana, Renan Prado, Roma Patel, Stephen A Firkins, Roberto Simons-Linares
{"title":"Correction to: Tissue Remodeling for a More Homogenous Ablation in Transoral Outlet Reduction Using Suturing and Noncontact Argon Plasma Coagulation.","authors":"Leandro Sierra, Arjun Chatterjee, Akash Khurana, Renan Prado, Roma Patel, Stephen A Firkins, Roberto Simons-Linares","doi":"10.14309/crj.0000000000001697","DOIUrl":"https://doi.org/10.14309/crj.0000000000001697","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.14309/crj.0000000000001631.].</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 4","pages":"e01697"},"PeriodicalIF":0.6,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12011564/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143960679","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 Rare Cause of an Endoscopic Retrograde Cholangiopancreatography Surprise of "Concertina Effect" in Chronic Pancreatitis: Pancreatico-Jejunal Fistula. 慢性胰腺炎内窥镜逆行胰胆管造影“手风琴效应”的罕见原因：胰空肠瘘。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-04-19 eCollection Date: 2025-04-01 DOI: 10.14309/crj.0000000000001681
Jahnvi Dhar, Roshan Agarwala, Saroj Kant Sinha, Jayanta Samanta
{"title":"A Rare Cause of an Endoscopic Retrograde Cholangiopancreatography Surprise of \"Concertina Effect\" in Chronic Pancreatitis: Pancreatico-Jejunal Fistula.","authors":"Jahnvi Dhar, Roshan Agarwala, Saroj Kant Sinha, Jayanta Samanta","doi":"10.14309/crj.0000000000001681","DOIUrl":"https://doi.org/10.14309/crj.0000000000001681","url":null,"abstract":"","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 4","pages":"e01681"},"PeriodicalIF":0.6,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12011568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143963713","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
Rapidly Fatal Metastatic Cholangiocarcinoma Associated With Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Syndrome: A Case Report Highlighting Emerging Risk Factors. 与代谢功能障碍相关的脂肪变性肝病和代谢综合征相关的快速致命转移性胆管癌：一个突出新出现的危险因素的病例报告。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-04-16 eCollection Date: 2025-04-01 DOI: 10.14309/crj.0000000000001676
Joel Konlack, Akil Olliverrie, Nitin Pendyala, Joseph Yvan Bena, Guy Loic Nguefang, Nikisha Pandya, Christopher Chum
{"title":"Rapidly Fatal Metastatic Cholangiocarcinoma Associated With Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Syndrome: A Case Report Highlighting Emerging Risk Factors.","authors":"Joel Konlack, Akil Olliverrie, Nitin Pendyala, Joseph Yvan Bena, Guy Loic Nguefang, Nikisha Pandya, Christopher Chum","doi":"10.14309/crj.0000000000001676","DOIUrl":"https://doi.org/10.14309/crj.0000000000001676","url":null,"abstract":"<p><p>Cholangiocarcinoma (CCA), a rare biliary cancer, typically presents with nonspecific symptoms that hinder early diagnosis. Emerging metabolic risk factors are increasingly being recognized as contributors. We present the case of a 54-year-old woman with newly diagnosed metabolic dysfunction-associated steatotic liver disease and metabolic syndrome, who presented with acute abdominal pain and a subsequent liver biopsy-confirmed intrahepatic CCA. Despite chemotherapy and immunotherapy, rapid disease progression led to metastasis and systemic complications, resulting in death. This case highlights the aggressive nature of CCA and the importance of addressing modifiable metabolic risk factors to improve the outcomes.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 4","pages":"e01676"},"PeriodicalIF":0.6,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12002370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143960682","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 Closure of a Large Rectal Perforation Secondary to an Unusual Foreign Body Using Endoscopic Clip and Loop Technique (King Closure). 使用内窥镜夹环技术成功闭合一个由不寻常异物引起的直肠大穿孔（King闭合）。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-04-16 eCollection Date: 2025-04-01 DOI: 10.14309/crj.0000000000001678
Jahnvi Dhar, Deshidi Srinu, Antriksh Kumar, Ishita Laroiya, Jayanta Samanta
{"title":"Successful Closure of a Large Rectal Perforation Secondary to an Unusual Foreign Body Using Endoscopic Clip and Loop Technique (King Closure).","authors":"Jahnvi Dhar, Deshidi Srinu, Antriksh Kumar, Ishita Laroiya, Jayanta Samanta","doi":"10.14309/crj.0000000000001678","DOIUrl":"https://doi.org/10.14309/crj.0000000000001678","url":null,"abstract":"","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 4","pages":"e01678"},"PeriodicalIF":0.6,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12002373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143952667","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
Eosinophilic Esophageal Myositis. 嗜酸性食管肌炎。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-04-16 eCollection Date: 2025-04-01 DOI: 10.14309/crj.0000000000001663
Ajay Pranami, Amol Dahale, Abhijeet Karad, Raghavender Puri, Prashant Gopal, Debabrata Banerjee
{"title":"Eosinophilic Esophageal Myositis.","authors":"Ajay Pranami, Amol Dahale, Abhijeet Karad, Raghavender Puri, Prashant Gopal, Debabrata Banerjee","doi":"10.14309/crj.0000000000001663","DOIUrl":"https://doi.org/10.14309/crj.0000000000001663","url":null,"abstract":"<p><p>Eosinophilic esophageal myositis (EoEM) is a rare condition affecting the muscularis propria without any involvement of the squamous epithelium or submucosa. Patients may present with chest pain, dysphagia, weight loss, or recurrent episodes of food impaction. Similar symptoms are also seen in eosinophilic esophagitis making the diagnosis difficult. Endoscopic ultrasound helps define muscularis propria layer involvement and allows for deeper biopsy. Early diagnosis is essential as EoEM can be treated medically, although surgical and endoscopic interventions might be required. We encountered a 73-year-old man with EoEM diagnosed with endoscopic ultrasound and successfully treated with steroids.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 4","pages":"e01663"},"PeriodicalIF":0.6,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12002388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143956591","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 the Uncommon: Pyoderma Gangrenosum as an Extraintestinal Complication of Ulcerative Colitis. 揭露不寻常：坏疽性脓皮病是溃疡性结肠炎的肠外并发症。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-04-16 eCollection Date: 2025-04-01 DOI: 10.14309/crj.0000000000001675
Caleb Glover, Ali Rida, Eric Nguyen, Edward Cay, Gisela Ocasio-Cortes, Summer Stefanko, Arman Fotouhi, Albert Ross
{"title":"Unveiling the Uncommon: Pyoderma Gangrenosum as an Extraintestinal Complication of Ulcerative Colitis.","authors":"Caleb Glover, Ali Rida, Eric Nguyen, Edward Cay, Gisela Ocasio-Cortes, Summer Stefanko, Arman Fotouhi, Albert Ross","doi":"10.14309/crj.0000000000001675","DOIUrl":"https://doi.org/10.14309/crj.0000000000001675","url":null,"abstract":"<p><p>Pyoderma gangrenosum (PG) is a rare inflammatory skin disorder characterized by neutrophil accumulation, commonly appearing as erythematous papules or pustules that can coalesce into extensive ulcers. It is the second most common dermatologic manifestation of inflammatory bowel disease, though it affects <1% of patients with inflammatory bowel disease. We present a case of a 66-year-old woman with a history of hypothyroidism and hypertension who developed nonhealing abdominal wounds following a small pustule. Despite multiple debridements and antibiotics, her condition worsened, alongside a history of bloody diarrhea for 2.5 years. Investigations led to a diagnosis of ulcerative colitis and PG. The patient was treated with high-dose steroids and infliximab. This case highlights the rarity of abdominal PG as an extraintestinal manifestation of ulcerative colitis and emphasizes the importance of early diagnosis and treatment in improving outcomes for affected patients.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 4","pages":"e01675"},"PeriodicalIF":0.6,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12002364/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143958553","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
An Exophytic Pancreatic Mass Diagnosed as Ganglioneuroma. 诊断为神经节神经瘤的外生性胰腺肿块。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-04-16 eCollection Date: 2025-04-01 DOI: 10.14309/crj.0000000000001677
Jinye Liu, Abdulazeez Swaiti, Saeed Graham, Alessandra Martorella, Sha Yi, Kim Geisinger, Zarak Hassan Khan, Kara Regan
{"title":"An Exophytic Pancreatic Mass Diagnosed as Ganglioneuroma.","authors":"Jinye Liu, Abdulazeez Swaiti, Saeed Graham, Alessandra Martorella, Sha Yi, Kim Geisinger, Zarak Hassan Khan, Kara Regan","doi":"10.14309/crj.0000000000001677","DOIUrl":"https://doi.org/10.14309/crj.0000000000001677","url":null,"abstract":"<p><p>Ganglioneuromas are rare neuroendocrine tumors affecting around one in a million, mostly young adults. These slow-growing, well-differentiated neuroepithelial tumors originate from the neural crest and involve the sympathetic nervous system. We present an unusual case of a 47-year-old African American man with mildly elevated liver enzymes who was incidentally found to have a suspected pancreatic mass. Endoscopic ultrasound and fine-needle biopsies confirmed the diagnosis of a ganglioneuroma, inseparable and exophytic in the body of the pancreas extending into the tail.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 4","pages":"e01677"},"PeriodicalIF":0.6,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12002381/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143956588","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 Monotherapy After Tofacitinib Failure Was Successful for Induction But Not Maintenance of Remission in Medically Refractory Ulcerative Colitis. 托法替尼失败后Upadacitinib单药治疗成功诱导但不能维持药物难治性溃疡性结肠炎的缓解。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-04-16 eCollection Date: 2025-04-01 DOI: 10.14309/crj.0000000000001673
Mark Chatto, Vipul Jairath
{"title":"Upadacitinib Monotherapy After Tofacitinib Failure Was Successful for Induction But Not Maintenance of Remission in Medically Refractory Ulcerative Colitis.","authors":"Mark Chatto, Vipul Jairath","doi":"10.14309/crj.0000000000001673","DOIUrl":"https://doi.org/10.14309/crj.0000000000001673","url":null,"abstract":"<p><p>This small case series represents real-world experience of the efficacy of upadacitinib after prior tofacitinib failure in medically refractory ulcerative colitis and challenges current observations that upadacitinib is effective after tofacitinib exposure. Although all patients had a clinical or partial response after upadacitinib induction, 4/4 (100%) patients relapsed or required rescue therapy during maintenance, in contrast to previous publications.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 4","pages":"e01673"},"PeriodicalIF":0.6,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12002383/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143959506","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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