ACG Case Reports JournalPub Date : 2024-09-14eCollection Date: 2024-09-01DOI: 10.14309/crj.0000000000001494
Fariha Hasan, Alexander Garcia, Avneet Singh, Natalie Morris, Kathy Williams, Gord Guo Zhu, Adib Chaaya
{"title":"A Rare Occurrence of Primary Gastric Ewing Sarcoma.","authors":"Fariha Hasan, Alexander Garcia, Avneet Singh, Natalie Morris, Kathy Williams, Gord Guo Zhu, Adib Chaaya","doi":"10.14309/crj.0000000000001494","DOIUrl":"https://doi.org/10.14309/crj.0000000000001494","url":null,"abstract":"<p><p>Ewing sarcoma (ES) is a rare malignancy that typically occurs within the skeletal system but can also develop extraskeletally. Extraskeletal ES typically presents paraspinally, in the limbs, and retroperitoneum. Rarely, it presents as a primary gastric ES. To our knowledge, there are only 13 reports of primary gastric ES, none of which originated in the cardia of the stomach. Increased identification of how extraskeletal ES, specifically primary gastric ES, presents and characterized is crucial for future treatment development and accurate prognosis. We present the case of a 36-year-old man with hematemesis, ultimately found to have primary gastric ES in the cardia.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 9","pages":"e01494"},"PeriodicalIF":0.6,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11404875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278896","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 : 2024-09-13eCollection Date: 2024-09-01DOI: 10.14309/crj.0000000000001463
Alexander Garcia, Arman Maqsudlu, Ishita Dhawan, Adib Chaaya
{"title":"Correction to: A Rare Case of Cutaneous Gastric Adenocarcinoma With Signet Ring Cell Features.","authors":"Alexander Garcia, Arman Maqsudlu, Ishita Dhawan, Adib Chaaya","doi":"10.14309/crj.0000000000001463","DOIUrl":"https://doi.org/10.14309/crj.0000000000001463","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.14309/crj.0000000000001299.].</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 9","pages":"e01463"},"PeriodicalIF":0.6,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11398805/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278846","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 : 2024-09-13eCollection Date: 2024-09-01DOI: 10.14309/crj.0000000000001508
Maria Elena Sanchez-Anguiano, Kurt B Schaberg, Trinh T Truong
{"title":"Development of Esophageal Epidermoid Metaplasia in a Pediatric Patient After Stevens-Johnson Syndrome.","authors":"Maria Elena Sanchez-Anguiano, Kurt B Schaberg, Trinh T Truong","doi":"10.14309/crj.0000000000001508","DOIUrl":"https://doi.org/10.14309/crj.0000000000001508","url":null,"abstract":"<p><p>Esophageal epidermoid metaplasia (EEM) is a rare condition that has not been described in Stevens-Johnson syndrome (SJS) and has only been described once in pediatrics. Neither the relationship, treatment, nor surveillance between SJS, esophageal strictures, and EEM has been established. We report the first case of EEM in an 8-year-old girl with esophageal stricture after SJS. Pediatric patients presenting with dysphagia after SJS should be evaluated for esophageal stricture and subsequent EEM development. Owing to EEM's, association with esophageal squamous cell cancer, close follow-up, biopsy surveillance for dysplasia, endoscopic treatment, and TP53 genetic sequencing should be considered.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 9","pages":"e01508"},"PeriodicalIF":0.6,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11398809/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278898","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 : 2024-09-12eCollection Date: 2024-09-01DOI: 10.14309/crj.0000000000001502
Amel Tabet Aoul, Ama Achiamah, Nathaniel Leavitt, Chun He, Pujan Kandal, Varun Patel
{"title":"Sigmoid Colon Angiomyolipoma as a Culprit for Intermittent Constipation and Hematochezia.","authors":"Amel Tabet Aoul, Ama Achiamah, Nathaniel Leavitt, Chun He, Pujan Kandal, Varun Patel","doi":"10.14309/crj.0000000000001502","DOIUrl":"https://doi.org/10.14309/crj.0000000000001502","url":null,"abstract":"<p><p>Colonic angiomyolipomas (CA) are very rare benign tumors arising from perivascular epithelioid cells. CA are most often found either during screening colonoscopies or as an incidental finding during abdominal imaging. However, some rare cases of CA are found to present with abdominal pain and hematochezia. In this article, we report a case of a 62-year-old man who presented with intermittent hematochezia and constipation who was found to have an angiomyolipoma in the sigmoid colon. The lesion was successfully removed endoscopically with no recurrence of bleeding and no complications within the first 30 days after the procedure.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 9","pages":"e01502"},"PeriodicalIF":0.6,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11392486/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278913","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 : 2024-09-12eCollection Date: 2024-09-01DOI: 10.14309/crj.0000000000001505
Bianca Thakkar, Jasmine Tidwell, Minh Thu T Nguyen, Gengsheng Yu, Neil Parikh
{"title":"Beyond the Norm: Acute Multifocal Diverticulitis.","authors":"Bianca Thakkar, Jasmine Tidwell, Minh Thu T Nguyen, Gengsheng Yu, Neil Parikh","doi":"10.14309/crj.0000000000001505","DOIUrl":"https://doi.org/10.14309/crj.0000000000001505","url":null,"abstract":"<p><p>Colonic diverticulitis is inflammation of diverticula, which are sac-like protrusions in the colonic wall. It is thought that increased intraluminal pressure and trapped food leads to inflammation. Newer theories suggest that alterations in the gut microbiome and chronic inflammation play a role as well. Diverticulitis commonly affects discrete sections of colon. Acute multifocal diverticulitis is defined as diverticulitis in at least 2 different sites of the colon separated by at least 10 cm, which is very rare. Ideal management is unclear; however, our patient improved with supportive measures and antibiotics without complications of abscess, perforation, or need for surgery.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 9","pages":"e01505"},"PeriodicalIF":0.6,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11392498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278842","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 : 2024-09-12eCollection Date: 2024-09-01DOI: 10.14309/crj.0000000000001513
Harishankar Gopakumar, Ankita C Nekkanti, Eugene N Annor, Imran L Balouch
{"title":"No Endoscope Free-Hand Polypectomy of a Large Rectal Polyp.","authors":"Harishankar Gopakumar, Ankita C Nekkanti, Eugene N Annor, Imran L Balouch","doi":"10.14309/crj.0000000000001513","DOIUrl":"https://doi.org/10.14309/crj.0000000000001513","url":null,"abstract":"","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 9","pages":"e01513"},"PeriodicalIF":0.6,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11392478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278909","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 : 2024-09-11eCollection Date: 2024-09-01DOI: 10.14309/crj.0000000000001489
Jonathan K Lin, Lafaine Grant
{"title":"Epstein-Barr Virus-Negative Plasmablastic Lymphoma Post-liver Transplantation.","authors":"Jonathan K Lin, Lafaine Grant","doi":"10.14309/crj.0000000000001489","DOIUrl":"https://doi.org/10.14309/crj.0000000000001489","url":null,"abstract":"<p><p>Existing on the spectrum of post-transplant lymphoproliferative disorders (PTLD), plasmablastic lymphoma (PBL) is a highly aggressive form of B-cell non-Hodgkin lymphoma. Since its discovery in 1997, fewer than 5 cases of postliver transplantation-associated PBL have been recorded. Despite increased awareness of PTLD and improvement in imaging, PBL often presents with disseminated disease at the time of diagnosis. Treatment usually involves immunosuppression reduction and the use of chemo/immunotherapy, but the prognosis remains poor, with median survival being less than 12 months. We present to you a case of Epstein-Barr virus-negative PBL occurring more than 6 years postliver transplantation.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 9","pages":"e01489"},"PeriodicalIF":0.6,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11390050/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278903","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 : 2024-09-11eCollection Date: 2024-09-01DOI: 10.14309/crj.0000000000001483
Yuting Huang, Nicole M Loo, Alice Y Chang, Zachary Yu, Amanda L McKenna, Charles Ritchie, Allie M Metcalfe, Raouf E Nakhleh, Murli Krishna, C Burcin Taner, Liu Yang
{"title":"Hepatic Adenomatosis in a Transgender Man on Gender-Affirming Testosterone Therapy.","authors":"Yuting Huang, Nicole M Loo, Alice Y Chang, Zachary Yu, Amanda L McKenna, Charles Ritchie, Allie M Metcalfe, Raouf E Nakhleh, Murli Krishna, C Burcin Taner, Liu Yang","doi":"10.14309/crj.0000000000001483","DOIUrl":"https://doi.org/10.14309/crj.0000000000001483","url":null,"abstract":"<p><p>The management of hepatic adenoma in transgender individuals undergoing gender-affirming hormone therapy remains unclear, especially whether treatment should be based on sex assigned at birth or therapy patient received. We presented a transgender man, female at birth, with hepatic adenomatosis with molecular profile differed from typical adenomas in cisgender males on testosterone. Discontinuing testosterone led to autoinfarction of the adenoma, allowing the avoidance of invasive treatments and resumption of gender-affirming hormone therapy. This case underscores the necessity for personalized care in the growing transgender population and challenges current consensus of treatment based on sex assigned at birth, emphasizing a tailored approach.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 9","pages":"e01483"},"PeriodicalIF":0.6,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11390042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278906","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 : 2024-09-11eCollection Date: 2024-09-01DOI: 10.14309/crj.0000000000001486
Zaid Ansari, Akram Ahmad, Pablo A Bejarano, Antonio Pinna, Xaralambos Zervos
{"title":"Malakoplakia in a Transplanted Liver.","authors":"Zaid Ansari, Akram Ahmad, Pablo A Bejarano, Antonio Pinna, Xaralambos Zervos","doi":"10.14309/crj.0000000000001486","DOIUrl":"https://doi.org/10.14309/crj.0000000000001486","url":null,"abstract":"<p><p>Malakoplakia is a rare acquired histiocytic disorder first described in the urinary bladder. There have been 8 cases reported involving the liver, and this is the first reported case of malakoplakia involving an adult transplanted liver. We report a 63-year-old man with a medical history of orthotopic liver transplantation who presented with fever, chills, and abdominal pain. Imaging found confluent microabscesses in the right lobe of the liver that persisted despite prolonged antibiotics. He was taken to the operating room for a segment 6 hepatectomy of the abscess. Histologically, the inflammatory process showed malakoplakia.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 9","pages":"e01486"},"PeriodicalIF":0.6,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11390046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278908","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 : 2024-09-11eCollection Date: 2024-09-01DOI: 10.14309/crj.0000000000001493
Sharifeh Almasaid, Fathima Keshia Suhail, Hafiz M Khan
{"title":"Endoscopic Through-the-Scope X-Tack Helix Suturing System for Complete Closure of a Large Full-Thickness After Surgical Gastric Perforation.","authors":"Sharifeh Almasaid, Fathima Keshia Suhail, Hafiz M Khan","doi":"10.14309/crj.0000000000001493","DOIUrl":"https://doi.org/10.14309/crj.0000000000001493","url":null,"abstract":"<p><p>Gastric perforation is considered a surgical emergency managed operatively; however, endoscopic repair techniques have gained popularity as they are cost-effective, improve mortality, and decrease hospital stay and recurrence. With increased prevalence of gastric defects postoperatively and after invasive endoscopic procedures, various endoscopic techniques were developed over the years, but special consideration should be given to the defect type, size, and location. Our case highlights the use of X-Tack through-the-scope suturing for closing a large, full-thickness gastric perforation in a difficult location where OverStitch is not feasible.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 9","pages":"e01493"},"PeriodicalIF":0.6,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11390043/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278902","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}