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Duodenal-Acquired Intestinal Lymphangiectasia After Lymph Node Excision and Inferior Vena Cava Injury in an 18-Year-Old Woman.
IF 0.6
ACG Case Reports Journal Pub Date : 2025-02-14 eCollection Date: 2025-02-01 DOI: 10.14309/crj.0000000000001614
David Bickford, Chris Schmoyer, Chung Sang Tse
{"title":"Duodenal-Acquired Intestinal Lymphangiectasia After Lymph Node Excision and Inferior Vena Cava Injury in an 18-Year-Old Woman.","authors":"David Bickford, Chris Schmoyer, Chung Sang Tse","doi":"10.14309/crj.0000000000001614","DOIUrl":"10.14309/crj.0000000000001614","url":null,"abstract":"<p><p>Intestinal lymphangiectasia (IL) is a rare disorder characterized by dilation and obstruction of the small bowel lymphatic ducts, resulting in malabsorptive diarrhea and edema. While the majority of IL is congenital and presents in infancy, secondary acquired IL rarely presents as a long-term sequela after abdominal or pelvic surgeries. We report an 18-year-old woman who underwent surgical resection of ovarian cancer with subsequent endoscopic and histologic evidence of duodenal IL. This case highlights the importance of increased endoscopic awareness for iatrogenic acquired IL in clinical practice.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 2","pages":"e01614"},"PeriodicalIF":0.6,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827988/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432256","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
Gastric Outlet Obstruction Caused by Histoplasmosis in a Nonendemic Region.
IF 0.6
ACG Case Reports Journal Pub Date : 2025-02-14 eCollection Date: 2025-02-01 DOI: 10.14309/crj.0000000000001612
Katherine Shepherd, George Obeng, Justin T Kupec, William Hsueh
{"title":"Gastric Outlet Obstruction Caused by Histoplasmosis in a Nonendemic Region.","authors":"Katherine Shepherd, George Obeng, Justin T Kupec, William Hsueh","doi":"10.14309/crj.0000000000001612","DOIUrl":"10.14309/crj.0000000000001612","url":null,"abstract":"<p><p><i>Histoplasmosis capsulatum</i> is a dimorphic fungus commonly considered endemic in the Mississippi and Ohio River Valley regions. Histoplasmosis can present as asymptomatic in immunocompetent patients or present as a disseminated infection in immunocompromised patients. Diagnosing histoplasmosis can be challenging in nonendemic areas, especially in patients presenting primarily with gastrointestinal symptoms. We describe a case of an immunocompromised 29-year-old man presenting with gastric outlet obstruction caused by disseminated histoplasmosis in a region not commonly considered endemic to <i>Histoplasmosis capsulatum</i>.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 2","pages":"e01612"},"PeriodicalIF":0.6,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827990/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432257","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
Disseminated Varicella-Zoster and Acute Liver Failure in a Patient With Crohn's Disease on Systemic Immunosuppression.
IF 0.6
ACG Case Reports Journal Pub Date : 2025-02-10 eCollection Date: 2025-02-01 DOI: 10.14309/crj.0000000000001611
Brandon Shore, Oren K Fix, Jonathan J Hansen
{"title":"Disseminated Varicella-Zoster and Acute Liver Failure in a Patient With Crohn's Disease on Systemic Immunosuppression.","authors":"Brandon Shore, Oren K Fix, Jonathan J Hansen","doi":"10.14309/crj.0000000000001611","DOIUrl":"10.14309/crj.0000000000001611","url":null,"abstract":"<p><p>Approximately 4 million cases of varicella-zoster occur annually, most of which are self-limited and managed conservatively with supportive care with or without oral valacyclovir. However, varicella-zoster rarely disseminates leading to severe systemic illness affecting multiple organs. Disseminated varicella-zoster causes significant morbidity and mortality, particularly in immunocompromised individuals. In this study, we report a case of a 27-year-old immunosuppressed man who developed disseminated varicella-zoster infection culminating in multiorgan failure and death. We review the epidemiology, risk factors, diagnosis, prevention, and treatment of disseminated varicella-zoster.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 2","pages":"e01611"},"PeriodicalIF":0.6,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11813017/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143397755","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
Complicated Diverticulitis: A Rare Long-Term Complication After Esophagectomy With Colon Interposition.
IF 0.6
ACG Case Reports Journal Pub Date : 2025-02-10 eCollection Date: 2025-02-01 DOI: 10.14309/crj.0000000000001600
Fokkelein Veenstra, Eino van Duyn, Niels G Venneman, Barend van den Beukel
{"title":"Complicated Diverticulitis: A Rare Long-Term Complication After Esophagectomy With Colon Interposition.","authors":"Fokkelein Veenstra, Eino van Duyn, Niels G Venneman, Barend van den Beukel","doi":"10.14309/crj.0000000000001600","DOIUrl":"10.14309/crj.0000000000001600","url":null,"abstract":"<p><p>Colon interposition, a rare esophageal reconstructive procedure, can lead to late complications such as diverticulitis in the transplanted colon segment. This case involves a 65-year-old man who presented with a neck swelling 60 years after a colon interposition following caustic ingestion. A diagnosis of diverticulitis with an abscess was confirmed on a computed tomography scan after an initial diagnosis of diverticulitis, and subsequent abscess drainage was performed. Despite the development of a colocutaneous fistula, it closed spontaneously after eight weeks. The pathophysiology involves altered colonic conditions postsurgery. Management includes antibiotics and drainage, but treatment for such fistulas remains uncertain, requiring a tailored approach.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 2","pages":"e01600"},"PeriodicalIF":0.6,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11813064/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143397754","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 Family With Multiple Lynch Syndrome Mutations: Navigating Counseling Complexities.
IF 0.6
ACG Case Reports Journal Pub Date : 2025-02-07 eCollection Date: 2025-02-01 DOI: 10.14309/crj.0000000000001606
Rachel Silva-Smith, Gretter Manso, Daniel Andrew Sussman
{"title":"A Family With Multiple Lynch Syndrome Mutations: Navigating Counseling Complexities.","authors":"Rachel Silva-Smith, Gretter Manso, Daniel Andrew Sussman","doi":"10.14309/crj.0000000000001606","DOIUrl":"10.14309/crj.0000000000001606","url":null,"abstract":"<p><p>Families with multiple Lynch syndrome pathogenic variants present unique challenges in genetic counseling and clinical management. We report a family with pathogenic variants in multiple mismatch repair genes identified through multigene panel testing. Key issues highlighted by this case include recognizing when comprehensive genetic testing is necessary, tailoring management to specific genetic mutations, and ensuring accurate communication. This case highlights potential pitfalls in risk assessment and counseling for complex Lynch syndrome families.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 2","pages":"e01606"},"PeriodicalIF":0.6,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143381521","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
Aortoduodenal Syndrome: A Rare Case of Duodenal Obstruction Due to Endovascular Aneurysm Endoleak.
IF 0.6
ACG Case Reports Journal Pub Date : 2025-02-07 eCollection Date: 2025-02-01 DOI: 10.14309/crj.0000000000001595
Raksha Adhikari, Parth Patel, Christopher Tait
{"title":"Aortoduodenal Syndrome: A Rare Case of Duodenal Obstruction Due to Endovascular Aneurysm Endoleak.","authors":"Raksha Adhikari, Parth Patel, Christopher Tait","doi":"10.14309/crj.0000000000001595","DOIUrl":"10.14309/crj.0000000000001595","url":null,"abstract":"<p><p>Aortoduodenal syndrome results from expansion of an abdominal aortic aneurysm, leading to symptoms of upper gastrointestinal obstruction. Endovascular aneurysm repair of large or symptomatic aortic aneurysms has become an important treatment modality for patients with abdominal aortic aneurysm. However, a large proportion of these grafts are complicated by endoleaks that can lead to a spectrum of significant symptoms. We present a case of rapidly worsening gastrointestinal obstructive symptoms in a patient with an already repaired aortic stent graft and a solitary kidney, found to be due to a type III endoleak that improved after emergent repeat endovascular aneurysm repair.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 2","pages":"e01595"},"PeriodicalIF":0.6,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143381523","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
Isotretinoin-Induced Pill Esophagitis.
IF 0.6
ACG Case Reports Journal Pub Date : 2025-02-07 eCollection Date: 2025-02-01 DOI: 10.14309/crj.0000000000001596
George Hourany, Jamil S Samaan, Amrit K Kamboj, Francisco Ibarra
{"title":"Isotretinoin-Induced Pill Esophagitis.","authors":"George Hourany, Jamil S Samaan, Amrit K Kamboj, Francisco Ibarra","doi":"10.14309/crj.0000000000001596","DOIUrl":"10.14309/crj.0000000000001596","url":null,"abstract":"","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 2","pages":"e01596"},"PeriodicalIF":0.6,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143381528","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
Oligometastatic Hepatocellular Carcinoma to the Perirectal Pelvis, a Rare Site of Distant Spread.
IF 0.6
ACG Case Reports Journal Pub Date : 2025-02-07 eCollection Date: 2025-02-01 DOI: 10.14309/crj.0000000000001615
Gabriel V Lupu, A Sidney Barritt, Alina C Iuga, Andrew M Moon, Hanna K Sanoff, Ted K Yanagihara, Lisa M Gangarosa
{"title":"Oligometastatic Hepatocellular Carcinoma to the Perirectal Pelvis, a Rare Site of Distant Spread.","authors":"Gabriel V Lupu, A Sidney Barritt, Alina C Iuga, Andrew M Moon, Hanna K Sanoff, Ted K Yanagihara, Lisa M Gangarosa","doi":"10.14309/crj.0000000000001615","DOIUrl":"10.14309/crj.0000000000001615","url":null,"abstract":"<p><p>Prevention, recognition, and staging of hepatocellular carcinoma (HCC) rely primarily on abdominal imaging. Treatment of HCC varies widely based on tumor stage, lymph node involvement, and metastatic disease along with the patient's functional status. We present an unusual case of isolated extrahepatic HCC metastasis involving a solitary lesion in the pelvis, with no other evidence of viable intrahepatic or extrahepatic disease. The detection of this metastasis was aided by regular surveillance magnetic resonance imaging, alpha-fetoprotein monitoring, and pathological diagnosis. Our case highlights the importance of thoroughly evaluating interval changes on surveillance imaging in HCC.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 2","pages":"e01615"},"PeriodicalIF":0.6,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143381530","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
Cytarabine-Induced Hyperbilirubinemia in a Pregnant Patient With Acute Myeloid Leukemia.
IF 0.6
ACG Case Reports Journal Pub Date : 2025-02-07 eCollection Date: 2025-02-01 DOI: 10.14309/crj.0000000000001610
Anjana Rajan, Abdelwahab Ahmed, Yalda Dehghan, Ji-Cheng Hsieh, Christopher Moore
{"title":"Cytarabine-Induced Hyperbilirubinemia in a Pregnant Patient With Acute Myeloid Leukemia.","authors":"Anjana Rajan, Abdelwahab Ahmed, Yalda Dehghan, Ji-Cheng Hsieh, Christopher Moore","doi":"10.14309/crj.0000000000001610","DOIUrl":"10.14309/crj.0000000000001610","url":null,"abstract":"<p><p>This case study presents the first reported instance of cytarabine-induced hyperbilirubinemia in a pregnant patient undergoing treatment of acute myeloid leukemia. Despite experiencing direct hyperbilirubinemia during induction therapy, the patient exhibited no other signs of liver dysfunction. Lowering the cytarabine dose in subsequent cycles resulted in milder bilirubin elevations without compromising treatment efficacy. The patient gave birth to a healthy baby at term between cycles, underscoring the benign nature of this effect on both maternal and fetal health. This case contributes valuable insight into the management and outcomes of cytarabine-induced hyperbilirubinemia in a rare population: pregnant patients with acute myeloid leukemia.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 2","pages":"e01610"},"PeriodicalIF":0.6,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805562/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143381526","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 Unusual Case of Intrahepatic Stone Masquerading as Cholangiocarcinoma.
IF 0.6
ACG Case Reports Journal Pub Date : 2025-02-06 eCollection Date: 2025-02-01 DOI: 10.14309/crj.0000000000001607
Alexander S Williams, Michael A Sikes, Scott Liu
{"title":"An Unusual Case of Intrahepatic Stone Masquerading as Cholangiocarcinoma.","authors":"Alexander S Williams, Michael A Sikes, Scott Liu","doi":"10.14309/crj.0000000000001607","DOIUrl":"10.14309/crj.0000000000001607","url":null,"abstract":"<p><p>A cancer of the biliary tree, cholangiocarcinoma (CCA) often presents with painless jaundice, right upper quadrant abdominal pain, and unintended weight loss. Serologic testing to include cancer antigen 19-9 (CA 19-9) is elevated in CCA but can also be elevated in inflammatory processes in the biliary system. Diagnosis is difficult and even with advanced imaging techniques false-positives may occur. We present a case of a patient with elevated CA 19-9 and biliary stricture concerning for CCA but was due to hepatic stone. It demonstrates the challenge of correctly diagnosing CCA and an instance of nonmalignant elevation of CA 19-9.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 2","pages":"e01607"},"PeriodicalIF":0.6,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11801792/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143363191","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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