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Sequential Passenger Lymphocyte Syndrome and Skin-Predominant Acute Graft-vs-Host Disease After Liver Transplantation. 肝移植后序贯乘客淋巴细胞综合征和皮肤显性急性移植物抗宿主病。
IF 0.6
ACG Case Reports Journal Pub Date : 2026-09-29 eCollection Date: 2026-10-01 DOI: 10.14309/crj.0000000000002329
Urveesh Sharma, Yash Shah, Manesh Kumar Gangwani, Mary K Rude, Matthew Deneke
{"title":"Sequential Passenger Lymphocyte Syndrome and Skin-Predominant Acute Graft-vs-Host Disease After Liver Transplantation.","authors":"Urveesh Sharma, Yash Shah, Manesh Kumar Gangwani, Mary K Rude, Matthew Deneke","doi":"10.14309/crj.0000000000002329","DOIUrl":"10.14309/crj.0000000000002329","url":null,"abstract":"<p><p>Passenger lymphocyte syndrome (PLS) and acute graft-vs-host disease (aGVHD) both arise from donor lymphocytes but represent distinct immune-mediated complications rarely documented sequentially in the same recipient. We report a 63-year-old woman who developed severe hemolytic anemia on postoperative day 1 after minor ABO blood group system-mismatched liver transplantation, consistent with PLS, followed 8 weeks later by skin-predominant aGVHD supported by skin biopsy and peripheral blood chimerism. Early diagnosis and treatment with high-dose corticosteroids led to rapid improvement. This case highlights that these complications can occur in sequence and underscores the prognostic importance of organ involvement pattern and early biopsy.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"13 10","pages":"e02329"},"PeriodicalIF":0.6,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13623278/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149079331","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
Ischemic Gastroduodenitis: Navigating the Challenges of Enteral Nutrition Resumption. 缺血性胃十二指肠炎：肠内营养恢复的挑战。
IF 0.6
ACG Case Reports Journal Pub Date : 2026-09-29 eCollection Date: 2026-10-01 DOI: 10.14309/crj.0000000000002339
Mark Stasiewicz, Yassin Naga, Gordon V Ohning, Jose Aponte-Pieras
{"title":"Ischemic Gastroduodenitis: Navigating the Challenges of Enteral Nutrition Resumption.","authors":"Mark Stasiewicz, Yassin Naga, Gordon V Ohning, Jose Aponte-Pieras","doi":"10.14309/crj.0000000000002339","DOIUrl":"10.14309/crj.0000000000002339","url":null,"abstract":"<p><p>Ischemic gastritis (IG) and ischemic duodenitis (ID) are rare due to the extensive anastomotic vascular supply arising from the celiac trunk. Profound splanchnic hypoperfusion is required to induce a clinically significant ischemic insult. Etiologies typically include systemic hypotension, vasculitis, or thromboembolism. Patients with IG/ID often face high morbidity and mortality given the severity of ischemia required to induce extensive mucosal damage, leaving clinicians to balance prolonged bowel rest and early enteral feeding. We present the case of an 18-year-old man with spastic quadriplegic cerebral palsy and developmental delay who developed severe IG/ID in the setting of severe hemorrhagic shock. He presented to our institution with hemodynamic instability, profound anemia, and signs of upper gastrointestinal bleeding. Endoscopic evaluation found the patient to have severe IG/ID necessitating prolonged bowel rest and total parenteral nutrition (TPN). After evidence of mucosal recovery on surveillance endoscopy, he was gradually transitioned from TPN to enteral nutrition and successfully discharged to a long-term care facility. This report describes the successful reintroduction of enteral feeding in a patient with severe IG/ID after prolonged bowel rest. The use of surveillance endoscopy to guide the gradual reintroduction of enteral feeding, alongside careful TPN weaning, allowed for the successful discharge of a patient with IG/ID, a condition associated with poor outcomes.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"13 10","pages":"e02339"},"PeriodicalIF":0.6,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13623277/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149079254","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
Endoscopic Serosal Patch: Over-the-Scope Clip Closure of a Perforated Peptic Ulcer Using a Novel Salvage Technique. 内窥镜浆膜贴片：使用一种新的挽救技术，在镜内夹封闭穿孔的消化性溃疡。
IF 0.6
ACG Case Reports Journal Pub Date : 2026-09-29 eCollection Date: 2026-10-01 DOI: 10.14309/crj.0000000000002324
Chloe Savino, Elena C Pezzino, Sukrit S Jain, Sonia Lele, Nabil Issa, Saad Saffo
{"title":"Endoscopic Serosal Patch: Over-the-Scope Clip Closure of a Perforated Peptic Ulcer Using a Novel Salvage Technique.","authors":"Chloe Savino, Elena C Pezzino, Sukrit S Jain, Sonia Lele, Nabil Issa, Saad Saffo","doi":"10.14309/crj.0000000000002324","DOIUrl":"10.14309/crj.0000000000002324","url":null,"abstract":"","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"13 10","pages":"e02324"},"PeriodicalIF":0.6,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13623293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149079266","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
Endoscopic Reduction of Organoaxial Gastric Volvulus Within a Giant Type III Paraesophageal Hernia. 内镜下缩小巨大III型食管旁疝胃器官轴状扭转。
IF 0.6
ACG Case Reports Journal Pub Date : 2026-09-28 eCollection Date: 2026-10-01 DOI: 10.14309/crj.0000000000002334
Rayhan Karimi, Lee Sigmon, Ruchi Shrestha
{"title":"Endoscopic Reduction of Organoaxial Gastric Volvulus Within a Giant Type III Paraesophageal Hernia.","authors":"Rayhan Karimi, Lee Sigmon, Ruchi Shrestha","doi":"10.14309/crj.0000000000002334","DOIUrl":"10.14309/crj.0000000000002334","url":null,"abstract":"","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"13 10","pages":"e02334"},"PeriodicalIF":0.6,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13619174/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149073211","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
Hookworms in the Stomach: Concurrent Gastric Ancylostomiasis and Gastric Adenocarcinoma Video Case Report. 胃钩虫：并发胃钩虫病和胃腺癌视频病例报告。
IF 0.6
ACG Case Reports Journal Pub Date : 2026-09-28 eCollection Date: 2026-10-01 DOI: 10.14309/crj.0000000000002313
Anil Mathew Philip, Victoria Alagiozian-Angelova, Anas Almoghrabi
{"title":"Hookworms in the Stomach: Concurrent Gastric Ancylostomiasis and Gastric Adenocarcinoma Video Case Report.","authors":"Anil Mathew Philip, Victoria Alagiozian-Angelova, Anas Almoghrabi","doi":"10.14309/crj.0000000000002313","DOIUrl":"10.14309/crj.0000000000002313","url":null,"abstract":"","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"13 10","pages":"e02313"},"PeriodicalIF":0.6,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13619181/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149073254","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
Necrotizing Pancreatitis Associated With an Ingested Screw Adjacent to the Ampulla of Vater. 坏死性胰腺炎与水腹附近摄入螺钉有关。
IF 0.6
ACG Case Reports Journal Pub Date : 2026-09-28 eCollection Date: 2026-10-01 DOI: 10.14309/crj.0000000000002340
Francis Sangwon Lee, Christina Lee, Clare Lee, Vincent Huntley
{"title":"Necrotizing Pancreatitis Associated With an Ingested Screw Adjacent to the Ampulla of Vater.","authors":"Francis Sangwon Lee, Christina Lee, Clare Lee, Vincent Huntley","doi":"10.14309/crj.0000000000002340","DOIUrl":"10.14309/crj.0000000000002340","url":null,"abstract":"<p><p>A 78-year-old man presented with severe epigastric pain and was diagnosed with acute pancreatitis that progressed to necrotizing pancreatitis despite supportive management. No common etiologies were identified. During endoscopic nasojejunal feeding tube placement, a metallic screw was incidentally discovered in the second portion of the duodenum adjacent to the major papilla and successfully removed. The foreign body had not been detected on previous computed tomography, ultrasound, or abdominal radiography. The patient recovered completely without recurrence. This case highlights a rare periampullary foreign body in otherwise unexplained pancreatitis and raises the possibility of a mechanical contribution to disease pathogenesis.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"13 10","pages":"e02340"},"PeriodicalIF":0.6,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13619177/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149073257","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
Report of Meckel Diverticulum Mimicking Stricturing Crohn's Disease in an Adolescent Boy. 一例青春期男孩的Meckel憩室模拟狭窄性克罗恩病报告。
IF 0.6
ACG Case Reports Journal Pub Date : 2026-09-28 eCollection Date: 2026-10-01 DOI: 10.14309/crj.0000000000002307
Merissa Maccani, Courtney Bartel, Oscar F Lopez-Nunez, Aaron Garrison, Jonathan R Dillman, Nicole Zeky, Jasbir Dhaliwal
{"title":"Report of Meckel Diverticulum Mimicking Stricturing Crohn's Disease in an Adolescent Boy.","authors":"Merissa Maccani, Courtney Bartel, Oscar F Lopez-Nunez, Aaron Garrison, Jonathan R Dillman, Nicole Zeky, Jasbir Dhaliwal","doi":"10.14309/crj.0000000000002307","DOIUrl":"10.14309/crj.0000000000002307","url":null,"abstract":"<p><p>Inflammatory bowel disease, specifically Crohn's disease (CD), can present with hematochezia, iron deficiency anemia, intestinal obstruction, elevated fecal calprotectin often overlapping with other conditions. We report a 16-year-old adolescent boy with presumed stricturing CD whose anti-tumor necrosis factor therapy failed to respond. Persistent iron deficiency anemia and elevated fecal calprotectin prompted reevaluation imaging, raising concerns for the Meckel diverticulum. Surgical resection resulted in resolution of anemia. This case highlights the importance of reassessing a diagnosis in refractory cases. Providers should consider the Meckel diverticulum as a diagnosis that can mimic CD especially if the course is refractory to treatment.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"13 10","pages":"e02307"},"PeriodicalIF":0.6,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13619293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149073410","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
Gastrointestinal Manifestation of Light Chain Deposition Disease: Beware of the Snakeskin Duodenum. 轻链沉积病的胃肠道表现：当心蛇皮十二指肠。
IF 0.6
ACG Case Reports Journal Pub Date : 2026-09-28 eCollection Date: 2026-10-01 DOI: 10.14309/crj.0000000000002335
Angela Zhu, Jingyi Cheng, James Fiori, Rajiv Kurup, Daniel Ng, Faris Gondal, Andrew Brett
{"title":"Gastrointestinal Manifestation of Light Chain Deposition Disease: Beware of the Snakeskin Duodenum.","authors":"Angela Zhu, Jingyi Cheng, James Fiori, Rajiv Kurup, Daniel Ng, Faris Gondal, Andrew Brett","doi":"10.14309/crj.0000000000002335","DOIUrl":"10.14309/crj.0000000000002335","url":null,"abstract":"<p><p>Gastrointestinal manifestations of light chain deposition disease are exceedingly rare and are characterized by gastrointestinal bleeding, nutritional deficiencies and protein-losing enteropathy. Diagnosis is challenging due to nonspecific symptomatology and indolent disease progression. We describe the case of a 69-year-old woman presenting with melena, chronic diarrhea, and recurrent sepsis. Gastroscopy revealed a highly unusual snakeskin appearance of the duodenum, with histopathology and immunofluorescence confirming light chain deposition disease. This case highlights the importance of prompt biopsy acquisition, hematological evaluation and assessment of extragastrointestinal involvement in facilitating a timely diagnosis, particularly when an underlying lymphoplasmacytic lymphoma is a possible driver of disease.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"13 10","pages":"e02335"},"PeriodicalIF":0.6,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13619273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149073350","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
Severe Mpox-Associated Proctocolitis Mimicking Opportunistic Colitis in a Liver Transplant Recipient. 肝移植受者重度mpox相关性直结肠炎模拟机会性结肠炎。
IF 0.6
ACG Case Reports Journal Pub Date : 2026-09-28 eCollection Date: 2026-10-01 DOI: 10.14309/crj.0000000000002330
Fnu Deepali, Alexander Rembalsky, Jadesola Akinwuntan, Mikaela Nikkola Jara-Tantoco, Khushboo Bhatia, Ghideon Ezaz
{"title":"Severe Mpox-Associated Proctocolitis Mimicking Opportunistic Colitis in a Liver Transplant Recipient.","authors":"Fnu Deepali, Alexander Rembalsky, Jadesola Akinwuntan, Mikaela Nikkola Jara-Tantoco, Khushboo Bhatia, Ghideon Ezaz","doi":"10.14309/crj.0000000000002330","DOIUrl":"10.14309/crj.0000000000002330","url":null,"abstract":"<p><p>Mpox infection increasingly manifests with anorectal disease during the recent global outbreak. Severe ulcerative proctocolitis in solid-organ transplant recipients remains rarely described. We report a 37-year-old liver transplant recipient with well-controlled HIV infection (CD4 count 661 cells/µL [35%] and HIV RNA <20 copies/mL) presenting with severe watery diarrhea, rectal pain, disseminated vesiculopustular lesions, and inflammatory proctocolitis on imaging and endoscopy. Histopathology demonstrated ulceration and cryptitis without viral inclusions, while extensive infectious evaluation was negative. Polymerase chain reaction testing of a cutaneous lesion was positive for mpox virus. Symptoms improved with supportive care and reduction of immunosuppression. This case highlights mpox as an important diagnostic consideration in immunocompromised patients presenting with severe ulcerative proctocolitis, including patients with preserved CD4 immunity and virologically suppressed HIV infection.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"13 10","pages":"e02330"},"PeriodicalIF":0.6,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13619187/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149073403","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
Muscle-Anchor-Assisted Coagulation, Clipping, and Closure to Prevent Delayed Bleeding After Gastric Endoscopic Submucosal Dissection Using Inexpensive Reopenable Clips. 肌肉锚定辅助凝血，夹紧和关闭防止胃内镜下粘膜夹层后延迟出血，使用廉价的可重复打开夹。
IF 0.6
ACG Case Reports Journal Pub Date : 2026-09-28 eCollection Date: 2026-10-01 DOI: 10.14309/crj.0000000000002338
Satoshi Abiko, Erina Ishibe, Xinhan Zhang, Shuhei Hayasaka, Sae Nakajima, Hiroki Egami, Takayuki Sone, Masaki Inoue, Shuichi Miyamoto, Masayoshi Ono, Shoko Ono, Naoya Sakamoto
{"title":"Muscle-Anchor-Assisted Coagulation, Clipping, and Closure to Prevent Delayed Bleeding After Gastric Endoscopic Submucosal Dissection Using Inexpensive Reopenable Clips.","authors":"Satoshi Abiko, Erina Ishibe, Xinhan Zhang, Shuhei Hayasaka, Sae Nakajima, Hiroki Egami, Takayuki Sone, Masaki Inoue, Shuichi Miyamoto, Masayoshi Ono, Shoko Ono, Naoya Sakamoto","doi":"10.14309/crj.0000000000002338","DOIUrl":"10.14309/crj.0000000000002338","url":null,"abstract":"","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"13 10","pages":"e02338"},"PeriodicalIF":0.6,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13619243/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149073314","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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