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Unusual Complication of Percutaneous Gastrostomy Tube Replacement. 经皮胃造口管置换术的罕见并发症。
IF 0.5
ACG Case Reports Journal Pub Date : 2025-09-17 eCollection Date: 2025-09-01 DOI: 10.14309/crj.0000000000001834
Si Ru Liang, Gyanprakash Ketwaroo, Basile Njei, Amy Ogurick, Anahita Rabiee, Petr Protiva
{"title":"Unusual Complication of Percutaneous Gastrostomy Tube Replacement.","authors":"Si Ru Liang, Gyanprakash Ketwaroo, Basile Njei, Amy Ogurick, Anahita Rabiee, Petr Protiva","doi":"10.14309/crj.0000000000001834","DOIUrl":"10.14309/crj.0000000000001834","url":null,"abstract":"<p><p>Percutaneous endoscopic gastrostomy tubes are commonly used for long-term nutritional support in patients with impaired swallowing due to neurological conditions, malignancy, or critical illness. Although placement, removal, and replacement are generally safe, complications may occur. We report a case of complete gastric outlet obstruction due to unusually deep percutaneous endoscopic gastrostomy tube insertion during replacement in a 63-year-old man with esophageal cancer. Symptoms resolved after repositioning the tube. This case highlights the need for proper training and postreplacement verification to ensure safe outcomes.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 9","pages":"e01834"},"PeriodicalIF":0.5,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12443151/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145085034","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
Diagnosis of Perihilar Osteoclast Giant Cell Carcinoma in an Elderly Patient: A Report of Diagnostic Challenges Over Several Attempts. 老年患者门周破骨细胞巨细胞癌的诊断：几次尝试的诊断挑战报告。
IF 0.5
ACG Case Reports Journal Pub Date : 2025-09-15 eCollection Date: 2025-09-01 DOI: 10.14309/crj.0000000000001829
Sharifeh Almasaid, Fathima Keshia Suhail, Nesrine Bensaadi, Kelita Singh, Bishnu Sapkota
{"title":"Diagnosis of Perihilar Osteoclast Giant Cell Carcinoma in an Elderly Patient: A Report of Diagnostic Challenges Over Several Attempts.","authors":"Sharifeh Almasaid, Fathima Keshia Suhail, Nesrine Bensaadi, Kelita Singh, Bishnu Sapkota","doi":"10.14309/crj.0000000000001829","DOIUrl":"10.14309/crj.0000000000001829","url":null,"abstract":"<p><p>Cholangiocarcinoma is a rare gastrointestinal malignancy with an annual incidence of 0.3 to 6 cases per 100,000, and, usually, it is reported as adenocarcinoma in about 95% of the cases. It can develop as a result of combination of genetic predispositions and various risk factors like but not limited to choledochal cysts, cholelithiasis/choledocholithiasis, yet its diagnosis is challenging due to difficulties in obtaining tissue for diagnosis. In this study, we present a challenging case in diagnosis that reveals undifferentiated carcinoma with osteoclast-like giant cells in the perihilar region of the bile duct.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 9","pages":"e01829"},"PeriodicalIF":0.5,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12440543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145079062","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
Atypical Presentations of Levator Ani Syndrome With Perianal Hyperhidrosis: A Case Series. 提肛肌综合征伴肛周多汗症的不典型表现：一个病例系列。
IF 0.5
ACG Case Reports Journal Pub Date : 2025-09-11 eCollection Date: 2025-09-01 DOI: 10.14309/crj.0000000000001826
Riya Gupta, Kara J Jencks, John A Damianos, Xiao Jing Iris Wang
{"title":"Atypical Presentations of Levator Ani Syndrome With Perianal Hyperhidrosis: A Case Series.","authors":"Riya Gupta, Kara J Jencks, John A Damianos, Xiao Jing Iris Wang","doi":"10.14309/crj.0000000000001826","DOIUrl":"10.14309/crj.0000000000001826","url":null,"abstract":"<p><p>Levator ani syndrome (LAS) explains up to 7.4% of anorectal pain cases. Classic symptoms include rectal pain or pressure with sitting. We present 2 patients, ages 32 and 25 years, presenting initially with \"diarrhea\" and perianal hyperhidrosis. History revealed rectal discomfort, tenesmus, urgency, and sensation of incomplete evacuation. Puborectalis tenderness was present on digital rectal examination. Therapies were tailored to each patient, including pelvic floor physical therapy with biofeedback, bowel regulation, rectal diazepam, and ileostomy. These presentations offer insights into potential pathophysiological mechanisms in LAS and highlight the importance of considering LAS in non-pain presentations.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 9","pages":"e01826"},"PeriodicalIF":0.5,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12431760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145063112","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
Psyllium Overdose During Bowel Preparation Leading to Pneumatosis Intestinalis. 肠准备期间车前草过量导致肠肺病。
IF 0.5
ACG Case Reports Journal Pub Date : 2025-09-10 eCollection Date: 2025-09-01 DOI: 10.14309/crj.0000000000001820
Parker Penny, Steven Lorch
{"title":"Psyllium Overdose During Bowel Preparation Leading to Pneumatosis Intestinalis.","authors":"Parker Penny, Steven Lorch","doi":"10.14309/crj.0000000000001820","DOIUrl":"10.14309/crj.0000000000001820","url":null,"abstract":"<p><p>Bowel preparation for colonoscopy can lead to severe complications if mismanaged. We present a case of a 53-year-old man who developed small bowel obstruction and pneumatosis intestinalis due to a medication error, confusing polyethylene glycol with psyllium. While generally safe, psyllium is known to cause obstruction if ingested in large quantities. While the patient responded well to conservative treatment, this case demonstrates a serious complication of laxative misuse. Clear patient education is essential for the safety and efficacy of bowel preparation before colonoscopy.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 9","pages":"e01820"},"PeriodicalIF":0.5,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422764/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145038950","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
Brucellosis. A Rare Cause of Biliary Dysplasia and Ampullary Adenocarcinoma? 布鲁氏菌病。胆道发育不良和壶腹腺癌的罕见病因？
IF 0.5
ACG Case Reports Journal Pub Date : 2025-09-10 eCollection Date: 2025-09-01 DOI: 10.14309/crj.0000000000001827
Zachary Vinton, Kevin Wolfe, Sean MacBride, Thomas Heffron, Vimal Jhaveri, Andrea K Sotelo, Mark Rosenblatt, Clark Kulig, Matthew Stotts
{"title":"Brucellosis. A Rare Cause of Biliary Dysplasia and Ampullary Adenocarcinoma?","authors":"Zachary Vinton, Kevin Wolfe, Sean MacBride, Thomas Heffron, Vimal Jhaveri, Andrea K Sotelo, Mark Rosenblatt, Clark Kulig, Matthew Stotts","doi":"10.14309/crj.0000000000001827","DOIUrl":"10.14309/crj.0000000000001827","url":null,"abstract":"<p><p>Brucellosis, a zoonotic bacterial infection often characterized by nonspecific symptoms including fever, night sweats, and weight loss, has a prolonged and recurrent course, often leading to chronic symptoms if inadequately treated. Hepatic involvement is well-documented with manifestations ranging from mild hepatitis to hepatic abscesses and granulomas. However, the association of brucellosis with biliary dysplasia or ampullary adenocarcinoma has not been previously reported in medical literature. We present a 68-year-old man with hepatic granulomatosis due to chronic brucellosis complicated by numerous episodes of ascending cholangitis secondary to choledocholithiasis and common bile duct strictures, with high-grade dysplasia and development of ampullary adenocarcinoma.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 9","pages":"e01827"},"PeriodicalIF":0.5,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145039008","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
Large Tubulovillous Rectal Mass Causing McKittrick-Wheelock Syndrome. 引起McKittrick-Wheelock综合征的大管绒毛状直肠肿块。
IF 0.5
ACG Case Reports Journal Pub Date : 2025-09-10 eCollection Date: 2025-09-01 DOI: 10.14309/crj.0000000000001832
Danzhu Zhao, Bianca Thakkar, Teresa Da Cunha, Minh Thu T Nguyen, Alexander Potashinksy
{"title":"Large Tubulovillous Rectal Mass Causing McKittrick-Wheelock Syndrome.","authors":"Danzhu Zhao, Bianca Thakkar, Teresa Da Cunha, Minh Thu T Nguyen, Alexander Potashinksy","doi":"10.14309/crj.0000000000001832","DOIUrl":"10.14309/crj.0000000000001832","url":null,"abstract":"","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 9","pages":"e01832"},"PeriodicalIF":0.5,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145038999","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
Biliary Radiofrequency Ablation and Sphincterotomy Restenosis: A Unique Case of Biliary Obstruction. 胆道射频消融加括约肌切开术再狭窄：胆道梗阻一例。
IF 0.5
ACG Case Reports Journal Pub Date : 2025-09-08 eCollection Date: 2025-09-01 DOI: 10.14309/crj.0000000000001824
Muhammad Saad Faisal, Muneer Hasso, Abdulmalik Saleem, Muhammad Salman Faisal, Sumit Singla
{"title":"Biliary Radiofrequency Ablation and Sphincterotomy Restenosis: A Unique Case of Biliary Obstruction.","authors":"Muhammad Saad Faisal, Muneer Hasso, Abdulmalik Saleem, Muhammad Salman Faisal, Sumit Singla","doi":"10.14309/crj.0000000000001824","DOIUrl":"10.14309/crj.0000000000001824","url":null,"abstract":"<p><p>Biliary radiofrequency ablation is an emerging adjunctive and palliative therapy for patients with ampullary and biliary tumors. Given the high mortality for these malignancies, data on long-term complications are limited. We report a unique case of sphincterotomy restenosis causing biliary obstruction in a 98-year-old woman with a history of ampullary adenocarcinoma treated with papillectomy and biliary radiofrequency ablation (RFA). Endoscopic retrograde cholangiopancreatography revealed restenosis at the sphincterotomy site, managed successfully with repeat sphincterotomy and stenting. This case highlights sphincterotomy restenosis as a potential late complication of biliary RFA and emphasizes the need for awareness of delayed biliary obstruction in post-RFA patients.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 9","pages":"e01824"},"PeriodicalIF":0.5,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12416997/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145028735","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
Esophageal Hematoma Following Transcatheter Edge-to-Edge Repair of the Mitral Valve: A Rare Complication of Transesophageal Echocardiography. 经导管二尖瓣边缘修复术后食管血肿：一种罕见的经食管超声心动图并发症。
IF 0.5
ACG Case Reports Journal Pub Date : 2025-09-08 eCollection Date: 2025-09-01 DOI: 10.14309/crj.0000000000001822
Ahmed Aref, Judy Sheffeh, Mohammad Ali Sheffeh, Nishant Aggarwal, Fady Banno, Mohammed Alkhero, Ketan Rana
{"title":"Esophageal Hematoma Following Transcatheter Edge-to-Edge Repair of the Mitral Valve: A Rare Complication of Transesophageal Echocardiography.","authors":"Ahmed Aref, Judy Sheffeh, Mohammad Ali Sheffeh, Nishant Aggarwal, Fady Banno, Mohammed Alkhero, Ketan Rana","doi":"10.14309/crj.0000000000001822","DOIUrl":"10.14309/crj.0000000000001822","url":null,"abstract":"<p><p>Transesophageal echocardiography is commonly used to guide structural cardiac interventions but carries a risk of esophageal injury. We present a 79-year-old woman who underwent a Transcatheter Edge-to-Edge Repair of the mitral valve and developed an esophageal hematoma. Clinical course was complicated by intractable gastrointestinal bleeding and sepsis due to acute cholecystitis. She did not survive despite aggressive measures. Our case demonstrates the potential severity of transesophageal echocardiography-related complications, especially in patients with predisposing factors such as esophageal diverticula and anticoagulation use.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 9","pages":"e01822"},"PeriodicalIF":0.5,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12419353/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145039005","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
Lumen-Apposing Metal Stent Bleeding Risk: Management of Splenic Artery Erosion. 腔旁金属支架出血风险：脾动脉侵蚀的处理。
IF 0.5
ACG Case Reports Journal Pub Date : 2025-09-08 eCollection Date: 2025-09-01 DOI: 10.14309/crj.0000000000001831
Francisca Côrte-Real, Ana Catarina Rego, Ana Rita Silva, Nadine Amaral, Nuno Nunes, José Renato Pereira, And Maria Antónia Duarte
{"title":"Lumen-Apposing Metal Stent Bleeding Risk: Management of Splenic Artery Erosion.","authors":"Francisca Côrte-Real, Ana Catarina Rego, Ana Rita Silva, Nadine Amaral, Nuno Nunes, José Renato Pereira, And Maria Antónia Duarte","doi":"10.14309/crj.0000000000001831","DOIUrl":"10.14309/crj.0000000000001831","url":null,"abstract":"<p><p>Lumen-apposing metal stents (LAMS) have been used for drainage of peripancreatic collections, although they may be associated with complications, including bleeding. We report a case of a 49-year-old male patient who developed hematemesis and syncope three and a half weeks after LAMS placement for peripancreatic collection drainage. A computed tomography scan revealed splenic artery erosion by the distal flange of the stent. Splenic artery embolization was performed before LAMS removal, and splenectomy was required 3 days later. The patient remains asymptomatic after two years of follow-up. This case demonstrates an approach to a rare but potentially fatal complication of LAMS.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 9","pages":"e01831"},"PeriodicalIF":0.5,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12419255/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145038992","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
Where the Jackhammer Meets the Corkscrew: A Case of Manometric Hypercontractile Esophagus and Esophagogastric Junction Outflow Obstruction With Endoscopic Features of Distal Esophageal Spasm. 风钻遇上开瓶器：食管压力过度收缩和食管胃交界处流出梗阻伴食管远端痉挛的内镜特征一例。
IF 0.5
ACG Case Reports Journal Pub Date : 2025-09-08 eCollection Date: 2025-09-01 DOI: 10.14309/crj.0000000000001833
Nihal Ijaz Khan, Ernesto Sigifredo Robalino Gonzaga, Mariam Naveed, Irteza Inayat
{"title":"Where the Jackhammer Meets the Corkscrew: A Case of Manometric Hypercontractile Esophagus and Esophagogastric Junction Outflow Obstruction With Endoscopic Features of Distal Esophageal Spasm.","authors":"Nihal Ijaz Khan, Ernesto Sigifredo Robalino Gonzaga, Mariam Naveed, Irteza Inayat","doi":"10.14309/crj.0000000000001833","DOIUrl":"10.14309/crj.0000000000001833","url":null,"abstract":"","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 9","pages":"e01833"},"PeriodicalIF":0.5,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12419376/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145038934","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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