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Pancreatitis, Panniculitis, and Polyarthritis Syndrome as an Indication for Endoscopic Retrograde Cholangiopancreatography.
IF 0.6
ACG Case Reports Journal Pub Date : 2025-02-01 DOI: 10.14309/crj.0000000000001605
Idowu Ajose, Krystal Mills, Moira Hilscher
{"title":"Pancreatitis, Panniculitis, and Polyarthritis Syndrome as an Indication for Endoscopic Retrograde Cholangiopancreatography.","authors":"Idowu Ajose, Krystal Mills, Moira Hilscher","doi":"10.14309/crj.0000000000001605","DOIUrl":"10.14309/crj.0000000000001605","url":null,"abstract":"<p><p>Pancreatic diseases, including pancreatitis, may be associated with skin manifestations, and prompt recognition is crucial for diagnosis and prognosis. Pancreatic panniculitis is an uncommon dermatologic condition occurring in only 0.3%-3% of pancreatic diseases. Very rarely, the triad of pancreatitis, panniculitis, and polyarthritis syndrome can be observed. Of the scant cases in the literature, most patients received treatment with nonsteroidal anti-inflammatory drugs and/or steroids. To our knowledge, this is the first case to outline an endoscopic approach for pancreatitis, panniculitis, and polyarthritis syndrome in the setting of a pseudocyst.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 2","pages":"e01605"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789859/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143121815","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
Silent and Spontaneous Excretion of Two Magnets Pinching the Gut.
IF 0.6
ACG Case Reports Journal Pub Date : 2025-02-01 DOI: 10.14309/crj.0000000000001603
Ryosuke Miyamoto, Hitoshi Honma, Yu Masuda, Akihisa Okumura
{"title":"Silent and Spontaneous Excretion of Two Magnets Pinching the Gut.","authors":"Ryosuke Miyamoto, Hitoshi Honma, Yu Masuda, Akihisa Okumura","doi":"10.14309/crj.0000000000001603","DOIUrl":"https://doi.org/10.14309/crj.0000000000001603","url":null,"abstract":"","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 2","pages":"e01603"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789906/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143121819","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 Severe Case of Disseminated Herpes Zoster in a Patient With Crohn's Disease on Upadacitinib Who Completed the Recombinant Zoster Vaccine Series.
IF 0.6
ACG Case Reports Journal Pub Date : 2025-01-29 eCollection Date: 2025-02-01 DOI: 10.14309/crj.0000000000001599
Nicole Lue, Lauren Burdine, Tamara Kahan, Kirthan Reddy, Ryan Nelson, Corina Lopez, Matthew Lee, Jacqueline Wolf
{"title":"A Severe Case of Disseminated Herpes Zoster in a Patient With Crohn's Disease on Upadacitinib Who Completed the Recombinant Zoster Vaccine Series.","authors":"Nicole Lue, Lauren Burdine, Tamara Kahan, Kirthan Reddy, Ryan Nelson, Corina Lopez, Matthew Lee, Jacqueline Wolf","doi":"10.14309/crj.0000000000001599","DOIUrl":"10.14309/crj.0000000000001599","url":null,"abstract":"<p><p>Herpes zoster (HZ) is caused by the reactivation of the varicella zoster virus and presents with painful vesicular lesions in a dermatomal distribution. Disseminated HZ occurs when skin lesions erupt in numerous dermatomes. Upadacitinib is the first oral medication approved to treat moderate-severe Crohn's disease and has been associated with nonsevere cases of HZ. We present a case of a 60-year-old woman with refractory Crohn's disease who failed multiple immunosuppressive therapies, completed the recombinant zoster vaccines, and developed disseminated HZ on high-dose upadacitinib. She was treated with intravenous acyclovir, upadacitinib was discontinued, and was discharged on suppressive valacyclovir.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 2","pages":"e01599"},"PeriodicalIF":0.6,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11778084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063225","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
Combined Anterograde and Retrograde Endoscopic Management of Complete Esophageal Obstruction in Absence of Fluoroscopic Guidance.
IF 0.6
ACG Case Reports Journal Pub Date : 2025-01-29 eCollection Date: 2025-02-01 DOI: 10.14309/crj.0000000000001594
Muhammad Hassaan Arif Maan, John Esli Medina Morales, Catherine Choi, Muhammad Mursaleen Ahmad, Kaveh Hajifathalian, Weizheng William Wang
{"title":"Combined Anterograde and Retrograde Endoscopic Management of Complete Esophageal Obstruction in Absence of Fluoroscopic Guidance.","authors":"Muhammad Hassaan Arif Maan, John Esli Medina Morales, Catherine Choi, Muhammad Mursaleen Ahmad, Kaveh Hajifathalian, Weizheng William Wang","doi":"10.14309/crj.0000000000001594","DOIUrl":"10.14309/crj.0000000000001594","url":null,"abstract":"<p><p>Complete esophageal obstruction is a major side effect of radiotherapy for head and neck cancers. We present a 65-year-old man with complete esophageal obstruction due to chemoradiotherapy and 7 years of gastric tube dependence. A combined anterograde and retrograde endoscopic procedure was successfully performed using direct transillumination from the anterograde scope to visualize and excise the obstructing mucosa, without fluoroscopic guidance. The patient tolerated the procedure well, with no major complications on follow-up. This fluoroscopy-free rendezvous approach is a safe, effective option with practical applications, particularly in resource-limited settings.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 2","pages":"e01594"},"PeriodicalIF":0.6,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11778083/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063228","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
Association of Gastric Sarcina With Malignant Pyloric Stenosis.
IF 0.6
ACG Case Reports Journal Pub Date : 2025-01-29 eCollection Date: 2025-02-01 DOI: 10.14309/crj.0000000000001593
Shivangini Duggal, Keith Garrison, Samantha Meza-Rodriguez, Ben Williams, Ioannis Konstantinidis, Marc J Zuckerman, Sherif E Elhanafi
{"title":"Association of Gastric Sarcina With Malignant Pyloric Stenosis.","authors":"Shivangini Duggal, Keith Garrison, Samantha Meza-Rodriguez, Ben Williams, Ioannis Konstantinidis, Marc J Zuckerman, Sherif E Elhanafi","doi":"10.14309/crj.0000000000001593","DOIUrl":"10.14309/crj.0000000000001593","url":null,"abstract":"<p><p><i>Sarcina ventriculi</i> (SV) is a Gram-positive cocci that thrives in the acidic stomach environment and may cause gastrointestinal symptoms. A 65-year-old woman with a history of <i>Helicobacter pylori</i> gastritis and diabetes presented with abdominal pain, vomiting, diarrhea, and weight loss. Initial esophagogastroduodenoscopy revealed pyloric stenosis with thickened prepyloric gastric folds, and endoscopic biopsy revealed SV without malignancy. Owing to persistent symptoms, endoscopic ultrasound was done with repeat biopsies and was nondiagnostic. Subsequently, a robotic gastrojejunostomy was done due to persistent gastric outlet obstruction symptoms. Surgical specimens revealed signet ring cell carcinoma. This case highlights the importance of suspecting underlying malignancy in patients with SV and the necessity of comprehensive diagnostic evaluation when endoscopic findings are inconclusive.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 2","pages":"e01593"},"PeriodicalIF":0.6,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11778090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063226","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
Chimeric Antigen Receptor T-Cell-Associated Cholangiopathy: First Reported Case of a Complication of Chimeric Antigen Receptor T-Cell Therapy.
IF 0.6
ACG Case Reports Journal Pub Date : 2025-01-24 eCollection Date: 2025-01-01 DOI: 10.14309/crj.0000000000001597
Albert Z Huang, Hyun Jae Kim, Billy Zhao, Daniel R Owen, Avni Jain, Daljeet Chahal, Eric M Yoshida
{"title":"Chimeric Antigen Receptor T-Cell-Associated Cholangiopathy: First Reported Case of a Complication of Chimeric Antigen Receptor T-Cell Therapy.","authors":"Albert Z Huang, Hyun Jae Kim, Billy Zhao, Daniel R Owen, Avni Jain, Daljeet Chahal, Eric M Yoshida","doi":"10.14309/crj.0000000000001597","DOIUrl":"10.14309/crj.0000000000001597","url":null,"abstract":"<p><p>Chimeric antigen receptor T-cell (CAR-T) therapy is a novel immunotherapy for the treatment of refractory malignancies. While various complications have been described previously, sclerosing cholangitis has not been reported. We report the first description of sclerosing cholangitis secondary to Tecartus CAR-T therapy in a 67-year-old man with refractory stage IV mantle cell lymphoma. As CAR-T therapy becomes increasingly used in clinical practice, it is critical to recognize potential hepatobiliary complications. Further research is needed to facilitate early diagnosis and to develop effective treatment strategies for managing these rare but severe complications.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 1","pages":"e01597"},"PeriodicalIF":0.6,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11759319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143045007","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
Cytomegalovirus Colitis Masquerading as a Recurrent Colonic Polyp in a Patient With Neurofibromatosis Type 1. 1型神经纤维瘤病患者巨细胞病毒性结肠炎伪装成复发性结肠息肉。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-01-21 eCollection Date: 2025-01-01 DOI: 10.14309/crj.0000000000001587
Colin P Slaymaker, Bhargavram Channagiri Srinivas, Pranay Reddy, D Matthew Shoemaker, Andrea E Stand, Ryan K Rader
{"title":"Cytomegalovirus Colitis Masquerading as a Recurrent Colonic Polyp in a Patient With Neurofibromatosis Type 1.","authors":"Colin P Slaymaker, Bhargavram Channagiri Srinivas, Pranay Reddy, D Matthew Shoemaker, Andrea E Stand, Ryan K Rader","doi":"10.14309/crj.0000000000001587","DOIUrl":"10.14309/crj.0000000000001587","url":null,"abstract":"<p><p>Cytomegalovirus colitis most commonly affects immunocompromised patients, although it is a rare cause of gastrointestinal bleeding in immunocompetent patients. Older age, chronic disease, and critical illness are also important risk factors and may lead providers to consider the diagnosis in otherwise immunocompetent patients. Endoscopic presentation is variable and does not significantly influence outcomes. Although most immunocompetent, noncritically ill patients improve with or without antiviral treatment, mortality rates are as high as 71.4% in critically ill patients. Such mortality rates necessitate that intensive care providers remain wary of the diagnosis in any patient presenting with gastrointestinal bleeding. We present a rare case of cytomegalovirus colitis masquerading as a recurrent colonic mass in a patient with neurofibromatosis type 1.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 1","pages":"e01587"},"PeriodicalIF":0.6,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11749499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998602","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
Rare Finding of Rectal Squamous Metaplasia in Inflammatory Bowel Disease. 炎症性肠病中直肠鳞状皮化生的罕见发现。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-01-17 eCollection Date: 2025-01-01 DOI: 10.14309/crj.0000000000001598
Sangkyu Noh, Franklin Liu, Samuel H Cheong, Sasha Taleban
{"title":"Rare Finding of Rectal Squamous Metaplasia in Inflammatory Bowel Disease.","authors":"Sangkyu Noh, Franklin Liu, Samuel H Cheong, Sasha Taleban","doi":"10.14309/crj.0000000000001598","DOIUrl":"https://doi.org/10.14309/crj.0000000000001598","url":null,"abstract":"<p><p>Rectal squamous metaplasia in inflammatory bowel disease is rare. We present 2 cases of rectal squamous metaplasia, one in a patient with Crohn's disease and another with ulcerative colitis. Given the risk of malignant transformation, dysplasia surveillance is important particularly in areas of chronic inflammation. Furthermore, human papilloma virus (HPV) is involved in the pathogenesis of anal squamous cell carcinoma (SCC), but no guidelines exist in the United States for HPV prophylaxis against anal SCC in inflammatory bowel disease. HPV vaccination should be considered in high-risk patients younger than 45 years for prevention of anal SCC, including those with rectal squamous metaplasia.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 1","pages":"e01598"},"PeriodicalIF":0.6,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11741210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998606","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 Retrieval of Proximally Migrated Plastic Biliary Stent With Over-The-Wire Snare Technique. 经钢丝圈套技术在内镜下取出近端移位的胆道塑料支架。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-01-10 eCollection Date: 2025-01-01 DOI: 10.14309/crj.0000000000001565
Tommaso Antenucci, Rosario Arena, Annasara Diotaiuti, Chiara Distabile, Riccardo Solimando, Viviana Cifala, Alberto Merighi
{"title":"Endoscopic Retrieval of Proximally Migrated Plastic Biliary Stent With Over-The-Wire Snare Technique.","authors":"Tommaso Antenucci, Rosario Arena, Annasara Diotaiuti, Chiara Distabile, Riccardo Solimando, Viviana Cifala, Alberto Merighi","doi":"10.14309/crj.0000000000001565","DOIUrl":"10.14309/crj.0000000000001565","url":null,"abstract":"","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 1","pages":"e01565"},"PeriodicalIF":0.6,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11723675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142969319","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
Situational Syncope Triggered by Swallowing. 吞咽引起的情境性晕厥。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-01-10 eCollection Date: 2025-01-01 DOI: 10.14309/crj.0000000000001588
Abigail Layton Ellington, Samuel Thierjung Tarry, Matthew Nigel Hugh Ellis, Steven B Clayton
{"title":"Situational Syncope Triggered by Swallowing.","authors":"Abigail Layton Ellington, Samuel Thierjung Tarry, Matthew Nigel Hugh Ellis, Steven B Clayton","doi":"10.14309/crj.0000000000001588","DOIUrl":"10.14309/crj.0000000000001588","url":null,"abstract":"<p><p>Syncope is characterized by a transient loss of consciousness. Swallow syncope, a rare cause of syncope, is caused by vagus nerve activation resulting in vasodilation and bradycardia, thus causing transient hypotension and cerebral hypoperfusion. It is diagnosed through clinical history, cardiac, and esophageal evaluation. We present a case of swallow syncope in a patient with significant cardiac history. Initial cardiac and esophageal testing was normal. Long-term telemetry revealed bradycardia with swallowing, and the patient underwent pacemaker placement. Swallow syncope is associated with a variety of esophageal and cardiac conditions. Management involves addressing the underlying cause; pacemaker placement is sometimes necessary. KEYWORDS: syncope; swallow syncope; reflex syncope; pacemaker.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 1","pages":"e01588"},"PeriodicalIF":0.6,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11723683/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142969327","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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