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Esophageal Siderosis: An Unusual Complication of Oral Iron Therapy. 食道铁沉着：口服铁治疗的一种罕见并发症。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-03-12 eCollection Date: 2025-03-01 DOI: 10.14309/crj.0000000000001644
Gianna Stoleru, Meera Jain, Anna Vi Jones, Alexander Podboy
{"title":"Esophageal Siderosis: An Unusual Complication of Oral Iron Therapy.","authors":"Gianna Stoleru, Meera Jain, Anna Vi Jones, Alexander Podboy","doi":"10.14309/crj.0000000000001644","DOIUrl":"10.14309/crj.0000000000001644","url":null,"abstract":"<p><p>Iron is the most common nutritional deficiency encountered in the United States, with over 15% of Americans using some form of daily oral iron supplementation. Although commonly associated with minor gastrointestinal side effects, severe gastrointestinal complications are rare. Direct cytotoxic mucosal damage and subsequent ulcer formation have rarely been reported. Among reported cases, most are found in the stomach with extragastric manifestations of siderosis being less commonly described. We report a rare case of esophageal siderosis related to oral iron supplementation.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 3","pages":"e01644"},"PeriodicalIF":0.6,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11902948/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143613032","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 Vacuum Therapy for the Treatment of Atrial Fibrillation Ablation-Induced Esophageal Perforation. 内镜下真空疗法治疗心房颤动消融所致食道穿孔。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-03-12 eCollection Date: 2025-03-01 DOI: 10.14309/crj.0000000000001650
Larissa Lushniak, Neal Dharmadhikari, Kaveh Zivari, Juan Pablo Reyes Genere, Vladimir Kushnir, Ahmad Najdat Bazarbashi
{"title":"Endoscopic Vacuum Therapy for the Treatment of Atrial Fibrillation Ablation-Induced Esophageal Perforation.","authors":"Larissa Lushniak, Neal Dharmadhikari, Kaveh Zivari, Juan Pablo Reyes Genere, Vladimir Kushnir, Ahmad Najdat Bazarbashi","doi":"10.14309/crj.0000000000001650","DOIUrl":"10.14309/crj.0000000000001650","url":null,"abstract":"<p><p>Esophageal thermal injury from atrial fibrillation ablation is not uncommon; however, full-thickness perforation is rare. Such injuries are often treated with surgical revision, stent placement, or medical management. Endoscopic vacuum therapy is a novel and emerging technique to repair transmural gastrointestinal defects; however, its use in the management of esophageal thermal ulceration and perforation after a cardiac ablation procedure is limited. We present a 52-year-old man who developed a refractory esophageal perforation and leak secondary to atrial fibrillation radiofrequency ablation that was successfully treated with endoscopic vacuum therapy, demonstrating a minimally invasive endoscopic treatment modality when alternative therapies fail.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 3","pages":"e01650"},"PeriodicalIF":0.6,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11902978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143613026","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
Acute Kidney Injury Secondary to Fecaloma: A Rare Complication of Chronic Constipation. 继发于粪瘤的急性肾损伤：一种罕见的慢性便秘并发症。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-03-12 eCollection Date: 2025-03-01 DOI: 10.14309/crj.0000000000001646
Erik Almazan, Elizabeth M Petersen
{"title":"Acute Kidney Injury Secondary to Fecaloma: A Rare Complication of Chronic Constipation.","authors":"Erik Almazan, Elizabeth M Petersen","doi":"10.14309/crj.0000000000001646","DOIUrl":"https://doi.org/10.14309/crj.0000000000001646","url":null,"abstract":"","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 3","pages":"e01646"},"PeriodicalIF":0.6,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11903009/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143612987","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
Early-Onset Colorectal Cancer: When to Include Cowden Syndrome in Your Differential Diagnosis. 早发性结直肠癌：何时将考登综合征纳入鉴别诊断。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-03-12 eCollection Date: 2025-03-01 DOI: 10.14309/crj.0000000000001643
Joshua Morny, Anna Zakas, Samuel Koebe, Jennifer M Weiss
{"title":"Early-Onset Colorectal Cancer: When to Include Cowden Syndrome in Your Differential Diagnosis.","authors":"Joshua Morny, Anna Zakas, Samuel Koebe, Jennifer M Weiss","doi":"10.14309/crj.0000000000001643","DOIUrl":"10.14309/crj.0000000000001643","url":null,"abstract":"","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 3","pages":"e01643"},"PeriodicalIF":0.6,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11902970/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143613000","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
Tissue Remodeling for a More Homogenous Ablation in Transoral Outlet Reduction Using Suturing and Noncontact Argon Plasma Coagulation. 利用缝合和非接触式氩等离子体凝固技术进行组织重塑，使经口缩口术中的消融更加均匀。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-03-06 eCollection Date: 2025-03-01 DOI: 10.14309/crj.0000000000001631
Leandro Sierra, Arjun Chatterjee, Akash Khurana, Renan Prado, Roma Patel, Stephen A Firkins, Roberto Simons-Linares
{"title":"Tissue Remodeling for a More Homogenous Ablation in Transoral Outlet Reduction Using Suturing and Noncontact Argon Plasma Coagulation.","authors":"Leandro Sierra, Arjun Chatterjee, Akash Khurana, Renan Prado, Roma Patel, Stephen A Firkins, Roberto Simons-Linares","doi":"10.14309/crj.0000000000001631","DOIUrl":"10.14309/crj.0000000000001631","url":null,"abstract":"<p><p>The study is the first to assess the argon-plasma coagulation ArC Smart linear beam for mucosal ablation in transoral outlet reduction for weight regain after Roux-en-Y gastric bypass. The noncontact design of the linear beam can enhance tissue healing and remodeling of gastrojejunal anastomosis by causing a uniform scarring with minimal tissue injury. We followed patients for 45 days, during which none experienced gastrointestinal bleeding, stenosis, or ulcers, reporting 9.8% average of total body weight loss. The ArC Smart beam may offer a safer, more effective alternative to traditional argon-plasma coagulation for transoral outlet reduction, with better reduction in weight loss, although comparative studies are needed.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 3","pages":"e01631"},"PeriodicalIF":0.6,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11884829/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143571661","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
Nonobstructive Recurrent Cholangitis After Hepatobiliary Tract Diversion in Patients With Surgically Altered Anatomy: A Challenging Problem. 手术改变解剖结构的患者肝胆道改道后非梗阻性复发胆管炎：一个具有挑战性的问题。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-03-05 eCollection Date: 2025-03-01 DOI: 10.14309/crj.0000000000001639
Rahul Karna
{"title":"Nonobstructive Recurrent Cholangitis After Hepatobiliary Tract Diversion in Patients With Surgically Altered Anatomy: A Challenging Problem.","authors":"Rahul Karna","doi":"10.14309/crj.0000000000001639","DOIUrl":"10.14309/crj.0000000000001639","url":null,"abstract":"","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 3","pages":"e01639"},"PeriodicalIF":0.6,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11882272/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143565620","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
Cecal Duplication Cyst Presenting With Hematochezia. 盲肠重复囊肿伴便血。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-03-05 eCollection Date: 2025-03-01 DOI: 10.14309/crj.0000000000001640
Serina Beydoun, James W Davis, Namir Al-Ansari
{"title":"Cecal Duplication Cyst Presenting With Hematochezia.","authors":"Serina Beydoun, James W Davis, Namir Al-Ansari","doi":"10.14309/crj.0000000000001640","DOIUrl":"10.14309/crj.0000000000001640","url":null,"abstract":"<p><p>Enteric duplication cysts are rare congenital anomalies that can present with nonspecific symptoms, making diagnosis difficult. We present a case of a 13-month-old woman with hematochezia, initially diagnosed with viral gastroenteritis, who was later found to have a cecal duplication cyst on imaging. Surgical resection with ileocecectomy was performed, and pathology confirmed the diagnosis of cecal duplication cyst. Early diagnosis and a multidisciplinary approach are essential for preventing complications such as bowel obstruction and perforation, ensuring optimal outcomes.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 3","pages":"e01640"},"PeriodicalIF":0.6,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11882263/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143565694","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
Primary Jejunal Melanoma Presenting With Intussusception in a Patient With Chronic Iron Deficiency Anemia. 慢性缺铁性贫血患者原发性空肠黑色素瘤伴肠套叠。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-03-05 eCollection Date: 2025-03-01 DOI: 10.14309/crj.0000000000001628
Estefania Roldan, Giovanni A Roldan, Jennifer Haglund
{"title":"Primary Jejunal Melanoma Presenting With Intussusception in a Patient With Chronic Iron Deficiency Anemia.","authors":"Estefania Roldan, Giovanni A Roldan, Jennifer Haglund","doi":"10.14309/crj.0000000000001628","DOIUrl":"10.14309/crj.0000000000001628","url":null,"abstract":"<p><p>Primary gastrointestinal (GI) melanomas (PGIMs) are rare, accounting for a small fraction of GI malignancies and particularly uncommon in the small bowel. Diagnosing PGIMs is challenging due to its varied presentations and the difficulty in distinguishing it from metastatic melanoma. We present the case of an 84-year-old man with chronic anemia and intussusception due to primary jejunal melanoma. The patient reported fatigue, dizziness, and chronic anemia. Initial evaluations, including esophagogastroduodenoscopy and colonoscopy, were nondiagnostic. A video capsule endoscopy revealed scattered aphthous ulcers without active bleeding, and computed tomography enterography identified a jejunal mass causing intussusception. Exploratory laparotomy confirmed a 3.5 cm polypoid mass, identified histologically as high-grade malignant melanoma. This case, the first reported instance of primary jejunal melanoma with chronic anemia and intussusception, underscores the diagnostic complexities of PGIMs and emphasizes the importance of imaging and surgical intervention. Awareness of PGIMs in elderly patients with nonspecific GI symptoms is essential.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 3","pages":"e01628"},"PeriodicalIF":0.6,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11882264/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143565622","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
Ustekinumab-Induced Vasculitis in a Patient With Crohn's Disease. 克罗恩病患者ustekinumumab诱导的血管炎
IF 0.6
ACG Case Reports Journal Pub Date : 2025-03-05 eCollection Date: 2025-03-01 DOI: 10.14309/crj.0000000000001625
Luis E Ospina Velasquez, Konstantinos A Papadakis, Siri A Urquhart
{"title":"Ustekinumab-Induced Vasculitis in a Patient With Crohn's Disease.","authors":"Luis E Ospina Velasquez, Konstantinos A Papadakis, Siri A Urquhart","doi":"10.14309/crj.0000000000001625","DOIUrl":"10.14309/crj.0000000000001625","url":null,"abstract":"<p><p>Immunoglobulin A vasculitis (IgAV) is an immune-mediated disorder that commonly involves dermatologic, musculoskeletal, renal, and gastrointestinal systems. Drug-induced cases of IgAV are rare and sparsely documented in the literature. We report a case of a patient with Crohn's disease who developed a tender, palpable purpuric rash on the torso and extremities 3 weeks after receiving a dose of ustekinumab. This case underscores the importance of considering IgAV in patients with inflammatory bowel disease who present with cutaneous symptoms while undergoing treatment with advanced therapies.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 3","pages":"e01625"},"PeriodicalIF":0.6,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11882274/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143565626","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
Unusual Suspect: Ménétrier Disease Presents as Gastric Outlet Obstruction in a Toddler. 异常疑点：在幼儿中表现为胃出口梗阻。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-03-03 eCollection Date: 2025-03-01 DOI: 10.14309/crj.0000000000001630
Kalpana Panda, Debashree Priyadarshini, J Bikrant Kumar Prusty, Rachita Sarangi, Anuspandana Mahapatra, Bibhuti Bhusan Dalei, Subhashis Mohanty, Girish Kumar Pati
{"title":"Unusual Suspect: Ménétrier Disease Presents as Gastric Outlet Obstruction in a Toddler.","authors":"Kalpana Panda, Debashree Priyadarshini, J Bikrant Kumar Prusty, Rachita Sarangi, Anuspandana Mahapatra, Bibhuti Bhusan Dalei, Subhashis Mohanty, Girish Kumar Pati","doi":"10.14309/crj.0000000000001630","DOIUrl":"10.14309/crj.0000000000001630","url":null,"abstract":"<p><p>Ménétrier disease (MD) is a rare condition characterized by hypertrophic gastropathy, leading to enlarged gastric folds, excessive mucus production, and protein loss. Among the approximately 150 cases of reported pediatric MD, the usual presenting features are peripheral oedema, anasarca, and gastrointestinal symptoms. This case report describes a 2-year-old child presenting with gastric outlet obstruction, an unusual manifestation of MD, which has not been described previously in the pediatric age group.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 3","pages":"e01630"},"PeriodicalIF":0.6,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11878991/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143555602","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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