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Pancreatic Metastasis From a Vulvar Melanoma Diagnosed by Endoscopic Ultrasound-Guided Fine-Needle Biopsy. 超声内镜引导下细针活检诊断外阴黑色素瘤胰腺转移。
IF 0.5
ACG Case Reports Journal Pub Date : 2025-08-21 eCollection Date: 2025-08-01 DOI: 10.14309/crj.0000000000001784
Ricardo Almeida, Luiza Bicudo, Leika Felipe, Gustavo Andrade de Paulo, Fauze Maluf-Filho, Luciano Lenz
{"title":"Pancreatic Metastasis From a Vulvar Melanoma Diagnosed by Endoscopic Ultrasound-Guided Fine-Needle Biopsy.","authors":"Ricardo Almeida, Luiza Bicudo, Leika Felipe, Gustavo Andrade de Paulo, Fauze Maluf-Filho, Luciano Lenz","doi":"10.14309/crj.0000000000001784","DOIUrl":"10.14309/crj.0000000000001784","url":null,"abstract":"<p><p>Vulvar melanoma (VM) is a rare and aggressive malignancy with a high metastatic potential. We present the case of an 82-year-old woman who initially presented with vaginal bleeding and was diagnosed with VM with lymph node involvement. Despite surgical and palliative interventions, she later developed brain, nodal, and pancreatic metastases. Endoscopic ultrasound-guided fine-needle biopsy (EUS-FNB) confirmed pancreatic metastasis through immunohistochemistry. To our knowledge, this is the first reported case of pancreatic metastasis from VM diagnosed by EUS-FNB. This case highlights the importance of EUS-FNB in diagnosing metastatic lesions in unusual locations.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 8","pages":"e01784"},"PeriodicalIF":0.5,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12369837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938780","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
Complications Associated With Intraperitoneal Fibrinolytic Therapy in Decompensated Cirrhosis Complicated by Infected Loculated Ascites. 失代偿期肝硬化合并感染局部腹水的腹腔纤溶治疗相关并发症
IF 0.5
ACG Case Reports Journal Pub Date : 2025-08-21 eCollection Date: 2025-08-01 DOI: 10.14309/crj.0000000000001798
Madeleine Z Wong, Daniel Carris, Kacey Idouchi, Nimra Hameed, Viraj I Modi
{"title":"Complications Associated With Intraperitoneal Fibrinolytic Therapy in Decompensated Cirrhosis Complicated by Infected Loculated Ascites.","authors":"Madeleine Z Wong, Daniel Carris, Kacey Idouchi, Nimra Hameed, Viraj I Modi","doi":"10.14309/crj.0000000000001798","DOIUrl":"10.14309/crj.0000000000001798","url":null,"abstract":"<p><p>Spontaneous bacterial peritonitis complicated by loculated ascites is rare in cirrhosis and presents as a challenge for many clinicians. To this date, standardized treatment of loculated ascites in cirrhosis has not yet been established; however, a few cases successfully using intraperitoneal fibrinolytic therapy to break up loculations for better treatment penetration have been reported. We describe a case of unique complications from this novel treatment in a 59-year-old woman presenting with refractory spontaneous bacterial peritonitis due to loculated ascites. To our knowledge, complications of intraperitoneal fibrinolytic therapy in this setting have not been documented in literature.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 8","pages":"e01798"},"PeriodicalIF":0.5,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12369768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938756","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 Tuberculosis Presenting as a Massive Lower Gastrointestinal Bleed in a Patient With Newly Diagnosed HIV/AIDS. 胃肠道结核在新诊断的HIV/AIDS患者中表现为大量下消化道出血。
IF 0.5
ACG Case Reports Journal Pub Date : 2025-08-18 eCollection Date: 2025-08-01 DOI: 10.14309/crj.0000000000001808
Kevan Josloff, Kathleen Spritzer, Anna Chen, Leo Katz
{"title":"Gastrointestinal Tuberculosis Presenting as a Massive Lower Gastrointestinal Bleed in a Patient With Newly Diagnosed HIV/AIDS.","authors":"Kevan Josloff, Kathleen Spritzer, Anna Chen, Leo Katz","doi":"10.14309/crj.0000000000001808","DOIUrl":"10.14309/crj.0000000000001808","url":null,"abstract":"<p><p>Gastrointestinal tuberculosis (GI TB) is an uncommon sequela of extrapulmonary TB, occurring in 1%-3% of TB cases worldwide. In the United States, many cases are seen in migrant populations or in immunocompromised individuals. The classic presentation of GI TB is nonspecific abdominal pain, and is not typically associated with significant, life-threatening bleeding. We present a case of GI TB complicated by severe lower GI bleed requiring vasopressor support in a newly emigrated patient with previously undiagnosed HIV/AIDS.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 8","pages":"e01808"},"PeriodicalIF":0.5,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12360450/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144881821","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
Usefulness of the Long Cap-Assisted Method for Securing Countertraction During Endoscopic Submucosal Dissection. 长帽辅助方法在内镜下粘膜剥离中确保反牵引的有效性。
IF 0.5
ACG Case Reports Journal Pub Date : 2025-08-18 eCollection Date: 2025-08-01 DOI: 10.14309/crj.0000000000001807
Nobutaka Doba, Kosuke Shibayama, Shinzo Abe, Daiki Sakuma, Masanobu Someya, Kazuto Komatsu, Shin Maeda
{"title":"Usefulness of the Long Cap-Assisted Method for Securing Countertraction During Endoscopic Submucosal Dissection.","authors":"Nobutaka Doba, Kosuke Shibayama, Shinzo Abe, Daiki Sakuma, Masanobu Someya, Kazuto Komatsu, Shin Maeda","doi":"10.14309/crj.0000000000001807","DOIUrl":"10.14309/crj.0000000000001807","url":null,"abstract":"<p><p>Endoscopic submucosal dissection (ESD) is effective but technically challenging, often requiring traction devices that involve multiple clips and added time. The long cap-assisted method, using a transparent cap with an extended tip, offers a simple alternative. In 2 cases-a 65-year-old with early gastric cancer and an 81-year-old with a large colonic laterally spreading tumor-standard caps failed to provide sufficient countertraction. Switching to a long cylindrical cap (not tapered) improved submucosal visualization and facilitated dissection. To our knowledge, this is the first report to specifically describe the long cap's use in achieving countertraction during endoscopic submucosal dissection.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 8","pages":"e01807"},"PeriodicalIF":0.5,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12360451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144881822","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 Treatment of Very-Delayed-Onset Tracheoesophageal and Esophagocutaneous Fistulae after Colonic Interposition for Esophageal Atresia. 食管闭锁结肠介入术后发生的延迟性气管食管瘘及食管皮瘘的内镜治疗。
IF 0.5
ACG Case Reports Journal Pub Date : 2025-08-13 eCollection Date: 2025-08-01 DOI: 10.14309/crj.0000000000001812
Kush Fansiwala, Elissa Lin, Jane Yanagawa, Adarsh M Thaker
{"title":"Endoscopic Treatment of Very-Delayed-Onset Tracheoesophageal and Esophagocutaneous Fistulae after Colonic Interposition for Esophageal Atresia.","authors":"Kush Fansiwala, Elissa Lin, Jane Yanagawa, Adarsh M Thaker","doi":"10.14309/crj.0000000000001812","DOIUrl":"10.14309/crj.0000000000001812","url":null,"abstract":"<p><p>Tracheoesophageal fistula can develop after surgical repair of congenital esophageal atresia, but it usually occurs in pediatric populations. Here, we present an adult patient with an unusual very-delayed onset of a large tracheoesophageal fistula and near esophagocutaneous fistula treated with serial multimodal endoscopic management featuring over-the-scope clips, argon plasma coagulation, and endoscopic suturing.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 8","pages":"e01812"},"PeriodicalIF":0.5,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12348378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144844057","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
Exacerbation of Crohn's Disease Following Exposure to Anti-OX40 Monoclonal Antibody Therapy. 暴露于抗ox40单克隆抗体治疗后克罗恩病加重
IF 0.5
ACG Case Reports Journal Pub Date : 2025-08-13 eCollection Date: 2025-08-01 DOI: 10.14309/crj.0000000000001810
Scott MacKay, Suliman Alhaidari, Jared Cooper, Brendan Halloran, Michal Gozdzik
{"title":"Exacerbation of Crohn's Disease Following Exposure to Anti-OX40 Monoclonal Antibody Therapy.","authors":"Scott MacKay, Suliman Alhaidari, Jared Cooper, Brendan Halloran, Michal Gozdzik","doi":"10.14309/crj.0000000000001810","DOIUrl":"10.14309/crj.0000000000001810","url":null,"abstract":"<p><p>A 26-year-old man with Crohn's Disease (CD) presented to hospital with a CD flare after exposure to an anti-OX40 therapy (rocatinlimab) for eczema. This flare was characterized by upper gastrointestinal tract involvement and necrobiotic pulmonary nodules, a rare pulmonary manifestation of CD. Murine models have demonstrated mixed effects of anti-OX40 and anti-OX40 ligand therapies on colitis, and anti-OX40 therapy has been trialed in ulcerative colitis without significant clinical response seen. The impact of anti-OX40 therapies in patients with CD remains unclear, though this case suggests that caution may be required when using anti-OX40 therapies in this population.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 8","pages":"e01810"},"PeriodicalIF":0.5,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12348397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144844058","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
Gastroduodenal Artery Aneurysm Causing Obstructive Jaundice and Acute Cholangitis. 引起梗阻性黄疸和急性胆管炎的胃十二指肠动脉瘤。
IF 0.5
ACG Case Reports Journal Pub Date : 2025-08-13 eCollection Date: 2025-08-01 DOI: 10.14309/crj.0000000000001809
Jin Yun, Jon Gerry, Mark Gibson, Ajay Singhvi
{"title":"Gastroduodenal Artery Aneurysm Causing Obstructive Jaundice and Acute Cholangitis.","authors":"Jin Yun, Jon Gerry, Mark Gibson, Ajay Singhvi","doi":"10.14309/crj.0000000000001809","DOIUrl":"10.14309/crj.0000000000001809","url":null,"abstract":"<p><p>Gastroduodenal artery aneurysms (GDAA) are a rare but potentially life-threatening vascular condition. They can vary in presentation from being found incidentally on imaging to devastating rupture. We describe a case of 2 gastroduodenal aneurysms causing obstructive jaundice and acute cholangitis in an elderly woman, which was treated with coil embolization.rupture. GDAA of any size should be highly considered for treatment given the high mortality of eventual rupture.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 8","pages":"e01809"},"PeriodicalIF":0.5,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12348389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144844059","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
Endonephrology: Evolving Techniques of Endoscopic Ultrasound in Diagnosing Renal Lymphoma. 内窥镜超声诊断肾淋巴瘤技术的发展。
IF 0.5
ACG Case Reports Journal Pub Date : 2025-08-13 eCollection Date: 2025-08-01 DOI: 10.14309/crj.0000000000001815
Erika Tsuchiyose, Michael Talanian, Erik Holzwanger
{"title":"Endonephrology: Evolving Techniques of Endoscopic Ultrasound in Diagnosing Renal Lymphoma.","authors":"Erika Tsuchiyose, Michael Talanian, Erik Holzwanger","doi":"10.14309/crj.0000000000001815","DOIUrl":"10.14309/crj.0000000000001815","url":null,"abstract":"<p><p>Mucosa-associated lymphoid tissue lymphoma is a subtype of non-Hodgkin lymphoma, exceedingly rare when originating in the kidney. Most renal masses are percutaneously sampled with ultrasound or computed tomography guidance; however, limitations can include location, size, and body habitus, which may be resolved using endoscopic ultrasound-guided approaches. We present an unusual case of a 77-year-old man with history of systemic lupus erythematosus, duodenal mucosa-associated lymphoid tissue lymphoma in remission, and rectal adenocarcinoma who presented for evaluation of a right renal mass, which highlights the novelty of endoscopic ultrasound-guided renal evaluation and tissue acquisition.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 8","pages":"e01815"},"PeriodicalIF":0.5,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12348391/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144844056","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 Ultrasound-Guided Detection of a Rare Anomaly-Duplication of Extrahepatic Bile Duct. 超声内镜下检测罕见的肝外胆管异常-重复。
IF 0.5
ACG Case Reports Journal Pub Date : 2025-08-11 eCollection Date: 2025-08-01 DOI: 10.14309/crj.0000000000001794
Saad Khalid Niaz, Noval Zakaria, Muhammad Umair Tahseen, Muhammad Asim, Sajida Qureshi, Shanil Kadir
{"title":"Endoscopic Ultrasound-Guided Detection of a Rare Anomaly-Duplication of Extrahepatic Bile Duct.","authors":"Saad Khalid Niaz, Noval Zakaria, Muhammad Umair Tahseen, Muhammad Asim, Sajida Qureshi, Shanil Kadir","doi":"10.14309/crj.0000000000001794","DOIUrl":"10.14309/crj.0000000000001794","url":null,"abstract":"<p><p>This is the first reported case demonstrating endoscopic ultrasound (EUS) findings in type Va duplication. The malformation of the congenital extrahepatic bile duct is classified as type Va and is rarely observed. To date, not more than 30 cases have been reported in Western literature. For the medical literature, a 50-year-old man with a type Va extrahepatic bile duct obstruction is examined. He presented with abdominal pain and jaundice, and imaging showed biliary dilatation and cholelithiasis. During the EUS procedure, an endoscopic examination revealed the presence of a duplicated common bile duct with a septum. Endoscopic retrograde cholangiopancreatography of the biliary tract also showed the same anomaly, with the presence of obstructive biliary sludge. The case highlights the need to consider EUS as a potent alternative diagnostic method. It is important to detect these anomalies immediately to reduce the chances of endoscopic/surgical complications.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 8","pages":"e01794"},"PeriodicalIF":0.5,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12338306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144820355","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
Trichuriasis in Differential Diagnosis: A Case of Colonoscopic Identification. 滴虫病的鉴别诊断：结肠镜鉴别一例。
IF 0.5
ACG Case Reports Journal Pub Date : 2025-08-11 eCollection Date: 2025-08-01 DOI: 10.14309/crj.0000000000001806
Ping He, Ankoor H Patel, Anish Vinit Patel, Ellen Stein
{"title":"Trichuriasis in Differential Diagnosis: A Case of Colonoscopic Identification.","authors":"Ping He, Ankoor H Patel, Anish Vinit Patel, Ellen Stein","doi":"10.14309/crj.0000000000001806","DOIUrl":"10.14309/crj.0000000000001806","url":null,"abstract":"","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 8","pages":"e01806"},"PeriodicalIF":0.5,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12338155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144820358","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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