ACG Case Reports JournalPub Date : 2024-09-19eCollection Date: 2024-09-01DOI: 10.14309/crj.0000000000001510
Nikhil Reddy, Grace E Kim, Mary Ryan, Sajan Nagpal, Uzma D Siddiqui
{"title":"Hemosuccus Pancreaticus From the Minor Papilla: A Rare Cause of Upper Gastrointestinal Bleed.","authors":"Nikhil Reddy, Grace E Kim, Mary Ryan, Sajan Nagpal, Uzma D Siddiqui","doi":"10.14309/crj.0000000000001510","DOIUrl":"https://doi.org/10.14309/crj.0000000000001510","url":null,"abstract":"","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 9","pages":"e01510"},"PeriodicalIF":0.6,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11412697/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278905","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}
ACG Case Reports JournalPub Date : 2024-09-19eCollection Date: 2024-09-01DOI: 10.14309/crj.0000000000001516
Billy-Joe Liane, John Quiles
{"title":"Successful Endoscopic Drainage of Acute Duodenal Diverticulitis Complicated by Abscess.","authors":"Billy-Joe Liane, John Quiles","doi":"10.14309/crj.0000000000001516","DOIUrl":"https://doi.org/10.14309/crj.0000000000001516","url":null,"abstract":"<p><p>Duodenal diverticulitis complicated by abscess formation is a rare clinical entity, albeit may, in some cases, be associated with significant morbidity and mortality. We present a unique case that elucidates the success of endoscopic management of duodenal diverticulitis complicated by an abscess in the third part of the duodenum, through forward-viewing endoscopic maneuvers. Although surgery has been the primary interventional strategy for complicated duodenal diverticulitis beyond medical management, endoscopy is shown to be a safe and effective alternative in the clinically stable patient and/or poor surgical candidate, for this uncommon sequela of duodenal diverticulosis.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 9","pages":"e01516"},"PeriodicalIF":0.6,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11412700/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278915","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}
ACG Case Reports JournalPub Date : 2024-09-19eCollection Date: 2024-09-01DOI: 10.14309/crj.0000000000001512
Matthew J Bierowski, Chelsea D Edirisuriya, Ilana P Goldberg, Nicholas Noverati, Peter Johnson, Cuckoo Choudhary, Raina Shivashankar
{"title":"Nontyphoidal <i>Salmonella</i> Hepatitis: A Rare Complication of a Common Enteric Infection.","authors":"Matthew J Bierowski, Chelsea D Edirisuriya, Ilana P Goldberg, Nicholas Noverati, Peter Johnson, Cuckoo Choudhary, Raina Shivashankar","doi":"10.14309/crj.0000000000001512","DOIUrl":"https://doi.org/10.14309/crj.0000000000001512","url":null,"abstract":"<p><p>Hepatitis from nontyphoidal <i>Salmonella</i> gastroenteritis is rare, especially in immunocompetent patients. We present the case of a 30-year-old woman who was found to have <i>Salmonella</i> serotype C2 gastroenteritis and elevated liver function tests concerning for concurrent hepatitis. An extensive workup was negative for other etiologies, making <i>Salmonella</i> the likely culprit. The patient was managed with supportive measures as her liver function tests and symptoms were improving before obtaining microbiological data. Since the role of antibiotic therapy in such cases is not well studied, disease severity in accordance with current guidelines should be used to tailor treatment on a case-by-case basis.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 9","pages":"e01512"},"PeriodicalIF":0.6,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11412702/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278910","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}
ACG Case Reports JournalPub Date : 2024-09-19eCollection Date: 2024-09-01DOI: 10.14309/crj.0000000000001519
Mohamad Aghaie Meybodi, Amitpal S Johal, Molham Abdulsamad
{"title":"Persistent Fistula Closure After Endoscopic Ultrasound-Directed Transgastric Endoscopic Retrograde Cholangiopancreatography by Postinfarct Ventricular Septal Defect Occluder.","authors":"Mohamad Aghaie Meybodi, Amitpal S Johal, Molham Abdulsamad","doi":"10.14309/crj.0000000000001519","DOIUrl":"https://doi.org/10.14309/crj.0000000000001519","url":null,"abstract":"<p><p>A gastrogastric fistula is a delayed complication of the endoscopic ultrasound-directed transgastric endoscopic retrograde cholangiopancreatography. Endoscopic closure of these fistulae poses a significant challenge, and surgical intervention may be required in some patients. In this study, we discuss the case of a 69-year-old woman with persistent fistula following the endoscopic ultrasound-directed transgastric endoscopic retrograde cholangiopancreatography procedure. Despite the failure of conventional advanced endoscopic fistula closure methods, successful closure of the fistula was achieved using a postinfarct ventricular septal defect occluder.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 9","pages":"e01519"},"PeriodicalIF":0.6,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11412718/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278911","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}
ACG Case Reports JournalPub Date : 2024-09-19eCollection Date: 2024-09-01DOI: 10.14309/crj.0000000000001475
Mohammad Abuassi, Walid Joulani, Emad Sammodi, Mohamed Eftaiha, Aiman Obed
{"title":"Composite Mesh in Incisional Hernia Repair: Unprecedented Gastric Penetration and Gastrocutaneous Fistula Formation.","authors":"Mohammad Abuassi, Walid Joulani, Emad Sammodi, Mohamed Eftaiha, Aiman Obed","doi":"10.14309/crj.0000000000001475","DOIUrl":"https://doi.org/10.14309/crj.0000000000001475","url":null,"abstract":"<p><p>Hernia repair frequently employs surgical mesh. However, potential complications exist, including mesh migration into adjacent organs, leading to serious outcomes such as enteric fistulas. We report an unprecedented case of composite mesh leading to gastric penetration and subsequent gastrocutaneous fistula formation, identified during endoscopic investigation as a foreign body. A 70-year-old man who underwent right hemicolectomy and incisional hernia repair using composite mesh presented in with symptoms of intestinal obstruction and a small bowel content leak. Following these complications, a small bowel resection was performed, and an ileostomy was created. During an endoscopic investigation, the composite mesh used in the hernia repair during the ileostomy creation was found as a foreign body penetrating the gastric antral area, causing a gastrocutaneous fistula. An exploratory laparotomy was successfully carried out. This case highlights the need to consider mesh-related complications and advocates for research into prevention and management of such adverse outcomes.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 9","pages":"e01475"},"PeriodicalIF":0.6,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11412696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278845","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}
ACG Case Reports JournalPub Date : 2024-09-19eCollection Date: 2024-09-01DOI: 10.14309/crj.0000000000001524
Robinder Abrol, Muhammad Mushtaq, Abdullah Muftah, Sarah Samreen, Juliana Yang
{"title":"Difficult to Pass: Cholangitis With Vertical Band Stenosis.","authors":"Robinder Abrol, Muhammad Mushtaq, Abdullah Muftah, Sarah Samreen, Juliana Yang","doi":"10.14309/crj.0000000000001524","DOIUrl":"https://doi.org/10.14309/crj.0000000000001524","url":null,"abstract":"<p><p>As techniques have been refined, more patients in the United States have undergone bariatric surgery for weight loss. These surgeries alter the gastrointestinal tract to restrict caloric intake. While most surgeons prefer sleeve gastrectomy and Roux-en-Y gastric bypass, some older procedures, like vertical band gastroplasty, have fallen out of favor due to late complications. In any bariatric procedure, endoscopy can be challenging if indicated due to altered anatomy. Here, we present a case of challenging anatomy due to remote vertical band gastroplasty in a patient presenting with cholangitis, highlighting the effective use of a lumen-apposing metal stent across a vertical band stenosis.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 9","pages":"e01524"},"PeriodicalIF":0.6,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11412715/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278899","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}
ACG Case Reports JournalPub Date : 2024-09-14eCollection Date: 2024-09-01DOI: 10.14309/crj.0000000000001517
Dain Raina Kim, Travis Ogilvie, Matthew Woo
{"title":"Correction to: Pancreatic Adenosquamous Carcinoma Presenting as a Gastric Lesion.","authors":"Dain Raina Kim, Travis Ogilvie, Matthew Woo","doi":"10.14309/crj.0000000000001517","DOIUrl":"https://doi.org/10.14309/crj.0000000000001517","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.14309/crj.0000000000001319.].</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 9","pages":"e01517"},"PeriodicalIF":0.6,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11404890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278897","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}
ACG Case Reports JournalPub Date : 2024-09-14eCollection Date: 2024-09-01DOI: 10.14309/crj.0000000000001494
Fariha Hasan, Alexander Garcia, Avneet Singh, Natalie Morris, Kathy Williams, Gord Guo Zhu, Adib Chaaya
{"title":"A Rare Occurrence of Primary Gastric Ewing Sarcoma.","authors":"Fariha Hasan, Alexander Garcia, Avneet Singh, Natalie Morris, Kathy Williams, Gord Guo Zhu, Adib Chaaya","doi":"10.14309/crj.0000000000001494","DOIUrl":"https://doi.org/10.14309/crj.0000000000001494","url":null,"abstract":"<p><p>Ewing sarcoma (ES) is a rare malignancy that typically occurs within the skeletal system but can also develop extraskeletally. Extraskeletal ES typically presents paraspinally, in the limbs, and retroperitoneum. Rarely, it presents as a primary gastric ES. To our knowledge, there are only 13 reports of primary gastric ES, none of which originated in the cardia of the stomach. Increased identification of how extraskeletal ES, specifically primary gastric ES, presents and characterized is crucial for future treatment development and accurate prognosis. We present the case of a 36-year-old man with hematemesis, ultimately found to have primary gastric ES in the cardia.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 9","pages":"e01494"},"PeriodicalIF":0.6,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11404875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278896","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}
ACG Case Reports JournalPub Date : 2024-09-13eCollection Date: 2024-09-01DOI: 10.14309/crj.0000000000001462
Alexander Garcia, Mahir Qureshi, Ishita Dhawan, William Rafferty, Tulin Budak-Alpdogan, Samuel Giordano
{"title":"Correction to: Isolated AL Amyloidosis of the Colon: A Rare Presentation.","authors":"Alexander Garcia, Mahir Qureshi, Ishita Dhawan, William Rafferty, Tulin Budak-Alpdogan, Samuel Giordano","doi":"10.14309/crj.0000000000001462","DOIUrl":"https://doi.org/10.14309/crj.0000000000001462","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.14309/crj.0000000000001277.].</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 9","pages":"e01462"},"PeriodicalIF":0.6,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11398764/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278847","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}