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A Post-transplant Immunosuppression Complication: Epstein-Barr Virus-Positive Classic Hodgkin Lymphoma Post-transplant Lymphoproliferative Disorder. 移植后免疫抑制并发症：爱泼斯坦-巴尔病毒阳性经典霍奇金淋巴瘤移植后淋巴增生性疾病
IF 0.6
ACG Case Reports Journal Pub Date : 2025-02-15 eCollection Date: 2025-02-01 DOI: 10.14309/crj.0000000000001618
Himesh B Zaver, Gautham Prakash, Samuel Plant, Jigisha Chaudhari, Jason Erno, Ayman Mithqal, Elizabeth Courville, Enrica Marchi, Zachary Henry
{"title":"A Post-transplant Immunosuppression Complication: Epstein-Barr Virus-Positive Classic Hodgkin Lymphoma Post-transplant Lymphoproliferative Disorder.","authors":"Himesh B Zaver, Gautham Prakash, Samuel Plant, Jigisha Chaudhari, Jason Erno, Ayman Mithqal, Elizabeth Courville, Enrica Marchi, Zachary Henry","doi":"10.14309/crj.0000000000001618","DOIUrl":"10.14309/crj.0000000000001618","url":null,"abstract":"<p><p>Post-transplant lymphoproliferative disorder (PTLD) is a potential life-threatening complication after solid organ transplantation. PTLD can be associated with Epstein-Barr virus through either primary infection or reactivation during treatment with immunosuppressive medications. We present a rare case of Epstein-Barr virus-positive classical Hodgkin lymphoma PTLD following liver transplantation, which was initially misattributed to late transplant rejection and raised concerns for cholangiocarcinoma due to abnormal laboratory and imaging findings.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 2","pages":"e01618"},"PeriodicalIF":0.6,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143439729","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 Rare Finding of Herpes Simplex Virus Esophagitis Concomitant With Duodenitis in an Immunocompetent Host. 在免疫正常的宿主中发现罕见的单纯疱疹病毒性食管炎并十二指肠炎。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-02-15 eCollection Date: 2025-02-01 DOI: 10.14309/crj.0000000000001622
Sergio Sbeih, Gaelle-Christie Haddad, Nicolas Moussallem, Karam, Ihab I El Hajj, Elias Fiani
{"title":"A Rare Finding of Herpes Simplex Virus Esophagitis Concomitant With Duodenitis in an Immunocompetent Host.","authors":"Sergio Sbeih, Gaelle-Christie Haddad, Nicolas Moussallem, Karam, Ihab I El Hajj, Elias Fiani","doi":"10.14309/crj.0000000000001622","DOIUrl":"10.14309/crj.0000000000001622","url":null,"abstract":"<p><p>Herpes simplex virus (HSV) esophagitis and duodenitis are well-known features of herpes virus reactivation in immunosuppressed patients. We discuss the case of HSV esophagitis concomitant with duodenitis in an immunocompetent individual. A 77-year-old male patient, previously healthy, was found to have on upper endoscopy several ulcers in the esophagus and second portion of the duodenum. A diagnosis of HSV esophagitis concomitant with duodenitis was made. The patient was started on intravenous acyclovir, and 48 hours after treatment, his symptoms significantly improved. He was then discharged on acyclovir per os for a total of 14 days. Endoscopy 1 month later showed complete resolution of both esophageal and duodenal ulcers. Physicians should keep the diagnosis of HSV esophagitis with duodenitis in the differentials in the setting of odynophagia, dysphagia, and epigastric pain, even in the case of an immunocompetent individual. Further research is needed to strengthen the literature on this topic.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 2","pages":"e01622"},"PeriodicalIF":0.6,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832197/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143439731","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
Congenital Absence of Portal Vein Presenting With Hematemesis in a Young Patient. 先天性门静脉缺失表现为年轻患者呕血。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-02-15 eCollection Date: 2025-02-01 DOI: 10.14309/crj.0000000000001626
Leo Fawaz, James Davis, Namir Al-Ansari
{"title":"Congenital Absence of Portal Vein Presenting With Hematemesis in a Young Patient.","authors":"Leo Fawaz, James Davis, Namir Al-Ansari","doi":"10.14309/crj.0000000000001626","DOIUrl":"10.14309/crj.0000000000001626","url":null,"abstract":"<p><p>Upper gastrointestinal bleeding is caused by multiple different etiologies, with one being portal hypertension. Identifying the underlying cause of portal hypertension is extremely important in determining further management. This is a rare case of a patient who had developed portal hypertension secondary to a congenital absence of a portal vein with no other medical history. This case highlights a rare cause of portal hypertension and the need for prompt medical management.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 2","pages":"e01626"},"PeriodicalIF":0.6,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832207/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143439732","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
Inflammatory Hyperplastic Mass Mimicking Local Recurrence Following Endoscopic Submucosal Dissection of a Colonic Adenoma. 内镜下结肠腺瘤粘膜下剥离后炎性增生性肿块模拟局部复发。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-02-15 eCollection Date: 2025-02-01 DOI: 10.14309/crj.0000000000001619
Isiah Gonzalez, Linda K Green, Salmaan Jawaid, Wasseem Skef
{"title":"Inflammatory Hyperplastic Mass Mimicking Local Recurrence Following Endoscopic Submucosal Dissection of a Colonic Adenoma.","authors":"Isiah Gonzalez, Linda K Green, Salmaan Jawaid, Wasseem Skef","doi":"10.14309/crj.0000000000001619","DOIUrl":"10.14309/crj.0000000000001619","url":null,"abstract":"<p><p>This case presents a hyperplastic inflammatory mass at the resection site of a colorectal tubular adenoma. A 65-year-old man with a history of alcohol-associated liver cirrhosis, >10 lifetime polyps, and a <i>CHEK2</i> mutation underwent hybrid endoscopic submucosal dissection of a 3 cm lateral spreading tumor, nongranular, Paris 0-IIa polyp in the ascending colon. Postresection pathology confirmed tubular adenoma with negative margins (R0). Six-month surveillance colonoscopy in the community identified a mass at the resection site, initially suspected to be local recurrence. Repeat colonoscopy demonstrated a mass which appeared inflammatory, with a Kudo type II hyperplastic pit pattern on narrow-band imaging and near-focus magnification. Biopsies confirmed inflammatory hyperplastic polyp. Three months later, surveillance colonoscopy revealed a shrinking polyp with biopsies consistent with hyperplastic histology. Factors such as portal hypertension, <i>CHEK2</i> mutation, and concurrent gastric hyperplastic polyps may contribute to this phenomenon.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 2","pages":"e01619"},"PeriodicalIF":0.6,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143439733","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
Duodenal Duplication Diagnosed by Computed Tomography-Duodenography and Treated by Endoscopy. 十二指肠重复的计算机断层-十二指肠造影诊断和内镜治疗。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-02-14 eCollection Date: 2025-02-01 DOI: 10.14309/crj.0000000000001617
Kanami Ota, Tomohiro Nagasue, Daisuke Tsurumaru, Noriyuki Imazu, Shinichiro Kawatoko, Yuichi Matsuno, Shin Fujioka, Keisuke Kawasaki, Junji Umeno, Tomohiko Moriyama, Takamasa Yoshihara, Hiroyuki Kobayashi, Takehiro Torisu
{"title":"Duodenal Duplication Diagnosed by Computed Tomography-Duodenography and Treated by Endoscopy.","authors":"Kanami Ota, Tomohiro Nagasue, Daisuke Tsurumaru, Noriyuki Imazu, Shinichiro Kawatoko, Yuichi Matsuno, Shin Fujioka, Keisuke Kawasaki, Junji Umeno, Tomohiko Moriyama, Takamasa Yoshihara, Hiroyuki Kobayashi, Takehiro Torisu","doi":"10.14309/crj.0000000000001617","DOIUrl":"10.14309/crj.0000000000001617","url":null,"abstract":"<p><p>A 21-year-old man with a developmental disability presented for management of upper abdominal pain and vomiting. He was diagnosed by endoscopy and computed tomography-duodenography as having duodenal obstruction due to duodenal duplication. He underwent endoscopic resection of the blind end of the duplication and was discharged on the ninth postoperative day. In a follow-up endoscopy 6 weeks after treatment, the scope passed smoothly and it was found that an iatrogenic ulcer postendoscopic resection had healed. Duodenal duplication is rare, and few cases have been diagnosed preoperatively in detail with imaging and undergone successful endoscopic treatment, as in the present case.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 2","pages":"e01617"},"PeriodicalIF":0.6,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11828022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432255","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
Lynch-Related Metastatic Breast Cancer With Diffuse Gastrointestinal Involvement Diagnosed With Endoscopically Normal Mucosal Biopsies and Endoscopic Ultrasound-Guided Paracentesis. 经内镜下正常粘膜活检和内镜超声引导下穿刺诊断为弥漫性胃肠道累及的lynch相关转移性乳腺癌。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-02-14 eCollection Date: 2025-02-01 DOI: 10.14309/crj.0000000000001613
Carl L Kay, Sophia J Christiansen, Cyrus V Edelson, Shane P Sweeney, John P Magulick, Charles B Miller
{"title":"Lynch-Related Metastatic Breast Cancer With Diffuse Gastrointestinal Involvement Diagnosed With Endoscopically Normal Mucosal Biopsies and Endoscopic Ultrasound-Guided Paracentesis.","authors":"Carl L Kay, Sophia J Christiansen, Cyrus V Edelson, Shane P Sweeney, John P Magulick, Charles B Miller","doi":"10.14309/crj.0000000000001613","DOIUrl":"10.14309/crj.0000000000001613","url":null,"abstract":"<p><p>Endoscopic ultrasound-guided paracentesis can safely assist with diagnosis of invasive lobular breast carcinoma after appropriate consideration of infection-related complications. This is a case of metastatic breast cancer presenting without clinical or radiographic breast findings. The patient presented with nonspecific gastrointestinal symptoms with normal endoscopic appearance, but malignant histology. Endoscopic ultrasound-guided paracentesis aided in the diagnosis of metastatic lobular breast carcinoma and can be integrated into the diagnostic armamentarium of advanced endoscopists. In addition, this case highlights an atypical case of Lynch syndrome presenting with index extraintestinal malignancy.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 2","pages":"e01613"},"PeriodicalIF":0.6,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827987/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432258","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
Duodenal-Acquired Intestinal Lymphangiectasia After Lymph Node Excision and Inferior Vena Cava Injury in an 18-Year-Old Woman. 18岁女性淋巴结切除及下腔静脉损伤后十二指肠获得性肠淋巴管扩张一例。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-02-14 eCollection Date: 2025-02-01 DOI: 10.14309/crj.0000000000001614
David Bickford, Chris Schmoyer, Chung Sang Tse
{"title":"Duodenal-Acquired Intestinal Lymphangiectasia After Lymph Node Excision and Inferior Vena Cava Injury in an 18-Year-Old Woman.","authors":"David Bickford, Chris Schmoyer, Chung Sang Tse","doi":"10.14309/crj.0000000000001614","DOIUrl":"10.14309/crj.0000000000001614","url":null,"abstract":"<p><p>Intestinal lymphangiectasia (IL) is a rare disorder characterized by dilation and obstruction of the small bowel lymphatic ducts, resulting in malabsorptive diarrhea and edema. While the majority of IL is congenital and presents in infancy, secondary acquired IL rarely presents as a long-term sequela after abdominal or pelvic surgeries. We report an 18-year-old woman who underwent surgical resection of ovarian cancer with subsequent endoscopic and histologic evidence of duodenal IL. This case highlights the importance of increased endoscopic awareness for iatrogenic acquired IL in clinical practice.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 2","pages":"e01614"},"PeriodicalIF":0.6,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827988/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432256","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
Gastric Outlet Obstruction Caused by Histoplasmosis in a Nonendemic Region. 非流行地区组织胞浆菌病所致胃出口梗阻。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-02-14 eCollection Date: 2025-02-01 DOI: 10.14309/crj.0000000000001612
Katherine Shepherd, George Obeng, Justin T Kupec, William Hsueh
{"title":"Gastric Outlet Obstruction Caused by Histoplasmosis in a Nonendemic Region.","authors":"Katherine Shepherd, George Obeng, Justin T Kupec, William Hsueh","doi":"10.14309/crj.0000000000001612","DOIUrl":"10.14309/crj.0000000000001612","url":null,"abstract":"<p><p><i>Histoplasmosis capsulatum</i> is a dimorphic fungus commonly considered endemic in the Mississippi and Ohio River Valley regions. Histoplasmosis can present as asymptomatic in immunocompetent patients or present as a disseminated infection in immunocompromised patients. Diagnosing histoplasmosis can be challenging in nonendemic areas, especially in patients presenting primarily with gastrointestinal symptoms. We describe a case of an immunocompromised 29-year-old man presenting with gastric outlet obstruction caused by disseminated histoplasmosis in a region not commonly considered endemic to <i>Histoplasmosis capsulatum</i>.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 2","pages":"e01612"},"PeriodicalIF":0.6,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827990/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432257","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
Disseminated Varicella-Zoster and Acute Liver Failure in a Patient With Crohn's Disease on Systemic Immunosuppression. 弥散性水痘带状疱疹和急性肝衰竭在克罗恩病患者的全身免疫抑制。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-02-10 eCollection Date: 2025-02-01 DOI: 10.14309/crj.0000000000001611
Brandon Shore, Oren K Fix, Jonathan J Hansen
{"title":"Disseminated Varicella-Zoster and Acute Liver Failure in a Patient With Crohn's Disease on Systemic Immunosuppression.","authors":"Brandon Shore, Oren K Fix, Jonathan J Hansen","doi":"10.14309/crj.0000000000001611","DOIUrl":"10.14309/crj.0000000000001611","url":null,"abstract":"<p><p>Approximately 4 million cases of varicella-zoster occur annually, most of which are self-limited and managed conservatively with supportive care with or without oral valacyclovir. However, varicella-zoster rarely disseminates leading to severe systemic illness affecting multiple organs. Disseminated varicella-zoster causes significant morbidity and mortality, particularly in immunocompromised individuals. In this study, we report a case of a 27-year-old immunosuppressed man who developed disseminated varicella-zoster infection culminating in multiorgan failure and death. We review the epidemiology, risk factors, diagnosis, prevention, and treatment of disseminated varicella-zoster.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 2","pages":"e01611"},"PeriodicalIF":0.6,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11813017/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143397755","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
Complicated Diverticulitis: A Rare Long-Term Complication After Esophagectomy With Colon Interposition. 复杂憩室炎：一种罕见的结肠介入食管切除术后的长期并发症。
IF 0.6
ACG Case Reports Journal Pub Date : 2025-02-10 eCollection Date: 2025-02-01 DOI: 10.14309/crj.0000000000001600
Fokkelein Veenstra, Eino van Duyn, Niels G Venneman, Barend van den Beukel
{"title":"Complicated Diverticulitis: A Rare Long-Term Complication After Esophagectomy With Colon Interposition.","authors":"Fokkelein Veenstra, Eino van Duyn, Niels G Venneman, Barend van den Beukel","doi":"10.14309/crj.0000000000001600","DOIUrl":"10.14309/crj.0000000000001600","url":null,"abstract":"<p><p>Colon interposition, a rare esophageal reconstructive procedure, can lead to late complications such as diverticulitis in the transplanted colon segment. This case involves a 65-year-old man who presented with a neck swelling 60 years after a colon interposition following caustic ingestion. A diagnosis of diverticulitis with an abscess was confirmed on a computed tomography scan after an initial diagnosis of diverticulitis, and subsequent abscess drainage was performed. Despite the development of a colocutaneous fistula, it closed spontaneously after eight weeks. The pathophysiology involves altered colonic conditions postsurgery. Management includes antibiotics and drainage, but treatment for such fistulas remains uncertain, requiring a tailored approach.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 2","pages":"e01600"},"PeriodicalIF":0.6,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11813064/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143397754","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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