ACG Case Reports JournalPub Date : 2024-09-13eCollection Date: 2024-09-01DOI: 10.14309/crj.0000000000001463
Alexander Garcia, Arman Maqsudlu, Ishita Dhawan, Adib Chaaya
{"title":"Correction to: A Rare Case of Cutaneous Gastric Adenocarcinoma With Signet Ring Cell Features.","authors":"Alexander Garcia, Arman Maqsudlu, Ishita Dhawan, Adib Chaaya","doi":"10.14309/crj.0000000000001463","DOIUrl":"https://doi.org/10.14309/crj.0000000000001463","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.14309/crj.0000000000001299.].</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 9","pages":"e01463"},"PeriodicalIF":0.6,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11398805/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278846","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.0000000000001508
Maria Elena Sanchez-Anguiano, Kurt B Schaberg, Trinh T Truong
{"title":"Development of Esophageal Epidermoid Metaplasia in a Pediatric Patient After Stevens-Johnson Syndrome.","authors":"Maria Elena Sanchez-Anguiano, Kurt B Schaberg, Trinh T Truong","doi":"10.14309/crj.0000000000001508","DOIUrl":"https://doi.org/10.14309/crj.0000000000001508","url":null,"abstract":"<p><p>Esophageal epidermoid metaplasia (EEM) is a rare condition that has not been described in Stevens-Johnson syndrome (SJS) and has only been described once in pediatrics. Neither the relationship, treatment, nor surveillance between SJS, esophageal strictures, and EEM has been established. We report the first case of EEM in an 8-year-old girl with esophageal stricture after SJS. Pediatric patients presenting with dysphagia after SJS should be evaluated for esophageal stricture and subsequent EEM development. Owing to EEM's, association with esophageal squamous cell cancer, close follow-up, biopsy surveillance for dysplasia, endoscopic treatment, and TP53 genetic sequencing should be considered.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 9","pages":"e01508"},"PeriodicalIF":0.6,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11398809/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278898","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 : 2024-09-12eCollection Date: 2024-09-01DOI: 10.14309/crj.0000000000001502
Amel Tabet Aoul, Ama Achiamah, Nathaniel Leavitt, Chun He, Pujan Kandal, Varun Patel
{"title":"Sigmoid Colon Angiomyolipoma as a Culprit for Intermittent Constipation and Hematochezia.","authors":"Amel Tabet Aoul, Ama Achiamah, Nathaniel Leavitt, Chun He, Pujan Kandal, Varun Patel","doi":"10.14309/crj.0000000000001502","DOIUrl":"https://doi.org/10.14309/crj.0000000000001502","url":null,"abstract":"<p><p>Colonic angiomyolipomas (CA) are very rare benign tumors arising from perivascular epithelioid cells. CA are most often found either during screening colonoscopies or as an incidental finding during abdominal imaging. However, some rare cases of CA are found to present with abdominal pain and hematochezia. In this article, we report a case of a 62-year-old man who presented with intermittent hematochezia and constipation who was found to have an angiomyolipoma in the sigmoid colon. The lesion was successfully removed endoscopically with no recurrence of bleeding and no complications within the first 30 days after the procedure.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 9","pages":"e01502"},"PeriodicalIF":0.6,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11392486/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278913","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 : 2024-09-12eCollection Date: 2024-09-01DOI: 10.14309/crj.0000000000001487
Nada Fawaris, Sohail Shariq, Mohamed Elnaggar, Faris Kubba, Rashmi Haria
{"title":"An Extremely Rare Presentation of Mucinous Adenocarcinoma Originating From Meckel Diverticulum Masquerading in a Young Woman With Crohn's Disease.","authors":"Nada Fawaris, Sohail Shariq, Mohamed Elnaggar, Faris Kubba, Rashmi Haria","doi":"10.14309/crj.0000000000001487","DOIUrl":"https://doi.org/10.14309/crj.0000000000001487","url":null,"abstract":"<p><p>Mucinous adenocarcinoma with signet cell features originating from Meckel diverticulum (MD) is an extremely rare primary malignant tumor. A woman in her 30s presented with multiple episodes of vomiting, abdominal pain, and constipation. She had a history of stricturing Crohn's disease and managed well with steroids, azathioprine, and infliximab. This time, a computed tomography scan showed distal ileal small-bowel obstruction. Urgent surgery for a nonsettling small bowel obstruction was performed. MD was incidentally found and was concerning for malignancy. This case report illustrates how this extremely rare malignancy was behaving like Crohn's disease, which delayed the diagnosis and treatment.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 9","pages":"e01487"},"PeriodicalIF":0.6,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11392474/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278840","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 : 2024-09-12eCollection Date: 2024-09-01DOI: 10.14309/crj.0000000000001505
Bianca Thakkar, Jasmine Tidwell, Minh Thu T Nguyen, Gengsheng Yu, Neil Parikh
{"title":"Beyond the Norm: Acute Multifocal Diverticulitis.","authors":"Bianca Thakkar, Jasmine Tidwell, Minh Thu T Nguyen, Gengsheng Yu, Neil Parikh","doi":"10.14309/crj.0000000000001505","DOIUrl":"https://doi.org/10.14309/crj.0000000000001505","url":null,"abstract":"<p><p>Colonic diverticulitis is inflammation of diverticula, which are sac-like protrusions in the colonic wall. It is thought that increased intraluminal pressure and trapped food leads to inflammation. Newer theories suggest that alterations in the gut microbiome and chronic inflammation play a role as well. Diverticulitis commonly affects discrete sections of colon. Acute multifocal diverticulitis is defined as diverticulitis in at least 2 different sites of the colon separated by at least 10 cm, which is very rare. Ideal management is unclear; however, our patient improved with supportive measures and antibiotics without complications of abscess, perforation, or need for surgery.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 9","pages":"e01505"},"PeriodicalIF":0.6,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11392498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278842","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 : 2024-09-12eCollection Date: 2024-09-01DOI: 10.14309/crj.0000000000001498
Meagan Alvarado, Darrick K Li
{"title":"An Unusual Cause of Refractory Bleeding in Cirrhosis.","authors":"Meagan Alvarado, Darrick K Li","doi":"10.14309/crj.0000000000001498","DOIUrl":"https://doi.org/10.14309/crj.0000000000001498","url":null,"abstract":"<p><p>Acquired hemophilia A (AHA) is a rare bleeding disorder caused by the development of antibodies against factor VIII. AHA has previously been reported in association with malignancy and autoimmune disorders, but rarely with liver disease. A prolonged activated partial thromboplastin time is the initial laboratory manifestation of this condition but may be challenging to interpret in the setting of abnormal markers of coagulation typically seen in cirrhosis. We present a case of AHA in a patient with decompensated cirrhosis resulting in refractory bleeding and highlight the complexities of interpreting abnormal coagulation factors in patients with cirrhosis.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 9","pages":"e01498"},"PeriodicalIF":0.6,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11392490/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278841","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 : 2024-09-12eCollection Date: 2024-09-01DOI: 10.14309/crj.0000000000001514
Meghana Iyer, Stephen A Firkins, Roma Patel, Bailey Flora, Erika Staneff, Roberto Simons-Linares
{"title":"Endoscopic and Pharmacologic Treatment of Obesity in Patients With Hereditary Polyposis Syndromes.","authors":"Meghana Iyer, Stephen A Firkins, Roma Patel, Bailey Flora, Erika Staneff, Roberto Simons-Linares","doi":"10.14309/crj.0000000000001514","DOIUrl":"https://doi.org/10.14309/crj.0000000000001514","url":null,"abstract":"<p><p>Patients with hereditary polyposis syndromes (HPS) are among the highest risk of multiple types of cancer. This risk is further magnified by comorbid obesity; however, HPS present unique risks for bariatric surgery. The advent of endoscopic bariatric and metabolic therapies along with advancements in the realm of antiobesity medications provides potential weight loss alternatives in this vulnerable population. We present 2 cases of patients with obesity and HPS successfully treated with intragastric balloons in combination with antiobesity medications.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 9","pages":"e01514"},"PeriodicalIF":0.6,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11392469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278900","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 : 2024-09-12eCollection Date: 2024-09-01DOI: 10.14309/crj.0000000000001515
Caleb J C McKinney, William Bigelow, Preethi G Venkat, Neeral L Shah
{"title":"Post-Chimeric Antigen Receptor T-Cell Therapy Hepatitis B Virus Reactivation After 23 Months of Entecavir Prophylaxis.","authors":"Caleb J C McKinney, William Bigelow, Preethi G Venkat, Neeral L Shah","doi":"10.14309/crj.0000000000001515","DOIUrl":"https://doi.org/10.14309/crj.0000000000001515","url":null,"abstract":"<p><p>Hepatitis B virus (HBV) reactivation can occur in immunosuppressed patients. Specifically, HBV reactivation after chimeric antigen receptor T-cell (CAR T-cell) therapy is a known complication with few case reports and specific treatment guidelines. Our patient experienced HBV reactivation 27 months after CAR T-cell therapy even with 23 months of entecavir prophylaxis. This unique case highlights the need for further investigation into the risk of HBV reactivation after CAR T-cell therapy and the proper HBV prophylaxis during and after CAR T-cell therapy.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 9","pages":"e01515"},"PeriodicalIF":0.6,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11392473/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278912","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 : 2024-09-12eCollection Date: 2024-09-01DOI: 10.14309/crj.0000000000001513
Harishankar Gopakumar, Ankita C Nekkanti, Eugene N Annor, Imran L Balouch
{"title":"No Endoscope Free-Hand Polypectomy of a Large Rectal Polyp.","authors":"Harishankar Gopakumar, Ankita C Nekkanti, Eugene N Annor, Imran L Balouch","doi":"10.14309/crj.0000000000001513","DOIUrl":"https://doi.org/10.14309/crj.0000000000001513","url":null,"abstract":"","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 9","pages":"e01513"},"PeriodicalIF":0.6,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11392478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278909","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 : 2024-09-11eCollection Date: 2024-09-01DOI: 10.14309/crj.0000000000001489
Jonathan K Lin, Lafaine Grant
{"title":"Epstein-Barr Virus-Negative Plasmablastic Lymphoma Post-liver Transplantation.","authors":"Jonathan K Lin, Lafaine Grant","doi":"10.14309/crj.0000000000001489","DOIUrl":"https://doi.org/10.14309/crj.0000000000001489","url":null,"abstract":"<p><p>Existing on the spectrum of post-transplant lymphoproliferative disorders (PTLD), plasmablastic lymphoma (PBL) is a highly aggressive form of B-cell non-Hodgkin lymphoma. Since its discovery in 1997, fewer than 5 cases of postliver transplantation-associated PBL have been recorded. Despite increased awareness of PTLD and improvement in imaging, PBL often presents with disseminated disease at the time of diagnosis. Treatment usually involves immunosuppression reduction and the use of chemo/immunotherapy, but the prognosis remains poor, with median survival being less than 12 months. We present to you a case of Epstein-Barr virus-negative PBL occurring more than 6 years postliver transplantation.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 9","pages":"e01489"},"PeriodicalIF":0.6,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11390050/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278903","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}