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Hepatic Adenomatosis in a Transgender Man on Gender-Affirming Testosterone Therapy. 一名接受性别确认睾酮疗法的变性人的肝腺瘤病。
IF 0.6
ACG Case Reports Journal Pub Date : 2024-09-11 eCollection Date: 2024-09-01 DOI: 10.14309/crj.0000000000001483
Yuting Huang, Nicole M Loo, Alice Y Chang, Zachary Yu, Amanda L McKenna, Charles Ritchie, Allie M Metcalfe, Raouf E Nakhleh, Murli Krishna, C Burcin Taner, Liu Yang
{"title":"Hepatic Adenomatosis in a Transgender Man on Gender-Affirming Testosterone Therapy.","authors":"Yuting Huang, Nicole M Loo, Alice Y Chang, Zachary Yu, Amanda L McKenna, Charles Ritchie, Allie M Metcalfe, Raouf E Nakhleh, Murli Krishna, C Burcin Taner, Liu Yang","doi":"10.14309/crj.0000000000001483","DOIUrl":"https://doi.org/10.14309/crj.0000000000001483","url":null,"abstract":"<p><p>The management of hepatic adenoma in transgender individuals undergoing gender-affirming hormone therapy remains unclear, especially whether treatment should be based on sex assigned at birth or therapy patient received. We presented a transgender man, female at birth, with hepatic adenomatosis with molecular profile differed from typical adenomas in cisgender males on testosterone. Discontinuing testosterone led to autoinfarction of the adenoma, allowing the avoidance of invasive treatments and resumption of gender-affirming hormone therapy. This case underscores the necessity for personalized care in the growing transgender population and challenges current consensus of treatment based on sex assigned at birth, emphasizing a tailored approach.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 9","pages":"e01483"},"PeriodicalIF":0.6,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11390042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278906","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
Malakoplakia in a Transplanted Liver. 移植肝脏中的恶性肿瘤
IF 0.6
ACG Case Reports Journal Pub Date : 2024-09-11 eCollection Date: 2024-09-01 DOI: 10.14309/crj.0000000000001486
Zaid Ansari, Akram Ahmad, Pablo A Bejarano, Antonio Pinna, Xaralambos Zervos
{"title":"Malakoplakia in a Transplanted Liver.","authors":"Zaid Ansari, Akram Ahmad, Pablo A Bejarano, Antonio Pinna, Xaralambos Zervos","doi":"10.14309/crj.0000000000001486","DOIUrl":"https://doi.org/10.14309/crj.0000000000001486","url":null,"abstract":"<p><p>Malakoplakia is a rare acquired histiocytic disorder first described in the urinary bladder. There have been 8 cases reported involving the liver, and this is the first reported case of malakoplakia involving an adult transplanted liver. We report a 63-year-old man with a medical history of orthotopic liver transplantation who presented with fever, chills, and abdominal pain. Imaging found confluent microabscesses in the right lobe of the liver that persisted despite prolonged antibiotics. He was taken to the operating room for a segment 6 hepatectomy of the abscess. Histologically, the inflammatory process showed malakoplakia.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 9","pages":"e01486"},"PeriodicalIF":0.6,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11390046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278908","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 Through-the-Scope X-Tack Helix Suturing System for Complete Closure of a Large Full-Thickness After Surgical Gastric Perforation. 内窥镜透视 X-Tack Helix 缝合系统用于完全缝合大面积全层胃穿孔术后伤口。
IF 0.6
ACG Case Reports Journal Pub Date : 2024-09-11 eCollection Date: 2024-09-01 DOI: 10.14309/crj.0000000000001493
Sharifeh Almasaid, Fathima Keshia Suhail, Hafiz M Khan
{"title":"Endoscopic Through-the-Scope X-Tack Helix Suturing System for Complete Closure of a Large Full-Thickness After Surgical Gastric Perforation.","authors":"Sharifeh Almasaid, Fathima Keshia Suhail, Hafiz M Khan","doi":"10.14309/crj.0000000000001493","DOIUrl":"https://doi.org/10.14309/crj.0000000000001493","url":null,"abstract":"<p><p>Gastric perforation is considered a surgical emergency managed operatively; however, endoscopic repair techniques have gained popularity as they are cost-effective, improve mortality, and decrease hospital stay and recurrence. With increased prevalence of gastric defects postoperatively and after invasive endoscopic procedures, various endoscopic techniques were developed over the years, but special consideration should be given to the defect type, size, and location. Our case highlights the use of X-Tack through-the-scope suturing for closing a large, full-thickness gastric perforation in a difficult location where OverStitch is not feasible.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 9","pages":"e01493"},"PeriodicalIF":0.6,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11390043/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278902","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
Spontaneous Heterotopic Autotransplantation of Splenic Tissue: A Mimic of Pancreatic Malignancy. 脾组织自发性异位自体移植：模拟胰腺恶性肿瘤
IF 0.6
ACG Case Reports Journal Pub Date : 2024-09-11 eCollection Date: 2024-09-01 DOI: 10.14309/crj.0000000000001490
Emily Fellows, Daryl Ramai, Lara Patriquin, Christopher Ko
{"title":"Spontaneous Heterotopic Autotransplantation of Splenic Tissue: A Mimic of Pancreatic Malignancy.","authors":"Emily Fellows, Daryl Ramai, Lara Patriquin, Christopher Ko","doi":"10.14309/crj.0000000000001490","DOIUrl":"https://doi.org/10.14309/crj.0000000000001490","url":null,"abstract":"<p><p>Intra-abdominal splenosis is a rare finding which most commonly occurs following traumatic splenectomy. We present a case report of a patient who presented with abdominal pain in which peripancreatic and intrapancreatic lesions were found in the setting of mediastinal lymphadenopathy. Owing to concerns for pancreatic malignancy, we explored these lesions using endoscopic ultrasound with fine-needle biopsy (with rapid on-site evaluation). Ultimately, surgical pathologies revealed the presence of splenic tissues and the diagnosis of pancreatic splenosis.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 9","pages":"e01490"},"PeriodicalIF":0.6,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11390039/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278914","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 Vasculitis in Adult Patient With Dermatomyositis Presenting as Hematemesis. 以吐血为表现的皮肌炎成人患者的胃肠道血管炎
IF 0.6
ACG Case Reports Journal Pub Date : 2024-09-11 eCollection Date: 2024-09-01 DOI: 10.14309/crj.0000000000001495
Susie Min, Debra W Yen, Gail L Bongiovanni
{"title":"Gastrointestinal Vasculitis in Adult Patient With Dermatomyositis Presenting as Hematemesis.","authors":"Susie Min, Debra W Yen, Gail L Bongiovanni","doi":"10.14309/crj.0000000000001495","DOIUrl":"https://doi.org/10.14309/crj.0000000000001495","url":null,"abstract":"<p><p>Dermatomyositis (DM) is an inflammatory disease of the muscles and skin. Severe gastrointestinal (GI) involvement, characterized by GI bleeding and perforation secondary to underlying vasculopathy, is rarely seen. We describe a case of newly diagnosed DM in a 75-year-old woman who presented with a rash and muscle weakness. She then had sudden onset of hematemesis and was found to have duodenal ulcers due to leukocytoclastic vasculitis from her DM. Our aim was to highlight the need for recognition of GI involvement in adults with DM.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 9","pages":"e01495"},"PeriodicalIF":0.6,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11390040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278904","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
Bridging the Buried GATE: LAMS-in-LAMS Rescue Technique for Endoscopic Ultrasound-Directed Transgastric ERCP. 连接埋藏的闸门：内镜超声引导经胃ERCP的LAMS-in-LAMS救援技术。
IF 0.6
ACG Case Reports Journal Pub Date : 2024-09-11 eCollection Date: 2024-09-01 DOI: 10.14309/crj.0000000000001497
Benjamin M Honan, Ramzi Mulki, Sergio A Sánchez-Luna
{"title":"Bridging the Buried GATE: LAMS-in-LAMS Rescue Technique for Endoscopic Ultrasound-Directed Transgastric ERCP.","authors":"Benjamin M Honan, Ramzi Mulki, Sergio A Sánchez-Luna","doi":"10.14309/crj.0000000000001497","DOIUrl":"https://doi.org/10.14309/crj.0000000000001497","url":null,"abstract":"","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 9","pages":"e01497"},"PeriodicalIF":0.6,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11390047/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278843","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
Adult Hepatoblastoma and Concomitant Hepatitis B Infection. 成人肝母细胞瘤合并乙型肝炎感染。
IF 0.6
ACG Case Reports Journal Pub Date : 2024-09-05 eCollection Date: 2024-09-01 DOI: 10.14309/crj.0000000000001491
Alejandro Nieto Dominguez, Sarah Elizabeth Eichinger, Elza Matrova, Anas Almoghrabi
{"title":"Adult Hepatoblastoma and Concomitant Hepatitis B Infection.","authors":"Alejandro Nieto Dominguez, Sarah Elizabeth Eichinger, Elza Matrova, Anas Almoghrabi","doi":"10.14309/crj.0000000000001491","DOIUrl":"10.14309/crj.0000000000001491","url":null,"abstract":"<p><p>We report a case of hepatoblastoma in a 26-year-old man with a background of type 2 diabetes mellitus and untreated hepatitis B, initially presenting with hematemesis and a recent diagnosis of hepatocellular carcinoma on computed tomography scan from a different hospital and recent referral to hospice. On presentation to our hospital, given atypical presentation for hepatocellular carcinoma, histological examination was made, revealing hepatoblastoma. Treatment included chemotherapy and management of hepatitis B, although complicated by chemotherapy-induced cytopenias and tumor progression, ultimately losing the patient to follow-up after 2 years.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 9","pages":"e01491"},"PeriodicalIF":0.6,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11377089/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142138982","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
Needle Knife Stricturoplasty for Hepaticojejunostomy Stricture After Whipple Procedure. 针对惠普尔手术后肝空肠吻合口狭窄的针刀狭窄成形术
IF 0.6
ACG Case Reports Journal Pub Date : 2024-09-05 eCollection Date: 2024-09-01 DOI: 10.14309/crj.0000000000001480
Seyedbabak Mirminachi, Adam Slivka, Sultan Mahmood
{"title":"Needle Knife Stricturoplasty for Hepaticojejunostomy Stricture After Whipple Procedure.","authors":"Seyedbabak Mirminachi, Adam Slivka, Sultan Mahmood","doi":"10.14309/crj.0000000000001480","DOIUrl":"10.14309/crj.0000000000001480","url":null,"abstract":"<p><p>Hepaticojejunostomy anastomotic stricture is a relatively uncommon postoperative complication after a Whipple procedure. However, they are increasingly being observed because of advancements in operative mortality rates and the widening of operative indications to include benign diseases such as chronic pancreatitis and intraductal papillary mucinous neoplasm. In this article, we describe a patient diagnosed with intraductal papillary mucinous neoplasm and another with pancreatic cancer, both of whom developed jaundice after undergoing the Whipple procedure. Subsequent investigation revealed a benign hepaticojejunostomy anastomotic stricture, successfully treated with stricturoplasty using a needle knife.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 9","pages":"e01480"},"PeriodicalIF":0.6,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11377085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142138983","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
Pneumatosis Cystoides Intestinalis Which Developed During Treatment for Mycobacterium avium Complex Lung Disease: A Case Series of 3 Patients. 在治疗复合肺分枝杆菌病期间出现的肠道囊肿性肺炎：3 例患者的病例系列。
IF 0.6
ACG Case Reports Journal Pub Date : 2024-09-05 eCollection Date: 2024-09-01 DOI: 10.14309/crj.0000000000001492
Hiroyuki Uehara, Yoshitaka Yamakazi, Taiji Akamatsu, Kazuhisa Shimodaira, Masayuki Miyajima
{"title":"Pneumatosis Cystoides Intestinalis Which Developed During Treatment for <i>Mycobacterium avium</i> Complex Lung Disease: A Case Series of 3 Patients.","authors":"Hiroyuki Uehara, Yoshitaka Yamakazi, Taiji Akamatsu, Kazuhisa Shimodaira, Masayuki Miyajima","doi":"10.14309/crj.0000000000001492","DOIUrl":"10.14309/crj.0000000000001492","url":null,"abstract":"<p><p>Pneumatosis cystoides intestinalis (PCI) is an uncommon condition characterized by the presence of a collection of individual gas cysts in the submucosa and subserosa of the intestine. The etiology of PCI is still unclear. We experienced 3 cases with PCI during treatment for pulmonary <i>Mycobacterium avium</i> complex (MAC) infection. Each case was treated conservatively. We believe our case series will highlight the importance of examining the gastrointestinal tract of patients with MAC infection and hopefully elucidate the clinical characteristics of PCI which developed during MAC treatment.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 9","pages":"e01492"},"PeriodicalIF":0.6,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11377088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142138984","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
Unveiling a Sour Truth: Acute Pancreatitis Linked to Apple Cider Vinegar Supplement. 揭开酸涩的真相：急性胰腺炎与苹果醋补充剂有关。
IF 0.6
ACG Case Reports Journal Pub Date : 2024-09-05 eCollection Date: 2024-09-01 DOI: 10.14309/crj.0000000000001482
Luis Alvarez, Lanson B Colaco, Saba Ali, Iktej S Singh Jabbal, Veerkaran Banga, Martin A Avalos, Pankaj J Patel
{"title":"Unveiling a Sour Truth: Acute Pancreatitis Linked to Apple Cider Vinegar Supplement.","authors":"Luis Alvarez, Lanson B Colaco, Saba Ali, Iktej S Singh Jabbal, Veerkaran Banga, Martin A Avalos, Pankaj J Patel","doi":"10.14309/crj.0000000000001482","DOIUrl":"10.14309/crj.0000000000001482","url":null,"abstract":"<p><p>Acute pancreatitis, a common gastrointestinal ailment in the United States, often lacks a clear etiology, with one-third of cases deemed idiopathic. We discuss an 84-year-old woman with acute pancreatitis possibly linked to a recently introduced weight loss supplement containing apple cider vinegar. Literature review unveils scant data regarding the risks of acute pancreatitis associated with less rigorously studied and regulated supplements, such as apple cider vinegar products. Considering the morbidity and financial burden associated with acute pancreatitis, there is a pressing need to report and disseminate awareness of diverse etiologies, encompassing drug and supplement-induced cases. This case report endeavors to address this need.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"11 9","pages":"e01482"},"PeriodicalIF":0.6,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11377086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142138985","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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