Case Reports in Gastroenterology最新文献_第2页

Post-Pancreatitis Splenic Artery Pseudoaneurysm as a Luring Danger: A Case Report. 胰腺炎后脾动脉假性动脉瘤的危险：1例报告。

IF 0.5

Case Reports in Gastroenterology Pub Date : 2025-06-17 eCollection Date: 2025-01-01 DOI: 10.1159/000546314

Daniel Schweckendiek, Kuno Lehmann, Vincent Van den Bosch

引用次数: 0

Ribavirin Treatment in Acute HEV-Induced Liver Injury in a Healthy US Female: A Case Report. 利巴韦林治疗美国健康女性急性hev诱导肝损伤1例

IF 0.5

Case Reports in Gastroenterology Pub Date : 2025-06-17 eCollection Date: 2025-01-01 DOI: 10.1159/000546235

Nadera Altork, Michele P Fischer, Lukman Cheraghvandi, Arul M Thomas

{"title":"Ribavirin Treatment in Acute HEV-Induced Liver Injury in a Healthy US Female: A Case Report.","authors":"Nadera Altork, Michele P Fischer, Lukman Cheraghvandi, Arul M Thomas","doi":"10.1159/000546235","DOIUrl":"10.1159/000546235","url":null,"abstract":"Introduction: Hepatitis E virus (HEV) is a global cause of acute viral hepatitis, for which there is currently no FDA-approved medication. This case report describes a unique instance of a healthy US female presenting with acute HEV, who was treated with ribavirin to address her acute liver injury.Case presentation: A 36-year-old US female, nonpregnant, without liver disease, developed nonspecific symptoms post-travel to Indonesia, leading to acute liver injury with concern for failure. Liver biopsy showed severe hepatocellular necrosis (>50%) with mixed infiltrate; HEV PCR was positive (93,700,000 IU/mL) [Am J Gastroenterol. 2024;119(10S):S2872-3]. After risk-benefit analysis, ribavirin treatment resolved symptoms and normalized biomarkers in a month, avoiding emergency transplantation.Conclusion: HEV infection should be considered in acute liver injury cases in the US, especially with exposure risks. Ribavirin's role in acute cases warrants further study, potentially averting major morbidity and mortality.","PeriodicalId":9614,"journal":{"name":"Case Reports in Gastroenterology","volume":"19 1","pages":"455-460"},"PeriodicalIF":0.5,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12173439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144315959","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

Opioid Withdrawal Misdiagnosed as a Crohn's Flare. 阿片类药物戒断被误诊为克罗恩病。

IF 0.5

Case Reports in Gastroenterology Pub Date : 2025-06-13 eCollection Date: 2025-01-01 DOI: 10.1159/000546335

Matthew Christopher Ryan, Marcel Jose Yibirin Wakim, Sebastian Suarez

引用次数: 0

Curcumin-QingDai Combination as Treatment for Crohn's Disease: A Case Report. 姜黄-清脉联合治疗克罗恩病1例

IF 0.5

Case Reports in Gastroenterology Pub Date : 2025-06-11 eCollection Date: 2025-01-01 DOI: 10.1159/000546012

Netanel Krugliak, Mark S Silverberg

引用次数: 0

Diarrhea, Weight Loss, and an Elevated Gastrin: A Case Report. 腹泻、体重减轻和胃泌素升高：1例报告。

IF 0.5

Case Reports in Gastroenterology Pub Date : 2025-06-11 eCollection Date: 2025-01-01 DOI: 10.1159/000545714

Ryan G Alexander, John C Cheville, Geoffrey B Thompson, Glenn L Alexander

{"title":"Diarrhea, Weight Loss, and an Elevated Gastrin: A Case Report.","authors":"Ryan G Alexander, John C Cheville, Geoffrey B Thompson, Glenn L Alexander","doi":"10.1159/000545714","DOIUrl":"10.1159/000545714","url":null,"abstract":"Introduction: Hypergastrinemia in a patient with refractory reflux, steatorrhea, or peptic ulcer disease with a gastric pH <4 is concerning for Zollinger-Ellison syndrome (ZES), but antral G-cell hyperplasia can also present in this manner and is distinguished from ZES based on negative radiographic studies and secretory stimulation testing with a typical gastrin response to a standardized test meal.Case presentation: A 51-year-old female with a history of a Nissen fundoplication for refractory reflux presented with a 3-month history of heartburn, diarrhea, and 55-pound weight loss. Evaluation included negative upper and lower endoscopies with biopsies and negative MR enterography. A 48-h fecal fat study revealed 501 g of stool and 51 g of fat per 24 h. A serum gastrin level off PPI was elevated at 589 pg/mL with a gastric pH of 2 on gastric aspirate. An EUS, DOTATATE PET scan, and secretin stimulation test were negative for ZE. A standardized test meal with serial gastrin monitoring demonstrated an 8-fold increase in serum gastrin. Open abdominal exploration and intraoperative ultrasound showed no evidence of a gastrinoma and an antrectomy and Billroth II anastomosis was performed in treatment of G-cell hyperplasia. Pathology demonstrated a moderately increased G-cell population. Postoperatively, her hypergastrinemia and steatorrhea resolved and she regained 60 pounds.Conclusion: Antral G-cell hyperplasia should be considered in patients with symptoms suggestive of gastrinoma with negative secretin stimulation testing and imaging studies. A standardized test meal demonstrates a substantial increase in serum gastrin levels and antrectomy is the treatment of choice for refractory symptoms.","PeriodicalId":9614,"journal":{"name":"Case Reports in Gastroenterology","volume":"19 1","pages":"428-433"},"PeriodicalIF":0.5,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12158413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274262","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

Calculus Cholecystitis Complicated with Variations of Extrahepatic Bile Duct: Clinical Experience and Aeromedical Analysis of 3 Cases in Aviation Pilots. 航空飞行员结石性胆囊炎合并肝外胆管病变3例临床体会及航空医学分析。

IF 0.5

Case Reports in Gastroenterology Pub Date : 2025-06-09 eCollection Date: 2025-01-01 DOI: 10.1159/000546233

Wen-Bing Li, Zeng Xue, Wei Shi, Lu-Bing Wang, Xiao-Jun He, Cheng Wang, Gang Zhao, Ling-Hong Kong, Meng Pu, Cheng-Li Liu, Ya-Lin Kong

{"title":"Calculus Cholecystitis Complicated with Variations of Extrahepatic Bile Duct: Clinical Experience and Aeromedical Analysis of 3 Cases in Aviation Pilots.","authors":"Wen-Bing Li, Zeng Xue, Wei Shi, Lu-Bing Wang, Xiao-Jun He, Cheng Wang, Gang Zhao, Ling-Hong Kong, Meng Pu, Cheng-Li Liu, Ya-Lin Kong","doi":"10.1159/000546233","DOIUrl":"10.1159/000546233","url":null,"abstract":"Introduction: For aviation personnel, calculous cholecystitis often requires surgical treatment because of the potential risks to flight safety whether symptomatic or asymptomatic. Although much effort has been put on the precaution of gallstone formation, the incidence of long-term post-cholecystectomy syndrome (PCS) seems more apparent in the limited number of cases undergoing cholecystectomy. The purpose of article was to elucidate the possible mechanism of gallstone formation and the development of long-term PCS caused by variations of bile duct, as well as choice of surgical treatments, just in this particular group of aviation personnel.Case presentation: Seven aviation pilots who underwent laparoscopic cholecystectomy in recent 5 years were reviewed, and 3 cases who developed long-term PCS because of variations of bile duct were presented. Variations of bile duct included existence of accessory extrahepatic bile, absence of common bile duct, and absence of cystic duct. Long-term PCS was characterized as epigastric dull pain and diarrhea or sparse stool, and became aggravated when resuming trainings of flight stimulations. Dietary adjustment and oral antispasmodic or cholagogic drug therapy, combined with relieving apprehensions after surgery, helped them recover well and resume flight.Conclusion: Variation of bile duct may be an important potential risk for gallstone formation and development of long-term PCS with the cause of probable decrement of bile drainage under the physiological environment of aviation.","PeriodicalId":9614,"journal":{"name":"Case Reports in Gastroenterology","volume":"19 1","pages":"412-422"},"PeriodicalIF":0.5,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12148319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144257426","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

First Description of Sprue-Like Enteropathy due to Azilsartan: A Case Report. 阿兹沙坦引起的云杉样肠病1例报告。

IF 0.5

Case Reports in Gastroenterology Pub Date : 2025-06-06 eCollection Date: 2025-01-01 DOI: 10.1159/000545217

Luisa Stoeckli, Markus Koster, Tugce Tuerkmen-Uthayanan, Sergio Cogliatti, Stephan Brand

{"title":"First Description of Sprue-Like Enteropathy due to Azilsartan: A Case Report.","authors":"Luisa Stoeckli, Markus Koster, Tugce Tuerkmen-Uthayanan, Sergio Cogliatti, Stephan Brand","doi":"10.1159/000545217","DOIUrl":"10.1159/000545217","url":null,"abstract":"Introduction: Sartan-induced enteropathy is an uncommon side effect of treatment with angiotensin II receptor antagonists (ARBs), which has predominantly been described for olmesartan.Case presentation: For the first time, we describe sartan-induced enteropathy as an adverse drug reaction associated with azilsartan in a 74-year-old male patient who was admitted to the hospital twice within 5 months because of excessive non-bloody diarrhea and weight loss. In this case, histopathological findings of intraepithelial lymphocytosis and intestinal villous atrophy resembled celiac disease; however, celiac disease-specific antibodies remained negative, and a gluten-free diet did not result in significant clinical recovery, while symptoms stopped rapidly after stopping azilsartan. When the patient was seen 5 months later, he was free of clinical symptoms, and histological changes disappeared after stopping azilsartan.Conclusion: This case illustrates sprue-like enteropathy as a potential side effect of azilsartan, emphasizing to consider this differential diagnosis in ARB-treated patients with chronic diarrhea. The causality of our findings was confirmed by drug de-challenge and re-challenge resulting in typical histological changes.","PeriodicalId":9614,"journal":{"name":"Case Reports in Gastroenterology","volume":"19 1","pages":"403-411"},"PeriodicalIF":0.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12143864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144246583","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 Case of Recurrent Gallstone Ileus Treated with Enterolithotomy Alone. 单纯肠内取石术治疗复发性胆结石性肠梗阻1例。

IF 0.5

Case Reports in Gastroenterology Pub Date : 2025-06-05 eCollection Date: 2025-01-01 DOI: 10.1159/000545980

Kisho Noda, Hirofumi Ohno, Keiko Naito, Katsudai Shirakabe, Hirotada Muramatsu, Hiraku Funakoshi

引用次数: 0

Infliximab-Induced Immune Thrombocytopenic Purpura in an Ulcerative Colitis Patient. 溃疡性结肠炎患者英夫利昔单抗诱导的免疫性血小板减少性紫癜。

IF 0.5

Case Reports in Gastroenterology Pub Date : 2025-06-04 eCollection Date: 2025-01-01 DOI: 10.1159/000545922

Mark Lai, Timothy Phan, Ola Niewiadomski, Nik Ding

引用次数: 0

Successful Closure of Chronic Colonic Double Perforation Caused by a Plastic Biliary Stent with Over-the-Scope Clip. 塑料胆道支架镜外夹成功闭合慢性结肠双穿孔。

IF 0.5

Case Reports in Gastroenterology Pub Date : 2025-05-29 eCollection Date: 2025-01-01 DOI: 10.1159/000545561

Manuel Lehner, Henriette Heinrich, Benjamin Baumgartner, Tobias Heye, Marius Zimmerli

引用次数: 0