Case Reports in Gastroenterology最新文献_第4页

Erratum. 勘误表。

IF 0.5

Case Reports in Gastroenterology Pub Date : 2025-04-30 eCollection Date: 2025-01-01 DOI: 10.1159/000545486

引用次数: 0

Autoimmune Pancreatitis in Children: A Case Report. 儿童自身免疫性胰腺炎1例报告

IF 0.5

Case Reports in Gastroenterology Pub Date : 2025-04-29 eCollection Date: 2025-01-01 DOI: 10.1159/000544785

Barbara Hendlisz, Amélie Dirckx, Marie Cassart, Phu Quoc Lê

引用次数: 0

An Unusual Complication of Diverticular Bleed: Dysphagia and Food Impaction from Black Esophagus. 憩室出血的罕见并发症：黑色食道的吞咽困难和食物嵌塞。

IF 0.5

Case Reports in Gastroenterology Pub Date : 2025-04-28 eCollection Date: 2025-01-01 DOI: 10.1159/000545171

Nicholas Noverati, Beatriz Torre, Maria Mostyka, Cuckoo Choudhary, Christopher Henry, David Kastenberg, Stephanie Moleski

{"title":"An Unusual Complication of Diverticular Bleed: Dysphagia and Food Impaction from Black Esophagus.","authors":"Nicholas Noverati, Beatriz Torre, Maria Mostyka, Cuckoo Choudhary, Christopher Henry, David Kastenberg, Stephanie Moleski","doi":"10.1159/000545171","DOIUrl":"https://doi.org/10.1159/000545171","url":null,"abstract":"Introduction: Acute esophageal necrosis, or black esophagus, is a rare clinical phenomenon typically seen in older men after an acute triggering event. It may present with dysphagia due to stricturing or dysmotility, a complication of severe esophageal inflammation.Case presentation: Here we describe a case of a woman with several cardiovascular risk factors who developed black esophagus following diverticular-related hemorrhagic shock and presented with chest pain followed by dysphagia and food impaction likely as a result of mucosal sloughing and altered esophageal motility. The diagnosis was confirmed endoscopically and pathology revealed coagulative necrosis due to ischemia.Discussion: Acute esophageal necrosis should be suspected in patients with cardiovascular risk factors and hemodynamic compromise and may be confirmed with endoscopy. As dysphagia may complicate this condition, slow advancement of diet while healing is advised.","PeriodicalId":9614,"journal":{"name":"Case Reports in Gastroenterology","volume":"19 1","pages":"298-302"},"PeriodicalIF":0.5,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12037161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143966440","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

Filgotinib to Treat Acute Severe Refractory Ulcerative Colitis: A Case Report and Review of the Literature. 非戈替尼治疗急性严重难治性溃疡性结肠炎1例报告及文献复习。

IF 0.5

Case Reports in Gastroenterology Pub Date : 2025-04-25 eCollection Date: 2025-01-01 DOI: 10.1159/000545263

Giuliana Vespere, Silvia Sedda, Pasquale Madonna, Roberta Abete, Alfredo D'Avino, Manuela Maione, Marina Lugarà, Antonietta Tazza, Franco Scaldaferri, Giuseppe Vitiello, Leonardo De Luca

{"title":"Filgotinib to Treat Acute Severe Refractory Ulcerative Colitis: A Case Report and Review of the Literature.","authors":"Giuliana Vespere, Silvia Sedda, Pasquale Madonna, Roberta Abete, Alfredo D'Avino, Manuela Maione, Marina Lugarà, Antonietta Tazza, Franco Scaldaferri, Giuseppe Vitiello, Leonardo De Luca","doi":"10.1159/000545263","DOIUrl":"https://doi.org/10.1159/000545263","url":null,"abstract":"Introduction: Acute severe ulcerative colitis (ASUC) is a serious complication affecting 9%-15% of patients with UC within 3 months of diagnosis and up to 28% of patients during the course of the disease. Despite the use of infliximab and calcineurin inhibitors, the rate of colectomy remains high both during the hospitalization and in the 5 years after an acute episode. We present a case of ASUC that was unresponsive to conventional therapies but was successfully treated with filgotinib.Case presentation: A 21-year-old male with a recent diagnosis of UC presented to our hospital with a severe flare. He received rescue therapy of high-dose intravenous steroids and 10 mg/kg infliximab. We observed little clinical and biochemical benefits. The patient declined the surgical option. Therefore, we decided to start a second rescue therapy with a new and rapid-acting Janus kinase inhibitor, filgotinib, due to its characteristics and pharmacokinetic profile of rapid absorption and metabolism. The patient showed an immediate clinical and biochemical response at 48 h, an endoscopic response at week 3, and an endoscopic remission at week 10. No recurrence was observed after 12 months of follow-up. The patient is in clinical remission with a good quality of life.Conclusion: Filgotinib may be an effective second-line therapy in an emergency setting such as ASUC in patients unresponsive to conventional therapy.","PeriodicalId":9614,"journal":{"name":"Case Reports in Gastroenterology","volume":"19 1","pages":"289-297"},"PeriodicalIF":0.5,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12028979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143986140","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

Jejunal Lipoma-Induced Intussusception Mimicking Crohn's Disease: A Case Report. 空肠脂肪瘤诱导肠套叠模拟克罗恩病1例报告。

IF 0.5

Case Reports in Gastroenterology Pub Date : 2025-04-23 eCollection Date: 2025-01-01 DOI: 10.1159/000545297

Naveena Luke, Tianyu She, Divya Roy, Toyooki Sonoda, Seymour Katz

{"title":"Jejunal Lipoma-Induced Intussusception Mimicking Crohn's Disease: A Case Report.","authors":"Naveena Luke, Tianyu She, Divya Roy, Toyooki Sonoda, Seymour Katz","doi":"10.1159/000545297","DOIUrl":"https://doi.org/10.1159/000545297","url":null,"abstract":"Introduction: Chronic gastrointestinal bleeding in patients with Crohn's disease presents diagnostic challenges. Adult intussusception is rare and typically caused by a pathological lead point, such as a tumor or inflammatory lesion. Lipomas, though benign, can lead to obstruction and bleeding, requiring differentiation from inflammatory causes for appropriate management.Case presentation: A 70-year-old male with Crohn's disease and chronic anemia presented with recurrent obscure gastrointestinal bleeding. Initial endoscopy was unremarkable, but capsule endoscopy identified a bleeding jejunal lesion. Double-balloon enteroscopy and imaging confirmed a jejunal lipoma causing intermittent intussusception. Due to persistent anemia, the patient underwent laparoscopic resection, with pathology confirming an ulcerated lipoma. His anemia resolved postoperatively.Conclusion: This case underscores the importance of considering structural lesions like lipomas in patients with chronic bleeding and Crohn's disease. A multimodal approach, including advanced imaging and enteroscopy, is crucial for accurate diagnosis and management. Surgical resection remains the preferred treatment for symptomatic small bowel lipomas.","PeriodicalId":9614,"journal":{"name":"Case Reports in Gastroenterology","volume":"19 1","pages":"282-288"},"PeriodicalIF":0.5,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017744/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143965167","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

Erratum. 勘误表。

IF 0.5

Case Reports in Gastroenterology Pub Date : 2025-04-16 eCollection Date: 2025-01-01 DOI: 10.1159/000545535

引用次数: 0

Primary Eosinophilic Panniculitis of the Greater Omentum in a Young Girl: A Case Report. 年轻女孩原发性大网膜嗜酸性泛膜炎1例报告。

IF 0.5

Case Reports in Gastroenterology Pub Date : 2025-04-07 eCollection Date: 2025-01-01 DOI: 10.1159/000544861

Masayuki Shintaku, Tokiko Okunobo, Hiroki Nakamura, Takashi Doi, Akira Tanaka, Koji Tsuta

{"title":"Primary Eosinophilic Panniculitis of the Greater Omentum in a Young Girl: A Case Report.","authors":"Masayuki Shintaku, Tokiko Okunobo, Hiroki Nakamura, Takashi Doi, Akira Tanaka, Koji Tsuta","doi":"10.1159/000544861","DOIUrl":"10.1159/000544861","url":null,"abstract":"Introduction: Primary (or idiopathic) panniculitis involving the intra-abdominal adipose tissue is rare, and its pathogenesis remains unknown. A case of primary eosinophilic panniculitis that involved the greater omentum of a girl is reported.Case presentation: The patient, an 11-year-old girl, complained of dull periumbilical pain and nausea, and radiological examination showed a mass lesion in the abdomino-pelvic cavity. On laparoscopy, a plaque-like, flat mass was seen in the greater omentum, and laparoscopic omental resection was performed. On histopathological examination, the interlobular fibrous septa of omental adipose tissue were widened by inflammatory edema, prominent infiltration of eosinophils, and loose proliferation of myofibroblasts. Dense lymphocytic infiltration was also noted around small veins. Inflammatory changes were mild in the fat lobules, and fat necrosis and infiltration of lipid-laden macrophages were absent. Findings of obliterative phlebitis or arteritis were not seen.Conclusion: Isolated involvement of the omentum by a panniculitic process is rare, and the pathogenesis of eosinophilic septal panniculitis found in the present case remains unknown, but involvement of a hypersensitivity reaction against some unknown stimuli is presumed, based on the histopathological resemblance of the omental lesions to erythema nodosum or eosinophilic panniculitis of the skin. We should keep in mind the possibility that the omental lesion in this patient is a harbinger of more serious immunological disorders. Careful, long-term follow-up and monitoring of the patient are needed.","PeriodicalId":9614,"journal":{"name":"Case Reports in Gastroenterology","volume":"19 1","pages":"268-275"},"PeriodicalIF":0.5,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11975329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143802585","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 Clot Removal Is an Effective Method for Treating Massive Ruptured Esophageal Hematoma: A Case Report. 内镜下血块清除是治疗食管大量破裂血肿的有效方法：1例报告。

IF 0.5

Case Reports in Gastroenterology Pub Date : 2025-04-07 eCollection Date: 2025-01-01 DOI: 10.1159/000544787

Jie Li, Manli Cui, Hua Wen, Jie Zhang, Mingxin Zhang

引用次数: 0

Spontaneous Intramural Oesophageal Dissection following Intramural Oesophageal Haematoma: A Case Report. 食管壁内血肿后自发性食管壁内夹层1例报告。

IF 0.5

Case Reports in Gastroenterology Pub Date : 2025-04-03 eCollection Date: 2025-01-01 DOI: 10.1159/000544766

Georgia Sun, Joshua Haron Abasszade, Elizabeth Low, Lee Shien Low, Angel I Y Wu, Darcy Quinn Holt

引用次数: 0

Coexisting Collagenous Sprue and Celiac Disease: A Case Report. 胶原性口疮与乳糜泻共存1例报告。

IF 0.5

Case Reports in Gastroenterology Pub Date : 2025-04-02 eCollection Date: 2025-01-01 DOI: 10.1159/000543939

Tyler M Selig, Ayesha Siddique, John L Reagan, Edward R Feller, Samir A Shah

{"title":"Coexisting Collagenous Sprue and Celiac Disease: A Case Report.","authors":"Tyler M Selig, Ayesha Siddique, John L Reagan, Edward R Feller, Samir A Shah","doi":"10.1159/000543939","DOIUrl":"10.1159/000543939","url":null,"abstract":"Introduction: Collagenous sprue (CS) is an extremely rare enteropathy of unknown etiology and if untreated, can lead to substantial morbidity and mortality. CS often copresents with celiac disease. The presence of a subepithelial collagen band on histology differentiates CS from celiac disease, as both have villous blunting. The management of the two diseases is different, and thus it is critical that the proper diagnosis of CS is made promptly to prevent complications.Case presentation: We present a case report of CS in an elderly male who was initially diagnosed with celiac disease alone before returning to care years later with unresolved gastrointestinal symptoms.Conclusion: Clinicians must verify that CS has been ruled out following a celiac disease diagnosis. In regard to CS's mechanism, CS's high frequency of comorbid autoimmune conditions and its robust response to corticosteroids support an immune-mediated process. Future research should continue to aim to elucidate the mechanism as it would allow for a more targeted approach to treatment, such as anti-fibrotic or specific immunomodulator therapy.","PeriodicalId":9614,"journal":{"name":"Case Reports in Gastroenterology","volume":"19 1","pages":"246-252"},"PeriodicalIF":0.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11964410/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143771447","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