Case Reports in Gastroenterology最新文献_第7页

A Case of Gastric Perforation Caused by Excessive Insufflation during Upper Gastrointestinal Endoscopy: Nonoperative Management. 上消化道内窥镜检查时过度充气致胃穿孔1例:非手术治疗。

IF 0.6

Case Reports in Gastroenterology Pub Date : 2023-11-15 eCollection Date: 2023-01-01 DOI: 10.1159/000534866

Youn Su Park

{"title":"A Case of Gastric Perforation Caused by Excessive Insufflation during Upper Gastrointestinal Endoscopy: Nonoperative Management.","authors":"Youn Su Park","doi":"10.1159/000534866","DOIUrl":"10.1159/000534866","url":null,"abstract":"Introduction: Upper gastrointestinal endoscopy is used to diagnose and treat upper gastrointestinal diseases, but it can also cause complications, including perforation. Perforation is a serious complication, so it is important to be aware of the risk factors in advance and to take precautions to prevent it.Case presentation: We report a case of gastric perforation caused by excessive insufflation during upper gastrointestinal endoscopy in a 64-year-old man with a history of multiple active gastric ulcers. During the endoscopy, the patient did not cooperate and insufflation was performed for a prolonged period of time. This led to a mucosal laceration and a hole suspected to be a perforation on the lesser curvature of the gastric body. The patient was treated nonsurgically with fasting, intravenous fluids, antibiotics, intravenous proton pump inhibitors, and blood transfusions. No leakage was observed on the follow-up computed tomography scan, and the perforation site was completely healed 2 months later.Conclusion: In this case, the patient was successfully treated with conservative therapy alone. The treatment of gastric perforation caused by endoscopy has shifted toward conservative therapy in recent years.","PeriodicalId":9614,"journal":{"name":"Case Reports in Gastroenterology","volume":"17 1","pages":"327-332"},"PeriodicalIF":0.6,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10651181/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138458108","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

Successful Endoscopic Removal of Anisakis Larva that Deeply Invaded the Gastric Mucosa Using Jumbo Forceps. 大钳内镜下成功切除深侵胃粘膜的Anisakis Larva。

IF 0.6

Case Reports in Gastroenterology Pub Date : 2023-11-08 eCollection Date: 2023-01-01 DOI: 10.1159/000533808

Toshio Arai, Takehito Kunogi, Takahiro Kinebuchi, Yasuhiro Nakano, Koji Nishikawa, Hiromu Sugiyama

引用次数: 0

Secondary Colo-Colic Intussusception Caused by Giant Polyp of Sigmoid Colon in a 5-Year-Old Girl. 一名5岁女孩乙状结肠巨大息肉引起的继发性结肠肠套叠。

IF 0.6

Case Reports in Gastroenterology Pub Date : 2023-11-08 eCollection Date: 2023-01-01 DOI: 10.1159/000528436

Tan Haizhi, Xiao Xiaobing, Deng Jianrong

引用次数: 0

An Autopsy Case of Ruptured Hepatic Angiosarcoma Treated by Transcatheter Arterial Embolization. 经导管动脉栓塞治疗破裂肝血管肉瘤一例尸检报告。

IF 0.6

Case Reports in Gastroenterology Pub Date : 2023-10-16 eCollection Date: 2023-01-01 DOI: 10.1159/000533552

Toshiki Entani, Kazuto Tajiri, Akira Noguchi, Aiko Murayama, Nozomu Muraishi, Yuka Hayashi, Ichiro Yasuda

引用次数: 0

An Unusual Complication of Self-Expandable Metal Stent Placement in Malignant Sigmoid Obstruction. 恶性乙状结肠梗阻自膨胀金属支架置入术的异常并发症。

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Case Reports in Gastroenterology Pub Date : 2023-10-16 eCollection Date: 2023-01-01 DOI: 10.1159/000533615

Qingjie Kang, Denghua Hu, Guangxu Wen, Zhengqiang Wei

{"title":"An Unusual Complication of Self-Expandable Metal Stent Placement in Malignant Sigmoid Obstruction.","authors":"Qingjie Kang, Denghua Hu, Guangxu Wen, Zhengqiang Wei","doi":"10.1159/000533615","DOIUrl":"https://doi.org/10.1159/000533615","url":null,"abstract":"Self-expandable metal stent (SEMS) for malignant colorectal obstruction is widely used as a bridge to elective surgery or palliative treatment. However, with the increasing use of SEMS for treatment, complication rates associated with stents have been raised as a concern. We experienced a rare migration-related complication that a stent partially migrated out of the anus with an incarceration. A 62-year-old man was admitted with sigmoid malignant obstruction. Due to multiple metastases, he refused to undergo colostomy, and an uncovered SEMS was placed. Subsequently, he started chemotherapy. Seven months after placement, the stent migrated into the rectum. After unsuccessful attempts to extract the stent, he sought our assistance. We observed that half of the stent was outside the anus, and a 15 mm lump of mucosa was embedded in the proximal end of the stent. After several attempts, we successfully removed the SEMS. Stent incarceration following migration is not a common occurrence, but it serves as a reminder that clinicians need to be more vigilant about complications that may arise after stent implantation. We describe this unusual complication and share our experience about the removal of the stent.","PeriodicalId":9614,"journal":{"name":"Case Reports in Gastroenterology","volume":"17 1","pages":"302-308"},"PeriodicalIF":0.6,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10624940/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71478342","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

Refractory Intestinal Behçet-Like Disease Associated with Trisomy 8 Myelodysplastic Syndrome Resolved by Parenteral Nutrition. 肠外营养解决与8号染色体三体性骨髓增生异常综合征相关的难治性肠Behçet样疾病。

IF 0.6

Case Reports in Gastroenterology Pub Date : 2023-10-11 eCollection Date: 2023-01-01 DOI: 10.1159/000533578

Ryo Takahashi, Yasuo Matsubara, Satoshi Takahashi, Kazuaki Yokoyama, Lim Lay Ahyoung, Michiko Koga, Hiroyuki Sakamoto, Narikazu Boku, Dai Shida, Hiroshi Yotsuyanagi

{"title":"Refractory Intestinal Behçet-Like Disease Associated with Trisomy 8 Myelodysplastic Syndrome Resolved by Parenteral Nutrition.","authors":"Ryo Takahashi, Yasuo Matsubara, Satoshi Takahashi, Kazuaki Yokoyama, Lim Lay Ahyoung, Michiko Koga, Hiroyuki Sakamoto, Narikazu Boku, Dai Shida, Hiroshi Yotsuyanagi","doi":"10.1159/000533578","DOIUrl":"https://doi.org/10.1159/000533578","url":null,"abstract":"Intestinal Behçet disease (BD), associated with myelodysplastic syndrome (MDS), is often refractory to treatment. An 80-year-old man with trisomy 8 MDS (refractory anemia) developed intermittent fever. Despite investigations to exclude infectious disease, autoimmune disease, and malignancy as the cause of the fever, the etiology could not be determined. A colonoscopy revealed several shallow round ulcers in the ileocecal region and ascending colon, and the biopsy specimens showed nonspecific inflammation. Thereafter, the patient experienced abdominal pain and diarrhea. Other than an oral aphthous ulcer, the patient did not show symptoms to meet the diagnostic criteria for BD. The patient was diagnosed with intestinal ulcers (intestinal BD-like disease) with MDS and trisomy 8. After treatment failure with 5-aminosalicylic acid, steroid, colchicine, and azacitidine, cerebral infarction occurred. Eating was difficult because of the patient's impaired consciousness; hence, total parenteral nutrition (TPN) was commenced. The fever and abdominal symptoms improved with bowel rest over approximately 1 month. Small amounts of food were orally administered to the patient following recovery from the after-effects of the cerebral infarction, but diarrhea and fever repeatedly flared up. Therefore, TPN was continued at home. The patient has not experienced any further intestinal BD symptoms for approximately 1 year with bowel rest. Nutritional therapy, including bowel rest, may be an effective treatment option for intestinal BD with MDS, and might be used as an induction therapy of remission or a supportive therapy for other treatments.","PeriodicalId":9614,"journal":{"name":"Case Reports in Gastroenterology","volume":"17 1","pages":"287-293"},"PeriodicalIF":0.6,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10624938/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71478343","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: 1

Ruptured Gastroduodenal Artery Pseudoaneurysms as a Complication of Pancreatitis. 作为胰腺炎并发症的胃十二指肠动脉假性动脉瘤破裂。

IF 0.6

Case Reports in Gastroenterology Pub Date : 2023-10-11 eCollection Date: 2023-01-01 DOI: 10.1159/000533617

Haider Ghazanfar, Abhilasha Jyala, Sameer Datta Kandhi, Dongmin Shin, Kazi Samsuddoha, Harish Patel

引用次数: 0

A Novel Presentation of Autoimmune Hepatitis with IgG1 Elevation. IgG1升高的自身免疫性肝炎的新表现。

IF 0.6

Case Reports in Gastroenterology Pub Date : 2023-09-28 eCollection Date: 2023-01-01 DOI: 10.1159/000530517

Yujiao Zhang, Bilal Niazi, Auda Auda, Angel Ann Chacko, Amer Jarri, Abdifatah Mohamed, Saad Ali, Hongfa Zhu, Syed Sirajuddin

{"title":"A Novel Presentation of Autoimmune Hepatitis with IgG1 Elevation.","authors":"Yujiao Zhang, Bilal Niazi, Auda Auda, Angel Ann Chacko, Amer Jarri, Abdifatah Mohamed, Saad Ali, Hongfa Zhu, Syed Sirajuddin","doi":"10.1159/000530517","DOIUrl":"https://doi.org/10.1159/000530517","url":null,"abstract":"Autoimmune hepatitis (AIH) is a common and debilitating pathology that has acute, subacute, and chronic presentation, requiring prompt diagnosis and early intervention. Several serologic markers are found to be associated with the pathogenesis and progression of autoimmune hepatitis, most notably antinuclear antibodies and anti-smooth muscle antibodies [Front Immunol. 2018;9:609]. In addition, AIH is also characterized by the elevation of gamma globulin levels, mainly immunoglobulin G (IgG) [World J Gastroenterol. 2015;21(1):60-83]. Although the literature has well established the presence of increased IgG levels in AIH, few studies have evaluated the subtypes of IgG and their differential levels associated with AIH. Here, we present a rare case of AIH that lacks the common serologic markers but instead reveals an elevation in IgG1 level. Our patient was subsequently placed on corticosteroids, and her symptoms quickly resolved. We intend to introduce this case to the medical community in the hope of aiding in the proper diagnosis and timely intervention of subsequent cases with similar presentations.","PeriodicalId":9614,"journal":{"name":"Case Reports in Gastroenterology","volume":"17 1","pages":"281-286"},"PeriodicalIF":0.6,"publicationDate":"2023-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10624941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71478339","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

Systemic AA Amyloidosis Secondary to Metastatic Renal Cell Carcinoma in a Hemodialysis Patient with Intractable Diarrhea. 血液透析患者顽固性腹泻继发于转移性肾细胞癌的系统性AA淀粉样变性。

IF 0.6

Case Reports in Gastroenterology Pub Date : 2023-09-13 eCollection Date: 2023-01-01 DOI: 10.1159/000531066

Hiroyuki Endo, Noriyuki Obara, Shinichi Mizuno, Yasuhiro Nakamura

{"title":"Systemic AA Amyloidosis Secondary to Metastatic Renal Cell Carcinoma in a Hemodialysis Patient with Intractable Diarrhea.","authors":"Hiroyuki Endo, Noriyuki Obara, Shinichi Mizuno, Yasuhiro Nakamura","doi":"10.1159/000531066","DOIUrl":"https://doi.org/10.1159/000531066","url":null,"abstract":"We describe an autopsied case of systemic AA amyloidosis secondary to metastatic renal cell carcinoma presenting intractable diarrhea. Severe diarrhea was the major symptom for the diagnosis of AA amyloidosis. No renal symptoms which are common in AA amyloidosis secondary to renal cell carcinoma were shown because hemodialysis following bilateral nephrectomy had already been started 9 years before. Treatment against metastatic tumors as a solution of AA amyloidosis could not be performed because of bad performance status and the patient died 5 months after the diagnosis. Autopsy findings revealed that AA amyloid deposition was seen in multi-organs including the intestine. The metastatic tumors were histologically compatible as metastasis of renal cell carcinoma. There was no other cause of chronic inflammation such as inflammatory arthritis. We concluded that chronic inflammation provoked by the metastatic tumors of renal cell carcinoma was a major cause of systemic AA amyloidosis. Intestinal AA amyloidosis with malabsorption was the cause of death. Clinicians should keep it in mind that solid organ malignancy can be a cause of AA amyloidosis and renal cell carcinoma is the most common carcinomatous cause. This case is particularly instructive in that progression of amyloidosis may be missed in hemodialysis patients with anuria and that gastrointestinal symptoms can be the primary indicators of systemic amyloidosis. Endoscopic examination including biopsy is important for the diagnosis and early treatment of amyloidosis.","PeriodicalId":9614,"journal":{"name":"Case Reports in Gastroenterology","volume":"17 1","pages":"275-280"},"PeriodicalIF":0.6,"publicationDate":"2023-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10624937/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71478345","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

An Asymptomatic Patient with Colonic Leiomyoma. 一例结肠平滑肌瘤无症状患者。

IF 0.6

Case Reports in Gastroenterology Pub Date : 2023-09-12 eCollection Date: 2023-01-01 DOI: 10.1159/000533550

Saad Alkhowaiter, Abdulmalik Alsheikh, Ammar Alotaibi

引用次数: 0