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Case Reports in Gastroenterology

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https://www.readbyqxmd.com/read/29928189/esophageal-large-cell-neuroendocrine-carcinoma-with-inconsistent-response-to-treatment-in-the-primary-and-metastatic-lesions
#1
Takashi Tomiyama, Masahiro Orino, Koh Nakamaru, Toshihiro Tanaka, Ryo Suzuki, Takashi Okazaki, Norimasa Fukata, Yugo Ando, Naoyuki Danbara, Toshiro Fukui, Chika Miyasaka, Kazuichi Okazaki
Esophageal large-cell neuroendocrine carcinoma (NEC) is a rare malignant tumor that is characterized by high-grade malignancy and a poor prognosis. However, the rarity of esophageal NEC has prevented the development of an established treatment, and no reports have described a discrepancy in the effectiveness of cisplatin plus irinotecan between primary and metastatic lesions. A 43-year-old Japanese man was referred to our hospital with refractory epigastralgia. A previous gastrointestinal endoscopy had revealed a 50-mm type 2 tumor in the abdominal esophagus...
May 2018: Case Reports in Gastroenterology
https://www.readbyqxmd.com/read/29928188/rare-incidence-of-acute-liver-injury-with-potassium-para-aminobenzoate-introduction
#2
Layth Al Attar, Wiliam Kilgore
Acute liver injury is an alarming condition, as it may lead to a devastating outcome. Of the many causes of acute liver injury, review of medications is crucial to identifying the cause of the injury. Some commonly used medications may unpredictably be the underlying cause of liver injury. We present a case of Peyronie's disease treated with potassium para-aminobenzoate that developed acute liver injury. After starting the new treatment, the patient complained of right upper quadrant pain. He was found to have elevated liver enzymes...
May 2018: Case Reports in Gastroenterology
https://www.readbyqxmd.com/read/29928187/-ascaris-lumbricoides-a-startling-discovery-during-screening-colonoscopy
#3
Jamil Shah, Abul Shahidullah
Intestinal parasitic infections are a major public health issue across the world and particularly in rural and urban areas of tropical and subtropical countries. Those at increased risk include inhabitants of poor and disadvantaged regions, which are more likely to have inadequate environmental sanitation, insufficient water supply, greater contact rates with reservoirs of infection, limited health literacy, and socioeconomic disparities. Of the intestinal nematodes (roundworms) that parasitize the human gastrointestinal tract, Ascaris lumbricoides is the largest in terms of size...
May 2018: Case Reports in Gastroenterology
https://www.readbyqxmd.com/read/29928186/hypothermia-related-acute-pancreatitis
#4
Kyawzaw Lin, Emmanuel Ofori, Aung Naing Lin, Sithu Lin, Thinzar Lin, Ameer Rasheed, Viswanath Vasudevan, Madhavi Reddy
Acute pancreatitis (AP) is an inflammatory disease presenting from mild localized inflammation to severe infected necrotic pancreatic tissue. In the literature, there are a few cases of hypothermia-induced AP. However, the association between hypothermia and AP is still a myth. Generally, mortality from acute pancreatitis is nearly 3-6%. Here, we present a 40-year-old chronic alcoholic female who presented with acute pancreatitis induced by transient hypothermia. A 40-year-old chronic alcoholic female was hypothermic at 81°F on arrival which was improved to 91...
May 2018: Case Reports in Gastroenterology
https://www.readbyqxmd.com/read/29928185/autoimmune-ascites-responding-to-mycophenolate-mofetil-a-case-report
#5
Douglas A Simonetto, Hala Fatima, Folkert Zijlstra, Michael K Zijlstra
Ascites is an abnormal accumulation of fluid within the peritoneal cavity. The most common cause of ascites in the United States population is portal hypertension secondary to cirrhosis, accounting for about 80% of the cases. Other etiologies include malignancy, heart failure, tuberculosis, and pancreatic disease. After an extensive literature review, it is to our best knowledge that there have been no cases reported on autoimmune ascites. We present an interesting case of ascites in a 67-year-old Caucasian male with symptoms of recurrent abdominal distention and significant weight gain, refractory to standard therapies...
May 2018: Case Reports in Gastroenterology
https://www.readbyqxmd.com/read/29805367/multidetector-row-computed-tomography-and-colonoscopy-for-detecting-a-rectal-dieulafoy-lesion-as-a-source-of-lower-gastrointestinal-hemorrhage
#6
Manabu Kaneko, Hiroaki Nozawa, Yosuke Tsuji, Shigenobu Emoto, Koji Murono, Takeshi Nishikawa, Kazuhito Sasaki, Kensuke Otani, Toshiaki Tanaka, Keisuke Hata, Kazushige Kawai, Kazuhiko Koike
A Dieulafoy lesion of the rectum is a very rare entity that can cause massive lower gastrointestinal (GI) hemorrhage. Identifying the bleeding point is sometimes difficult because these lesions are very small. We herein describe an 82-year-old man with active hemorrhage due to a rectal Dieulafoy lesion. He was referred to our hospital because of persistent hematochezia from the morning of that day. He had a history of atrial fibrillation, chronic heart failure, diabetes mellitus, and hyperuricemia. Prompt multidetector-row computed tomography (MDCT) enabled us to detect active bleeding from the lower rectum...
January 2018: Case Reports in Gastroenterology
https://www.readbyqxmd.com/read/29805366/signet-ring-cell-carcinoma-of-the-ampulla-of-vater-a-rare-histopathological-variant
#7
Guus W de Klein, Joop van Baarlen, Leonie J Mekenkamp, Mike S L Liem, Joost M Klaase
Signet ring cell carcinoma (SRCC) of the ampulla of Vater is an extremely rare tumor. Our case describes a 45-year-old female presenting with jaundice and pruritus. Computed tomography, endoscopy, and endoscopic retrograde cholangiopancreatography showed a tumor of the ampulla of Vater without distant metastasis. Histological biopsy confirmed a malignant tumor with SRCC characteristics and immunohistochemical staining revealed a mixed type profile (both intestinal and pancreatobiliary characteristics). A pylorus-preserving pancreatoduodenectomy was performed and the patient recovered without complications...
January 2018: Case Reports in Gastroenterology
https://www.readbyqxmd.com/read/29805365/rectal-foreign-body-of-eggplant-treated-successfully-by-endoscopic-transanal-removal
#8
Hiroo Sei, Toshihiko Tomita, Keisuke Nakai, Kumiko Nakamura, Akio Tamura, Yoshio Ohda, Tadayuki Oshima, Hirokazu Fukui, Jiro Watari, Hiroto Miwa
Transanal rectal foreign body implies that a foreign body has been inserted transanally due to sexual orientation or other reasons and cannot be removed. Such cases require emergency measures because foreign bodies often present difficulties in manual removal or endoscopic removal and may even require surgery when peritonitis due to gastrointestinal perforation occurs. We report a patient in our hospital who had a rectal foreign body inserted into the deep part of the proctosigmoid that could be removed endoscopically...
January 2018: Case Reports in Gastroenterology
https://www.readbyqxmd.com/read/29805364/possibility-of-interstitial-lung-disease-as-a-phlebosclerotic-colitis-manifestation
#9
Tomoyasu Takemura, Yuki Kataoka, Reika Iki, Yasuyuki Nishioka, Naoko Matsubara, Mitsunori Kanagaki, Yoshitomo Yasumizu
Phlebosclerotic colitis presents with ischemic bowels and calcification of the mesenteric veins. Owing to its rarity, we have little information on the complications of this disease. Herein, we report on a 77-year-old woman with phlebosclerotic colitis and interstitial lung disease. She was diagnosed as having phlebosclerotic colitis by CT and colonoscopy. At the same time, chest CT also showed interstitial lung disease. After 4 years, she experienced exacerbation of interstitial lung disease. She recovered without treatment...
January 2018: Case Reports in Gastroenterology
https://www.readbyqxmd.com/read/29805363/athlete-s-hepatitis-in-a-young-healthy-marathon-runner
#10
Hafiz Khan, Jobin Phillipose, Moiz Ahmed, Liliane Deeb
Athlete's hepatitis is an uncommon clinical condition characterized by a significant ischemic insult to the liver. The most likely pathogenesis is decreased blood supply to the liver resulting in significant hypoxic hepatocyte injury. We report a case of a 48-year-old healthy young male who presented with athlete's hepatitis confirmed by liver biopsy after a 14-mile marathon run. To our knowledge, this is the second case of athlete's ischemic hepatitis reported in the literature. It is a diagnosis worth considering in patients involved in extreme exercise programs...
January 2018: Case Reports in Gastroenterology
https://www.readbyqxmd.com/read/29805362/ectopic-pancreatic-tissue-adherent-to-the-external-gallbladder-wall
#11
Ioannis M Koukourakis, Meltem S Perente Memet, Maria Kouroupi, Konstantinos Simopoulos
Heterotopic pancreatic tissue can be found in the gastrointestinal tract, with the stomach and small bowel being the most common sites of localization. The gallbladder is seldom affected. Here, we report 2 cases of ectopic pancreas within the fatty tissue adherent to the organ wall. Both cases concerned young women (31 and 36 years old) who were treated with a laparoscopic cholecystectomy due to persistent abdominal symptoms thought to be related to chronic cholecystitis. Pathological examination revealed the presence of ectopic pancreatic tissue type 1...
January 2018: Case Reports in Gastroenterology
https://www.readbyqxmd.com/read/29805361/renal-infarction-during-anticoagulant-therapy-after-living-donor-liver-transplantation
#12
Shinji Onda, Hiroaki Shiba, Yuki Takano, Kenei Furukawa, Taigo Hata, Katsuhiko Yanaga
Introduction: Liver transplant recipients are at risk for complications of vascular thrombosis. The reconstructed hepatic artery and portal vein thrombosis potentially result in hepatic failure and graft loss. Renal infarction is a rare clinical condition, but in severe cases, it may lead to renal failure. We herein report a case of renal infarction after living donor liver transplantation (LDLT) during anticoagulant therapy. Case Presentation: A 60-year-old woman with end-stage liver disease due to primary biliary cholangitis underwent LDLT with splenectomy...
January 2018: Case Reports in Gastroenterology
https://www.readbyqxmd.com/read/29805360/neoterminal-ileal-polyposis-and-ulceration-after-restorative-proctocolectomy-with-a-current-review-of-the-literature
#13
Venkata Subhash Gorrepati, Negar Rassaei, Kofi Clarke
After ileal pouch anal anastomosis, one of the frequently encountered complications is polyposis of the pouch. We describe a case of proximal neoterminal ileal polyposis associated with deep ulceration suggestive of Crohn's disease and review the available literature. A 36-year-old male presented with resistant pouchitis 11 years after surgery for ulcerative colitis. With all-negative initial workup, pouchoscopy showed multiple deep ulcers in the proximal ileum with some polyps. Biopsy of polyps showed inflammatory polyps with negative immunohistological staining for IgG pouchitis...
January 2018: Case Reports in Gastroenterology
https://www.readbyqxmd.com/read/29805359/-ascaris-lumbricoides-discharge-from-the-mouth
#14
Yuya Kobayashi, Jun Tsuyuzaki
A 68-year-old Japanese man presented with Ascaris lumbricoides discharge from his mouth. The infection was suspected to have occurred while the patient was in the Philippines. This A. lumbricoides migration occurred because a proton pump inhibitor was used and Billroth I resection had been performed, which reduced gastric acid secretion and increased gastric pH. In addition, the pylorus had been removed during Billroth I resection, enabling easy access to the stomach. The number of imported foods, of infected migrants and refugees, and of overseas travels is increasing, and these factors may lead to an increase in A...
January 2018: Case Reports in Gastroenterology
https://www.readbyqxmd.com/read/29805358/small-bowel-obstruction-caused-by-dried-persimmon
#15
Mami Yamamoto, Kentaroh Yamamoto, Xueyi Bian, Qiang Guo, Takamitsu Sasaki, Fumio Yamamoto, Hiroshi Yamamoto
Dried persimmon is a well-known dried fruit in Asian countries such as Japan, Korea, and China. Small bowel obstruction caused by phytobezoar is a rare but interesting pathogenesis that accounts for 2-4% of all small bowel obstructions. We present the case of an 87-year-old female who suffered from small bowel obstruction caused by ingestion of a huge, dried astringent persimmon. She was initially treated conservatively, but removal by enterotomy was performed after relief failed to be achieved with conservative therapy...
January 2018: Case Reports in Gastroenterology
https://www.readbyqxmd.com/read/29805357/giant-symptomatic-rectal-mucocele-following-subtotal-colectomy
#16
Romano Schneider, Marko Kraljević, Markus von Flüe, Ida Füglistaler
Introduction: Rectal mucoceles rarely occur and only a few cases are described in the literature. They usually appear after subtotal colectomy or Hartmann procedure originating from persisting rectal mucus production and simultaneous stenosis of the anal canal. Case Presentation: A 74-year-old female patient presented with the feeling of an abdominal growing mass. Complex medical history included a subtotal colectomy with an end ileostomy and a mucous fistula at the descending colon due to Crohn disease at the age of 16 years...
January 2018: Case Reports in Gastroenterology
https://www.readbyqxmd.com/read/29805356/exclusive-phlebosclerosis-of-submucosal-veins-leading-to-ischemic-necrosis-and-perforation-of-the-large-bowel-first-european-case
#17
Sebastian Klein, Denise Buchner, De-Hua Chang, Reinhard Büttner, Uta Drebber, Jochen W U Fries
Phlebosclerotic colitis (PC) is a rare, potentially life-threatening disease of unclear pathogenesis almost exclusively reported in Asian patients of both genders. A fibrous degeneration of venous walls leads to threadlike calcifications along mesenteric vessels and colonic wall thickening, detectable by CT. This causes disturbed blood drainage and hemorrhagic infarction of the right-sided colonic wall. This is a report of PC in a Caucasian woman in Europe without Asian background and no history of herbal medications, a suspected cause in Asian patients...
January 2018: Case Reports in Gastroenterology
https://www.readbyqxmd.com/read/29805355/epinephrine-in-the-prevention-of-post-endoscopic-retrograde-cholangiopancreatography-pancreatitis-a-preliminary-study
#18
Behzad Hatami, Seyed Mohammad Hossein Kashfi, Mohammad Abbasinazari, Ehsan Nazemalhosseini Mojarad, Mohammad Amin Pourhoseingholi, Mohammad Reza Zali, Amir Houshang Mohammad Alizadeh
Background: Acute pancreatitis is the most common complication of endoscopic retrograde cholangiopancreatography (ERCP). The incidence of post-ERCP pancreatitis (PEP) ranges between 15 and 20% among patients at high risk of developing PEP. The efficacy of indomethacin administration in the prevention of PEP is rather debatable. In the present randomized trial study, we evaluated whether or not the combination of indomethacin and epinephrine in comparison to the single administration of indomethacin differs in the pathogenesis and prevention of post-ERCP pancreatitis...
January 2018: Case Reports in Gastroenterology
https://www.readbyqxmd.com/read/29805354/colorectal-adenocarcinoma-with-an-alternative-serrated-pathway
#19
Makoto Eizuka, Keisuke Kawasaki, Yosuke Toya, Risaburo Akasaka, Koki Otsuka, Akira Sasaki, Takayuki Matsumoto, Tamotsu Sugai
In a 64-year-old woman, we identified a flat, elevated lesion that was located at the caecum and was composed of 3 different areas (areas A, B, and C). We diagnosed it as "carcinoma with sessile serrated adenoma/polyp (SSA/P)" histologically. Although area A was diagnosed as classical SSA/P, area B was regarded as a high-grade SSA/P. In contrast, area C showed a differentiated-type adenocarcinoma that invaded the submucosa. The patient had a recurrence of cancer 1.5 years after endoscopic resection...
January 2018: Case Reports in Gastroenterology
https://www.readbyqxmd.com/read/29805353/cronkhite-canada-syndrome-associated-with-metastatic-colon-cancer
#20
Shirin Haghighi, Sima Noorali, Amir Houshang Mohammad Alizadeh
Cronkhite-Canada syndrome is characterized by gastrointestinal and ectodermal manifestations. In this paper, we describe a 64-year-old Iranian male, presenting with Cronkhite-Canada syndrome with metastatic colon cancer. The patient was suffering from hair loss, which occurred on the scalp at first and then, during 5 months, extended to the whole body. After that, his sense of taste was impaired, and 2 months later, gastrointestinal symptoms gradually started, with weight loss of 20 kg over 2 months with an initial weight of 100 kg...
January 2018: Case Reports in Gastroenterology
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