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ACG Case Reports Journal

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https://www.readbyqxmd.com/read/27847837/water-lily-and-snake-signs
#1
Cyriac Abby Philips, Lovkesh Anand
No abstract text is available yet for this article.
August 2016: ACG Case Reports Journal
https://www.readbyqxmd.com/read/27847836/obstructive-acute-pancreatitis-secondary-to-peg-tube-migration
#2
Douglas F Taylor, Ryan Cho, Allan Cho, Viet Nguyen, Abhijit Sunnapwar, Craig Womeldorph
Percutaneous gastrostomy is a well-established method of providing enteral nutrition to patients incapable of oral intake, or for whom oral intake is insufficient to meet metabolic needs. In comparison to total parenteral nutrition, enteral feeding is advantageous in that it helps maintain gut mucosal integrity, which decreases the risk of bacterial translocation through the gastrointestinal tract. Complications include bleeding, aspiration, internal organ injury, perforation, periostomal leaks, tube dislodgement, and occlusion...
August 2016: ACG Case Reports Journal
https://www.readbyqxmd.com/read/27847835/ulcerative-colitis-in-colonic-interposition-for-esophageal-atresia
#3
Hafiz Muhammad Sharjeel Arshad, Eula Tetangco, Imad Elkhatib
A 38-year-old male with a history of colonic interposition for esophageal atresia as an infant presented with dysphagia and abdominal pain. On the basis of endoscopy findings, pathology, and response to therapy, he was found to have ulcerative colitis of the colonic conduit.
August 2016: ACG Case Reports Journal
https://www.readbyqxmd.com/read/27847834/bleeding-zenker-s-diverticulum-ulcer-from-nonsteroidal-anti-inflammatory-drugs
#4
Tyler House, Patrick D Webb
No abstract text is available yet for this article.
August 2016: ACG Case Reports Journal
https://www.readbyqxmd.com/read/27847833/primary-duodenal-aspergillosis-in-a-patient-with-alcoholic-cirrhosis-and-poorly-controlled-diabetes-mellitus
#5
Mihajlo Gjeorgjievski, Estela Mogrovejo, Mitual B Amin, Mitchell S Cappell
No abstract text is available yet for this article.
August 2016: ACG Case Reports Journal
https://www.readbyqxmd.com/read/27807588/acute-obstructive-suppurative-pancreatic-ductitis
#6
Theodore Tollivoro, Sandeep Palakodeti, Craig Munroe
Acute obstructive suppurative pancreatic ductitis (AOSPD) is a rare clinical entity defined as suppuration from the pancreatic duct without concomitant pancreatic cyst, abscess, or necrosis. We describe a case of AOSPD in a woman with a past medical history of type 2 diabetes and chronic pancreatitis who presented with abdominal sepsis, which resolved only after therapeutic endoscopic retrograde cholangiopancreatography. Our case highlights the importance of considering AOSPD as a cause of abdominal sepsis particularly in patients with chronic pancreatitis or any recent pancreatic duct instrumentation and demonstrates that treatment requires prompt drainage and decompression of the pancreatic duct...
August 2016: ACG Case Reports Journal
https://www.readbyqxmd.com/read/27807587/two-cases-of-intraluminal-windsock-diverticula-resulting-in-partial-duodenal-obstruction
#7
Vikram Anand, Justin Provost, Maged Bakr, Christopher Bach, Prakriti Merchant, Christopher Brown, Claudia Gruss
An intraluminal duodenal diverticulum (IDD) is a rare congenital anomaly that is the result of incomplete recanalization of the embryologic foregut leaving a fenestrated membrane within the lumen of the duodenum. Years of peristalsis acting on the membrane result in the formation of a diverticulum. Most patients are asymptomatic, while some may have abdominal pain, bloating, or fullness. Rare complications include gastrointestinal bleeding, obstruction, pancreatitis, and cholangitis. We present 2 cases with endoscopic findings consistent with partially obstructing symptomatic IDD...
August 2016: ACG Case Reports Journal
https://www.readbyqxmd.com/read/27807586/a-rare-case-of-hepatitis-c-associated-cryoglobulinemic-duodenal-vasculitis
#8
Shivali R Berera, Alexandra Gomez, Kevin Dholaria, Leopoldo R Arosemena, Marco A Ladino-Avellaneda, Laura Barisoni, Kalyan R Bhamidimarri
Intestinal involvement of cryoglobulinemia is an uncommon manifestation and marker of severe vasculitis. We describe the case of a woman admitted to our service for management of acute renal failure and progressive gastrointestinal symptoms after initiating hepatitis C virus treatment with ribavirin and sofosbuvir 4 weeks prior. With an undetectable hepatitis C viral load and persistent symptoms despite hepatitis C virus therapy cessation, an upper endoscopy revealed duodenal sloughing, erythema, and bleeding, sparking suspicion for recurrence of cryoglobulinemic vasculitis...
August 2016: ACG Case Reports Journal
https://www.readbyqxmd.com/read/27807585/toxin-induced-autoimmune-hepatitis-caused-by-raw-cashew-nuts
#9
James F Crismale, Ashley Stueck, Meena Bansal
A 64-year-old man with no past medical history presented with abnormally elevated liver enzymes 1 year after developing a diffuse rash thought to be related to eating large quantities of raw cashew nuts. Liver biopsy was performed, which revealed features concerning for drug- or toxin-induced autoimmune hepatitis. The patient began treatment with azathioprine and prednisone, and liver enzymes normalized. We describe a unique case of a toxin-induced autoimmune hepatitis precipitated not by a drug or dietary supplement but by a food product...
August 2016: ACG Case Reports Journal
https://www.readbyqxmd.com/read/27807584/hemobilia-from-biliary-angiodysplasia-diagnosed-with-cholangioscopy
#10
Kap Sum Foong, Ashley Lee, Shaismy Kudakachira, Hemchand Ramberan
Biliary angiodysplasia is extremely rare. Our background search revealed only a few case reports in the English literature. We present a case of angiodysplasia of the proximal common bile duct in a patient with subacute upper gastrointestinal bleeding and symptomatic anemia. A standard esophagogastroduodenoscopy with subsequent dedicated duodenoscopy revealed blood-stained bile draining from the major ampulla orifice. A contrast-enhanced magnetic resonance cholangiopancreatography was unrevealing for any pancreaticobiliary pathology...
August 2016: ACG Case Reports Journal
https://www.readbyqxmd.com/read/27807583/simultaneous-presentation-of-idiopathic-duct-centric-pancreatitis-and-ulcerative-colitis
#11
Susana Marques, J Carmo, Miguel Bispo, Pedro Pinto-Marques
No abstract text is available yet for this article.
August 2016: ACG Case Reports Journal
https://www.readbyqxmd.com/read/27807582/novel-treatment-of-malignant-gastric-outlet-obstruction-with-a-stent-within-stent-approach-secured-with-apollo-overstitch%C3%A2
#12
Shawn Kaye, Katherine J Kim, Neha Chaurasia, Kenneth Chang, Jason Samarasena
No abstract text is available yet for this article.
August 2016: ACG Case Reports Journal
https://www.readbyqxmd.com/read/27807581/pouchitis-associated-with-pelvic-radiation-for-prostate-cancer
#13
Geeta Kulkarni, Xiuli Liu, Bo Shen
Radiation therapy is a viable option in managing potentially life-threatening malignancies including prostate cancer. It is known that pelvic radiation can result in injury of the distal large bowel with the development of radiation proctitis. Despite reports from retrospective studies, there is a lack of direct endoscopic and histologic evidence of external pelvic radiation injury to the ileal pouch-anal anastomosis. We present a case of a 68-year-old male with pouchitis resulting from pelvic radiation for prostate cancer...
August 2016: ACG Case Reports Journal
https://www.readbyqxmd.com/read/27807580/primary-bile-duct-melanoma-causing-obstructive-jaundice
#14
Naga S Addepally, Jagpal S Klair, Keith Lai, Farshad Aduli, Mohit Girotra
Malignant melanoma is one of the few malignancies that are well known for unusual behavior. Primary malignant melanoma usually originates from squamous epithelium of skin, mucous membranes, retina, and uvea. Although melanoma can metastasize to any part of the body, including biliary tract, primary malignant melanoma of bile ducts is an extremely rare entity. We present a 52-year-old man who presented with 5-month epigastric pain and 15-pound weight loss, with 1-week duration of jaundice, nausea/vomiting, pale stools, and dark urine, blood work suggested cholestatic jaundice...
August 2016: ACG Case Reports Journal
https://www.readbyqxmd.com/read/27807579/emergency-clipotripsy
#15
Iris Lee, Peter Darwin
No abstract text is available yet for this article.
August 2016: ACG Case Reports Journal
https://www.readbyqxmd.com/read/27807578/hirschsprung-s-disease-causing-constipation-in-an-infant
#16
Michael Rogers, Rana Ammoury
No abstract text is available yet for this article.
August 2016: ACG Case Reports Journal
https://www.readbyqxmd.com/read/27807577/gastritis-cystica-profunda-a-deeper-problem
#17
Kaitlin R McCurdy, Kamalpreet Parmar, Silvio W de Melo
No abstract text is available yet for this article.
August 2016: ACG Case Reports Journal
https://www.readbyqxmd.com/read/27807576/esophageal-rings-and-stricture-related-to-a-circumferential-inlet-patch
#18
Julie Guider, Larry Scott
Inlet patches are sometimes seen during upper endoscopy, usually in the proximal esophagus. Complications of inlet patches can cause a wide array of symptoms and complications. A man presented with dysphagia and was found to have 2 rings in the upper esophagus, just above and below a circumferential inlet patch. The more distal ring caused a stenosis, which produced the symptoms. Savary dilation and treatment with a proton pump inhibitor led to symptom resolution. Pathology was missed on the patient's first endoscopy, highlighting the importance of looking for pathology throughout the entire esophagus, not just in the distal esophagus...
August 2016: ACG Case Reports Journal
https://www.readbyqxmd.com/read/27807575/intestinal-perforation-following-ileoscopy-through-a-prolapsed-stoma-in-an-pediatric-intestinal-transplant-recipient-with-an-unrecognized-parastomal-hernia
#19
Pavni Mehrotra, Joanna Yeh, Theodore R Hall, Vatche G Agopian, Douglas G Farmer, Elizabeth A Marcus, Robert S Venick, Laura J Wozniak
Ileoscopy with mucosal biopsy is fundamental in the management and surveillance of inflammatory bowel disease patients and intestinal transplant recipients. There is a paucity of data describing the risks of ileoscopy in the presence of a prolapsed stoma. Parastomal hernias are frequently associated with prolapsed stomas. We report the first case of perforation during ileoscopy in the setting of a prolapsed stoma and unrecognized parastomal hernia. Recognition of parastomal hernia associated with stoma prolapse is of paramount importance in patients undergoing ileoscopy as it may increase the risk of perforation...
August 2016: ACG Case Reports Journal
https://www.readbyqxmd.com/read/27807574/vertebral-metastasis-as-the-initial-manifestation-of-colon-cancer
#20
Tushina Jain, Renee Williams, Benjamin Liechty, Lea Ann Chen
Oncology guidelines currently recommend against performing colonoscopies in the workup of adenocarcinoma of unknown primary unless colonic malignancy is otherwise suggested by clinical signs or symptoms. We present 2 cases of metastatic colonic adenocarcinoma that presented only with neurologic symptoms from vertebral metastasis. Although bony metastases are a rare presentation of colon cancer and colonoscopy is not warranted in the initial workup of adenocarcinoma of unknown primary, we describe these cases as a reminder that bony metastases do not rule out a colon cancer diagnosis...
August 2016: ACG Case Reports Journal
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