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ACG Case Reports Journal

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https://www.readbyqxmd.com/read/28331882/cryptogenic-multifocal-ulcerous-stenosing-enteritis-cmuse-a-tale-of-three-decades
#1
Ayaskanta Singh, Manoj Kumar Sahu, Manas Kumar Panigrahi, Debasis Misra
We present a patient who, over the course of 35 years, presented with repeated episodes of ileus and melena and was misdiagnosed several times, leading to several surgeries. Macroscopic and microscopic features of his resected intestine were compatible with cryptogenic multifocal ulcerous stenosis enteritis (CMUSE), but additional angioectatic lesions were also noted. The patient responded dramatically to hormonal therapy consisting of ethinylestradiol and norethisterone. To our knowledge, this is the first reported case of CMUSE that has shown response to hormonal therapy...
2017: ACG Case Reports Journal
https://www.readbyqxmd.com/read/28331881/severe-cytomegalovirus-gastritis-during-natalizumab-mediated-immunosuppression
#2
Stephen P Persaud, Adil Hassan, Anjum Hassan, Tariq Hassan
We report a 35-year-old female receiving natalizumab as monotherapy for multiple sclerosis who subsequently developed severe cytomegalovirus gastritis. As cytomegalovirus gastritis has not been previously described during natalizumab treatment, we discuss the biological plausibility of this potential association and avenues for further study.
2017: ACG Case Reports Journal
https://www.readbyqxmd.com/read/28331880/esophageal-leiomyoma-presenting-as-calcified-esophageal-mass
#3
Asad Jehangir, Brian Le, Oluwaseun Shogbesan, Seth E Rosenzweig
No abstract text is available yet for this article.
2017: ACG Case Reports Journal
https://www.readbyqxmd.com/read/28331879/solid-cystic-pancreatic-tail-desmoid-tumor-with-beta-catenin-positivity
#4
Harsh D Patel, Neil R Desai, Aniruddh Som, Shinil K Shah, Nirav C Thosani
No abstract text is available yet for this article.
2017: ACG Case Reports Journal
https://www.readbyqxmd.com/read/28331878/polypoid-endometriosis-presenting-as-a-colonic-mass
#5
Katrina Han, Xin Li, Rohit Bhargava, Sarah Taylor, Kenneth Lee, Dhiraj Yadav
No abstract text is available yet for this article.
2017: ACG Case Reports Journal
https://www.readbyqxmd.com/read/28331877/hemobilia-due-to-cystic-artery-pseudoaneurysm-a-rare-late-complication-of-laparoscopic-cholecystectomy
#6
Ricardo Badillo, Michael D Darcy, Vladimir M Kushnir
We discuss a patient with late presentation of hemobilia following cholecystectomy, which is unusual because pseudoaneurysm caused by vascular injury during surgery typically presents soon after surgery. Endoscopic retrograde cholangiopancreatography revealed a large blood clot arising from the biliary orifice with subsequent computed tomography angiography diagnosing a large pseudoaneurysm in the region of the cystic artery adjacent to the cholecystectomy clips. Embolization was performed via direct percutaneous puncture of the pseudoaneurysm...
2017: ACG Case Reports Journal
https://www.readbyqxmd.com/read/28331876/giant-brunner-s-gland-hamartoma-as-a-cause-of-iron-deficiency-anemia
#7
Manraj Khosla, Farhoud Khosravi, James Cashman, Ananya Das
No abstract text is available yet for this article.
2017: ACG Case Reports Journal
https://www.readbyqxmd.com/read/28331875/a-novel-endoscopic-technique-to-diagnose-gastric-cancer-in-excluded-stomach-after-roux-en-y-gastric-bypass
#8
Rashmi Kumar, Teodor C Pitea
Access to the bypassed portion of the stomach after Roux-en-Y gastric bypass remains a challenge. We present a case of 64-year-old woman who presented with gastric outlet obstruction. We used a novel endoscopic technique to access the bypassed stomach by creating a jejunogastrostomy using a specialized stent, which allowed the insertion of a pediatric gastroscope to examine the bypassed portion of the stomach. Stomach biopsies revealed poorly differentiated adenocarcinoma with signet cell features.
2017: ACG Case Reports Journal
https://www.readbyqxmd.com/read/28286800/solitary-fibrous-tumor-of-the-stomach
#9
Faisal Inayat, Qulsoom Hussain, Khurram Shafique, Abu Hurairah, Evan B Grossman
Solitary fibrous tumor is a rare mesenchymal neoplasm that usually originates from the pleura, but has been reported in other extrapleural locations. We report a rare case of a solitary fibrous tumor of the stomach, which was successfully treated with endoscopic mucosal resection.
2017: ACG Case Reports Journal
https://www.readbyqxmd.com/read/28286799/a-30-year-old-man-with-three-primary-malignancies-a-case-of-constitutional-mismatch-repair-deficiency
#10
William Rengifo-Cam, Kory Jasperson, Ignacio Garrido-Laguna, Howard Colman, Courtney Scaife, Wade Samowitz, N Jewel Samadder
Constitutional mismatch repair deficiency (CMMRD) is a devastating cancer predisposition syndrome for which clinical manifestations, genetic screening, and cancer prevention strategies are limited. We report a case of CMMRD presenting with metachronous colorectal cancer and brain cancer. Oncologists and gastroenterologists should be aware of the CMMRD syndrome as a rare cause of very early-onset colorectal cancer.
2017: ACG Case Reports Journal
https://www.readbyqxmd.com/read/28286798/hereditary-persistence-of-alpha-fetoprotein-is-associated-with-the-119g-a-polymorphism-in-afp-gene
#11
Neha Deshpande, Radhika Chavan, Govardhan Bale, Urmila Steffie Avanthi, Mohsin Aslam, Mohan Ramchandani, D Nageshwar Reddy, V V Ravikanth
Alpha-fetoprotein (AFP) is a glycoprotein that is produced by the liver and yolk sac during fetal development. Its levels are usually raised in malignant conditions. Hereditary persistence of AFP (HPAFP) is a rare benign condition with elevated levels of AFP. It is inherited in a dominant mode with complete penetrance and is usually not associated with any clinical disability. We report two individuals with elevated levels of AFP harboring the -119G>A polymorphism in the AFP gene. A genetic screening to rule out variants in the AFP gene is advised in cases with unexplained persistent AFP levels to avoid inappropriate treatment and surgical options...
2017: ACG Case Reports Journal
https://www.readbyqxmd.com/read/28286797/malabsorption-secondary-to-gout-induced-amyloidosis
#12
Ali Azzam, Renuka Balasubramaniam, Shahram Safa, Carolyn McIvor, Peter Mollee
Many chronic inflammatory conditions can lead to systemic amyloidosis. However, secondary amyloidosis has rarely been associated with gout, and the literature reports only a handful of cases, all presenting with renal disease. We report a patient with a history of poorly controlled gout who presented with malabsorption. Endoscopic biopsies confirmed a diagnosis of small intestinal amyloidosis. This was believed to be a consequence of gout. Interestingly, renal involvement was subclinical. Our case raises awareness of this rare association and highlights the importance of considering a diagnosis of amyloidosis in patients who present with the combination of gout and gastrointestinal symptoms...
2017: ACG Case Reports Journal
https://www.readbyqxmd.com/read/28286796/gastric-pharmacobezoar-of-mesalamine-tablets-retrieved-endoscopically
#13
Surender Sultania, Bhanwar Singh Dhandhu, Hemendra Bhardwaj, Sandeep Nijhawan
No abstract text is available yet for this article.
2017: ACG Case Reports Journal
https://www.readbyqxmd.com/read/28286795/systemic-mastocytosis-complicated-by-non-cirrhotic-portal-hypertension-and-variceal-bleeding
#14
Thomas R McCarty, Adelina Hung, Arpan Mohanty, John I Allen
Systemic mastocytosis is a myeloproliferative disorder characterized by extracutaneous involvement of at least one organ. Although rare, infiltration of inflammatory mast cells within the portal vein may lead to obstruction of the sinusoids resulting in non-cirrhotic portal hypertension. We present a patient with known history of systemic mastocytosis with bone marrow involvement presenting with new-onset esophageal variceal bleeding. Although systemic mastocytosis is uncommon, the subsequent development of hepatic involvement and non-cirrhotic portal hypertension are discussed...
2017: ACG Case Reports Journal
https://www.readbyqxmd.com/read/28286794/gastrointestinal-bleeding-secondary-to-scurvy-in-an-alcoholic-malnourished-cirrhotic-patient
#15
Artur Sérgio Gião Antunes, Bruno Peixe, Horácio Guerreiro
No abstract text is available yet for this article.
2017: ACG Case Reports Journal
https://www.readbyqxmd.com/read/28286793/ingested-fishbone-causing-pericolic-abscess
#16
Kashvi Gupta, Shibumon M Madhavan, Alfred J Augustine
No abstract text is available yet for this article.
2017: ACG Case Reports Journal
https://www.readbyqxmd.com/read/28286792/cytomegalovirus-and-the-seemingly-immunocompetent-host-a-case-of-a-perforating-gastric-ulcer
#17
Edward Krajicek, Raina Shivashankar, Stephanie Hansel
Cytomegalovirus (CMV) infection of the gastrointestinal tract has a variety of presentations. We present a case of gastric perforation, which is a relatively infrequent presentation of CMV infection. If the cause of gastric perforation is not readily apparent, testing for CMV should be considered. If CMV workup is positive, an evaluation for immunocompromise is prudent as CMV infections are more common in immunocompromised individuals.
2017: ACG Case Reports Journal
https://www.readbyqxmd.com/read/28286791/gastric-metastases-from-lung-adenocarcinoma-causing-gastrointestinal-bleeding
#18
Ayman Qasrawi, Mouhanna Abu Ghanimeh, Sakher Albadarin, Osama Yousef
Metastases to the stomach are rare. They are commonly asymptomatic, and the diagnosis is usually established during autopsy. We present a patient known to have stage IV lung adenocarcinoma who presented with melena and shock. Endoscopy revealed multiple gastric nodules, which were proved to be metastatic deposits from her lung cancer. The possibility of gastric metastases should be kept in mind in patients presenting with gastrointestinal bleeding. Endoscopy and biopsy remain the gold standard for diagnostic testing in such patients...
2017: ACG Case Reports Journal
https://www.readbyqxmd.com/read/28286790/tubulointerstitial-nephritis-as-the-initial-presentation-of-crohn-s-disease-and-successful-treatment-with-infliximab
#19
Brielle Stanton, Tiffany Caza, Dongmei Huang, Mirza B Beg
Tubulointerstitial nephritis (TIN) is not commonly associated in aminosalicylate-naïve patients with Crohn's disease (CD). Our case describes the initial presentation, diagnosis, and management of an adolescent presenting with TIN and underlying CD. Our case emphasizes that CD should be considered in the differential diagnosis of interstitial nephritis as not only a medication-related effect, but also as an extraintestinal manifestation of CD. We also describe successful management of undiagnosed recurring and symptomatic CD-related TIN with infliximab...
2017: ACG Case Reports Journal
https://www.readbyqxmd.com/read/28286789/acute-liver-failure-from-herpes-simplex-virus-in-an-immunocompetent-patient-due-to-direct-inoculation-of-the-peritoneum
#20
Dhruv Chaudhary, Shifat Ahmed, Nanlong Liu, Luis Marsano-Obando
Herpes simplex virus (HSV) hepatitis is a rare cause of acute liver failure (ALF). It carries a mortality rate of 80% if untreated, thus early identification and treatment are critical. Without high clinical suspicion, HSV hepatitis is difficult to diagnose. A 48-year-old Hispanic female presented with a 4-day history of abdominal pain and a vaginal cuff tear requiring laparoscopic repair. She subsequently developed postsurgical disseminated HSV, resulting in ALF. Acyclovir was initiated, but she was resistant to treatment...
2017: ACG Case Reports Journal
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