Acute Herpes Simplex Esophagitis in an Immunocompetent Adult with Eosinophilic Esophagitis
We present a case of HSE occurring in an immunocompetent adult with EoE and review the literature in support of EoE induced mucosal disruption predisposing to increased risk of HSE.Case Rep Gastroenterol 2021;15:1003 –1007 (Source: Case Reports in Gastroenterology)
Source: Case Reports in Gastroenterology - December 30, 2021 Category: Gastroenterology Source Type: research
Colonoscopic Treatment of a Fecaloma at the Anastomotic Site after Colectomy
Fecalomas most commonly occur in constipated patients and are rarely reported after colectomy. A 55-year-old Japanese female presented with a fecaloma after colectomy, which was impacted at a functional end-to-end anastomosis (FEEA) site. Four and a half years ago, she underwent sigmoidectomy for colon cancer. A follow-up computed tomography (CT) scan revealed an 11 cm incidental fecaloma. The patient was advised to undergo surgery, but she desired nonoperative management because of minimal symptoms, and was referred to our institution. On the day of admission (day 1), mechanical fragmentation of the fecaloma was attempted...
Source: Case Reports in Gastroenterology - December 27, 2021 Category: Gastroenterology Source Type: research
Giant Adrenal Lipoma with Hemorrhage Requiring Extended Surgical Resection
Adrenal lipoma is a rare, benign tumor, reported to account for 0.7% of primary adrenal tumors. A 69-year-old man presented with left lateral abdominal pain. Computed tomography (CT) was performed, and a huge, irregularly shaped retroperitoneal tumor of uneven internal density was identified, with the border between the tumor and the pancreas and kidney being unclear. Active hemorrhage was also depicted. The tumor consisted mainly of fat, with the exception of the hematoma; it measured 200 mm; and the boundary between it and nearby organs, such as the pancreas, was unclear. Despite angiography being performed twice, the re...
Source: Case Reports in Gastroenterology - December 23, 2021 Category: Gastroenterology Source Type: research
Giant Gastric Folds in Juvenile Polyposis
To advance the diagnostic accuracy of juvenile polyposis syndrome, an important yet often difficult diagnosis, we describe in detail a new and medically significant presentation. This hereditary and high-risk GI cancer syndrome is often associated with hereditary hemorrhagic telangiectasia, as in this 47-year-old female patient with aSMAD4 germline pathogenic mutation. Total gastrectomy revealed giant gastric folds with inflamed foveolar hyperplasia consuming most of the gastric cardia and body but sparing the antrum. Together, this gross and histologic pathology mimics M énétrier’s disease, an exceedingly rare and acq...
Source: Case Reports in Gastroenterology - December 23, 2021 Category: Gastroenterology Source Type: research
Esophageal Perforation after Using a Single-Use Disposable Duodenoscope
We describe a case of esophageal perforation after using a single-use disposable duodenoscope (EXALT Model D; Boston Scientific Corporation, Marlborough, MA, USA). To our knowledge, this is the first reported case of an esophageal perforation since FDA approval of this device in December 2019. ERCP was performed with the EXALT Model D single-use duodenoscope (Boston Scientific Corporation) by an experienced gastroenterologist. During the procedure, gentle force applied through the gastroesophageal junction caused a liner perforation in the distal esophagus. An esophageal stent was placed with satisfactory wound healing and...
Source: Case Reports in Gastroenterology - December 23, 2021 Category: Gastroenterology Source Type: research
Omphalitis with Umbilical Abscess in an Adult with a Urachal Remnant
Omphalitis is an inflammation of the umbilicus and is seldom diagnosed in adults. It is even rarer when it results from an infection of the urachus, an embryological remnant that connects the umbilicus to the dome of the bladder. Patients with omphalitis present with erythema, edema, tenderness, and purulent discharge form the umbilical stump. Workup includes ultrasonography and CT scan of the abdomen and pelvis. Management consists of antibiotics and incision and drainage of the umbilical abscess, followed by surgical resection of the urachal remnant. In this article, we report a case of omphalitis complicated by umbilica...
Source: Case Reports in Gastroenterology - December 14, 2021 Category: Gastroenterology Source Type: research
Brown Bowel Syndrome: An Exceedingly Rare Condition with Longstanding Malabsorption and an Unusual Cause of Colon Pseudo-Obstruction
Brown bowel syndrome (BBS) is an exceedingly rare condition usually associated with longstanding malabsorption of any etiology. As a result of vitamin E deficiency and subsequent mitochondrial degeneration due to oxidative stress induced by free radicals, lipofuscin granules accumulate in the smooth muscles of the gastrointestinal tract resulting in myopathy and dysmotility with underlying disease aggravation. The current study reports a BBS case in a 64-year-old female patient who had undergone jejunoileal bypass surgery as a bariatric procedure. The patient was admitted with signs of malabsorption and ileus in computed t...
Source: Case Reports in Gastroenterology - November 29, 2021 Category: Gastroenterology Source Type: research
Metastasis of Testicular Choriocarcinoma in the Stomach, Complicated by the Development of Choriocarcinoma Syndrome
This article describes a case of testicular CC with rare few gastric metastases, complicated by CCS.Case Rep Gastroenterol 2021;15:954 –959 (Source: Case Reports in Gastroenterology)
Source: Case Reports in Gastroenterology - November 25, 2021 Category: Gastroenterology Source Type: research
Endoscopy Capsule Retention in a Young Female with Small Bowel Strictures Secondary to Non-Steroidal Anti-Inflammatory Drugs
Non-steroidal anti-inflammatory drugs (NSAIDs) can cause small bowel damage, which could present in different ways, including abdominal pain and occult gastrointestinal bleeding. NSAID use can also result in small bowel strictures, which can be challenging to diagnose and manage. Here, we describe a case of a 49-year-old female who presented with chronic anaemia and intermittent abdominal pain, with a history of NSAID use. She underwent capsule endoscopy as part of the workup for anaemia and subsequently had capsule retention due to a small bowel stricture.Case Rep Gastroenterol 2021;15:948 –953 (Source: Case Reports in Gastroenterology)
Source: Case Reports in Gastroenterology - November 15, 2021 Category: Gastroenterology Source Type: research
The Evolution of Very Early Onset Inflammatory Bowel Disease, Autoimmune Hepatitis, and Primary Sclerosing Cholangitis in a Young Girl
Very early onset inflammatory bowel disease, autoimmune hepatitis (AIH), or primary sclerosing cholangitis (PSC) alone is a rare condition in young children. The combination of all 3 autoimmune disorders in a 16-month-old child is even rarer. The onset and etiology of these diseases is multifactorial and typically unknown. However, when the children are diagnosed, the accepted view point is that the inflammation was likely present for months to years prior. This case is unique because the gastrointestinal problems started from infancy, and evolved to the development of Crohn ’s disease, AIH, and PSC at a very early age. ...
Source: Case Reports in Gastroenterology - November 12, 2021 Category: Gastroenterology Source Type: research
Fatal Outcome of Emphysematous Gastritis due to < b > < i > Sarcina ventriculi < /i > < /b > Infection
We report a case of a 14-year-old boy with fatal emphysematous gastritis caused byS. ventriculi, who presented with abdominal pain and vomiting. His medical history included infantile left hemiparesis and operation of patent ductus arteriosus. Emergency surgery was scheduled due to the extremely dilated stomach and gastric pneumatosis, and a total gastrectomy was performed. On the third postoperative day, he suddenly dies, and the diagnosis was confirmed postmortem. This case is an opportunity to review the clinical presentation of emphysematous gastritis and to point out the role of the histopathological examination for t...
Source: Case Reports in Gastroenterology - November 2, 2021 Category: Gastroenterology Source Type: research
Acute Liver Failure due to Hepatitis A Virus
Acute liver failure (ALF) is a syndrome, rather than a specific disease, with several possible causes, and viral hepatitis is a major cause. The relationship between self-limited and ALF hepatitis A is still poorly understood. A 45-year-old woman presented to our hospital with ALF diagnosis (from another hospital). She suffered from hospital-acquired pneumonia. The patient recovered within 4 weeks and returned to her normal life after 6 months of follow-up.Case Rep Gastroenterol 2021;15:927 –932 (Source: Case Reports in Gastroenterology)
Source: Case Reports in Gastroenterology - November 2, 2021 Category: Gastroenterology Source Type: research
Mesenteric Variceal Haemorrhage and Ectopic Cushing ’s Syndrome as Presenting Features of a Pancreatic Neuroendocrine Tumour Recurrence
Pancreatic neuroendocrine tumours can have varied and complex presentations. Whilst hormone hypersecretion often induces characteristic clinical syndromes, non-specific symptoms may arise due to localized tumour effects. Malignant invasion of local vasculature is an increasingly recognized complication of these neoplasms and can be associated with significant morbidity. Herein, we present the case of a 47-year-old male with a recurrence of a pancreatic neuroendocrine tumour who presented with unusual upper gastrointestinal bleeding. The tumour had recurred within the superior mesenteric vein, replacing the vessel and invad...
Source: Case Reports in Gastroenterology - October 11, 2021 Category: Gastroenterology Source Type: research
Long-Term Survival due to Chemotherapy including Paclitaxel in a Patient with Metastatic Primary Splenic Angiosarcoma
In this study, we describe the case of a patient who was diagnosed with metastatic primary splenic angiosarcoma and survived for about 2 years. A 62-year-old female was referred to us for the treatment of splenic angiosarcoma with disseminated intravascular coagulation (DIC) and multiple liver and bone metastases. Paclitaxel therapy resulted in recovery from DIC and enabled her to continue sequential treatment through to sixth-line chemotherapy. We reviewed all splenic angiosarcoma case reports which were described as stage IV to date and compared with our case. From these data, we found that the median overall survival wa...
Source: Case Reports in Gastroenterology - October 11, 2021 Category: Gastroenterology Source Type: research
Apixaban Causing Hepatic Cystic Bleeding: A Rare but a Life-Threatening Complication
We present a patient with PCLD who developed intracystic bleeding after he was started on apixaban for the prevention of thromboembolism.Case Rep Gastroenterol 2021;15:904 –909 (Source: Case Reports in Gastroenterology)
Source: Case Reports in Gastroenterology - October 11, 2021 Category: Gastroenterology Source Type: research
