Vascular Anomaly Associated with Ectopic Pancreas in the Pylorus
We report the case of a 72-year-old man who was diagnosed with cancer in the gastric vestibule. Distal gastrectomy was performed, and 3 cm of the ectopic pancreas was found on the anterior surface of the pylorus intraoperatively. The gastroduodenal artery was not found by approaching the inferior border of the pancreas but by following the branches from the common hepatic artery. Posterior view CT confirmed that the GDA terminated in the ectopic pancreas. An ectopic pancreas may be associated with vascular anomalies. Clinicians must consider the possibility of vascular anomalies when operating on patients with an ectopic p...
Source: Case Reports in Gastroenterology - June 13, 2022 Category: Gastroenterology Source Type: research
Gastric Tube Ulcer that Could Be Saved by Early Conservative Treatment
In this study, we experienced a case in which early administration of PPIs might be a key player to prevent his medical condition worsened further.Case Rep Gastroenterol 2022;16:357 –361 (Source: Case Reports in Gastroenterology)
Source: Case Reports in Gastroenterology - June 13, 2022 Category: Gastroenterology Source Type: research
Liver Abscess and Prolonged Postoperative Intra-Abdominal Free Air without Anastomotic Leakage after Laparoscopic Gastrectomy
An 84-year-old thin, i.e., body mass index of 17.8, woman with gastric cancer underwent laparoscopic distal gastrectomy and lymph node dissection followed by Roux-en-Y reconstruction. During the operation, Nathanson liver retractor (NLR) was used to press the left lobe of the liver. The patient recovered uneventfully and was discharged on the 9th postoperative day. The patient, however, developed abdominal pain just on the day of discharge. Sudden onset of the abdominal pain and massive free air on computed tomography made us do diagnostic laparoscopy. Detailed laparoscopic observation showed slight liver swelling at the p...
Source: Case Reports in Gastroenterology - June 7, 2022 Category: Gastroenterology Source Type: research
< b > < i > Helicobacter pylori < /i > < /b > -Negative Advanced Gastric Cancer Arising from the Gastric Mucosa without Inflammation, Atrophy, or Intestinal Metaplasia
We report on two cases of advanced gastric cancer without endoscopic evidence of gastric mucosal atrophy. One case was in the gastric angle 9 years afterH. pylori eradication and the other case was in the pylorus of an uninfected stomach. Although gastric cancer is strongly associated with atrophic gastritis caused byH. pylori infection, postoperative histopathological examination of the stomach in both cases showed no inflammation, atrophy, or intestinal metaplasia. Poorly differentiated adenocarcinomas were confirmed at the microscopic level, and both cases were determined to be type 4 using the Borrmann classification. ...
Source: Case Reports in Gastroenterology - June 7, 2022 Category: Gastroenterology Source Type: research
Colonic Intramural Hematoma
Colonic intramural hematoma is a rare condition and its endoscopic and radiological findings remain poorly described. An 82-year-old woman was hospitalized with a diagnosis of acute cerebral infarction. She immediately received anticoagulant therapy with argatroban for 1 week. With the appearance 4 days later of hematochezia, she was found to have severe anemia. Following insertion of the colonoscope, a large submucosal hematoma was shown to be present in the descending colon, with the mucosa shown to be necrotic and the residual mucosa around the hematoma shown to be yellowish. Computed tomography revealed a hyperdense ma...
Source: Case Reports in Gastroenterology - May 30, 2022 Category: Gastroenterology Source Type: research
Malignant Broncho-Oesophageal Fistula following Radiotherapy for Noninvasive T3 Oesophageal Squamous Cell Carcinoma
Malignant tracheo-oesophageal fistula (TEF) can result from tumour progression and invasion of adjacent organs, or a complication of treatment. In the posttreatment setting, incidence of TEF in cases with preceding airway invasion (T4b) are not infrequently reported; however, for those for whom disease was confined to organ (T1 –3) at staging, this is a rare complication. Management for these cases is palliative in nature, with the goal to prevent aspiration by closing the connection and facilitate safe resumption of oral intake where possible. Herein we report a case of a 71-year-old female with a T3 oesophageal squamou...
Source: Case Reports in Gastroenterology - May 30, 2022 Category: Gastroenterology Source Type: research
Ischemic Hepatitis Induced by Uremic Cardiac Tamponade in a Patient with Underlying Hepatitis C with a Review of the Literature
We present a rare case of ALI caused by uremic pericardial tamponade with an overview of the current literature with regard to this entity. So, we emphasize monitoring liver function tests in the context of PEFF, especially in patients with chronic kidney disease.Case Rep Gastroenterol 2022;16:326 –332 (Source: Case Reports in Gastroenterology)
Source: Case Reports in Gastroenterology - May 30, 2022 Category: Gastroenterology Source Type: research
Acute Liver Failure after Treatment with Rivaroxaban for Aortic Thrombosis Associated with COVID-19 Infection and Methylenetetrahydrofolate Reductase Gene Polymorphism (C677T)
Coronavirus disease-2019 (COVID-19) has become associated with prothrombotic state that could lead to severe arterial thrombotic complications. In the case of severe COVID-19 infection, hepatic dysfunction has been observed in more than 50% of patients. In this article, we present a case of aortic thrombosis associated with COVID-19 infection and methylenetetrahydrofolate reductase gene polymorphism (C677T) treated with rivaroxaban resulting in acute liver failure with fatal outcome.Case Rep Gastroenterol 2022;16:320 –325 (Source: Case Reports in Gastroenterology)
Source: Case Reports in Gastroenterology - May 23, 2022 Category: Gastroenterology Source Type: research
Hepatic Encephalopathy Is Not Always due to Liver Cirrhosis
Hepatic encephalopathy (HE) is a frequent and debilitating complication of liver disease and is oftentimes associated with hyperammonaemia. However, hyperammonaemia may occur in underlying conditions other than acute or chronic liver failure and clinical awareness is needed in order to be recognized and treated properly. A 24-year-old woman presented herself to our emergency department with acute confusion and altered mental state due to severe hyperammonaemia. The patient was diagnosed in the age of 14 with ornithine transcarbamylase (OTC) deficiency and was incompliant regarding her diet and suggested medication to treat...
Source: Case Reports in Gastroenterology - May 20, 2022 Category: Gastroenterology Source Type: research
Primary Duodenal Adenocarcinoma Expressing Carbonic Anhydrase IX
Primary duodenal adenocarcinoma is a rare malignancy whose carbonic anhydrase IX (CA9) expression remains poorly understood. A 73-year-old man visited our hospital for a medical checkup. Transnasal endoscopy revealed a submucosal, tumor-like lesion with a central depression located in the descending part of the duodenum on white light imaging. On texture and color enhancement imaging mode 1, the lesion was highlighted as a reddish, elevated lesion with an irregular mucosa in its central depressed area. Pancreaticoduodenectomy was performed on the suspicion of duodenal adenocarcinoma for biopsy and endoscopic diagnosis, whi...
Source: Case Reports in Gastroenterology - May 17, 2022 Category: Gastroenterology Source Type: research
Post-chemotherapy Gastric Obstruction in Diffuse Large B-Cell Lymphoma: Endoscopic Dilation Can Fix It!
Treatment of diffuse large B-cell lymphoma (DLBCL) is based on immunochemotherapy with overall good outcomes. Complications related to the treatment or the disease itself can occur during follow-up. We herein report a case of a 37-year-old male who was diagnosed with stage IV gastric DLBCL. Subsequently, he underwent R-CHOP (rituximab, cyclophosphamide, hydroxydaunorubicin, oncovin, and prednisone) chemotherapy. After six cycles of treatment, complete remission has been achieved. But afterwards, the patient presented with a symptomatic gastric obstruction related to a tight stenosis in the antro-fundic junction. Endoscopic...
Source: Case Reports in Gastroenterology - May 17, 2022 Category: Gastroenterology Source Type: research
The Clinical Role of Endoscopic Ultrasound for Management of Bleeding Esophageal Varices in Liver Cirrhosis
This report shares the potential role of endoscopic ultrasound (EUS) to overcome the limitation of EGD in clinical practices. Two cases of BEV in hepatitis B liver cirrhosis patients were described in the report. In case 1, large esophageal varices were found through EGD, and large paraesophageal varices were found through EUS. In case 2, small esophageal varices were found through EGD, and submucosal varices with a large periesophageal collateral vein and perforating vein in the distal esophagus were found through EUS. Cyanoacrylate injection guided by EUS was performed in both cases, and no rebleeding occurred after the ...
Source: Case Reports in Gastroenterology - May 10, 2022 Category: Gastroenterology Source Type: research
Angiolipoma of the Colon: A Rare Cause of Gastrointestinal Bleeding
Angiolipomas are benign, subcutaneous tumors that are rarely found in the gastrointestinal tract. Still, because they may present with abdominal pain and rectal bleeding, it is important to recognize the clinical, radiological, and endoscopic findings associated with these masses. Herein we report a case of an angiolipoma of the colon diagnosed in a 49-year-old male presenting with self-limited gastrointestinal bleeding who subsequently underwent surgical resection without complications.Case Rep Gastroenterol 2022;16:290 –294 (Source: Case Reports in Gastroenterology)
Source: Case Reports in Gastroenterology - May 10, 2022 Category: Gastroenterology Source Type: research
Normalization of Flow in the Common Hepatic Artery after Decompression of Median Arcuate Ligament Syndrome with Diminution of a Pancreatoduodenal Arcade Aneurysm
In conclusion, perfusion of the CHA became normalized after median arcuate ligament release. Surgical intervention for MALS not only improved blood flow in the tributaries but also diminished the pancreatoduodenal arcade aneurysm.Case Rep Gastroenterol 2022;16:284 –289 (Source: Case Reports in Gastroenterology)
Source: Case Reports in Gastroenterology - May 3, 2022 Category: Gastroenterology Source Type: research
Like a Rolling Stone: Year-Over-Year Growth of a Rectal Fecalith
This report describes a 65-year-old woman who presented with melena due to ischemic proctitis caused by a large fecalith. On computed tomography, the fecalith showed a unique multilayered calcification sign. We successfully dismantled and removed the fecalith transanally, assisted by a traction method using a balloon catheter. A review of imaging studies from 6 years ago revealed the growth of the fecalith over the previous year and provided an insight into the mechanism underlying the development of large fecaliths.Case Rep Gastroenterol 2022;16:278 –283 (Source: Case Reports in Gastroenterology)
Source: Case Reports in Gastroenterology - May 3, 2022 Category: Gastroenterology Source Type: research
