Pub Date : 2024-09-19eCollection Date: 2024-09-01DOI: 10.14309/crj.0000000000001524
Robinder Abrol, Muhammad Mushtaq, Abdullah Muftah, Sarah Samreen, Juliana Yang
As techniques have been refined, more patients in the United States have undergone bariatric surgery for weight loss. These surgeries alter the gastrointestinal tract to restrict caloric intake. While most surgeons prefer sleeve gastrectomy and Roux-en-Y gastric bypass, some older procedures, like vertical band gastroplasty, have fallen out of favor due to late complications. In any bariatric procedure, endoscopy can be challenging if indicated due to altered anatomy. Here, we present a case of challenging anatomy due to remote vertical band gastroplasty in a patient presenting with cholangitis, highlighting the effective use of a lumen-apposing metal stent across a vertical band stenosis.
{"title":"Difficult to Pass: Cholangitis With Vertical Band Stenosis.","authors":"Robinder Abrol, Muhammad Mushtaq, Abdullah Muftah, Sarah Samreen, Juliana Yang","doi":"10.14309/crj.0000000000001524","DOIUrl":"https://doi.org/10.14309/crj.0000000000001524","url":null,"abstract":"<p><p>As techniques have been refined, more patients in the United States have undergone bariatric surgery for weight loss. These surgeries alter the gastrointestinal tract to restrict caloric intake. While most surgeons prefer sleeve gastrectomy and Roux-en-Y gastric bypass, some older procedures, like vertical band gastroplasty, have fallen out of favor due to late complications. In any bariatric procedure, endoscopy can be challenging if indicated due to altered anatomy. Here, we present a case of challenging anatomy due to remote vertical band gastroplasty in a patient presenting with cholangitis, highlighting the effective use of a lumen-apposing metal stent across a vertical band stenosis.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11412715/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-14eCollection Date: 2024-09-01DOI: 10.14309/crj.0000000000001517
Dain Raina Kim, Travis Ogilvie, Matthew Woo
[This corrects the article DOI: 10.14309/crj.0000000000001319.].
[此处更正了文章 DOI:10.14309/crj.0000000000001319]。
{"title":"Correction to: Pancreatic Adenosquamous Carcinoma Presenting as a Gastric Lesion.","authors":"Dain Raina Kim, Travis Ogilvie, Matthew Woo","doi":"10.14309/crj.0000000000001517","DOIUrl":"https://doi.org/10.14309/crj.0000000000001517","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.14309/crj.0000000000001319.].</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11404890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-14eCollection Date: 2024-09-01DOI: 10.14309/crj.0000000000001494
Fariha Hasan, Alexander Garcia, Avneet Singh, Natalie Morris, Kathy Williams, Gord Guo Zhu, Adib Chaaya
Ewing sarcoma (ES) is a rare malignancy that typically occurs within the skeletal system but can also develop extraskeletally. Extraskeletal ES typically presents paraspinally, in the limbs, and retroperitoneum. Rarely, it presents as a primary gastric ES. To our knowledge, there are only 13 reports of primary gastric ES, none of which originated in the cardia of the stomach. Increased identification of how extraskeletal ES, specifically primary gastric ES, presents and characterized is crucial for future treatment development and accurate prognosis. We present the case of a 36-year-old man with hematemesis, ultimately found to have primary gastric ES in the cardia.
{"title":"A Rare Occurrence of Primary Gastric Ewing Sarcoma.","authors":"Fariha Hasan, Alexander Garcia, Avneet Singh, Natalie Morris, Kathy Williams, Gord Guo Zhu, Adib Chaaya","doi":"10.14309/crj.0000000000001494","DOIUrl":"https://doi.org/10.14309/crj.0000000000001494","url":null,"abstract":"<p><p>Ewing sarcoma (ES) is a rare malignancy that typically occurs within the skeletal system but can also develop extraskeletally. Extraskeletal ES typically presents paraspinally, in the limbs, and retroperitoneum. Rarely, it presents as a primary gastric ES. To our knowledge, there are only 13 reports of primary gastric ES, none of which originated in the cardia of the stomach. Increased identification of how extraskeletal ES, specifically primary gastric ES, presents and characterized is crucial for future treatment development and accurate prognosis. We present the case of a 36-year-old man with hematemesis, ultimately found to have primary gastric ES in the cardia.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11404875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-13eCollection Date: 2024-09-01DOI: 10.14309/crj.0000000000001462
Alexander Garcia, Mahir Qureshi, Ishita Dhawan, William Rafferty, Tulin Budak-Alpdogan, Samuel Giordano
[This corrects the article DOI: 10.14309/crj.0000000000001277.].
[此处更正了文章 DOI:10.14309/crj.0000000000001277]。
{"title":"Correction to: Isolated AL Amyloidosis of the Colon: A Rare Presentation.","authors":"Alexander Garcia, Mahir Qureshi, Ishita Dhawan, William Rafferty, Tulin Budak-Alpdogan, Samuel Giordano","doi":"10.14309/crj.0000000000001462","DOIUrl":"https://doi.org/10.14309/crj.0000000000001462","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.14309/crj.0000000000001277.].</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11398764/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-13eCollection Date: 2024-09-01DOI: 10.14309/crj.0000000000001463
Alexander Garcia, Arman Maqsudlu, Ishita Dhawan, Adib Chaaya
[This corrects the article DOI: 10.14309/crj.0000000000001299.].
[此处更正了文章 DOI:10.14309/crj.0000000000001299]。
{"title":"Correction to: A Rare Case of Cutaneous Gastric Adenocarcinoma With Signet Ring Cell Features.","authors":"Alexander Garcia, Arman Maqsudlu, Ishita Dhawan, Adib Chaaya","doi":"10.14309/crj.0000000000001463","DOIUrl":"https://doi.org/10.14309/crj.0000000000001463","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.14309/crj.0000000000001299.].</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11398805/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-13eCollection Date: 2024-09-01DOI: 10.14309/crj.0000000000001508
Maria Elena Sanchez-Anguiano, Kurt B Schaberg, Trinh T Truong
Esophageal epidermoid metaplasia (EEM) is a rare condition that has not been described in Stevens-Johnson syndrome (SJS) and has only been described once in pediatrics. Neither the relationship, treatment, nor surveillance between SJS, esophageal strictures, and EEM has been established. We report the first case of EEM in an 8-year-old girl with esophageal stricture after SJS. Pediatric patients presenting with dysphagia after SJS should be evaluated for esophageal stricture and subsequent EEM development. Owing to EEM's, association with esophageal squamous cell cancer, close follow-up, biopsy surveillance for dysplasia, endoscopic treatment, and TP53 genetic sequencing should be considered.
{"title":"Development of Esophageal Epidermoid Metaplasia in a Pediatric Patient After Stevens-Johnson Syndrome.","authors":"Maria Elena Sanchez-Anguiano, Kurt B Schaberg, Trinh T Truong","doi":"10.14309/crj.0000000000001508","DOIUrl":"https://doi.org/10.14309/crj.0000000000001508","url":null,"abstract":"<p><p>Esophageal epidermoid metaplasia (EEM) is a rare condition that has not been described in Stevens-Johnson syndrome (SJS) and has only been described once in pediatrics. Neither the relationship, treatment, nor surveillance between SJS, esophageal strictures, and EEM has been established. We report the first case of EEM in an 8-year-old girl with esophageal stricture after SJS. Pediatric patients presenting with dysphagia after SJS should be evaluated for esophageal stricture and subsequent EEM development. Owing to EEM's, association with esophageal squamous cell cancer, close follow-up, biopsy surveillance for dysplasia, endoscopic treatment, and TP53 genetic sequencing should be considered.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11398809/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-12eCollection Date: 2024-09-01DOI: 10.14309/crj.0000000000001502
Amel Tabet Aoul, Ama Achiamah, Nathaniel Leavitt, Chun He, Pujan Kandal, Varun Patel
Colonic angiomyolipomas (CA) are very rare benign tumors arising from perivascular epithelioid cells. CA are most often found either during screening colonoscopies or as an incidental finding during abdominal imaging. However, some rare cases of CA are found to present with abdominal pain and hematochezia. In this article, we report a case of a 62-year-old man who presented with intermittent hematochezia and constipation who was found to have an angiomyolipoma in the sigmoid colon. The lesion was successfully removed endoscopically with no recurrence of bleeding and no complications within the first 30 days after the procedure.
结肠血管肌脂肪瘤(CA)是一种非常罕见的良性肿瘤,由血管周围上皮样细胞引起。结肠血管肌醇瘤最常见于结肠镜检查或腹部造影中偶然发现。然而,一些罕见的 CA 病例会出现腹痛和血尿。本文报告了一例 62 岁的男性病例,他出现间歇性血尿和便秘,经检查发现乙状结肠有一个血管肌脂肪瘤。我们通过内窥镜成功切除了病灶,术后 30 天内没有再出血,也没有出现并发症。
{"title":"Sigmoid Colon Angiomyolipoma as a Culprit for Intermittent Constipation and Hematochezia.","authors":"Amel Tabet Aoul, Ama Achiamah, Nathaniel Leavitt, Chun He, Pujan Kandal, Varun Patel","doi":"10.14309/crj.0000000000001502","DOIUrl":"https://doi.org/10.14309/crj.0000000000001502","url":null,"abstract":"<p><p>Colonic angiomyolipomas (CA) are very rare benign tumors arising from perivascular epithelioid cells. CA are most often found either during screening colonoscopies or as an incidental finding during abdominal imaging. However, some rare cases of CA are found to present with abdominal pain and hematochezia. In this article, we report a case of a 62-year-old man who presented with intermittent hematochezia and constipation who was found to have an angiomyolipoma in the sigmoid colon. The lesion was successfully removed endoscopically with no recurrence of bleeding and no complications within the first 30 days after the procedure.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11392486/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-12eCollection Date: 2024-09-01DOI: 10.14309/crj.0000000000001487
Nada Fawaris, Sohail Shariq, Mohamed Elnaggar, Faris Kubba, Rashmi Haria
Mucinous adenocarcinoma with signet cell features originating from Meckel diverticulum (MD) is an extremely rare primary malignant tumor. A woman in her 30s presented with multiple episodes of vomiting, abdominal pain, and constipation. She had a history of stricturing Crohn's disease and managed well with steroids, azathioprine, and infliximab. This time, a computed tomography scan showed distal ileal small-bowel obstruction. Urgent surgery for a nonsettling small bowel obstruction was performed. MD was incidentally found and was concerning for malignancy. This case report illustrates how this extremely rare malignancy was behaving like Crohn's disease, which delayed the diagnosis and treatment.
{"title":"An Extremely Rare Presentation of Mucinous Adenocarcinoma Originating From Meckel Diverticulum Masquerading in a Young Woman With Crohn's Disease.","authors":"Nada Fawaris, Sohail Shariq, Mohamed Elnaggar, Faris Kubba, Rashmi Haria","doi":"10.14309/crj.0000000000001487","DOIUrl":"https://doi.org/10.14309/crj.0000000000001487","url":null,"abstract":"<p><p>Mucinous adenocarcinoma with signet cell features originating from Meckel diverticulum (MD) is an extremely rare primary malignant tumor. A woman in her 30s presented with multiple episodes of vomiting, abdominal pain, and constipation. She had a history of stricturing Crohn's disease and managed well with steroids, azathioprine, and infliximab. This time, a computed tomography scan showed distal ileal small-bowel obstruction. Urgent surgery for a nonsettling small bowel obstruction was performed. MD was incidentally found and was concerning for malignancy. This case report illustrates how this extremely rare malignancy was behaving like Crohn's disease, which delayed the diagnosis and treatment.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11392474/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-12eCollection Date: 2024-09-01DOI: 10.14309/crj.0000000000001505
Bianca Thakkar, Jasmine Tidwell, Minh Thu T Nguyen, Gengsheng Yu, Neil Parikh
Colonic diverticulitis is inflammation of diverticula, which are sac-like protrusions in the colonic wall. It is thought that increased intraluminal pressure and trapped food leads to inflammation. Newer theories suggest that alterations in the gut microbiome and chronic inflammation play a role as well. Diverticulitis commonly affects discrete sections of colon. Acute multifocal diverticulitis is defined as diverticulitis in at least 2 different sites of the colon separated by at least 10 cm, which is very rare. Ideal management is unclear; however, our patient improved with supportive measures and antibiotics without complications of abscess, perforation, or need for surgery.
{"title":"Beyond the Norm: Acute Multifocal Diverticulitis.","authors":"Bianca Thakkar, Jasmine Tidwell, Minh Thu T Nguyen, Gengsheng Yu, Neil Parikh","doi":"10.14309/crj.0000000000001505","DOIUrl":"https://doi.org/10.14309/crj.0000000000001505","url":null,"abstract":"<p><p>Colonic diverticulitis is inflammation of diverticula, which are sac-like protrusions in the colonic wall. It is thought that increased intraluminal pressure and trapped food leads to inflammation. Newer theories suggest that alterations in the gut microbiome and chronic inflammation play a role as well. Diverticulitis commonly affects discrete sections of colon. Acute multifocal diverticulitis is defined as diverticulitis in at least 2 different sites of the colon separated by at least 10 cm, which is very rare. Ideal management is unclear; however, our patient improved with supportive measures and antibiotics without complications of abscess, perforation, or need for surgery.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11392498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}