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Development of Achalasia in a Patient With Chronic Intestinal Pseudo-Obstruction
Kwon, Joshua MD1; Koop, Andree MD2; Francis, Dawn MD, MHS2
doi : 10.14309/crj.0000000000000758
June 2022 - Volume 9 - Issue 6
Development of concurrent achalasia and chronic intestinal pseudo-obstruction (CIPO) is rare, although esophageal dysmotility is common in patients with CIPO and may suggest worse clinical outcomes.
Syphilis in the Esophagus
Allencherril, Ronan MD1; Nicholls, Paul MD, PhD2; Jain, Shilpa MD3; Sealock, Robert MD4; Dangayach, Priti MD1
doi : 10.14309/crj.0000000000000793
This report documents a unique case of syphilis with esophageal involvement. Such a presentation is exceedingly rare in the modern era, particularly among patients without human immunodeficiency virus. Most instances were documented in the 1900s and earlier.
Clinical Improvement With Pyridostigmine in a Patient With Acetylcholine Receptor Antibody-Associated Autoimmune Gastrointestinal Dysmotility
Sekhri, Shaina MD1; Massey, Benson MD1; Beniwal-Patel, Poonam MD1
doi : 10.14309/crj.0000000000000796
Autoimmune gastrointestinal dysmotility (AGID) is a rare form of limited autoimmune dysautonomia caused by autoantibodies against the enteric nervous system. Our patient was a 53-year-old man with 1 year of bloating, intolerance of oral intake, and recurrent ileus.
Hepatic Epstein-Barr Virus-Associated Smooth Muscle Tumor in a Heart and Liver Transplant Recipient
Johnson, Brett M. MD1; Iskandar, Jean-Pierre MD1; Farha, Natalie MD1; Yerian, Lisa MD2; Modaresi Esfeh, Jamak MD3; Lindenmeyer, Christina MD3
doi : 10.14309/crj.0000000000000782
Epstein-Barr virus (EBV)-associated smooth muscle tumors (SMT) have been described in immunosuppressed states, including in post-transplant patients. Here, we discuss a heart-liver transplant recipient who was found to have multifocal hepatic EBV-SMT.
Hepatic Necrosis Mimicking Infiltrative Masses in Acute Budd-Chiari Syndrome With Hereditary Protein C Deficiency
Ananchuensook, Prooksa MD, MSc1; Karuehardsuwan, Julalak MD1; Sanpawat, Anapat MD2; Wisedopas, Naruemon MD2; Treeprasertsuk, Sombat MD, PhD1; Komolmit, Piyawat MD, PhD1,3,4; Thanapirom, Kessarin MD, MSc1,3,4
doi : 10.14309/crj.0000000000000802
We report the case of a patient with an unusual acute Budd-Chiari syndrome (BCS). The patient presented with high-grade fever and right upper quadrant pain.
Lower Gastrointestinal Bleeding Because of Kasabach-Merritt Syndrome Showing an Impressive Response to Sirolimus
Pérez, Jorge Sandelis MD1; Cintrón, Dahima MD2; Deyá-Quinquilla, Alexandra MD3; Molina, Josselyn MD3; Pagán, Verónica Beyley MD4; Vargas-Otero, Pedro MD1; Rivera, Enid MD5; Tirado-Gómez, Maribel MD3; Pacheco, Eileen MD3; Costas, Pablo MD4
doi : 10.14309/crj.0000000000000688
Kasabach-Merritt syndrome is a rare but life-threatening disease in which a rapidly growing vascular tumor induces localized intravascular coagulation, causing thrombocytopenia, microangiopathic hemolytic anemia, and consumption coagulopathy. It presents mainly in infants and young children.
A Rare Presentation of Sarcoidosis Masquerading as Colonic Polyps on Screening Colonoscopy
Ufondu, Obiora MD1; Hillerson, Natalie MD1; Shwetar, Mohammed J. MD2; Mills, Anne MD3; Kumral, Dennis MD4
doi : 10.14309/crj.0000000000000800
Sarcoidosis is a systemic disease characterized by noncaseating granulomatous inflammation. Gastrointestinal involvement in sarcoidosis is a very rare occurrence, with the colon being affected in few patients.
Fistula Between a Primary Sigmoid Large B-Cell Lymphoma and an Ovarian Teratoma
Accardo, Caterina MD1; Ardu, Massimiliano MD1; Di Candido, Francesca MD1; Epifani, Gabriele MD1; Cassini, Diletta MD1; Bono, Francesca MD2; Baldazzi, Gianandrea MD1
doi : 10.14309/crj.0000000000000794
Primary colorectal lymphoma is a rare neoplasm. We report the case of a fistula between a diffuse large B-cell lymphoma of the sigmoid colon and an ovarian teratoma.
Carnitine Deficiency in an Adult With Short Bowel Syndrome After Surgical Resection
Kamel, Amir Y. PharmD, BCNSP1; Ruiz, Nicole C. MD2; Murray, Melissa R. PharmD, BCCCP1; Gayle, Ansley M. PharmD1; Pham, Angela MD3; Beduschi, Thiago MD4; Rosenthal, Martin D. MD, FACS5
doi : 10.14309/crj.0000000000000799
Carnitine is an essential cofactor for fatty acid metabolism. Deficiencies can be associated with muscle weakness, fatigue, weight loss, and cardiomyopathies.
Detection of Anal Intraepithelial Neoplasia and Anal Squamous Cell Carcinoma on Colonoscopy
Voss, Jordan K. MD, MS1; Kurdi, Ahmed T. MD2; Neto, Manuel Braga MD, PhD2; Wang, Xiao Jing MD2; Chedid, Victor G. MD, MS2
doi : 10.14309/crj.0000000000000792
The purpose of this case series is to review the endoscopic detection of anal intraepithelial neoplasia and anal squamous cell carcinoma including the role of rectal retroflexion and narrow-band imaging.
Recalcitrant Gastric Actinomycosis Treated With Over-the-Scope Clip
McDonald, Nicholas M. MD1; Luz, Leticia P. MD2; Amin, Khalid MD3; Amateau, Stuart K. MD, PhD1
doi : 10.14309/crj.0000000000000798
Actinomycosis is an infrequent infection caused by Actinomyces species bacteria. Gastric actinomycosis is extremely rare but has been identified on endoscopy, typically presenting as erythema or ulceration.
Cetuximab-Induced Small Intestine Stricture in Metastatic Squamous Cell Carcinoma of the Oral Cavity
Eisa, Mohamed MD1; Omer, Endashaw MD1
doi : 10.14309/crj.0000000000000784
Cetuximab is an epidermal growth factor receptor (EGFR) inhibitor, which is used to treat patients with metastatic head and neck cancer.
Childbearing and Delivery in Women With Ulcerative Colitis and Ileostomy or Ileal Pouch-Anal Anastomosis
Campigotto, Michele MD1; Braini, Andrea MD2; Casarotto, Maria Maddalena MD3; Crocè, Saveria Lory MD1,4; Sablich, Renato MD5
doi : 10.14309/crj.0000000000000805
No detailed information is currently available about the management of pregnancy and delivery in patients with a stoma after colectomy for ulcerative colitis. We describe the case of a young pregnant woman with terminal ileostomy after toxic megacolon.
Vedolizumab-Induced Acute Interstitial Nephritis in Ulcerative Colitis
Subhaharan, Deloshaan MD1; Ramaswamy, Pradeep K. MBBS1; Francisco, Sewwandi MBBS2; Ishaq, Naveed MBBS1
doi : 10.14309/crj.0000000000000788
Vedolizumab is used in the treatment of inflammatory bowel disease and is generally well tolerated. We report a 20-year-old man who presented with right flank pain on a background of ulcerative colitis.
Metastatic Anal Squamous Cell Carcinoma Presenting as an Indeterminate Biliary Stricture Diagnosed By Cholangioscopy
Nahar, Ritu MD1; Holmes, Ian MD1; Baliff, Jeffrey MD2; Chiang, Austin MD, MPH1; Kowalski, Thomas MD1
doi : 10.14309/crj.0000000000000785
Anal squamous cell carcinoma (SCC) rarely metastasizes outside the pelvis. Although liver involvement has been described, biliary strictures from metastatic disease are exceedingly rare.
A Crown of Gold
Kwon, Joshua Y. MD1; Koop, Andree MD2; Francis, Dawn MD, MHS2
Diagnosis of Rosai-Dorfman Disease by Upper Endoscopic Ultrasound–Guided Fine-Needle Biopsy
Gable, Austin MD (LT, MC, USN)1; Mellor, Thomas DO, FACP (LCDR, MC, USN)2; Peacock, Andrew MD (LCDR, MC, USN)3; Mahoney, Devon MD (LT, MC, USN)4; Gable, Preston MD, FACP (CAPT, MC, USN/Ret)5; Lawson, R. Daniel MD, FASGE (CDR, MC, USN)2
Dysphagia Lusoria Because of Congenital Double Aortic Arch
Meyers, Michael P. MD1; Murphy, Christopher John MD1
Mixed Adenoneuroendocrine Cancer of the Duodenum Causing Gastric Outlet Obstruction
Farooq, Aimen MD1; Wert, James MD1; Bani Fawwaz, Baha Aldeen MD1; Hurairah, Abu MD2
Chronic Volvulus of the Ileal J-Pouch After Total Proctocolectomy and Ileal Pouch-Anal Anastomosis for Ulcerative Colitis
Shenoy, Shabari Mangalore MBBS1; Yoon, JiYoon BMBCh, MS2; Greenstein, Alexander J. MD, MPH3; Sands, Bruce MD, MS4
Gastric Adenocarcinoma of the Remnant Stomach Presenting With a Cystic Intra-abdominal Mass 11 Years After Roux-en-Y Gastric Bypass
Khneizer, Gebran W. MD1; Mahendraker, Neetu MD, SFHM2,3; Bick, Benjamin L. MD, MS4
