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Hepatoid Adenocarcinoma of the Pancreatic Head
Holt, Alex DO1; Licata, Michael MD2; Papadopoulos, Ioannis MD3
doi : 10.14309/crj.0000000000000816
July 2022 - Volume 9 - Issue 7
Spontaneous Page Kidney as a Complication of a Pancreatic Pseudocyst
Sharma, Radhika DO1; Attarha, Barret DO2; Rechcigl, Kevin DO1; Aung, Win M. MB, BS, MD, DM, MBA, FRCP1
Mediastinal Mass-Querade: A Mediastinal Abscess With Esophageal Fistula
Margulies, Eric J. MD1; Diaz, Kelly E. MD2; Martin, Linda W. MD, MPH3; Shami, Vanessa M. MD2; Copland, Andrew MD2
Esophageal Graft-vs-Host Disease Presenting as Esophagitis Dissecans Superficialis
Ogurick, Amy G. MD1; Liu, Chen MD2; Gowda, Lohith MD3; Li, Darrick K. MD, PhD1
An Interesting Cause of Ileal Intussusception
Noujaim, Michael G. MD, MSc1; Arbogast, Mitchell MD2; Wild, Daniel MD1
Capsule Retention in Meckel's Diverticulum During Evaluation for Iron Deficiency Anemia
Noujaim, Michael G. MD1,2; Cohn, Jonathan MD1,2; Sullivan, Brian A. MD, MHS2
Bowel Obstruction: Cecal Bascule After Colonoscopy
Li, Tian MD, MS1; Myat, Yin Min BS2; Nguyen, Snow Trinh T. MD, MS3; Zhao, Weidan MD3; Patel, Purvi MD, PhD4; Martinez, Manuel MD, FACG, FASGE2
Histoplasmosis With Diffuse Granulomatous Peritonitis in Crohn's Disease: A Mimic of Peritoneal Carcinomatosis
Ahmed, Zunirah MD1; El-Zaatari, Ziad M. MD2; Schwartz, Mary R. MD2; Morris, Lee MD3; Al-Safadi, Muhammad Yasser MD4; Quigley, Eamonn M.M. MD, MACG1
Endosonographic Diagnosis of Rectal Mucocele: The “Onion Skin� Sign
DaCunha, Teresa MD1; Dharan, Murali MD, MRCP, FASGE2
Paraumbilical Varix Masquerading as a Gastric Submucosal Nodule in Decompensated Liver Cirrhosis
Varghese, Teresa MBBS1; Varghese, George M. MBBS2; Vennikandam, Madhu Mathew MD3; Phipps, Meaghan MD4; Zheng, Elizabeth MD4
Symptomatic Anemia Due to Trichuriasis
Aponte-Pieras, Jose MD, ScB1; Mesgun, Sami BS2; Hong, Annie MD1; Farooqui, Talha MD1; Elmofti, Yousif MD1; Lankarani, Daisy MD1; Aziz, Hamza MD1; Ono, Jill MD3; Saud, Bipin MD1
A Giant Syphilitic Gastric Ulcer
Verma, Rajanshu MD, FACP1; Al Elshafey, Mohammed MS2; Oza, Twisha MD, FCAP3; Azouz, Abdallah MD3; White, Christopher MD4
Down to the Wire: A Case of Gastrointestinal Bleeding After Splenic Artery Coiling
Haydek, John P. MD1; Attwell, Augustin R. MD1,2
An Impressive Case of Compulsive Chicken Bones Ingestion
Garrido, Isabel MD1,2; Moutinho-Ribeiro, Pedro MD1,2; Macedo, Guilherme MD, PhD1,2
Familial Presentation of Giant Liver Hemangiomas
Rathi, Jalaj MS1; Anuragi, Gajendra MS1; Sankareswaran, Sugaprakash MCh1; Chidambaranathan, Sugumar MCh1; Raju, Prabhakaran MCh1; Obla Lakshmanamoorthy, Naganath Babu MCh1
Removal of an Embedded Foreign Body in the Colon Using a Loop Cutter Device
Pires, Francisco MD1; Carvalho, Ana Catarina MD1; Araújo, Ricardo MD1
Spontaneous Migration of Spiral Fin Overtube During Motorized Spiral Enteroscopy
Rajput, Sanjay MD, DM1; Bhatt, Pratin MD, DM1; Bachkaniwala, Vatsal MD, DM1; Gandhi, Chaiti MD, DM1; Bokarvadia, Ravi MD, DM1; Pipavat, Rushi MD, DM1; Tadkalkar, Varun MD, DM1
doi : 10.14309/crj.0000000000000808
Motorized spiral enteroscopy (SE) is a novel technique for evaluation and management of small bowel lesions. Total enteroscopy rates are higher with SE. Power spiral tube with spiral soft fin helps in advancement of the scope. SE has low adverse event profile; however, perforation and pancreatitis have been reported. We report the unusual adverse event of power spiral tube with spontaneous dislodgement of spiral fin in 2 cases.
Uvular Necrosis: A Rare Complication After Esophagogastroduodenoscopy in an Intubated Patient
Bhatia, Unnati MD1,*; Barrett, Stevi PA-C2,*; Bajaj, Suryansh MD3; Bi, Yan MD, PhD2
doi : 10.14309/crj.0000000000000795
Uvular necrosis is a potential etiology of postesophagogastroduodenoscopy persistent sore throat and odynophagia, and physicians should be alert to the possibility of this potential complication.
Endoscopic Findings of Gastric Cryptococcosis in an Immunosuppressed Patient
Flores, Luis MD1; Alvizuri, Claudia MD1; Ramirez, Dania MD2; Salas, Yessenia MD2; Ojeda, Manuel MD1
doi : 10.14309/crj.0000000000000830
A 34-year-old man with a recent HIV diagnosis presented to the emergency department with a holocranial headache and skin lesions due to cryptococcosis. He was admitted and during treatment, he presented nausea, persistent vomiting, and epigastric pain.
Myelolipoma After Infliximab Treatment for Crohn's Disease
Cesa, Kevin MD1,2; Puppa, Elaine Leonard MEd, MSN, DHA, CCRP1; Eslami, Katayoun MD1; Blanchard, Samra M. MD1; Watkins, Runa D. MD1
doi : 10.14309/crj.0000000000000791
A 20-year-old woman with Crohn's disease receiving infliximab therapy presented to the emergency department with lower extremity swelling secondary to compression of the common iliac vein.
Acute Severe Ulcerative Colitis After mRNA Coronavirus Disease 2019 Vaccination: Can mRNA Vaccines Unmask Inflammatory Bowel Diseases?
Ak, Çağatay MD1; Sayar, Süleyman MD1; Adalı, Gupse MD1; Özdil, Kamil MD1
doi : 10.14309/crj.0000000000000806
BNT162b2 is a messenger RNA vaccine for the prevention of the novel coronavirus disease 2019 caused by severe acute respiratory syndrome coronavirus 2 infection.
Ozanimod Maintenance Therapy After Cyclosporine Induction in Acute Severe Ulcerative Colitis
Cohen, Nathaniel A. MD1; Dalal, Sushila R. MD1; Choi, David PharmD1; Rubin, David T. MD1
doi : 10.14309/crj.0000000000000832
Ozanimod has recently received US Food and Drug Administration approval for moderate-to-severe ulcerative colitis.
Atypical Presentation of Left Hepatic Artery Pseudoaneurysm
Niaz, Murk MBBS1; Khan, Muhammad Arsalan FCPS1; Muhammad, Shah FCPS1; Khan, Abdaal Waseem FRCS1
doi : 10.14309/crj.0000000000000815
Hepatic artery pseudoaneurysm (HAP) commonly occurs after trauma and is rarely seen as a complication of pyogenic liver abscess. Patients with HAP can present with hemobilia secondary to arterobiliary fistula.
Autoimmune Hepatitis Triggered by COVID-19 Vaccine: The First Case From Inactivated Vaccine
Mekritthikrai, Krittaya MD1; Jaru-Ampornpan, Peera PhD2; Komolmit, Piyawat MD, PhD1,3,4; Thanapirom, Kessarin MD, MSc1,3,4
doi : 10.14309/crj.0000000000000811
We report a case of a 52-year-old woman without previous underlying liver disease, presenting with progressive jaundice and diagnosed with autoimmune hepatitis after 2 doses of an inactivated coronavirus disease 2019 (CoronaVac) vaccine.
Autoimmune Hepatitis Associated With Cryoglobulinemic Vasculitis
Gouveia, Pedro Alves da Cruz MD1; Leal, Maria Teresa de Souza Portela MD1; Rampche, Sylene MD2
doi : 10.14309/crj.0000000000000804
Cryoglobulinemic vasculitis presents liver abnormalities usually associated with hepatitis C. We report a case of a 27-year-old woman with cryoglobulinemia and liver dysfunction secondary to autoimmune hepatitis.
Porto-Sinusoidal Vascular Disease in a Patient With Diffuse Aortitis and Massive Ascites
Lin, Emily MD1; Lee, Brian T. MD2
doi : 10.14309/crj.0000000000000812
A 69-year-old man with no history of liver disease presented with massive ascites. Imaging demonstrated diffuse wall thickening of the entire aorta, renal pelvis, and ureters along with an enlarged main portal vein, portosystemic collaterals, and peritoneal thickening concerning for large vessel vasculitis.
Time is of the Essence: Using Extended Hemin Treatment for a Case of Severe Acute Intermittent Porphyria
Kumar, Smriti Rajita MD, EdM1; Byrnes, Diana MD1; Mahfouz, Mahmoud MD1; Rosenblatt, Joseph MD2; Levy, Cynthia MD3
doi : 10.14309/crj.0000000000000827
Acute intermittent porphyria (AIP) is a disorder that affects heme synthesis, leading to accumulation of upstream precursors, and can cause an array of visceral and neurological symptoms.
Exertional Heat Stroke-Induced Acute Liver Failure and Liver Transplantation
Lin, Jessica S. MD1; Zaffar, Duha MD2; Muhammad, Haris MD2; Ting, Peng-Sheng MD2; Woreta, Tinsay MD2; Kim, Amy MD2; Kohli, Ruhail MD2; Oshima, Kiyoko MD3; Cameron, Andrew MD4; Philosophe, Benjamin MD4; Ottmann, Shane MD4; Wesson, Russell MD4; Gurakar, Ahmet MD2
doi : 10.14309/crj.0000000000000820
Exertional heat stroke is a medical emergency characterized by excessive heat production and inadequate heat dissipation usually after heavy exertion in hot and humid climates and can be associated with multiorgan failure.
Spontaneous Regression of Hepatocellular Carcinoma From Autoinfarction and Implications on Liver Transplantation
Singh, Kevin MD1,2
doi : 10.14309/crj.0000000000000825
Hepatocellular carcinoma (HCC) is the sixth most common cancer worldwide. Spontaneous regression of HCC due to autoinfarction is rare.
Elevated Liver Enzymes in a Patient With Hepatocellular Carcinoma on Immune Checkpoint Inhibitor Therapy: A Diagnostic and Therapeutic Challenge
Abbas, Daniyal MD1; Zhu, Lee-Ching MD2; Moon, Andrew M. MD, MPH3,4
doi : 10.14309/crj.0000000000000834
We present a patient with untreated hepatitis C virus and metastatic hepatocellular carcinoma treated with combination immunotherapy who developed elevated liver enzymes.
Liver Microabscesses in a Premature Neonate With Eosinophilic Colitis
Parks, Olivia B. BS1; Keith, Mary DO2; Squires, Judy H. MD3; Venkat, Veena L. MD4; Mahmood, Burhan MD2
doi : 10.14309/crj.0000000000000817
Hepatic abscesses in premature infants are rare with less than 100 case reports documented in literature. We report a case of a premature infant diagnosed with hepatic microabscesses secondary to eosinophilic colitis. A 33 4/7-week preterm female neonate presented with bilious emesis, abdominal distention, and severe hematochezia.
Tonsillar Extraintestinal Enteropathy-Associated T-Cell Lymphoma in a Patient With Celiac Disease
Kronsten, Victoria T. MBBS, BSc, MRCP1,2; Gosson, Caroline MBBS, MRCP2; Al-Khatib, Alhamza MBBS, FRCR3; Bagwan, Izhar MBBS, MD, FRCPath4; Worthington, Tim MBChB, MD, FRCS5; Muthalali, Sneha MRCPath6; Ethell, Mark MA, MB, BChir, FRCP, FRCPath7; Lim, Guan MBChB, MD, FRCP2; Youd, Philippa FRCP2
doi : 10.14309/crj.0000000000000824
Enteropathy-associated T-cell lymphoma (EATL) is a rare but serious complication of celiac disease. Diagnosis is challenging. Patients can present with weight loss, abdominal pain, and diarrhea or acutely with bowel perforation or obstruction.
GI Hemorrhage From an Arterio-Enteric Fistula From a Failed Pancreas Allograft
David, Robin MD1; Trieu, Judy A. MD, MPH2; Shokoohi, Susanne MD2
doi : 10.14309/crj.0000000000000822
Arterio-enteric fistulas involving pancreas allograft are rare complications of transplantation that manifest as gastrointestinal bleeding.
Successful Fecal Microbiota Transplant Delivered by Foley Catheter Through a Loop Ileostomy in a Patient With Severe Complicated Clostridioides difficile Infection
Philip, Shawn DO1; Tageldin, Omar MD1; Mansoor, Muhammed Sohail MD2; Richter, Seth MD2
doi : 10.14309/crj.0000000000000801
Clostridioides difficile infection (CDI) is a potentially life-threatening cause of diarrhea that can result in multiple complications. Fulminant CDI that is nonresponsive to antibiotics may require surgical ileostomy or fecal microbiota transplant (FMT).
