ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field.  ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including:    Biliary  Colon  Endoscopy  Esophagus  Functional Bowel Disorders  Inflammatory Bowel Disease  Liver  Nutrition and Obesity  Pancreas  Pathology  Pediatric  Small Bowel  Stomach.

The ACG Case Reports Journal is a peer-reviewed, open-access publication that provides gastroenterology and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and leaders in the field. The journal publishes case reports, images, videos, and letters to the editor on all topics related to gastroenterology and hepatology, including biliary, colon, endoscopy, esophagus, functional bowel disorders, inflammatory bowel disease, liver, nutrition and obesity, pancreas, pathology, pediatrics, small bowel, and stomach.

《ACG Case Reports Journal》是一本经过同行评审的开放获取期刊，旨在为胃肠病和肝病的研究生、私人执业医生及其他医疗提供者提供一个分享有趣病例报告的平台。该期刊发表与胃肠病和肝病相关的各类病例报告、图片、视频和编辑信件，涵盖的主题包括：胆道、结肠、内镜、食管、功能性肠道疾病、炎症性肠病、肝脏、营养与肥胖、胰腺、病理学、儿科、小肠和胃等。

ACG Case Reports Journal

ABSTRACT Periampullary malignancies are uncommon and encompass a wide variety of tumors. Early and accurate biopsy-proven diagnosis is important because different malignancy subtypes warrant different management and treatment plans. We present a unique and rare case of periampullary lymphoma, initially presenting as acute pancreatitis.

Binyamin R. Abramowitz

Nicholas Ridout

Hagar Attia

Zhonghua Li

Patrick J. Hammill

Evan B. Grossman

Periampullary Diffuse Large B-Cell Lymphoma Presenting as Acute Pancreatitis

壶腹周围弥漫大B细胞淋巴瘤表现为急性胰腺炎

ABSTRACT Orofacial granulomatosis (OFG) is a rare syndrome that can occur in association with Crohn's disease (CD). The electronic medical record was searched for “OFG” and “CD.” A total of 297 patients were identified, and relevant data were abstracted. Five patients met inclusion criteria. Most (80%) had ileocolonic CD with nonstricturing/nonpenetrating phenotype. The most common treatments included intralesional corticosteroids (4 patients), oral corticosteroids (3 patients), and anti-TNF agents, specifically infliximab (3 patients). Intralesional corticosteroid administration was followed by partial response in 3 patients, but recurrences were common following initial injection. One patient had no response to topical or oral corticosteroids, antihistamines, or oral antibiotics, but partial response to intralesional corticosteroids and infliximab. None of the patients had complete response to any therapies directed at this condition. OFG may be characterized by partial response, often requiring long-term therapy. Additional investigations into novel treatments may improve future clinical outcomes.

Siri A. Urquhart

Grace Y. Kim

Katelyn R. Anderson

Victor G. Chedid

Orofacial Granulomatosis and Crohn's Disease: A Case Series

口面部肉芽肿病与克罗恩病：病例系列

ABSTRACT Intestinal spirochetosis (IS) is an infectious gastrointestinal disease caused by Brachyspira bacteria. We detail an exceedingly rare case of IS with concomitant invasive colorectal adenocarcinoma (CRC) in a 58-year-old man presenting with abdominal discomfort and fever. Colonoscopic evaluation revealed abnormal-appearing, nodular cecal mucosa and a 35 mm rectosigmoid mass. Histopathology confirmed IS infection and CRC. Our case report is the first to detail IS diagnosed concurrently with colorectal cancer. It highlights the necessity of a high index of suspicion for IS in patients presenting with abdominal discomfort and endoscopic evidence of irregular nodular mucosa, particularly in the setting of suspected CRC. It further details potential pathophysiologic links between IS and colorectal malignancy.

Hannah Zuercher

Arvin Daneshmand

Eugene Stolow

Matthew Giansiracusa

Robert Allan

Antonios Sapounas

Coexistence of Intestinal Spirochetosis and Colorectal Cancer: Could the Coil be Carcinogenic?

肠道螺旋体病与结直肠癌共存：螺旋体是否具有致癌性？

ABSTRACT Gastric glomus tumor (GGT) is a rare mesenchymal neoplasm, that is usually asymptomatic. Although benign, malignant transformation has been reported. A 59-year-old man presented with dyspepsia refractory to treatment with proton-pump inhibitor over 6 months. Esophagogastroduodenoscopy revealed a 30 mm subepithelial lesion in the distal gastric antrum, in contact with the pylorus, but biopsies were nonspecific. Upper endoscopic ultrasound revealed a well-defined submucosal echogenic lesion measuring 30 × 20 mm, without muscularis propria involvement. A fine-needle aspiration biopsy showed GGT features. En bloc endoscopic resection was performed using the submucosal tunneling endoscopic resection technique. The histopathological study of the specimen confirmed the diagnosis of a GGT with free margins. The patient remains symptom-free after a 9-month follow-up. We highlight the rare diagnosis of GGT and the possibility of curative en bloc endoscopic resection with submucosal tunneling endoscopic resection.

Sérgio Bronze

Inês Botto

Leonor Ruivo

Tiago Oliveira

Miguel Moura

Luís Carrilho Ribeiro

Luís Correia

Gastric Glomus Tumor Resected by Submucosal Tunneling Endoscopic Resection

胃丛状瘤经黏膜下隧道内镜切除术

ABSTRACT Severe rectal bleeding is a rare complication of chronic radiation proctitis (CRP). Given CRP's propensity to involve the full thickness of the rectal tissue, we proposed that endoscopic full-thickness resection may be a successful therapeutic modality for treating CRP. A 76-year-old man with multiple comorbid conditions who was not a surgical candidate presented with severe bleeding secondary to CRP that was refractory to all medical and therapeutic interventions. An endoscopic full-thickness resection was performed, which initially resulted in hemostasis, but the patient ultimately developed recurrent rectal bleeding, and endoscopic resection was determined to be unsuccessful.

Benjamin I. Richter

Yazan Abboud

Ben Flikshteyn

Kaveh Hajifathalian

Utility of Endoscopic Full-Thickness Resection for Refractory Rectal Bleeding in Chronic Radiation Proctitis

慢性放射性直肠炎难治性直肠出血的内镜全层切除术应用价值

短名	ACG Case Rep. J.
Journal Impact	0.65
国际分区	GASTROENTEROLOGY & HEPATOLOGY(Q4)

涉及主题	医学内科学生物外科胃肠病学病理放射科遗传学化学生物化学免疫学内分泌学疾病心理学精神科癌症
出版信息	出版商: Lippincott Williams and Wilkins，出版周期: ，期刊类型: journal，开源期刊: 是
基本数据	创刊年份: 2014，原创研究文献占比: 100.00%，自引率:0.00%， Gold OA占比: 98.96%
期刊费用	$500详情
平均审稿周期	网友分享经验：12 Weeks

ACG Case Reports Journal

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Periampullary Diffuse Large B-Cell Lymphoma Presenting as Acute Pancreatitis

Orofacial Granulomatosis and Crohn's Disease: A Case Series

Coexistence of Intestinal Spirochetosis and Colorectal Cancer: Could the Coil be Carcinogenic?

Gastric Glomus Tumor Resected by Submucosal Tunneling Endoscopic Resection

Utility of Endoscopic Full-Thickness Resection for Refractory Rectal Bleeding in Chronic Radiation Proctitis

Periampullary Diffuse Large B-Cell Lymphoma Presenting as Acute Pancreatitis

Orofacial Granulomatosis and Crohn's Disease: A Case Series

Coexistence of Intestinal Spirochetosis and Colorectal Cancer: Could the Coil be Carcinogenic?

Gastric Glomus Tumor Resected by Submucosal Tunneling Endoscopic Resection

Utility of Endoscopic Full-Thickness Resection for Refractory Rectal Bleeding in Chronic Radiation Proctitis