Emphysematous gastritis is a rare disease with gastric inflammation and intramural gas formation due to gas-forming microorganisms. It diagnosed based on clinical presentation imaging findings of in the wall. Computed tomography preferred modality. Early diagnosis management are important since emphysematous associated high rates morbidity mortality. We present case gastritis, which was successfully managed conservatively through early prompt treatment.

Introduction Non-variceal upper gastrointestinal bleeding (UGIB) is a major burden on the health care system. The timing of endoscopy has been an ongoing debate and data association early with better or worse clinical outcome are conflicting. In our study, we aimed to identify benefits versus risks performing urgent in regards number endoscopic interventions, length hospital stay, packed red blood cells (PRBCs) transfused, mortality. Methodology This retrospective record-based study. A total...

Coronoviraus disease 2019 (COVID-19) has infected over two million people worldwide and the number keeps growing every day. While pulmonary complications of COVID-19 are obvious, effect virus on other organs chronicity organ dysfunction remain unknown. The causes a debilitating infection with multiorgan injury high mortality rate estimated to be around 3.70%. Several hypotheses formulated explain liver in patients which include collateral damage from cytokine storm, drug-induced injury,...

INTRODUCTION: Emphysematous gastritis (EG) is a rare, life-threatening form of caused by gas-forming microorganisms which has high mortality rate 62%. Microorganisms associated with EG include Streptococcus, Escherichia coli, Enterobacter, Clostridium, Pseudomonas aeruginosa, Staphylococcus aureus, Candida, and Mucor. Only 40 cases have been reported in English-language literature, there are no guidelines available for the management EG. We would like to highlight importance early diagnosis...

Biliary-enteric fistula is a rare complication of cholelithiasis that can lead to gallstone ileus. Gallstone impaction in the duodenum and pylorus extremely gastric outlet obstruction, condition known as Bouveret syndrome. syndrome needs be diagnosed managed timely fashion, it has high mortality rate. We describe case an elderly patient who presented with secondary biliary calculus first part duodenum.

A 91-year-old male presented to the emergency room with hemodynamically significant upper gastrointestinal bleeding. The patient underwent an esophagogastroduodenoscopy (EGD), which showed frank blood in duodenum interfering visualization. Hence, urgent interventional radiology (IR)-guided arteriogram and embolization. An EGD done 48 hours later a giant, non-bleeding, cratered duodenal ulcer visible vessel vascular coils partially protruding into bulb lumen. had no evidence of bleeding post...

Drug-induced methemoglobinemia can be caused due to topical anesthetics, dapsone, nitrates (e.g., nitroglycerin), and metoclopramide. Cyanosis in the setting of anesthetic use, along with arterial blood gas results indicating hypoxemia, points towards diagnosis methemoglobinemia. We highlight potential complication use pharyngeal benzocaine through this case presentation.

Fusing topical pharyngeal anesthetics (TPAs) to intravenous sedation during esophagogastroduodenoscopy (EGD) has been controversial. This double-blind, randomized, placebo-controlled trial assessed the association of TPA with patient recovery time, post-EGD discharge. Supplementary aims were determine and practitioner satisfaction (both measured on a 100-mm visual analog scale), total propofol dose, side effects. The study included 93 patients (mean age 53.8 years, range 44-67; 37 men 56...

Gastric antral vascular ectasia (GAVE) is the underlying cause for 4% of nonvariceal upper GI bleeding. Nodular GAVE and gastric hyperplastic polyps have similar appearance on endoscopy (EGD) as well histology, which could delay specific targeted therapy. We herein, through this case, would like to highlight that high clinical suspicion required diagnose nodular GAVE.A 70-year-old male with a past medical history significant coronary artery disease s/p drug-eluting stent placement Plavix,...

Primary pancreatic lymphoma (PPL) is a rare entity, most likely to be clinically misdiagnosed as adenocarcinoma. The cure rate of PPL higher than that We present case presented mass with chylous ascites and describe the incidence, clinical features, diagnostic approach, commonly used treatment regimens for PPL.

ABSTRACT Ectopic varices account for 1%–5% of all variceal bleeding episodes. The most common presentation cecal is an acute episode a massive lower gastrointestinal hemorrhage. However, can be found incidentally and silent prolonged period time before presenting with Through this case 63-year-old woman, we would like to highlight the paucity literature in treatment nonbleeding varices.

INTRODUCTION: Topical pharyngeal anesthetics such as benzocaine are used in conjunction with moderate sedation to increase patient comfort during esophagogastroduodenoscopy (EGD). can cause methemoglobinemia, which is a rare and life-threatening complication. We want highlight the potential complication use of topical through this case presentation. CASE DESCRIPTION/METHODS: A 22-year-old female presented odynophagia after swallowing piece meat. She underwent inpatient EGD received spray...

INTRODUCTION: Sweet syndrome is associated with various GI conditions such as acute gastroenteritis, inflammatory bowel disease and colon cancer. We describe a unique case of young patient Crohn’s who developed while being on infliximab therapy. CASE DESCRIPTION/METHODS: A 29 yo M history sacroiliitis fistulizing ileocolonic Crohn's maintenance oral mesalamine IV presented sudden onset painful papulonodular rash along high grade fever. The involved his face, trunk upper extremities. He had...

Millions of endoscopic procedures are performed in the US every year and use procedural sedation analgesia (PSA) is increasing with more being outside operating theater gaining popularity due to reduced costs. Patients having usually expect that they would be deeply sedated during procedure despite verbal counseling pre-procedure clinic visits often dissatisfied awareness discomfort. In order better educate patients, written supplementary reading material was provided which stated a clear...

INTRODUCTION: Pseudomelanosis of the duodenum is characterized by a collection pigment-laden macrophages in tips duodenal villi. It rare incidental endoscopic finding seen elderly patients and unknown clinical significance. We describe case an patient who presented with GI bleeding was found to have pseudomelanosis duodeni. CASE DESCRIPTION/METHODS: An 83 yo Caucasian female history hypertension, chronic kidney disease, hypothyroidism atrial fibrillation hospital hemodynamically stable...

INTRODUCTION: Interventional radiology guided (IR) embolotherapy can be lifesaving when an acute gastrointestinal (GI) bleed cannot controlled with endoscopic therapy. However, IR embolization lead to various complications and herein we present a complication which has been published. CASE DESCRIPTION/METHODS: A 91-year-old male presented the emergency room hemodynamically significant upper bleeding manifesting as hematemesis. After medical optimization, patient underwent GI endoscopy (EGD)...

Pseudomelanosis duodeni is a rare incidental finding seen on endoscopy and has the characteristic appearance of flat, black-speckled pigmented mucosa. We present case an 83-year-old woman who presented with gastrointestinal bleeding was found to have pseudomelanosis duodeni. The no diagnostic or prognostic significance. Therapeutic chelation endoscopic follow-up not recommended.

Pulmonary toxicity is a rare but severe adverse effect of Rituximab, associated with significant morbidity and mortality. Despite increased reporting, few case reports alveolar hemorrhage due to Rituximab have been published. The authors present the 61 year old Caucasian male diagnosis small lymphocytic lymphoma who recently completed chemotherapy Bendamustine. patient presented emergency room one week history nonproductive cough shortness breath low grade fevers. Differential at time...

Introduction: Celiac disease (CD) is a disorder characterized by mucosal inflammation and villous atrophy of the small intestine which improves with gluten free diet (GFD) in all but about 5% patients. Treatment these remaining patients remains challenging task for clinicians. Case: 75 year old female history hypertension presented 3 months non-bloody diarrhea significant weight loss. No recent travel or antibiotic use was reported. Besides mild anemia, serum stool studies were unremarkable....

Introduction: CCS is a rare non-hereditary disease which presents as diarrhea, intestinal polyps, alopecia, hyper pigmentation and onychodystrophy. It associated with high mortality GI malignancies. We present patient who was diagnosed her management.Figure 1Figure 2Figure 3Case presentation: 55 year old Korean female history of hypothyroidism presented complaints diarrhea intermittent blood, nausea, abdominal pain weight loss for 2 months. Associated symptoms were finger toe nails. Labs...

Plasmacytoma is a local collection of neoplastic monoclonal plasma cells in extramedullary tissues which can occur independently or association with multiple myeloma. Gastrointestinal involvement myeloma (MM) uncommon and overt gastrointestinal bleeding from gastric plasmacytomas very rare. A 65 yo female the history MM diagnosed one year earlier undergoing chemotherapy (Cyclophosphamide, Bortezomib Dexamethasone) radiotherapy presented to hospital 3 days coffee ground emesis associated...