Blastoid mantle cell lymphoma (B-MCL) is a rare and aggressive subtype of B-cell non-Hodgkin characterized by high proliferation index poor prognosis. Gastrointestinal (GI) involvement, which common in systemic (MCL), rarely presents as an isolated lesion. Herein, we describe unique case B-MCL presenting cecal mass. The patient experienced acute-onset abdominal pain melena was found to have wall thickening on imaging, with regional lymphadenopathy. Colonoscopy revealed large ulcerated...

Intragastric balloon (IGB) placement, a minimally invasive intervention for obesity, can lead to range of complications from mild gastrointestinal symptoms such as nausea, vomiting, abdominal pain, and gastroesophageal reflux (GERD) more severe life-threatening conditions, including perforation, migration, pancreatitis. IGB-related pancreatitis is rare complication, but it being reported in the literature. This case report presents cause induced by IGB, with complete resolution achieved...

Gastric pneumatosis (GP) is a rare finding. It can be seen with both gastric emphysema (GE) and emphysematous gastritis (EG); however, conditions present similarly differentiating between the 2 difficult radiographically. Moreover, treatment vastly different for conditions, in which GE focused on supportive care while EG may even involve gastrectomy. Making distinction crucial because has benign clinical course, carries significant mortality. Early endoscopy useful tool to guide further...

Sellar masses are frequently adenomatous pituitary tumors. Metastatic disease is unusual, often mimicking the presentations of adenomas. Hepatocellular carcinoma (HCC) most common primary hepatic malignancy but unusual to have a metastasis (PM). A 65-year-old man presented with headache, diplopia, ptosis, decreased vision in right eye and unintentional weight loss 32lbs. Preliminary out-patient work-up revealed mass region. Cranial imaging showed 3.1 cm × 3.2 4.4 lesion. Abdominal (computed...

The etiology of gastric antral vascular ectasia (GAVE) syndrome or hyperplastic polyps (HPs) is not fully understood. We report a case HP arising in patient treated with argon plasma coagulation (APC) for GAVE syndrome. Despite unclear etiologic progression, this and previously reported cases suggest temporal relationship between the treatment HP. A 68-year-old male history coronary artery disease, congestive heart failure diabetes type II who initially presented symptomatic anemia 2 weeks...

Trichuriasis is a neglected tropical disease caused by Trichuris trichiura that spreads through the ingestion of embryonated eggs in contaminated soil, water, or food. In nonendemic areas, T infestation very rare and sporadic often diagnosed immigrants from endemic countries such as Philippines. Whipworms feed on human blood also erode colonic mucosa, thereby evoking an inflammatory response. milder forms, trichuriasis can be asymptomatic incidental diagnosis screening colonoscopy. Heavily...

Sinistral portal hypertension (SPH), also known as segmental hypertension, is a complication of pancreatic disorders and an extremely rare cause upper gastrointestinal (GI) bleeding. SPH observed in patients without cirrhosis arises from splenic vein thrombosis. Unmitigated backflow blood may gastric venous congestion ultimately GI hemorrhage. Herein, we report case massive hematemesis due to male patient with history chronic pancreatitis pseudocyst. Our was successfully treated endoscopic...

Introduction: Acute gastric dilatation (AGD) is a massive distension of the stomach caused by accumulation gas, secretions, or food material. AGD radiological diagnosis with no clear etiopathogenesis and often misdiagnosed owing to lack diagnostic criteria physician awareness. Case Presentation: In this case series, we describe clinical presentations outcomes 4 patients AGD. Three (75%) were female, one (25%) was male. The patients’ ages ranged from 53 84 years, an average age 73.5 years....

Hybrid argon plasma coagulation (HybridAPC® [HAPC]) is an evolution of the standard (APC) technology, where application APC preceded by high-pressure needleless submucosal injection. indicated for ablation benign and dysplastic mucosal lesions, such as vascular malformations or Barrett's mucosa. HAPC offers safety efficacy advantages over because injection acts a heat sink that disperses energy. This ensures underlying muscularis propria remains unaffected, only layer coagulated in its...

Intraductal papillary mucinous neoplasms (IPMN) are mucin producing tumors which arise from epithelial cells of the main pancreatic duct, branch ducts, or both. They characterized by mucin-producing columnar cells, ductal proliferation, cyst formation, and varying degrees dysplasia. IPMNs classified as duct based upon anatomy IPMN is arising from. Additionally, they can be on their histologic subtypes, carry associations with dysplasia and/or malignancy. Many patients have incidentally...

Acute gastric volvulus is a surgical emergency that requires urgent intervention to prevent ischemia and necrosis. Gastric manifests as an abnormal rotation or torsion of the stomach may be associated with outlet obstruction. This pathology can classified either mesentero-axial organo-axial volvulus, depending on axis rotation. Similarly, it categorized primary secondary, etiology. We describe case 63-year-old female history peptic ulcer disease who presented severe epigastric pain vomiting...

BACKGROUND:Pancreatic abscesses are rare. They may be seen in patients with pancreatic inflammation or pancreatitis. Patients have abdominal pain, fever, chills, and nausea/vomiting an inability to eat. Presentation alternate symptomatology is extremely unusual. CASE REPORT:A 67-year-old Asian male presented painless, afebrile obstructive jaundice a CA 19-9 of 1732 IU. He was found 3.1×2.4 cm low-density lesion the head pancreas right lobe liver, suggesting malignancy. Surgical management...

Chronic pancreatitis and pancreatic malignancies can result in chronic pain that is difficult to treat with traditional regimens. Various management strategies have been implemented improve the quality of life for patients these conditions, but are limited by their efficacy side effects, including opiate dependence. Celiac plexus blocks (CPB) celiac neurolysis (CPN) were decrease dependency malignancy. Numerous approaches used facilitate CPB/CPN, percutaneous, surgical, endoscopic, guided as...

In our case, we present a case of an 80-year-old male who was referred to the gastroenterologist for evaluation suspicious mass. CT imaging at time had shown intrahepatic and extrahepatic biliary dilations, patient thought have pancreatic or common bile duct A mass biopsy showed no malignancy, further warranted. The found elevated IgG4 levels diagnosed with IgG4-sclerosing cholangitis (IgG4-SC). has been create wide array pathologies, including autoimmune pancreatitis, dacryoadenitis,...

Upper gastrointestinal tract predominant Crohn's Disease (CD) remains an elusive clinical entity, manifesting limited or vague symptomatology, eluding suspicion, and delaying subsequent diagnostic evaluation. As a result, it has not been widely described there is lack of clear recommendations for diagnosis management. Standard IBD evaluation including serologic testing, imaging, endoscopy may initially be fruitful. Furthermore, endoscopic grossly normal in patients without long...

Intussusceptions are generally associated with mechanical lead points or localized inflammation that function as foci for intestinal telescoping. We present the case of a patient whose abuse anabolic steroids resulted in development multiple simultaneous intussusceptions. Our had no additional identifiable risk factors intussusception. Consistent previous reports, corticosteroid induced polycythemia and its consequent hyperviscosity led to intravascular sludging mesenteric ischemia bowel...

Chronic pancreatitis is an inflammatory condition that may result in progressive parenchymal damage and fibrosis which can ultimately lead to destruction of pancreatic tissue. Fistulas the pleura, peritoneum, pericardium, peripancreatic organs form as a complications pancreatitis. This case report describes exceedingly rare complication, pancreaticoureteral fistula (PUF). Only two additional cases PUF have been reported. However, they evolved following traumatic injury ureter or duct. No...

Solid pseudopapillary neoplasms (SPN) of the pancreas are extremely rare epithelial tumors with low malignant potential. They account for only 1-2% pancreatic lesions. These masses often go unnoticed and when they become symptomatic it is due to mass effect on neighboring structures. We encountered an unusual presentation in a healthy 34-year-old female who was found have elevated dehydroepiandrosterone (DHEA) testosterone levels during evaluation irregular menses. Subsequent abdominal...

Abdominal and pelvic abscesses can occur due to a number of reasons, the most common being surgery. They are associated with significant morbidity mortality. The treatment approach for these types collections is often initiation broad-spectrum antibiotics, accompanied by drainage. Multiple diagnostic therapeutic modalities have been described, including; percutaneous, transvaginal, endoscopic, surgicaldrainage. Due complexity anatomy, minimally invasive approaches such as percutaneous...