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Case Reports
Benign GI diease,Rare disease & stoma,Complication
Intestinal Perforation as a Paradoxical Reaction to Antitubercular Therapy: A Case Report
Sung Hoon Kang, Hee Seok Moon, Jae Ho Park, Ju Seok Kim, Sun Hyung Kang, Eaum Seok Lee, Seok Hyun Kim, Byung Seok Lee, Jae Kyu Sung, Hyun Yong Jeong, Kyung Ha Lee
Ann Coloproctol. 2021;37(Suppl 1):S18-S23.   Published online May 15, 2020
DOI: https://doi.org/10.3393/ac.2020.03.16.1
  • 3,761 View
  • 113 Download
  • 2 Web of Science
  • 4 Citations
AbstractAbstract PDF
Paradoxical reactions to tuberculosis (TB) treatment are characterized by an initial improvement of the clinical symptoms followed by clinical or radiological deterioration of existing tuberculous lesions, or by development of new lesions. Intestinal perforation in gastrointestinal TB can occur as a paradoxical reaction to antitubercular therapy. A 55-year-old man visited the outpatient department with lower abdominal pain and weight loss. He was diagnosed with intestinal TB and started antitubercular therapy. After 3 months of antitubercular therapy, a colonoscopy revealed improvement of the disease. Three days after the colonoscopy, the patient visited the emergency room complaining of abdominal pain. Abdominal computed tomography revealed extraluminal air-filled spaces in the pelvic cavity. We diagnosed a small bowel perforation and performed an emergency laparotomy and a right hemicolectomy with small bowel resection. This report describes the case of intestinal perforation presenting as a paradoxical reaction to antitubercular and provides a brief literature review.

Citations

Citations to this article as recorded by  
  • Réaction paradoxale tuberculeuse
    L.-D. Azoulay, A.-L. Houist, E. Feredj, W. Vindrios, S. Gallien
    La Revue de Médecine Interne.2024; 45(5): 279.     CrossRef
  • Left hand abscess as a paradoxical reaction during treatment of disseminated tuberculosis in immunocompetent patient: case report and review of literature
    Aisha Alharbi, Aseel Aljahdali, Mohamed Firoze Ahamed, Hassan Almarhabi
    BMC Infectious Diseases.2024;[Epub]     CrossRef
  • Paradoxical Reaction to Antitubercular Treatment Causing Colonic Obstruction
    Akira Hokama, Yuiko Oishi, Erika Koga, Sayuri Takehara, Jiro Fujita
    Chonnam Medical Journal.2022; 58(1): 52.     CrossRef
  • Multiple drugs

    Reactions Weekly.2021; 1881(1): 189.     CrossRef
Pulmonary Sarcoidosis That Developed During the Treatment of a Patient With Crohn Disease by Using Infliximab
Tae Kyun Kim, Sun Hyung Kang, Hee Seok Moon, Jae Kyu Sung, Hyun Yong Jeong, Hyuk Soo Eun
Ann Coloproctol. 2017;33(2):74-77.   Published online April 28, 2017
DOI: https://doi.org/10.3393/ac.2017.33.2.74
  • 4,076 View
  • 54 Download
  • 4 Web of Science
  • 7 Citations
AbstractAbstract PDF

For inflammatory bowel disease (IBD), antitumor necrosis factor treatment offers a new direction for both patients and medical doctors. This treatment has dramatically improved the quality of life for patients with ulcerative colitis and Crohn disease (CD). However, with increasing usage and longer follow-up periods, a wider range of possible adverse effects may be encountered. We report an unusual case of pulmonary sarcoidosis developed during the treatment of a patient with CD by using infliximab. A 30-year-old male who had been treated for CD with infliximab for 18 months was admitted due to abnormal opacities on chest radiography. Chest computed tomography displayed clustered small nodules in both lobes and enlarged multiple lymph nodes. The patient was diagnosed with sarcoidosis from the results of a biopsy of the subcarinal lymph node. Lung lesions were improved five months after infliximab was stopped.

Citations

Citations to this article as recorded by  
  • Persistent Constitutional Symptoms and Cholestasis During Anti-TNF Therapy as a Harbinger of a Surprising Condition
    Julio Maria Fonseca Chebli, Rogerio Khalil Akkari Evangelista, Liliana Andrade Chebli
    Gastroenterology.2024; 166(2): e1.     CrossRef
  • Sarcoidosis: federal clinical guidelines for diagnosis and treatment
    A. G. Chuchalin, S. N. Avdeev, Z. R. Aisanov, O. P. Baranova, S. E. Borisov, N. A. Geppe, A. A. Vizel’, I. Yu. Vizel’, A. A. Zaicev, N. Y. Kravchenko, M. M. Ilkovich, O. V. Lovacheva, A. B. Malakhov, A. G. Malyavin, D. V. Petrov, V. V. Romanov, I. V. Sivo
    PULMONOLOGIYA.2022; 32(6): 806.     CrossRef
  • Development of pulmonary sarcoidosis in Crohn’s disease patient under infliximab biosimilar treatment after long-term original infliximab treatment: a case report and literature review
    Shin Kashima, Kentaro Moriichi, Katsuyoshi Ando, Nobuhiro Ueno, Hiroki Tanabe, Sayaka Yuzawa, Mikihiro Fujiya
    BMC Gastroenterology.2021;[Epub]     CrossRef
  • An update on the diagnosis and management of ocular sarcoidosis
    De-Kuang Hwang, Shwu-Jiuan Sheu
    Current Opinion in Ophthalmology.2020; 31(6): 521.     CrossRef
  • Assessment of the effect of alpha-tocopherol on the course of newly diagnosed pulmonary sarcoidosis: a comparative study
    A. A. Vizel, D. A. Culver, I. Yu. Vizel, G. R. Shakirova, E. A. Bakunina
    Tuberculosis and Lung Diseases.2020; 98(10): 33.     CrossRef
  • Radiological Patterns of Lung Involvement in Inflammatory Bowel Disease
    Diletta Cozzi, Chiara Moroni, Gloria Addeo, Ginevra Danti, Monica Marina Lanzetta, Edoardo Cavigli, Massimo Falchini, Fabio Marra, Claudia Lucia Piccolo, Luca Brunese, Vittorio Miele
    Gastroenterology Research and Practice.2018; 2018: 1.     CrossRef
  • Infliximab

    Reactions Weekly.2017; 1657(1): 238.     CrossRef
Inflammatory Fibroid Polyp in the Jejunum Causing Small Bowel Intussusception
Sung Hoon Kang, Seok Won Kim, Hee Seok Moon, Jae Kyu Sung, Hyun Yong Jeong, Jin Su Kim, Gyu Sang Song
Ann Coloproctol. 2015;31(3):106-109.   Published online June 30, 2015
DOI: https://doi.org/10.3393/ac.2015.31.3.106
  • 4,404 View
  • 50 Download
  • 7 Web of Science
  • 11 Citations
AbstractAbstract PDF

Intussusceptions are defined as the telescoping of one segment of the gastrointestinal tract into an adjacent distal segment. In the small bowel, intussusceptions are typically caused by benign processes, but can occasionally be caused by inflammatory fibroid polyps, which often present as intussusception and bowel obstruction. These polyps are rare, benign, tumorous lesions in the gastrointestinal tract and are typically observed in the stomach, but can occur anywhere in the gastrointestinal tract. Any case of a jejunojejunal intussusception caused by inflammatory fibroid polyps is considered rare, and we report the case of a 51-year-old woman with an inflammatory fibroid polyp of the jejunum presenting as an intussusception who was successfully treated with a resection.

Citations

Citations to this article as recorded by  
  • PÓLIPO FIBROSO INFLAMATÓRIO EM TRATO GASTROINTESTINAL, UM DIAGNÓSTICO DIFERENCIAL DE INTUSSUSCEPÇÃO INTESTINAL EM ADULTO: RELATO DE CASO E REVISÃO
    Raul Valério Ponte, Priscila Ferreira de Lima e Souza, Raíra Marques Oliveira, Bruna Viana Teles Rebouças, Sarah Mombach de Arruda, Isabella Siqueira Oliveira, Kalyne Saraiva Fontenele de Araújo, Maria Eduarda Lima Lobão Maia
    Revista Contemporânea.2024; 4(9): e5834.     CrossRef
  • Jejunal Intussusception Secondary to a Large Inflammatory Fibroid Polyp: A Case Report and Discussion of Differential Diagnosis
    Asma Khalid Abu-Salah, Eric Brocken, Hector Mesa, Katrina Collins, Mirella Marino
    Case Reports in Pathology.2023; 2023: 1.     CrossRef
  • Inflammatory fibroid polyp (Vanek's tumor) causing double compound ileo-ileal intussusception in an adult patient, a case report
    Ahmed Gadoura, Farah Mohammed, Mohamed Abdulkarim, Ammar Ibn Yasir, Dafalla Shani, Nadir Salih
    International Journal of Surgery Case Reports.2022; 93: 106947.     CrossRef
  • Adult intussusception due to ileal polyp - A case report
    Tahmina Hakim
    International Journal of Surgery Case Reports.2022; 99: 107554.     CrossRef
  • Ileal Intussusception in an Adult Caused by a Locally Invasive Inflammatory Fibroid Polyp: A Case Report
    Luiz M. Nova, Paul Lopez, Clara Cerezo, Concepción Llanos, Irene Amat
    Revista Española de Patología.2021; 54(1): 65.     CrossRef
  • Adult Jejuno-jejunal intussusception due to inflammatory fibroid polyp
    Yi-Kai Kao, Jian-Han Chen
    Medicine.2020; 99(36): e22080.     CrossRef
  • Adult Jejuno-Jejunal Intussusceptions due to Gastrointestinal Stromal Tumor
    Jayabal Pandiaraja
    Indian Journal of Medical and Paediatric Oncology.2020; 41(04): 602.     CrossRef
  • Laparoscopic Resection of a Jejunal Inflammatory Fibroid Polyp that Caused Occult Gastrointestinal Bleeding, Diagnosed via Capsule Endoscopy and Double-Balloon Enteroscopy: A Case Report
    Chizu Kameda, Hideaki Miwa, Ryohei Kawabata, Daiki Marukawa, Masahiro Murakami, Shingo Noura, Junzo Shimizu, Junichi Hasegawa
    Clinical Endoscopy.2018; 51(4): 384.     CrossRef
  • Inflammatory fibroid polyps of the appendix: different presentation and literature review
    Ibrahim Albabtain, Hassan Arishi, Slava Albaghli, Jumanah Aljahani
    Journal of Surgical Case Reports.2018;[Epub]     CrossRef
  • Pólipo fibroideo inflamatorio del tracto gastrointestinal: 10 años de experiencia del Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán
    A.F. Romano-Munive, R. Barreto-Zuñiga, J.A. Rumoroso-García, P. Ramos-Martínez
    Revista de Gastroenterología de México.2016; 81(3): 134.     CrossRef
  • Inflammatory fibroid polyp of the gastrointestinal tract: 10 years of experience at the Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán
    A.F. Romano-Munive, R. Barreto-Zuñiga, J.A. Rumoroso-García, P. Ramos-Martínez
    Revista de Gastroenterología de México (English Edition).2016; 81(3): 134.     CrossRef
Original Article
Only the Size of Resected Polyps Is an Independent Risk Factor for Delayed Postpolypectomy Hemorrhage: A 10-Year Single-Center Case-Control Study
Hee Seok Moon, Sun Wook Park, Dong Hwan Kim, Sun Hyung Kang, Jae Kyu Sung, Hyun Yong Jeong
Ann Coloproctol. 2014;30(4):182-185.   Published online August 26, 2014
DOI: https://doi.org/10.3393/ac.2014.30.4.182
  • 4,186 View
  • 54 Download
  • 23 Web of Science
  • 22 Citations
AbstractAbstract PDF
Purpose

A colonoscopic polypectomy is an important procedure for preventing colorectal cancer, but it is not free from complications. Delayed hemorrhage after a colonoscopic polypectomy is one infrequent, but serious, complication. The aim of this study was to identify the risk factors for delayed hemorrhage after a colonoscopic polypectomy.

Methods

This was a retrospective case-control study based on medical records from a single gastroenterology center. The records of 7,217 patients who underwent a colonoscopic polypectomy between March 2002 and March 2012 were reviewed, and 92 patients and 276 controls were selected. Data collected included comorbidity, use of antiplatelet agents, size and number of resected polyps, histology and gross morphology of resected polyps, resection method, and use of prophylactic hemostasis.

Results

The average time between the procedure and bleeding was 2.71 ± 1.55 days. Univariate and multivariate analyses revealed that the size of the polyps was the only and most important predictor of delayed hemorrhage after a colonoscopic polypectomy (odds ratio, 2.06; 95% confidence interval, 1.12-1.27; P = 0.03).

Conclusion

The size of resected polyps was the only independent risk factor for delayed bleeding after a colonoscopic polypectomy. The size of a polyp, as revealed by the colonoscopic procedure, may aid in making decisions, such as the decision to conduct a prophylactic hemostatic procedure.

Citations

Citations to this article as recorded by  
  • Risk factors for delayed colorectal postpolypectomy bleeding: a meta-analysis
    Xuzhen Zhang, Xiaoxing Jiang, Liang Shi
    BMC Gastroenterology.2024;[Epub]     CrossRef
  • Risk factors of delayed post-polypectomy bleeding after treatment of gastrointestinal polyps with snare-assisted endoscopic sub-mucosal dissection
    Xiuyan Lu, Ji Ma
    Journal of Minimal Access Surgery.2023; 19(2): 272.     CrossRef
  • Endoscopic management of delayed bleeding after polypectomy of small colorectal polyps: two or more clips may be safe
    Xue-Feng Guo, Xiang-An Yu, Jian-Cong Hu, De-Zheng Lin, Jia-Xin Deng, Ming-Li Su, Juan Li, Wei Liu, Jia-Wei Zhang, Qing-Hua Zhong
    Gastroenterology Report.2022;[Epub]     CrossRef
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    Hiroto Furuhashi, Akira Dobashi, Naoto Tamai, Nana Shimamoto, Masakuni Kobayashi, Shingo Ono, Yuko Hara, Hiroaki Matsui, Shunsuke Kamba, Hideka Horiuchi, Akio Koizumi, Tomohiko R. Ohya, Masayuki Kato, Keiichi Ikeda, Hiroshi Arakawa, Kazuki Sumiyama
    Surgical Endoscopy.2021; 35(12): 6882.     CrossRef
  • Prophylactic clip application for large pedunculated polyps before snare polypectomy may decrease immediate postpolypectomy bleeding
    Jae Seung Soh, Myeongsook Seo, Kyung-Jo Kim
    BMC Gastroenterology.2020;[Epub]     CrossRef
  • Clinical Practice Guideline for the Management of Antithrombotic Agents in Patients Undergoing Gastrointestinal Endoscopy
    Hyun Lim, Eun Jeong Gong, Byung-Hoon Min, Seung Joo Kang, Cheol Min Shin, Jeong-Sik Byeon, Miyoung Choi, Chan Guk Park, Joo Young Cho, Soo Teik Lee, Ho Gak Kim, Hoon Jai Chun
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    Hyun Lim, Eun Jeong Gong, Byung-Hoon Min, Seung Joo Kang, Cheol Min Shin, Jeong-Sik Byeon, Miyoung Choi, Chan Guk Park, Joo Young Cho, Soo Teik Lee, Ho Gak Kim, Hoon Jai Chun
    The Korean Journal of Gastroenterology.2020; 76(6): 282.     CrossRef
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    Changqin Liu, Ruijin Wu, Xiaomin Sun, Chunhua Tao, Zhanju Liu
    JGH Open.2019; 3(1): 61.     CrossRef
  • Adverse events related to colonoscopy: Global trends and future challenges
    Su Young Kim, Hyun-Soo Kim, Hong Jun Park
    World Journal of Gastroenterology.2019; 25(2): 190.     CrossRef
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    Ji Woo Kim, Su Young Kim, Jung Hye Choi, Hyun-Soo Kim, Jung Kuk Lee, Yun Tae Kim, Geunu Park, Dae Ryong Kang
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    Flavia Pigò, Helga Bertani, Giuseppe Grande, Federica Abate, Sara Vavassori, Rita Luisa Conigliaro
    Digestive and Liver Disease.2018; 50(1): 20.     CrossRef
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    Fernando A. Angarita, Adina E. Feinberg, Stanley M. Feinberg, Robert H. Riddell, J. Andrea McCart
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    Daniel von Renteln, Heiko Pohl
    Clinical and Translational Gastroenterology.2017; 8(3): e76.     CrossRef
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    Ankie Reumkens, Eveline J A Rondagh, Minke C Bakker, Bjorn Winkens, Ad A M Masclee, Silvia Sanduleanu
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  • Systematic review with meta-analysis: the risk of gastrointestinal haemorrhage post-polypectomy in patients receiving anti-platelet, anti-coagulant and/or thienopyridine medications
    D. Shalman, L. B. Gerson
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    Duck-Woo Kim
    Annals of Coloproctology.2014; 30(4): 157.     CrossRef
Case Report
Recurrent Renal Leiomyosarcoma Mimicking a Colonic Submucosal Tumor: A Case Report
Yun Jeung Kim, Hee Seok Moon, Eaum Seok Lee, Jae Kyu Sung, Hyun Yong Jeong, Ji Yeon Kim, Dae Young Kang
J Korean Soc Coloproctol. 2011;27(5):270-274.   Published online October 31, 2011
DOI: https://doi.org/10.3393/jksc.2011.27.5.270
  • 3,234 View
  • 33 Download
  • 1 Citations
AbstractAbstract PDF

A primary leiomyosarcoma of the kidney is a rare, but highly aggressive, neoplasm, accounting for only 0.1% of all invasive renal tumors. Local or systemic recurrence is common, but a leiomyosarcoma is difficult to diagnose preoperatively. We recently encountered an interesting case of an unusual recurrence of a renal leiomyosarcoma. A 57-year-old woman visited our hospital complaining of lower abdominal pain. Four years previously, she had undergone a left nephrectomy. She had a primary leiomyosarcoma of the kidney that had been misdiagnosed as a renal cell carcinoma. Colonoscopy revealed the presence of a lesion similar to a submucosal tumor in the descending colon. Postoperative pathologic examination confirmed that the mass was a recurrent leiomyosarcoma. We report this unusual case and present a review of the literature.

Citations

Citations to this article as recorded by  
  • A Rare Case of Colonic Leiomyosarcoma in Association with Ulcerative Colitis
    Daisuke Akutsu, Yuji Mizokami, Hideo Suzuki, Masahiko Terasaki, Toshiaki Narasaka, Tsuyoshi Kaneko, Hirofumi Matsui, Tsuyoshi Enomoto, Taiki Sato, Ichinosuke Hyodo
    Internal Medicine.2016; 55(19): 2799.     CrossRef
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