Dr. Anthony Kalloo and Dr. Jonathan M. Buscaglia have taken years of experience at Johns Hopkins Hospital and created a collection of unique and interesting cases revolving around gastrointestinal and liver diseases.
Complicated Cases in GI follows patient-physician interactions and includes over 50 cases that are complex in their nature, interesting in their presentations, or a representation of a unique therapeutic challenge.
Each chapter case includes: • A detailed summary of a particular patient presentation • Associated pathology slides, radiology films, or endoscopy photographs • A brief evidence-based discussion focusing on the main learning objectives • Three to five key learning points listed to highlight the most important features
Complicated Cases in GI also includes 150 board review-like questions taken directly from the cases themselves. The questions highlight the salient aspects and are meant to reinforce the learning objectives involved in each case. They will also serve as a useful study aid for anyone preparing for an examination in general medicine, gastroenterology or hepatology.
Complicated Cases in GI is ideal for residents, fellows, practicing physicians preparing for recertification, nurses, and students looking for a quick reference text that can be read and absorbed over time—one case at a time.
Dedication
Acknowledgments
About the Editors
Contributing Authors
Preface
Introduction
Foreword
SECTION I: Esophagus
Chapter 1: Endoscopic Therapy for an Esophageal Dissection
Jonathan Buscaglia, MD
Chapter 2: A 63-Year-Old Man With Intractable Hiccups
John Clarke, MD
Chapter 3: \u201cWhen I Eat, Food Gets Stuck\u201d
John Clarke, MD
Chapter 4: A Benign Form of Progressive Dysphagia
Eun Ji Shin, MD
Chapter 5: A Rare Form of Esophageal Toxicity
Samuel Giday, MD
Chapter 6: Diffuse Squamous Cell Dysplasia of the Esophagus
Samuel Giday, MD
SECTION II: Stomach
Chapter 7: Abdominal Pain and an Ovarian Mass
Michel Kafrouni, MD
Chapter 8: Fever, Flood Water, and Gastritis
Geoffrey Nguyen, MD, PhD
Chapter 9: A 53-Year-Old Woman With a Pelvic Mass
Geoffrey Nguyen, MD, PhD
Chapter 10: AIDS and Nodular Gastric Antritis
Eun Ji Shin, MD
Chapter 11: Twisted Turn of Events
Eun Ji Shin, MD
Chapter 12: A Rare Cause of Steatorrhea, Weight Loss, and Failure to Thrive
Ghazaleh Aram, MD
Chapter 13: A 73-Year-Old Woman With a \u201cJuvenile\u201d Disease
Ghazaleh Aram, MD
Chapter 14: A Surprising Cause for Bleeding Gastric Varices
Anurag Maheshwari, MD
SECTION III: Small Intestine
Chapter 15: Postprandial Pain and Eosinophilia
John Clarke, MD
Chapter 16: A Rare Cause of Gastrointestinal Bleeding in an Adult
Jonathan Buscaglia, MD
Chapter 17: A 58-Year-Old Woman With Fistulizing Crohn\u2019s Disease
John Clarke, MD
Chapter 18: Not Your Average Case of Diverticulitis
Geoffrey Nguyen, MD, PhD
Chapter 19: Diarrhea and Weight Loss in a Healthy Young Woman
Kerry Dunbar, MD
Chapter 20: Small Bowel Arterio-Venous Malformation
Karen Krok, MD
Chapter 21: Capsule Retention in Small Bowel Diverticulosis
Samuel Giday, MD
Chapter 22: A 53-Year-Old Man With Crohn\u2019s Disease and Renal Failure
Farida Millwala, MD
SECTION IV: Colon/Rectum
Chapter 23: Difficult-to-Diagnose Cecal Mass
Jonathan Buscaglia, MD
Chapter 24: Ulcerative Colitis Presenting With a Rectal Mass
Geoffrey Nguyen, MD, PhD
Chapter 25: Crohn\u2019s Disease or Behcet\u2019s Syndrome?
Octavia Pickett-Blakely, MD
Chapter 26: A 76-Year-Old Male With Chronic Watery Diarrhea
Eun Ji Shin, MD
Chapter 27: Sessile Serrated Adenomas: A Lesion Not to be Missed
Michel Kafrouni, MD
Chapter 28: Colonic Obstruction in a Patient With Multiple Medical Problems
Karen Krok, MD
Chapter 29: Right Lower Quadrant Pain in a 39-Year-Old Woman
Karen Krok, MD
Chapter 30: Abdominal Distention Within the Intensive Care Unit
Karen Krok, MD
Chapter 31: Rectal Bleeding Following Craniotomy
Karen Krok, MD
Chapter 32: Constipation and Decreased Urinary Output in a 32-Year-Old Male
Ghazaleh Aram, MD
Chapter 33: An Unusual Cause of Ileo-Colonic Obstruction
Ghazaleh Aram, MD
Chapter 34: An Opportunistic Infection Masquerading as Crohn\u2019s Disease
Priscilla Magno, MD
SECTION V: Pancreas/Biliary
Chapter 35: An Unusual Cause of Recurrent Acute Pancreatitis
Kerry Dunbar, MD
Chapter 36: A 74-Year-Old Male With Refractory Diarrhea
John Clarke, MD
Chapter 37: Diarrhea, Abdominal Pain, and a Dilated Biliary Tree
Eun Ji Shin, MD
Chapter 38: Biliary Drainage Through the Minor Papilla?
Samuel Giday, MD
Chapter 39: Elevated Serum Alkaline Phosphatase in an Asymptomatic Patient
Samuel Giday, MD
SECTION VI: Liver
Chapter 40: Progressive Ascites in a Patient From Sierra Leone
John Clarke, MD
Chapter 41: Hyperemesis Gravidarum and Ataxia
Jonathan Buscaglia, MD
Chapter 42: Fulminant Hepatic Failure Following an Elective Colonoscopy
Eun Ji Shin, MD
Chapter 43: New Onset Jaundice in a Bodybuilder
Michel Kafrouni, MD
Chapter 44: An Uncommon Cause of Ascites
Karen Krok, MD
Chapter 45: Elevated Liver Enzymes After In Vitro Fertilization
Karen Krok, MD
Chapter 46: Elevated Alkaline Phosphatase Level and Renal Cell Carcinoma
Karen Krok, MD
Chapter 47: Fever and a Baltimore Alleyway
James Hamilton, MD
Chapter 48: Fulminant Hepatic Failure Following a Walk in the Woods
James Hamilton, MD
Chapter 49: Primary Hepatic B-Cell Lymphoma Masquerading as a Liver Abscess
Ghazaleh Aram, MD
Chapter 50: Seaside Septicemia
Anurag Maheshwari, MD
SECTION VII: GI Manifestations of Systemic Diseases
Chapter 51: Unexpected Cause for Persistent Nausea and Vomiting
Kerry Dunbar, MD
Chapter 52: New Onset Dysphagia and Electrolyte Disturbance
Michel Kafrouni, MD
Chapter 53: An Unusual Cause of Ascites and Gastrointestinal Hemorrhage
John Clarke, MD
Chapter 54: Gastrointestinal Bleeding and a Purpuric Rash
Karen Krok, MD
Chapter 55: A Strange Cause for Weight Loss
Karen Krok, MD
Chapter 56: An Inherited Form of Abdominal Pain, Fever, and Arthritis
James Hamilton, MD
Chapter 57: Abdominal Pain Following Liver Transplantation
Anurag Maheshwari, MD
Chapter 58: An Unusual Presentation of Acute Recurrent Pancreatitis
Priscilla Magno, MD
Chapter 59: An Extraordinary Right Ankle Wound
Octavia Pickett-Blakely, MD
Section VIII: Test QUESTIONS AND ANSWERS
Test Questions
Test Answers
Index
Biography
Jonathan Buscaglia, MD is a board-certified internal medicine physician and gastroenterologist specializing in therapeutic endoscopy. He completed medical school at the State University of New York at Buffalo, and then trained in internal medicine at Montefiore Medical Center, part of the Albert Einstein College of Medicine. From there, he completed both his general gastroenterology fellowship and his advanced endoscopy training at the Johns Hopkins Hospital, where he later served on the faculty as Instructor of Medicine. Currently, he is a full-time faculty member and Assistant Professor of Medicine at the State University of New York at Stony Brook. He serves as the Director of Endoscopy at Stony Brook University Medical Center, and also as Visiting Assistant Professor of Medicine at Johns Hopkins University School of Medicine. He is the former editor for the Fellows’ Corner section of Gastrointestinal Endoscopy (GIE), the premier peer-review journal for advanced endoscopy. He is currently a member of GIE’s Editorial Review Board, and associate editor for the DAVE Project (Digital Atlas of Video Education); an educational website dedicated to teaching advanced diagnostic and therapeutic endoscopy.
Anthony Kalloo, MD is Professor of Medicine at Johns Hopkins University School of Medicine and is the Director of The Division of Gastroenterology and Hepatology at Johns Hopkins. After receiving his medical degree from the University of West Indies Medical School, Dr. Kalloo interned and trained in Internal Medicine at Howard University Hospital in Washington, D.C. He completed his fellowship training program at the combined Georgetown University, VA Medical Center and NIH program. He was an Instructor in Medicine at Georgetown University prior to joining the faculty at Johns Hopkins in 1988. He has special interests in Natural Orifice Surgery, therapeutic endoscopy, biliary and pancreatic diseases, and sphincter of Oddi dysfunction. He is the pioneer of Natural Orifice Translumenal Endoscopic Surgery and is a past Panel Chair for Gastroenterology and Urology Devices with the United States Food and Drug Administration. He is a past Associate Editor for Gastrointestinal Endoscopy. He is a member of the Apollo group, a think-tank endoscopy group. Dr. Kalloo and the Division of Gastroenterology and Hepatology aim to advance the understanding, diagnosis, treatment, and prevention of gastrointestinal and liver disease through patient care, education, and research.
"The book is written in a way that it can easily be read in a “piecemeal” fashion. The cases are short and succinct. The simple organization makes it easy to read and learn from. The authors do a fine job of presenting the cases in the above mentioned format, complimented by excellent imaging, including endoscopic, radiologic, and histiologic pictures. There is a nice mix of interesting core issues in GI and unusual, unique cases. Overall, the authors and editors have done a good job in presenting an educational and interesting book. However, given the unique nature of many of the cases, the book can serve as a good refresher to the fellowship-trained gastroenterologist."
— Jeffrey A. Smith, MD, Texas Digestive Disease Consultants, Practical Gastroenterology
