Case Report

1. Abstract 1.1. Background: SMARCB1/INI-1-deficient pancreatic carcinoma is a rarely reported entity. So far, only 10 cases have been published in the literature, and most of the reported cases have poor prognosis and mortality rate within six months is extremely high. The clinical presentation, histopathological features, and biologically behaviors are essentially unclear.

1. Abstract This case demonstrates a rare cause of acute pancreatitis secondary to migration of a gastrostomy tube into the descending part of the duodenum to cause pancreatic duct obstruction.

1. Introduction Infectious esophagitis, including candida and HSV, often presents in the backdrop of systemic illness and an immunocompromised state, with dysphagia as a prominent symptom. Here, we describe a case of infectious esophagitis in the setting of neurosyphilis.

1. Case Report The igG4-related disease is a chronic relapsing multiorgan fibroinflammatory syndrome of autoimmune etiology [1], characterized by a distinctive histopathological pattern of IgG4 in affected tissues, imaging findings, increased serum IgG4 levels, synchronous multiorgan distress, and response to glucocorticoids.

1. Abstract 1.1. Objective: To enhance the effectiveness and confidence in treating patients with rare metabolic disorders complicated by even more complex presentation.

1. Abstract Drug-induced esophagitis or esophageal ulcers is considered when retrosternal chest pain or painful swallowing occurs after ingestion of a suspected drug. Various drugs have been reported to induce esophageal ulcers. Here we reported two female patients who presented with severe dysphagia and retrosternal chest pain, both with a history of doxycycline use.

https://doi.org/10.47829/JJGH.2024.10804 1. Abstract In this study, we present a case of acute intestinal ischemia due to embolism of the superior mesenteric artery with coexisting Meckel’s diverticulum. Both superior mesenteric artery embolism and complicated Meckel’s diverticulum are a real threat to the patient’s life. Because of similar, non-specific clinical symptoms making the correct diagnosis may be …

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1. Abstract 1.1. History summary: Male patient, 70 years old, with right upper abdominal distension for two months, was admitted to the hospital with the finding of hepatic occupancy for 10 days. Abdominal CT examination showed cirrhosis, ascites, portal hypertension formation, and hypodense mass shadow in the S3 segment of the liver.

1. Abstract The development of hepatic metastases from primary breast cancer carries a poor prognosis. By imaging studies, they typically appear as mass lesions. In this report, we describe two atypical and rare manifestations of occult hepatic metastases from breast cancer through two explanatory cases and literature review

1. Abstract The prevalence of germline mutation in patients with biliary tract cancer has not been well described. Here we report Two biliary tract cancer cases with ATM pathogenic variant and BRCA2 path- ogenic variant.