Publications | Gastroenterology Hackensack NJ

Hackensack Gastroenterology: Gastric outlet obstruction due to a large duodenal tubulovillous adenoma

A 53-year-old man presented with a 6-month history of intermittent upper abdominal pain and vomiting. He reported no weight loss. Physical examination was normal. A barium contrast upper GI x-ray series disclosed a large polypoid mass in the duodenal bulb (A). On endoscopy, the large polypoid lesion could be seen partially prolapsed through a dilated […]

Hackensack Gastroenterology: Bowel obstruction due to a large ileal lipoma

A 60-year-old man presented with a 6-month history of intermittent lower abdominal pain, bloating and constipation. Physical examination was normal and his stool tested negative for occult blood. A barium enema obtained 2 months before was reportedly normal. Colonoscopy revealed a large mass in the cecum at the ileocecal valve (A). Biopsy specimens showed only […]

Hackensack Gastroenterology: Stress ulcers of the stomach

A 64-year-old woman with a history of diabetes mellitus, rheumatoid arthritis, and bilateral total knee replacements presented with complaints of fever and bilateral knee pain. She was hypotensive and required treatment with norepinephrine in the intensive care unit. She also received intravenous doses of cefazolin and gentamicin. Over the next 24 hours, the patient’s condition […]

Hackensack Gastroenterology: Unexpected right colon mucosal bleeding on colonoscopy

The finding of hemorrhagic-appearing mucosa on colonoscopy is seen in a variety of conditions, including ischemia, inflammatory bowel disease, and infection. 1. In these cases, the presence of the endoscopic colitis is confirmed pathologically. 2. We have seen several cases in which patients with no symptoms to suggest colitis or bleeding had what appeared to […]

Hackensack Gastroenterology: Colonic adenomas detected by 18F-FDG PET

A 79-year-old man with cutaneous T-cell lymphoma underwent whole body 18F-fluorodeoxyglucose positron emission tomography (18F-FDG PET) for staging purposes. He did not have abdominal pain, alteration in bowel habit, or rectal bleeding. CT of the abdomen and pelvis was negative. The 18F-FDG PET disclosed an intense focus of abnormally increased metabolism in the pelvis, posterior to the […]

Hackensack Gastroenterology: Superior mesenteric artery syndrome with obstructing duodenal bezoar

A 46-year-old man presented with nausea, vomiting, and upper abdominal pain of 2 days’ duration. He had undergone vagotomy and pyloroplasty for peptic ulcer disease 14 years earlier. He was thin, and mild epigastric tenderness was elicited. CT disclosed a gastric bezoar, dilation of the proximal duodenum, and an obstructing bezoar in the duodenum at […]

Hackensack Gastroenterology: Hyperammonemic coma due to parenteral nutrition in a woman with heterozygous ornithine transcarbamylase deficiency

Ornithine transcarbamylase deficiency is an X-linked disorder of the urea cycle that can cause hyperammonemic encephalopathy in hemizygous males and heterozygous females. Affected females typically limit protein intake in their diet. This case report describes a 36-year-old woman with ulcerative colitis who went into hyperammonemic coma after administration of total parenteral nutrition. A similar episode […]

Hackensack Gastroenterology: Hematuria in a Patient with an Ileal Conduit and Hepatic Cirrhosis

Hematuria can be caused by a variety of conditions, including cancer, infections, and calculi. We recently treated a patient with an ileal conduit and cirrhosis, who had hematuria due to ileal varices and who eventually required treatment with a transjugular intrahepatic portosystemic shunt. A 66-year-old woman with a history of hepatitis C reported a four-month […]