Digestive System Diseases Commons^™

Insidious Abdominal Pain Masked By Kratom Abuse; A Case Of Lynch Syndrome, Grant Read, Khloe Gu, Jessica Klingensmith, Ameet Patel

West Florida Division GME Research Day 2026

No abstract provided.

Potassium Competitive Acid Blockade After Gastric Esd: Does Vonoprazan Outperform Ppis: A Systematic Review And Meta-Analysis, Shavya R. Ginnaram, Pradeep Yarra, Gnanashree Dharmarpandi, Rajat Garg, Sreekanth Chandrupatla

West Florida Division GME Research Day 2026

No abstract provided.

Pyoderma Gangrenosum As An Initial Presentation Of Rheumatoid Arthritis & Inflammatory Bowel Disease, Julian Reoyo, Jennifer Cucalon, Milton Alexis Torres, Toni Feghali, Francia Guerrero, Joseph Pino, Shahid Sulaiman

West Florida Division GME Research Day 2026

No abstract provided.

Case Report: Primary Recurrent Gallstones Following Cholecystectomy, Gabriel Noguera, Nimal Patel

West Florida Division GME Research Day 2026

No abstract provided.

From Peg To Perfusion: A Case Of Malnutrition Reversed By Mesenteric Revascularization, Sacha Saba, Mahi Basra, Alvin Newman Caro, Vikas Sethi, Marc Kudelko

West Florida Division GME Research Day 2026

No abstract provided.

Rare Endometrial Entity: Gastrointestinal-Type Mucinous Adenocarcinoma, Nicholas D'Souza, Vitaly Borodin

West Florida Division GME Research Day 2026

No abstract provided.

Resurgence Of Liver Cirrhosis And Variceal Hemorrhage Mortality In Us Adults: Trends And Disparities In A 20-Year Analysis, Chandur Bhan, Nimarta Bheesham, Shravya Ginnaram, Gananshree Dharmarpandi, Melvin Joy, Chenyu Sun, Sreekanth Chandrupatla

West Florida Division GME Research Day 2026

No abstract provided.

An Unusual Source Of A Lethal Pathogen: Paeniclostridium Sordellii Bacteremia In Acute Cholecystitis, Myrna Garcia, Leena Algarin, Olutoyin Abitoye, Rachel Gnanaprakasam

North Texas GME Research Forum 2026

Paeniclostridium sordellii is a spore-forming, gram-positive, anaerobic bacilli known for its highly virulent toxin production, often leading to fulminant sepsis and shock. It is most commonly associated with gynecologic infections and necrotizing soft tissue infections associated with intravenous drug use. However, reports of P. sordellii bacteremia in the setting of gall bladder infections are quite rare. This case report highlights an unusual presentation of P. sordellii infection with bloodstream infection originating from acute cholecystitis, demonstrating a non-fulminant clinical course and successful treatment with ceftriaxone.

Ashwagandha-Associated Liver Injury: A Systematic Literature Review, David Teplitsky, Jacob Sebaugh, Danielle Ford, Rashid Syed

North Texas GME Research Forum 2026

Background: Ashwagandha (Withania somnifera), an herb with origins in Ayurvedic medicine, has recently grown in global popularity due to its reported stress- and anxiety-relieving properties. While generally regarded as safe, emerging cases in medical literature have raised concern for its ability to cause drug- or herb-induced liver injury (DILI/HILI). As use of this supplement rises, it is particularly important to characterize ashwagandha’s potential hepatotoxicity.

Methods: Cases of ashwagandha-induced liver injury were collected by accessing PubMed, Europe PMC, Google Scholar, and the HCA Healthcare Library and searching combinations of the terms “liver” or “hepatic” and one of the following names for …

Salvage Percutaneous Spyglass-Assisted Lithotripsy Via A Cholecystostomy Tract After Failed Ercp: A Case Report, Nicholas Gerden, Tiffany Hong, Asad Rehman, Long Hoang

North Texas GME Research Forum 2026

IR-driven percutaneous cholangioscopy with SpyGlass-assisted lithotripsy is an emerging salvage technique for biliary stone disease in patients with failed or contraindicated endoscopic retrograde cholangiopancreatography (ERCP) due to complex anatomy. We report an 85-year-old patient with an indwelling cholecystostomy tube and biliary stent who presented with recurrent obstructive jaundice, with cholangiography demonstrating occlusion of the common bile duct stent due to choledocholithiasis. Conventional ERCP was unsuccessful because of complex biliary and gastrointestinal anatomy. A multidisciplinary interventional radiology–gastroenterology approach was therefore pursued, utilizing antegrade percutaneous choledochoscopy through an existing cholecystostomy tract with SpyGlass-assisted lithotripsy, followed by cholecystostomy tube exchange. The procedure resulted …

Robotic Cholecystectomy With Choledochoscopy After Failed Ercp: A Case Report, James Zhang, Ethan Pavlovsky, Jennifer Austin, Furrukh Jabbar, Hassan Ahmed

North Texas GME Research Forum 2026

Background: In the United States, there are an estimated 20 million cases of cholelithiasis, though a majority remain asymptomatic. Development of choledocholithiasis is seen in 10%-20% of those with cholelithiasis. Typically, choledocholithiasis is managed via a two-stage approach starting with endoscopic retrograde cholangiopancreatography (ERCP) followed by laparoscopic cholecystectomy on the same admission. More recent trends have seen a shift towards surgeon-directed management of the common bile duct through one-stage procedures that combine cholecystectomy with intraoperative common bile duct (CBD) exploration using choledochoscopy. We present a case of chronic choledocholithiasis with large, impacted gallstones that was managed with robotic cholecystectomy, choledochotomy, …

Extra-Intestinal Clostridioides Difficile Abscess In A Small Bowel Gist: A Rare Tumor-Associated Complication, Nicholas Gerden, Pradip Gautam, Asad Rehman, Long Hoang

North Texas GME Research Forum 2026

Extra-intestinal infections caused by Clostridioides difficile are exceedingly rare and typically occur in settings that disrupt the gastrointestinal barrier, including recent gastrointestinal surgery, bowel perforation or microperforation, and severe colonic disease.

We present the case of a 75-year-old man with abdominal pain and hemoperitoneum in the setting of a suspected small bowel leak secondary to an intestinal mass. Computed tomography angiography revealed an 11.0 × 9.6 cm pelvic fluid collection, prompting exploratory laparotomy with drainage of a pelvic abscess and evacuation of hemoperitoneum. Intraoperatively, a small bowel perforation caused by a 4.4 cm gastrointestinal stromal tumor (GIST) was identified. Operative …

Operative Localization Of Occult Gastrointestinal Bleeding Using Intraoperative Small Bowel Endoscopy, Shuda Xia, Furrukh Jabbar, Muhammad T. Siddique

North Texas GME Research Forum 2026

No abstract provided.

Benign Hepatic Pneumatosis (Portal Venous Gas): A Case Series And Literature Review, David Ortiz, Joseph Daoudu, Mike Liang, Samin Arianpour, Nabeeha Naeem

Gulf Coast Division GME Research Day 2026

No abstract provided.

Diagnostic Complexities In Patients Presenting With Peritoneal Tuberculosis: A Case Report, Christina Mie Minami, Bailey Weidner, Tyler Mcvay

Continental and Mountain Divisions GME Resarch Day 2026

No abstract provided.

Sudden Onset Idiopathic Necrotizing Pancreatitis Unmasking Undiagnosed Advanced Cirrhosis, Maikel Tawadrous, Mohammad Mahfouz, Aradhana Pandey, Namin Farid

MidAmerica Division GME Healthcare Symposium 2026

No abstract provided.

Histotripsy In Liver Tumors: A Non-Thermal, Cavitation Platform Redefining Precision Ablation And Immuno-Oncology Synergy, Subuhee Ahmed, Shahzaib Maqbool, Pradeep Rajbhandari, Mohamad Mahfouz, Maikel Tawadrous

MidAmerica Division GME Healthcare Symposium 2026

No abstract provided.

Multifocal Gastrointestinal Diffuse Large B-Cell Lymphoma Initially Resembling Crohn’S Disease, Mary Moussa, Durga A. Kumar, Vikas Sethi, Alvin Boyd Newman-Caro, Christopher Halleman, Michael Schulman

West Florida Division GME Research Day 2026

No abstract provided.

Rapid Diagnosis Of Hemorrhagic Shock Due To Upper Gi Bleeding With Point-Of-Care Ultrasound In The Emergency Department, Tamari Ronen, Derrick Huang

Gulf Coast Division GME Research Day 2026

No abstract provided.

Gastrointestinal Ebv In Immunosuppressed Hosts: A Case Of Ptld After Kidney Transplant, Mary Moussa, Baylen Shoemaker, Vikas Sethi, Alvin Boyd Newman-Caro, Rakhee Shah, Patricia Chun, Michael Schulman

West Florida Division GME Research Day 2026

No abstract provided.