Duodenal ulcers and acute pancreatitis are two of the most commonly encountered gastrointestinal diseases among the general population. However, duodenal ulcer-induced pancreatitis is very rarely reported worldwide. This report elaborates on a distinct medical treatment that contributes to partial or complete treatment of acute pancreatitis induced by a duodenal ulcer scar.

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• Emphysematous pancreatitis associated with penetrating duodenal ulcer
  Claudio Tana, Mauro Silingardi, Maria Adele Giamberardino, Francesco Cipollone, Tiziana Meschi, Cosima Schiavone
  World Journal of Gastroenterology.2017; 23(48): 8666.     CrossRef

Midazolam is a type of anesthetic agent frequently used for conscious sedation during a variety of medical procedures. Anaphylactic reactions to midazolam are rarely reported. However, we observed a case of midazolam hypersensitivity in which emergency measures were required to ensure patient recovery after administration of midazolam as a sedative. The occurrence of the anaphylactic reaction to midazolam was confirmed by elevated serum tryptase levels. The current case report presents a discussion of our findings.

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• Anaphylaxis to Benzodiazepines: A Rare Phenomenon and Review of Literature
  Prateek S. Harne, Maneesh Bisen, Parth Sampat, Sahir Quraeshi, Samiran Mukherjee, Zachary Shepherd
  American Journal of Therapeutics.2023; 30(2): 155.     CrossRef
• Allergic and other adverse reactions to drugs used in anesthesia and surgery
  Brian A. Baldo
  Anesthesiology and Perioperative Science.2023;[Epub]     CrossRef
• Delayed Anaphylactic Reaction to Midazolam in the Absence of Immediate Respiratory or Skin Manifestations
  Andrew Winegarner, Mark C. Kendall, Mekhala Stephen, Afreen Siddiqui, Anjan Trikha
  Case Reports in Anesthesiology.2023; 2023: 1.     CrossRef
• An Unusual Case of Delayed Midazolam Anaphylaxis and a Review of the Current Literature
  Nicholas C. Cochran-Caggiano, Deborah Mann, Peter J. Aiello
  The Journal of Pediatric Pharmacology and Therapeutics.2023; 28(7): 658.     CrossRef
• Serious bronchospasm induced by cisatracurium besylate
  Ning Wang, Yaozhong Zhang, Yu Hu, Qiyao Yang, Zhenbo Su
  Medicine.2021; 100(15): e25516.     CrossRef
• A Suspected Anaphylactoid Reaction to Propofol in a Dog
  Tommaso Del Prete, Stefania Scarabelli
  Topics in Companion Animal Medicine.2021; 44: 100536.     CrossRef
• Case Report: Perioperative Kounis Syndrome in an Adolescent With Congenital Glaucoma
  Guglielmo Capponi, Mattia Giovannini, Ioanna Koniari, Francesca Mori, Chiara Rubino, Gaia Spaziani, Giovanni Battista Calabri, Silvia Favilli, Elio Novembre, Giuseppe Indolfi, Luciano De Simone, Sandra Trapani
  Frontiers in Cardiovascular Medicine.2021;[Epub]     CrossRef
• Out-of-Hospital Emergencies in Children Under Palliative Home Care
  Holger Hauch, Naual El Mohaui, Johannes E. A. Wolff, Vera Vaillant, Sabine Brill, Emmanuel Schneck, Natascha Ströter, Ulf Sibelius, Peter Kriwy, Daniel Berthold
  Frontiers in Pediatrics.2021;[Epub]     CrossRef
• Intérêt d’une consultation d’allergologie au décours d’une réaction d’hypersensibilité immédiate aux anesthésiques généraux
  N. Bahloul, L. Ben Mahmoud, H. Ghozzi, F. Derbel, G. Rahma, A. Hakim, Z. Sahnoun, S. Kammoun, K. Zeghal
  Revue Française d'Allergologie.2020; 60(1): 15.     CrossRef
• Recognition and management of dermatologic complications from interventional radiology procedures
  M. Ramirez, S. Ravichandran, L. Ronald, W.M. Pabon-Ramos, T.P. Smith, C.Y. Kim, J. Ronald
  Diagnostic and Interventional Imaging.2019; 100(11): 659.     CrossRef
• Benzodiazepine Allergy With Anesthesia Administration: A Review of Current Literature
  Elliot Haybarger, Andrew S. Young, Joseph A. Giovannitti
  Anesthesia Progress.2016; 63(3): 160.     CrossRef
• Anaphylactic shock caused by intramuscular injection of midazolam during the perioperative period: a case report
  Kyu Nam Kim, Dong Won Kim, Yeong Hun Sin, Soo Kyung Lee
  Korean Journal of Anesthesiology.2016; 69(5): 510.     CrossRef

Duodenal varix bleeding is an uncommon cause of gastrointestinal bleeding in patients with portal hypertension but can cause severe and potentially fatal bleeding. However, the incidence is low and a good treatment method has not been well established yet. Duodenal variceal bleeding can be treated surgically or nonsurgically. We have successfully treated a patient with duodenal variceal bleeding secondary to liver cirrhosis using hemoclips to control the bleeding.

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• New sights in ectopic varices in portal hypertension
  K He, K Pang, X Yan, Q Wang, D Wu
  QJM: An International Journal of Medicine.2024; 117(6): 397.     CrossRef
• When to avoid glue injection of varices - A case of radiology guided embolization of bleeding ectopic duodenal varices
  Gemaine Kar Mun Chan, Yi Yuan Tan, Tze Tong Tey, Rajneesh Kumar, Farah Gillan Irani
  Proceedings of Singapore Healthcare.2024;[Epub]     CrossRef
• Endoscopic Band Ligation of Bleeding Duodenal Varices
  Monica Dzwonkowski, Umair Iqbal, Seth W Kaufer, Yakub I Khan, Kishore Kumar
  Cureus.2022;[Epub]     CrossRef
• Evaluation and Treatment of GI Bleeding in a 51-Year-Old Man
  Justin Robbins, Ihab El Hassan, Christa Siebenburgen
  Gastroenterology.2022; 163(6): 1498.     CrossRef
• Massive duodenal variceal hemorrhage in a patient with prior Roux-en-Y gastric bypass
  Kiran Sinjali, Chris Bent
  Radiology Case Reports.2021; 16(11): 3304.     CrossRef
• Transjugular intrahepatic portosystemic shunt and transcatheter embolization treatment of duodenal variceal bleeding
  Jeffrey H. Howe, Peter R. Bream Jr, Clayton W. Commander, Kyung Rae Kim
  International Journal of Gastrointestinal Intervention.2020; 9(3): 125.     CrossRef
• Percutaneous Trans-splenic Obliteration for Duodenal Variceal bleeding: A Case Report
  Hyun Woo Kim, Jun Sik Yoon, Seung Jung Yu, Tae Heon Kim, Jae Heon Seol, Dan Kim, Jun Young Jung, Pyeong Hwa Jeong, Hoon Kwon, Hong Sub Lee, Sang Heon Lee, Jung Sik Choi, Sung Jae Park, Sam Ryong Jee, Youn Jae Lee, Sang Yong Seol
  The Korean Journal of Gastroenterology.2020; 76(6): 331.     CrossRef
• Massive Hemorrhage from Ectopic Duodenal Varices: Importance of a Multidisciplinary Approach
  Tyler House, Patrick Webb, Chad Baarson
  Case Reports in Gastroenterology.2017; 11(1): 36.     CrossRef
• A massive bleeding from a duodenal mass: what treatment option should be chosen?
  Duk Hwan Kim
  Intestinal Research.2017; 15(4): 548.     CrossRef
• Duodenal variceal bleed: an unusual cause of upper gastrointestinal bleed and a difficult diagnosis to make
  Shradha Bhagani, Conchubhair Winters, Sulleman Moreea
  BMJ Case Reports.2017; : bcr2016218669.     CrossRef
• Long-term Successful Treatment of Massive Distal Duodenal Variceal Bleeding with Balloon-occluded Retrograde Transvenous Obliteration
  Soon Woo Hwang, Joo Hyun Sohn, Tae Yeob Kim, Ji Yeoun Kim, Jiyoung Yhi, Dong Shin Kwak, Hae Su Kim, Soon-Young Song
  The Korean Journal of Gastroenterology.2014; 63(4): 248.     CrossRef

As a rare complication of percutaneous endoscopic gastroscopy (PEG), a gastrocolocutaneous fistula may occur after PEG placement. This paper reports an interesting case which PEG tube unintentionally penetrated transverse colon during PEG. A 72-year-old female patient who suffered from medullary infarction underwent PEG procedure for enteral nutrition, and fecal materials were observed 6 days after the procedure. Transverse colon located in antero-superior site of stomach was observed through abdominal computed tomography, and also the wrong inserted tube was found through gastroscopy and colonoscopy. Endoscopic treatment for the fistula was performed by the use of hemo-clip and detachable snare, closure of the fistula was finally confirmed 6 days after the endoscopic procedure. Therefore, the gastrocolocutaneous fistula should be considered as one of the complications of PEG when fecal material is observed through PEG tube in a few days after PEG procedure and endoscopic treatment can be feasible in this case.

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• Malposition of Percutaneous Endoscopic Gastrostomy (PEG) Tube Through the Transverse Colon: A Novel Approach to Conservative Management
  Zachary A Blashinsky, Joel A Calafell
  Cureus.2024;[Epub]     CrossRef
• A Rare Case of Severe Diarrhea: Gastrocolic Fistula Caused by Migration of Percutaneous Endoscopic Gastrostomy Tube
  Maria Elena Pugliese, Riccardo Battaglia, Antonio Cerasa, Lucia Francesca Lucca
  Healthcare.2023; 11(9): 1263.     CrossRef
• How far is the endoscopist to blame for a percutaneous endoscopic gastrostomy complication?
  George Stavrou, Persefoni Gionga, George Chatziantoniou, Georgios Tzikos, Alexandra Menni, Stavros Panidis, Anne Shrewsbury, Katerina Kotzampassi
  World Journal of Gastrointestinal Surgery.2023; 15(5): 940.     CrossRef
• Multicenter cohort study of patients with buried bumper syndrome treated endoscopically with a novel, dedicated device
  Deborah Costa, Edward J. Despott, Nikolaos Lazaridis, Jeremy Woodward, Pavel Kohout, Timo Rath, Louise Scovell, Ian Gee, Pieter Hindryckx, Ewan Forrest, Coral Hollywood, Stephen Hearing, Imtiyaz Mohammed, Claudia Coppo, Nikolaos Koukias, Rachel Cooney, He
  Gastrointestinal Endoscopy.2021; 93(6): 1325.     CrossRef
• Long-Term Gastrocolocutaneous Fistula after Endoscopic Gastrostomy: How Concerned Should We Be?
  Gonçalo Nunes, Gabriel Paiva de Oliveira, João Cruz, Carla Adriana Santos, Jorge Fonseca
  GE - Portuguese Journal of Gastroenterology.2019; 26(6): 441.     CrossRef
• Gastrocolocutaneous Fistula: An Unusual Case of Gastrostomy Tube Malfunction with Diarrhea
  Junghwan Lee, Jinyoung Kim, Ha il Kim, Chung Ryul Oh, Sungim Choi, Soomin Noh, Hee Kyong Na, Hwoon-Yong Jung
  Clinical Endoscopy.2018; 51(2): 196.     CrossRef
• Endoscopic Closure of a Gastric Perforation Developing as a Complication after Percutaneous Endoscopic Gastrostomy Insertion
  Gyu Young Pih, Hee Kyong Na
  The Korean Journal of Medicine.2018; 93(3): 291.     CrossRef
• An unexpected cause of transient diarrhea
  Yoen Young Chuah, Yeong Yeh Lee, Tzung Jiun Tsai
  Postgraduate Medicine.2017; 129(4): 488.     CrossRef
• Buried bumper syndrome: A complication of percutaneous endoscopic gastrostomy
  Jiri Cyrany
  World Journal of Gastroenterology.2016; 22(2): 618.     CrossRef
• Two Cases of Uncommon Complication during Percutaneous Endoscopic Gastrostomy Tube Replacement and Treatment
  Hyun Joo Lee, Rok Seon Choung, Min Seon Park, Jeung Hui Pyo, Seung Young Kim, Jong Jin Hyun, Sung Woo Jung, Ja Seol Koo, Sang Woo Lee, Jai Hyun Choi
  The Korean Journal of Gastroenterology.2014; 63(2): 120.     CrossRef
• A Study of Complications Related to Percutaneous Endoscopic Gastrostomy
  Hong Jae Kim, Sang Ho Lee, Jae Nam Lee, Seong Pil Jang, Cheol Gu Hwang, Ji Ha Kim
  The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2014; 14(1): 24.     CrossRef
• Two Cases of Gastrocolocutaneous Fistula with a Long Asymptomatic Period after Percutaneous Endoscopic Gastrostomy
  Hyo Sun Kim, Chang Seok Bang, Yeon Soo Kim, Oh Kyung Kwon, Min Sun Park, Jeong Ho Eom, Gwang Ho Baik, Dong Joon Kim
  Intestinal Research.2014; 12(3): 251.     CrossRef
• First report of colonoscopic closure of a gastrocolocutaneous PEG migration with over-the-scope-clip-system
  Reto Bertolini
  World Journal of Gastroenterology.2014; 20(32): 11439.     CrossRef