Iatrogenic Gallstone Pancreatitis Complicated by Cholangitis: Post-Cholecystectomy Clip as a Nidus for Common Bile Duct Stone Formation.

Cholecystectomy is one of the most common surgical procedures in clinical practice. Laparoscopic cholecystectomy has become the gold standard for the management of symptomatic gallstone disease due to its minimally invasive nature and safety with quoted complication rates of under 5%. Surgical clip migration into the bile duct with resultant stone formation is a rare complication of laparoscopic cholecystectomy. Here we present a case of cholangitis in addition to gallstone pancreatitis as a result of surgical clip migration into the bile duct leading to stone formation.

Successful Endoscopic Reduction of an Ileocolonic Intussusception in an Adult With Peutz-Jeghers Syndrome.

Peutz-Jeghers syndrome (PJS) is a rare autosomal dominant disorder characterized by hamartomatous polyps throughout the gastrointestinal tract, mostly causing gastrointestinal bleeding and recurrent intestinal obstructions. Few intussusception related to PJS occurs reportedly in adults. Unlike pediatric cases almost all reported cases end up with surgical resection. Here we present a case of PSJ-related intussusception in an adult patient treated successfully with endoscopic approach, with no surgical intervention required.

Burkitt's lymphoma masquerading as a Crohn's flare.

Sporadic Burkitt's lymphoma can have a variety of clinical manifestations, including a constellation of gastrointestinal symptoms that can masquerade as other conditions and lead to a delay in diagnosis. Here we review a case of Burkitt's lymphoma in a patient with a history of Crohn's disease, initially thought to be a Crohn's flare on initial presentation. This case highlights the importance of keeping a broad differential and ruling out Crohn's mimics in the process of treating a presumed exacerbation of inflammatory bowel disease.