Case Presentation: A 27-year-old G6P4 female at 28 weeks of gestation presented with fever, headache, myalgias, nausea, vomiting, and diarrhea. Medical history was significant for polysubstance use, hepatitis C, anxiety, and depression. On the evening of presentation, she reported new-onset central chest pain. Vitals were significant for rectal temperature 93 F, blood pressure 95/58, and [...]

Background: Hepatic artery pseudoaneurysm (HAP) is a rare entity, potentially life threatening and associated with high mortality. The aim of this study was to evaluate Mayo Clinic enterprise’s clinical experience with HAP occurrence, clinical features and outcome in the last 20 years, and to compare our results with what the literature. Methods: This retrospective analysis [...]

Case Presentation: A 58-year-old male with a history of alcohol use disorder, recurrent and chronic pancreatitis and a recently identified 2.7cm pancreatic head pseudocyst on a prior admission, presented with abdominal pain and melena. CT scan of the abdomen and pelvis with contrast demonstrated extravasation of contrast into the duodenal lumen. A CT GI bleed [...]

Case Presentation: A 45 year-old gentleman with a history of recurrent alcoholic pancreatitis complicated by pancreatic pseudocyst presented to the hospital after three episodes of hematochezia. Ten days prior, he had undergone endoscopic transgastric metal stent placement between his pseudocyst and stomach, followed 6 days later by pseudocyst drainage with necrosectomy. After 3 days, he [...]

Case Presentation: The patient is a 29 year old woman with a history of intravenous drug abuse, admitted six weeks postpartum for MSSA bacteremia and tricuspid valve endocarditis (4 x 2.5 cm vegetation) complicated by bilateral pulmonary septic emboli with loculated empyema. She was started on nafcillin, which complicated the course with acute interstitial nephritis [...]

Case Presentation: An 80 year old female presented with severe interscapular back pain of abrupt onset with radiation to the epigastrium. There was no preceding trauma. 43 days prior to current presentation, she was hospitalized for acute pulmonary embolism and was discharged home on apixaban. Other past medical history included hypertension, hyperlipidemia and coronary artery [...]

Case Presentation: A 65-year-old obese woman with type II diabetes mellitus presented with a 7-day history of cough and hemoptysis described as streaks of blood during the first two days, and as half a cup to a cup of bright red blood with clots thereafter. On arrival to the emergency room she was hemodynamically stable, [...]

Case Presentation: A 49-year-old male with history of cirrhosis and hepatocellular carcinoma secondary to alcohol use and alpha-1 antitrypsin deficiency, who underwent liver transplant 1 month prior that was complicated by a bile leak at the biliary anastomosis requiring stenting, presented to the hospital for sudden onset of fever, chills and headaches. He was on [...]

Case Presentation: A 77-year-old caucasian man with a known history of hypertension, hyperlipidemia and tobacco abuse initially presented to the hospital with chest pain for five days. He was diagnosed with an anterior wall ST elevation myocardial infarction (STEMI). He underwent cardiac catheterization with drug-eluting stent placement to the left anterior descending coronary artery. Subsequent [...]