Publications by authors named "Jayasree Ravilla"

Article Synopsis
  • Superior Mesenteric Artery (SMA) stenosis, often caused by atherosclerosis or thrombosis, leads to inadequate blood flow to the digestive organs, resulting in mesenteric ischemia, which can be chronic or acute.
  • This case report discusses a 66-year-old female who experienced SMA stenosis and mesenteric ischemia as a rare result of fibromuscular dysplasia (FMD).
  • The goal is to enhance awareness of mesenteric ischemia related to FMD, as there is a lack of understanding regarding its risk factors and causes.
View Article and Find Full Text PDF
Article Synopsis
  • Gastric polyps are typically asymptomatic growths stemming from the stomach lining and can be rare, with Menetrier's disease being one specific type.
  • Menetrier's disease, often called giant hypertrophic gastritis, is a progressive condition that has unclear causes but requires further research due to its links to potential cancer (neoplasia).
  • The case discussed highlights a situation involving Menetrier's disease linked to gastrointestinal bleeding, detailing its clinical progression and results.
View Article and Find Full Text PDF

Eosinophilic esophagitis (EoE) and eosinophilic gastroenteritis (EGE), also known as eosinophilic enteritis (EoN), are both parts of the eosinophilic gastrointestinal disease (EGID) and share pathogenic similarities. Over the past two decades, the incidence and prevalence of EoE have rapidly increased, especially in Western countries, while EGE remains rare. Unlike EoE, no standard treatment strategies or guidelines have been established due to the extreme rarity of EGE, especially in Western countries.

View Article and Find Full Text PDF

Takotsubo cardiomyopathy (TC) mimics myocardial infarction with symptoms like chest pain, electrocardiogram (EKG) changes, and elevated troponin levels, although it typically features normal coronary arteries upon angiography. While often asymptomatic, coronary artery anomalies (CAAs) can cause intermittent vasospasm and endothelial dysfunction, potentially inducing TC. We report the case of a 74-year-old female with a history of hypertension, hyperlipidemia, and peripheral artery disease, who presented with sudden onset chest pain.

View Article and Find Full Text PDF

Protein-losing enteropathy (PLE) is a rare disorder with diverse causes, but the treatments are limited and understudied. It is often associated with significant mortality and morbidity. The survival of hypoplastic left heart syndrome (HLHS) in infants without any intervention is usually 4.

View Article and Find Full Text PDF

Colonic varicose veins are very rare and are usually discovered incidentally during colonoscopy or when complications occur, such as lower gastrointestinal (GI) bleeding. The primary cause of colonic varices is usually portal hypertension secondary to liver disease or very rarely due to pancreatic disease (e.g.

View Article and Find Full Text PDF

Hiatal hernias, characterized by the protrusion of internal organs through the diaphragmatic hiatus, are commonly seen in the elderly age group. While surgical management remains debatable for asymptomatic cases, emergent complications necessitate prompt intervention. Here, we present a case of a 69-year-old female with a history of diaphragmatic hernia, who developed acute hypoxic respiratory failure secondary to acute pleural effusion caused by paraesophageal hernia rupture.

View Article and Find Full Text PDF

Introduction: Primary lymphoma of the colon and rectum is an uncommon form of cancer comprising less than 0.5% of all colorectal tumors combined. Typically, extra nodal lymphomas manifest in the gastrointestinal tract, with non - Hodgkin lymphoma being the most frequent subtype and the stomach being the most common location.

View Article and Find Full Text PDF

Takotsubo cardiomyopathy or stress cardiomyopathy is a condition characterized by acute and transient left ventricular systolic dysfunction in the absence of coronary heart disease, occurring after an acute emotional or physical stressful event. Cardiac dysfunction in these patients is suspected to be secondary to catecholamine induced cardiac myocyte injury via cyclic AMP-mediated calcium overload or due to endothelial dysfunction. Even though left ventricular dysfunction in takotsubo cardiomyopathy is transient, it can lead to acute complications.

View Article and Find Full Text PDF

Infective endocarditis can be acute or subacute. It can be caused by viral, bacterial, fungal, and sometimes nonbacterial etiologies. It is an important cause of mortality and morbidity in children as well as adolescents, despite advances in management.

View Article and Find Full Text PDF

Hereditary hemorrhagic telangiectasia (HHT) is characterized by the presence of multiple arteriovenous malformations (AVM) in which arteries and venules are connected directly without intervening capillaries. The primary clinical presentation is spontaneous and recurrent nosebleeds (epistaxis), typically starting around 12. Telangiectases, which are small arteriovenous malformations, are commonly found in mucocutaneous areas and gastrointestinal (GI) mucosa.

View Article and Find Full Text PDF

Budd-Chiari syndrome (BCS) is a rare condition characterized by the obstruction of hepatic venous outflow. It is estimated to affect 1 in 100,000 people worldwide. In cases of new BCS, inherited and acquired hypercoagulability states must be evaluated.

View Article and Find Full Text PDF
Article Synopsis
  • - Cardiac tamponade is a critical emergency that requires immediate drainage of fluid to prevent cardiac arrest, often resulting from conditions like infection, trauma, or post-heart injury.
  • - A case study describes a 40-year-old woman who experienced severe pain and breathing issues, leading to a diagnosis of cardiac tamponade confirmed by echocardiogram showing significant fluid buildup around the heart.
  • - The patient's kidney issues were identified as stage V chronic kidney disease due to IgA nephropathy, a rare presentation when combined with cardiac tamponade, highlighting the need to investigate underlying causes of pericardial effusion.
View Article and Find Full Text PDF

Drug-induced liver injury is a serious adverse drug reaction that can result in acute liver injury or cholestatic injury affecting the bile ducts, known as cholangiopathic liver injury (CLI). Although CLI is not as familiar as the hepatocellular pattern, emerging evidence suggests that it may occur after coronavirus disease 2019 (COVID-19) vaccination. This case report focuses on an 89-year-old woman who developed CLI after receiving the tozinameran COVID-19 vaccine.

View Article and Find Full Text PDF