ACG Case Reports Journal

<!DOCTYPE html> <html dir="ltr" lang="en-US"> <head> <script type='text/javascript' data-ot-ignore>const otAllowScripts = ['/init.js']; new MutationObserver(function (d) { Array.prototype.forEach.call(d, function (g) { Array.prototype.forEach.call(g.addedNodes, function (e) { try { if ('script' === e.tagName?.toLowerCase() && otAllowScripts.some(s => e.src?.includes(s))) { e.setAttribute('data-ot-ignore', ''); } } catch (err) { console.error(err); } }) }) }).observe(document.documentElement, { childList: !0, subtree: !0, attributes: !0, attributeFilter: ['src'] });</script>  <script type="text/javascript" src="https://cdn.cookielaw.org/consent/7537629c-faa0-40ce-a837-f7b14c0d4e70/OtAutoBlock.js"></script> <script src="https://cdn.cookielaw.org/scripttemplates/otSDKStub.js" type="text/javascript" charset="UTF-8" data-domain-script="7537629c-faa0-40ce-a837-f7b14c0d4e70"></script> <script type="text/javascript" src="https://lww.com/_layouts/15/oaks.journals/core/lww-cookiepro.js?v=05.24.00.023"> </script> <title> ACG Case Reports Journal </title>   <script>(function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.setAttributeNode(d.createAttribute('data-ot-ignore'));j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-NLR6H6W');</script>  <meta name="GENERATOR" content="Microsoft SharePoint" /><meta http-equiv="Content-type" content="text/html; charset=utf-8" /><meta http-equiv="X-UA-Compatible" content="IE=edge" /><script type="text/javascript">window.NREUM||(NREUM={});NREUM.info = {"beacon":"bam.nr-data.net","errorBeacon":"bam.nr-data.net","licenseKey":"NRJS-310e337bbb542715b7f","applicationID":"1029107228","transactionName":"ZgdWMRZUVkVSBUBbCl9NdTY0GllVVAVGHTpSA0AECFpfRRwLVUERVBBEBANQF0RWFURdC0ILQgAUVF9TXwdNXRBFTFUWFE0=","queueTime":0,"applicationTime":465,"agent":"","atts":""}</script><script type="text/javascript">(window.NREUM||(NREUM={})).init={privacy:{cookies_enabled:true},ajax:{deny_list:["bam.nr-data.net"]},distributed_tracing:{enabled:true}};(window.NREUM||(NREUM={})).loader_config={agentID:"1103305545",accountID:"2792772",trustKey:"1191223",xpid:"VgEOU1FUChABVFNbBgEAVFYJ",licenseKey:"NRJS-310e337bbb542715b7f",applicationID:"1029107228"};;/*! For license information please see nr-loader-spa-1.281.0.min.js.LICENSE.txt */ (()=>{var e,t,r={8122:(e,t,r)=>{"use strict";r.d(t,{a:()=>i});var n=r(944);function i(e,t){try{if(!e||"object"!=typeof e)return(0,n.R)(3);if(!t||"object"!=typeof t)return(0,n.R)(4);const r=Object.create(Object.getPrototypeOf(t),Object.getOwnPropertyDescriptors(t)),o=0===Object.keys(r).length?e:r;for(let a in o)if(void 0!==e[a])try{if(null===e[a]){r[a]=null;continue}Array.isArray(e[a])&&Array.isArray(t[a])?r[a]=Array.from(new Set([...e[a],...t[a]])):"object"==typeof e[a]&&"object"==typeof t[a]?r[a]=i(e[a],t[a]):r[a]=e[a]}catch(e){(0,n.R)(1,e)}return r}catch(e){(0,n.R)(2,e)}}},2555:(e,t,r)=>{"use strict";r.d(t,{Vp:()=>c,fn:()=>s,x1:()=>u});var n=r(384),i=r(8122);const o={beacon:n.NT.beacon,errorBeacon:n.NT.errorBeacon,licenseKey:void 0,applicationID:void 0,sa:void 0,queueTime:void 0,applicationTime:void 0,ttGuid:void 0,user:void 0,account:void 0,product:void 0,extra:void 0,jsAttributes:{},userAttributes:void 0,atts:void 0,transactionName:void 0,tNamePlain:void 0},a={};function s(e){try{const t=c(e);return!!t.licenseKey&&!!t.errorBeacon&&!!t.applicationID}catch(e){return!1}}function c(e){if(!e)throw new Error("All info objects require an agent identifier!");if(!a[e])throw new Error("Info for ".concat(e," was never set"));return a[e]}function u(e,t){if(!e)throw new Error("All info objects require an agent identifier!");a[e]=(0,i.a)(t,o);const r=(0,n.nY)(e);r&&(r.info=a[e])}},9417:(e,t,r)=>{"use strict";r.d(t,{D0:()=>p,gD:()=>m,xN:()=>g});var n=r(3333),i=r(993);const o=e=>{if(!e||"string"!=typeof e)return!1;try{document.createDocumentFragment().querySelector(e)}catch{return!1}return!0};var a=r(2614),s=r(944),c=r(384),u=r(8122);const d="[data-nr-mask]",l=()=>{const e={feature_flags:[],experimental:{marks:!1,measures:!1,resources:!1},mask_selector:"*",block_selector:"[data-nr-block]",mask_input_options:{color:!1,date:!1,"datetime-local":!1,email:!1,month:!1,number:!1,range:!1,search:!1,tel:!1,text:!1,time:!1,url:!1,week:!1,textarea:!1,select:!1,password:!0}};return{ajax:{deny_list:void 0,block_internal:!0,enabled:!0,autoStart:!0},distributed_tracing:{enabled:void 0,exclude_newrelic_header:void 0,cors_use_newrelic_header:void 0,cors_use_tracecontext_headers:void 0,allowed_origins:void 0},get feature_flags(){return e.feature_flags},set feature_flags(t){e.feature_flags=t},generic_events:{enabled:!0,autoStart:!0},harvest:{interval:30},jserrors:{enabled:!0,autoStart:!0},logging:{enabled:!0,autoStart:!0,level:i.p_.INFO},metrics:{enabled:!0,autoStart:!0},obfuscate:void 0,page_action:{enabled:!0},page_view_event:{enabled:!0,autoStart:!0},page_view_timing:{enabled:!0,autoStart:!0},performance:{get capture_marks(){return e.feature_flags.includes(n.$v.MARKS)||e.experimental.marks},set capture_marks(t){e.experimental.marks=t},get capture_measures(){return e.feature_flags.includes(n.$v.MEASURES)||e.experimental.measures},set capture_measures(t){e.experimental.measures=t},capture_detail:!0,resources:{get enabled(){return e.feature_flags.includes(n.$v.RESOURCES)||e.experimental.resources},set enabled(t){e.experimental.resources=t},asset_types:[],first_party_domains:[],ignore_newrelic:!0}},privacy:{cookies_enabled:!0},proxy:{assets:void 0,beacon:void 0},session:{expiresMs:a.wk,inactiveMs:a.BB},session_replay:{autoStart:!0,enabled:!1,preload:!1,sampling_rate:10,error_sampling_rate:100,collect_fonts:!1,inline_images:!1,fix_stylesheets:!0,mask_all_inputs:!0,get mask_text_selector(){return e.mask_selector},set mask_text_selector(t){o(t)?e.mask_selector="".concat(t,",").concat(d):""===t||null===t?e.mask_selector=d:(0,s.R)(5,t)},get block_class(){return"nr-block"},get ignore_class(){return"nr-ignore"},get mask_text_class(){return"nr-mask"},get block_selector(){return e.block_selector},set block_selector(t){o(t)?e.block_selector+=",".concat(t):""!==t&&(0,s.R)(6,t)},get mask_input_options(){return e.mask_input_options},set mask_input_options(t){t&&"object"==typeof t?e.mask_input_options={...t,password:!0}:(0,s.R)(7,t)}},session_trace:{enabled:!0,autoStart:!0},soft_navigations:{enabled:!0,autoStart:!0},spa:{enabled:!0,autoStart:!0},ssl:void 0,user_actions:{enabled:!0,elementAttributes:["id","className","tagName","type"]}}},f={},h="All configuration objects require an agent identifier!";function p(e){if(!e)throw new Error(h);if(!f[e])throw new Error("Configuration for ".concat(e," was never set"));return f[e]}function g(e,t){if(!e)throw new Error(h);f[e]=(0,u.a)(t,l());const r=(0,c.nY)(e);r&&(r.init=f[e])}function m(e,t){if(!e)throw new Error(h);var r=p(e);if(r){for(var n=t.split("."),i=0;i<n.length-1;i++)if("object"!=typeof(r=r[n[i]]))return;r=r[n[n.length-1]]}return r}},5603:(e,t,r)=>{"use strict";r.d(t,{a:()=>c,o:()=>s});var n=r(384),i=r(8122);const o={accountID:void 0,trustKey:void 0,agentID:void 0,licenseKey:void 0,applicationID:void 0,xpid:void 0},a={};function s(e){if(!e)throw new Error("All loader-config objects require an agent identifier!");if(!a[e])throw new Error("LoaderConfig for ".concat(e," was never set"));return a[e]}function c(e,t){if(!e)throw new Error("All loader-config objects require an agent identifier!");a[e]=(0,i.a)(t,o);const r=(0,n.nY)(e);r&&(r.loader_config=a[e])}},3371:(e,t,r)=>{"use strict";r.d(t,{V:()=>f,f:()=>l});var n=r(8122),i=r(384),o=r(6154),a=r(9324);let s=0;const c={buildEnv:a.F3,distMethod:a.Xs,version:a.xv,originTime:o.WN},u={customTransaction:void 0,disabled:!1,isolatedBacklog:!1,loaderType:void 0,maxBytes:3e4,onerror:void 0,ptid:void 0,releaseIds:{},appMetadata:{},session:void 0,denyList:void 0,timeKeeper:void 0,obfuscator:void 0,harvester:void 0},d={};function l(e){if(!e)throw new Error("All runtime objects require an agent identifier!");if(!d[e])throw new Error("Runtime for ".concat(e," was never set"));return d[e]}function f(e,t){if(!e)throw new Error("All runtime objects require an agent identifier!");d[e]={...(0,n.a)(t,u),...c},Object.hasOwnProperty.call(d[e],"harvestCount")||Object.defineProperty(d[e],"harvestCount",{get:()=>++s});const r=(0,i.nY)(e);r&&(r.runtime=d[e])}},9324:(e,t,r)=>{"use strict";r.d(t,{F3:()=>i,Xs:()=>o,Yq:()=>a,xv:()=>n});const n="1.281.0",i="PROD",o="CDN",a="^2.0.0-alpha.17"},6154:(e,t,r)=>{"use strict";r.d(t,{A4:()=>s,OF:()=>d,RI:()=>i,WN:()=>h,bv:()=>o,gm:()=>a,lR:()=>f,m:()=>u,mw:()=>c,sb:()=>l});var n=r(1863);const i="undefined"!=typeof window&&!!window.document,o="undefined"!=typeof WorkerGlobalScope&&("undefined"!=typeof self&&self instanceof WorkerGlobalScope&&self.navigator instanceof WorkerNavigator||"undefined"!=typeof globalThis&&globalThis instanceof WorkerGlobalScope&&globalThis.navigator instanceof WorkerNavigator),a=i?window:"undefined"!=typeof WorkerGlobalScope&&("undefined"!=typeof self&&self instanceof WorkerGlobalScope&&self||"undefined"!=typeof globalThis&&globalThis instanceof WorkerGlobalScope&&globalThis),s="complete"===a?.document?.readyState,c=Boolean("hidden"===a?.document?.visibilityState),u=""+a?.location,d=/iPad|iPhone|iPod/.test(a.navigator?.userAgent),l=d&&"undefined"==typeof SharedWorker,f=(()=>{const e=a.navigator?.userAgent?.match(/Firefox[/\s](\d+\.\d+)/);return Array.isArray(e)&&e.length>=2?+e[1]:0})(),h=Date.now()-(0,n.t)()},7295:(e,t,r)=>{"use strict";r.d(t,{Xv:()=>a,gX:()=>i,iW:()=>o});var n=[];function i(e){if(!e||o(e))return!1;if(0===n.length)return!0;for(var t=0;t<n.length;t++){var r=n[t];if("*"===r.hostname)return!1;if(s(r.hostname,e.hostname)&&c(r.pathname,e.pathname))return!1}return!0}function o(e){return void 0===e.hostname}function a(e){if(n=[],e&&e.length)for(var t=0;t<e.length;t++){let r=e[t];if(!r)continue;0===r.indexOf("http://")?r=r.substring(7):0===r.indexOf("https://")&&(r=r.substring(8));const i=r.indexOf("/");let o,a;i>0?(o=r.substring(0,i),a=r.substring(i)):(o=r,a="");let[s]=o.split(":");n.push({hostname:s,pathname:a})}}function s(e,t){return!(e.length>t.length)&&t.indexOf(e)===t.length-e.length}function c(e,t){return 0===e.indexOf("/")&&(e=e.substring(1)),0===t.indexOf("/")&&(t=t.substring(1)),""===e||e===t}},1687:(e,t,r)=>{"use strict";r.d(t,{Ak:()=>c,Ze:()=>l,x3:()=>u});var n=r(7836),i=r(3606),o=r(860),a=r(2646);const s={};function c(e,t){const r={staged:!1,priority:o.P3[t]||0};d(e),s[e].get(t)||s[e].set(t,r)}function u(e,t){e&&s[e]&&(s[e].get(t)&&s[e].delete(t),h(e,t,!1),s[e].size&&f(e))}function d(e){if(!e)throw new Error("agentIdentifier required");s[e]||(s[e]=new Map)}function l(e="",t="feature",r=!1){if(d(e),!e||!s[e].get(t)||r)return h(e,t);s[e].get(t).staged=!0,f(e)}function f(e){const t=Array.from(s[e]);t.every((([e,t])=>t.staged))&&(t.sort(((e,t)=>e[1].priority-t[1].priority)),t.forEach((([t])=>{s[e].delete(t),h(e,t)})))}function h(e,t,r=!0){const o=e?n.ee.get(e):n.ee,s=i.i.handlers;if(!o.aborted&&o.backlog&&s){if(r){const e=o.backlog[t],r=s[t];if(r){for(let t=0;e&&t<e.length;++t)p(e[t],r);Object.entries(r).forEach((([e,t])=>{Object.values(t||{}).forEach((t=>{t[0]?.on&&t[0]?.context()instanceof a.y&&t[0].on(e,t[1])}))}))}}o.isolatedBacklog||delete s[t],o.backlog[t]=null,o.emit("drain-"+t,[])}}function p(e,t){var r=e[1];Object.values(t[r]||{}).forEach((t=>{var r=e[0];if(t[0]===r){var n=t[1],i=e[3],o=e[2];n.apply(i,o)}}))}},7836:(e,t,r)=>{"use strict";r.d(t,{P:()=>c,ee:()=>u});var n=r(384),i=r(8990),o=r(3371),a=r(2646),s=r(5607);const c="nr@context:".concat(s.W),u=function e(t,r){var n={},s={},d={},l=!1;try{l=16===r.length&&(0,o.f)(r).isolatedBacklog}catch(e){}var f={on:p,addEventListener:p,removeEventListener:function(e,t){var r=n[e];if(!r)return;for(var i=0;i<r.length;i++)r[i]===t&&r.splice(i,1)},emit:function(e,r,n,i,o){!1!==o&&(o=!0);if(u.aborted&&!i)return;t&&o&&t.emit(e,r,n);for(var a=h(n),c=g(e),d=c.length,l=0;l<d;l++)c[l].apply(a,r);var p=v()[s[e]];p&&p.push([f,e,r,a]);return a},get:m,listeners:g,context:h,buffer:function(e,t){const r=v();if(t=t||"feature",f.aborted)return;Object.entries(e||{}).forEach((([e,n])=>{s[n]=t,t in r||(r[t]=[])}))},abort:function(){f._aborted=!0,Object.keys(f.backlog).forEach((e=>{delete f.backlog[e]}))},isBuffering:function(e){return!!v()[s[e]]},debugId:r,backlog:l?{}:t&&"object"==typeof t.backlog?t.backlog:{},isolatedBacklog:l};return Object.defineProperty(f,"aborted",{get:()=>{let e=f._aborted||!1;return e||(t&&(e=t.aborted),e)}}),f;function h(e){return e&&e instanceof a.y?e:e?(0,i.I)(e,c,(()=>new a.y(c))):new a.y(c)}function p(e,t){n[e]=g(e).concat(t)}function g(e){return n[e]||[]}function m(t){return d[t]=d[t]||e(f,t)}function v(){return f.backlog}}(void 0,"globalEE"),d=(0,n.Zm)();d.ee||(d.ee=u)},2646:(e,t,r)=>{"use strict";r.d(t,{y:()=>n});class n{constructor(e){this.contextId=e}}},9908:(e,t,r)=>{"use strict";r.d(t,{d:()=>n,p:()=>i});var n=r(7836).ee.get("handle");function i(e,t,r,i,o){o?(o.buffer([e],i),o.emit(e,t,r)):(n.buffer([e],i),n.emit(e,t,r))}},3606:(e,t,r)=>{"use strict";r.d(t,{i:()=>o});var n=r(9908);o.on=a;var i=o.handlers={};function o(e,t,r,o){a(o||n.d,i,e,t,r)}function a(e,t,r,i,o){o||(o="feature"),e||(e=n.d);var a=t[o]=t[o]||{};(a[r]=a[r]||[]).push([e,i])}},3878:(e,t,r)=>{"use strict";function n(e,t){return{capture:e,passive:!1,signal:t}}function i(e,t,r=!1,i){window.addEventListener(e,t,n(r,i))}function o(e,t,r=!1,i){document.addEventListener(e,t,n(r,i))}r.d(t,{DD:()=>o,jT:()=>n,sp:()=>i})},5607:(e,t,r)=>{"use strict";r.d(t,{W:()=>n});const n=(0,r(9566).bz)()},9566:(e,t,r)=>{"use strict";r.d(t,{LA:()=>s,ZF:()=>c,bz:()=>a,el:()=>u});var n=r(6154);const i="xxxxxxxx-xxxx-4xxx-yxxx-xxxxxxxxxxxx";function o(e,t){return e?15&e[t]:16*Math.random()|0}function a(){const e=n.gm?.crypto||n.gm?.msCrypto;let t,r=0;return e&&e.getRandomValues&&(t=e.getRandomValues(new Uint8Array(30))),i.split("").map((e=>"x"===e?o(t,r++).toString(16):"y"===e?(3&o()|8).toString(16):e)).join("")}function s(e){const t=n.gm?.crypto||n.gm?.msCrypto;let r,i=0;t&&t.getRandomValues&&(r=t.getRandomValues(new Uint8Array(e)));const a=[];for(var s=0;s<e;s++)a.push(o(r,i++).toString(16));return a.join("")}function c(){return s(16)}function u(){return s(32)}},2614:(e,t,r)=>{"use strict";r.d(t,{BB:()=>a,H3:()=>n,g:()=>u,iL:()=>c,tS:()=>s,uh:()=>i,wk:()=>o});const n="NRBA",i="SESSION",o=144e5,a=18e5,s={STARTED:"session-started",PAUSE:"session-pause",RESET:"session-reset",RESUME:"session-resume",UPDATE:"session-update"},c={SAME_TAB:"same-tab",CROSS_TAB:"cross-tab"},u={OFF:0,FULL:1,ERROR:2}},1863:(e,t,r)=>{"use strict";function n(){return Math.floor(performance.now())}r.d(t,{t:()=>n})},7485:(e,t,r)=>{"use strict";r.d(t,{D:()=>i});var n=r(6154);function i(e){if(0===(e||"").indexOf("data:"))return{protocol:"data"};try{const t=new URL(e,location.href),r={port:t.port,hostname:t.hostname,pathname:t.pathname,search:t.search,protocol:t.protocol.slice(0,t.protocol.indexOf(":")),sameOrigin:t.protocol===n.gm?.location?.protocol&&t.host===n.gm?.location?.host};return r.port&&""!==r.port||("http:"===t.protocol&&(r.port="80"),"https:"===t.protocol&&(r.port="443")),r.pathname&&""!==r.pathname?r.pathname.startsWith("/")||(r.pathname="/".concat(r.pathname)):r.pathname="/",r}catch(e){return{}}}},944:(e,t,r)=>{"use strict";function n(e,t){"function"==typeof console.debug&&console.debug("New Relic Warning: https://github.com/newrelic/newrelic-browser-agent/blob/main/docs/warning-codes.md#".concat(e),t)}r.d(t,{R:()=>n})},5284:(e,t,r)=>{"use strict";r.d(t,{t:()=>c,B:()=>s});var n=r(7836),i=r(6154);const o="newrelic";const a=new Set,s={};function c(e,t){const r=n.ee.get(t);s[t]??={},e&&"object"==typeof e&&(a.has(t)||(r.emit("rumresp",[e]),s[t]=e,a.add(t),function(e={}){try{i.gm.dispatchEvent(new CustomEvent(o,{detail:e}))}catch(e){}}({loaded:!0})))}},8990:(e,t,r)=>{"use strict";r.d(t,{I:()=>i});var n=Object.prototype.hasOwnProperty;function i(e,t,r){if(n.call(e,t))return e[t];var i=r();if(Object.defineProperty&&Object.keys)try{return Object.defineProperty(e,t,{value:i,writable:!0,enumerable:!1}),i}catch(e){}return e[t]=i,i}},6389:(e,t,r)=>{"use strict";function n(e,t=500,r={}){const n=r?.leading||!1;let i;return(...r)=>{n&&void 0===i&&(e.apply(this,r),i=setTimeout((()=>{i=clearTimeout(i)}),t)),n||(clearTimeout(i),i=setTimeout((()=>{e.apply(this,r)}),t))}}function i(e){let t=!1;return(...r)=>{t||(t=!0,e.apply(this,r))}}r.d(t,{J:()=>i,s:()=>n})},3304:(e,t,r)=>{"use strict";r.d(t,{A:()=>o});var n=r(7836);const i=()=>{const e=new WeakSet;return(t,r)=>{if("object"==typeof r&&null!==r){if(e.has(r))return;e.add(r)}return r}};function o(e){try{return JSON.stringify(e,i())??""}catch(e){try{n.ee.emit("internal-error",[e])}catch(e){}return""}}},5289:(e,t,r)=>{"use strict";r.d(t,{GG:()=>o,sB:()=>a});var n=r(3878);function i(){return"undefined"==typeof document||"complete"===document.readyState}function o(e,t){if(i())return e();(0,n.sp)("load",e,t)}function a(e){if(i())return e();(0,n.DD)("DOMContentLoaded",e)}},384:(e,t,r)=>{"use strict";r.d(t,{NT:()=>o,US:()=>d,Zm:()=>a,bQ:()=>c,dV:()=>s,nY:()=>u,pV:()=>l});var n=r(6154),i=r(1863);const o={beacon:"bam.nr-data.net",errorBeacon:"bam.nr-data.net"};function a(){return n.gm.NREUM||(n.gm.NREUM={}),void 0===n.gm.newrelic&&(n.gm.newrelic=n.gm.NREUM),n.gm.NREUM}function s(){let e=a();return e.o||(e.o={ST:n.gm.setTimeout,SI:n.gm.setImmediate,CT:n.gm.clearTimeout,XHR:n.gm.XMLHttpRequest,REQ:n.gm.Request,EV:n.gm.Event,PR:n.gm.Promise,MO:n.gm.MutationObserver,FETCH:n.gm.fetch,WS:n.gm.WebSocket}),e}function c(e,t){let r=a();r.initializedAgents??={},t.initializedAt={ms:(0,i.t)(),date:new Date},r.initializedAgents[e]=t}function u(e){let t=a();return t.initializedAgents?.[e]}function d(e,t){a()[e]=t}function l(){return function(){let e=a();const t=e.info||{};e.info={beacon:o.beacon,errorBeacon:o.errorBeacon,...t}}(),function(){let e=a();const t=e.init||{};e.init={...t}}(),s(),function(){let e=a();const t=e.loader_config||{};e.loader_config={...t}}(),a()}},2843:(e,t,r)=>{"use strict";r.d(t,{u:()=>i});var n=r(3878);function i(e,t=!1,r,i){(0,n.DD)("visibilitychange",(function(){if(t)return void("hidden"===document.visibilityState&&e());e(document.visibilityState)}),r,i)}},8139:(e,t,r)=>{"use strict";r.d(t,{u:()=>f});var n=r(7836),i=r(3434),o=r(8990),a=r(6154);const s={},c=a.gm.XMLHttpRequest,u="addEventListener",d="removeEventListener",l="nr@wrapped:".concat(n.P);function f(e){var t=function(e){return(e||n.ee).get("events")}(e);if(s[t.debugId]++)return t;s[t.debugId]=1;var r=(0,i.YM)(t,!0);function f(e){r.inPlace(e,[u,d],"-",p)}function p(e,t){return e[1]}return"getPrototypeOf"in Object&&(a.RI&&h(document,f),c&&h(c.prototype,f),h(a.gm,f)),t.on(u+"-start",(function(e,t){var n=e[1];if(null!==n&&("function"==typeof n||"object"==typeof n)){var i=(0,o.I)(n,l,(function(){var e={object:function(){if("function"!=typeof n.handleEvent)return;return n.handleEvent.apply(n,arguments)},function:n}[typeof n];return e?r(e,"fn-",null,e.name||"anonymous"):n}));this.wrapped=e[1]=i}})),t.on(d+"-start",(function(e){e[1]=this.wrapped||e[1]})),t}function h(e,t,...r){let n=e;for(;"object"==typeof n&&!Object.prototype.hasOwnProperty.call(n,u);)n=Object.getPrototypeOf(n);n&&t(n,...r)}},3434:(e,t,r)=>{"use strict";r.d(t,{Jt:()=>o,YM:()=>c});var n=r(7836),i=r(5607);const o="nr@original:".concat(i.W);var a=Object.prototype.hasOwnProperty,s=!1;function c(e,t){return e||(e=n.ee),r.inPlace=function(e,t,n,i,o){n||(n="");const a="-"===n.charAt(0);for(let s=0;s<t.length;s++){const c=t[s],u=e[c];d(u)||(e[c]=r(u,a?c+n:n,i,c,o))}},r.flag=o,r;function r(t,r,n,s,c){return d(t)?t:(r||(r=""),nrWrapper[o]=t,function(e,t,r){if(Object.defineProperty&&Object.keys)try{return Object.keys(e).forEach((function(r){Object.defineProperty(t,r,{get:function(){return e[r]},set:function(t){return e[r]=t,t}})})),t}catch(e){u([e],r)}for(var n in e)a.call(e,n)&&(t[n]=e[n])}(t,nrWrapper,e),nrWrapper);function nrWrapper(){var o,a,d,l;try{a=this,o=[...arguments],d="function"==typeof n?n(o,a):n||{}}catch(t){u([t,"",[o,a,s],d],e)}i(r+"start",[o,a,s],d,c);try{return l=t.apply(a,o)}catch(e){throw i(r+"err",[o,a,e],d,c),e}finally{i(r+"end",[o,a,l],d,c)}}}function i(r,n,i,o){if(!s||t){var a=s;s=!0;try{e.emit(r,n,i,t,o)}catch(t){u([t,r,n,i],e)}s=a}}}function u(e,t){t||(t=n.ee);try{t.emit("internal-error",e)}catch(e){}}function d(e){return!(e&&"function"==typeof e&&e.apply&&!e[o])}},9300:(e,t,r)=>{"use strict";r.d(t,{T:()=>n});const n=r(860).K7.ajax},3333:(e,t,r)=>{"use strict";r.d(t,{$v:()=>u,TZ:()=>n,Zp:()=>i,kd:()=>c,mq:()=>s,nf:()=>a,qN:()=>o});const n=r(860).K7.genericEvents,i=["auxclick","click","copy","keydown","paste","scrollend"],o=["focus","blur"],a=4,s=1e3,c=["PageAction","UserAction","BrowserPerformance"],u={MARKS:"experimental.marks",MEASURES:"experimental.measures",RESOURCES:"experimental.resources"}},6774:(e,t,r)=>{"use strict";r.d(t,{T:()=>n});const n=r(860).K7.jserrors},993:(e,t,r)=>{"use strict";r.d(t,{ET:()=>o,TZ:()=>a,p_:()=>i});var n=r(860);const i={ERROR:"ERROR",WARN:"WARN",INFO:"INFO",DEBUG:"DEBUG",TRACE:"TRACE"},o="log",a=n.K7.logging},3785:(e,t,r)=>{"use strict";r.d(t,{R:()=>c,b:()=>u});var n=r(9908),i=r(1863),o=r(860),a=r(3969),s=r(993);function c(e,t,r={},c=s.p_.INFO){(0,n.p)(a.xV,["API/logging/".concat(c.toLowerCase(),"/called")],void 0,o.K7.metrics,e),(0,n.p)(s.ET,[(0,i.t)(),t,r,c],void 0,o.K7.logging,e)}function u(e){return"string"==typeof e&&Object.values(s.p_).some((t=>t===e.toUpperCase().trim()))}},3969:(e,t,r)=>{"use strict";r.d(t,{TZ:()=>n,XG:()=>s,rs:()=>i,xV:()=>a,z_:()=>o});const n=r(860).K7.metrics,i="sm",o="cm",a="storeSupportabilityMetrics",s="storeEventMetrics"},6630:(e,t,r)=>{"use strict";r.d(t,{T:()=>n});const n=r(860).K7.pageViewEvent},782:(e,t,r)=>{"use strict";r.d(t,{T:()=>n});const n=r(860).K7.pageViewTiming},6344:(e,t,r)=>{"use strict";r.d(t,{BB:()=>d,G4:()=>o,Qb:()=>l,TZ:()=>i,Ug:()=>a,_s:()=>s,bc:()=>u,yP:()=>c});var n=r(2614);const i=r(860).K7.sessionReplay,o={RECORD:"recordReplay",PAUSE:"pauseReplay",REPLAY_RUNNING:"replayRunning",ERROR_DURING_REPLAY:"errorDuringReplay"},a=.12,s={DomContentLoaded:0,Load:1,FullSnapshot:2,IncrementalSnapshot:3,Meta:4,Custom:5},c={[n.g.ERROR]:15e3,[n.g.FULL]:3e5,[n.g.OFF]:0},u={RESET:{message:"Session was reset",sm:"Reset"},IMPORT:{message:"Recorder failed to import",sm:"Import"},TOO_MANY:{message:"429: Too Many Requests",sm:"Too-Many"},TOO_BIG:{message:"Payload was too large",sm:"Too-Big"},CROSS_TAB:{message:"Session Entity was set to OFF on another tab",sm:"Cross-Tab"},ENTITLEMENTS:{message:"Session Replay is not allowed and will not be started",sm:"Entitlement"}},d=5e3,l={API:"api"}},5270:(e,t,r)=>{"use strict";r.d(t,{Aw:()=>c,CT:()=>u,SR:()=>s});var n=r(384),i=r(9417),o=r(7767),a=r(6154);function s(e){return!!(0,n.dV)().o.MO&&(0,o.V)(e)&&!0===(0,i.gD)(e,"session_trace.enabled")}function c(e){return!0===(0,i.gD)(e,"session_replay.preload")&&s(e)}function u(e,t){const r=t.correctAbsoluteTimestamp(e);return{originalTimestamp:e,correctedTimestamp:r,timestampDiff:e-r,originTime:a.WN,correctedOriginTime:t.correctedOriginTime,originTimeDiff:Math.floor(a.WN-t.correctedOriginTime)}}},3738:(e,t,r)=>{"use strict";r.d(t,{He:()=>i,Kp:()=>s,Lc:()=>u,Rz:()=>d,TZ:()=>n,bD:()=>o,d3:()=>a,jx:()=>l,uP:()=>c});const n=r(860).K7.sessionTrace,i="bstResource",o="resource",a="-start",s="-end",c="fn"+a,u="fn"+s,d="pushState",l=1e3},3962:(e,t,r)=>{"use strict";r.d(t,{AM:()=>o,O2:()=>c,Qu:()=>u,TZ:()=>s,ih:()=>d,pP:()=>a,tC:()=>i});var n=r(860);const i=["click","keydown","submit","popstate"],o="api",a="initialPageLoad",s=n.K7.softNav,c={INITIAL_PAGE_LOAD:"",ROUTE_CHANGE:1,UNSPECIFIED:2},u={INTERACTION:1,AJAX:2,CUSTOM_END:3,CUSTOM_TRACER:4},d={IP:"in progress",FIN:"finished",CAN:"cancelled"}},7378:(e,t,r)=>{"use strict";r.d(t,{$p:()=>x,BR:()=>b,Kp:()=>R,L3:()=>y,Lc:()=>c,NC:()=>o,SG:()=>d,TZ:()=>i,U6:()=>p,UT:()=>m,d3:()=>w,dT:()=>f,e5:()=>T,gx:()=>v,l9:()=>l,oW:()=>h,op:()=>g,rw:()=>u,tH:()=>A,uP:()=>s,wW:()=>E,xq:()=>a});var n=r(384);const i=r(860).K7.spa,o=["click","submit","keypress","keydown","keyup","change"],a=999,s="fn-start",c="fn-end",u="cb-start",d="api-ixn-",l="remaining",f="interaction",h="spaNode",p="jsonpNode",g="fetch-start",m="fetch-done",v="fetch-body-",b="jsonp-end",y=(0,n.dV)().o.ST,w="-start",R="-end",x="-body",E="cb"+R,T="jsTime",A="fetch"},4234:(e,t,r)=>{"use strict";r.d(t,{W:()=>o});var n=r(7836),i=r(1687);class o{constructor(e,t){this.agentIdentifier=e,this.ee=n.ee.get(e),this.featureName=t,this.blocked=!1}deregisterDrain(){(0,i.x3)(this.agentIdentifier,this.featureName)}}},7767:(e,t,r)=>{"use strict";r.d(t,{V:()=>o});var n=r(9417),i=r(6154);const o=e=>i.RI&&!0===(0,n.gD)(e,"privacy.cookies_enabled")},425:(e,t,r)=>{"use strict";r.d(t,{j:()=>j});var n=r(860),i=r(2555),o=r(3371),a=r(9908),s=r(7836),c=r(1687),u=r(5289),d=r(6154),l=r(944),f=r(3969),h=r(384),p=r(6344);const g=["setErrorHandler","finished","addToTrace","addRelease","recordCustomEvent","addPageAction","setCurrentRouteName","setPageViewName","setCustomAttribute","interaction","noticeError","setUserId","setApplicationVersion","start",p.G4.RECORD,p.G4.PAUSE,"log","wrapLogger"],m=["setErrorHandler","finished","addToTrace","addRelease"];var v=r(1863),b=r(2614),y=r(993),w=r(3785),R=r(2646),x=r(3434);const E=new Map;function T(e,t,r,n){if("object"!=typeof t||!t||"string"!=typeof r||!r||"function"!=typeof t[r])return(0,l.R)(29);const i=function(e){return(e||s.ee).get("logger")}(e),o=(0,x.YM)(i),a=new R.y(s.P);a.level=n.level,a.customAttributes=n.customAttributes;const c=t[r]?.[x.Jt]||t[r];return E.set(c,a),o.inPlace(t,[r],"wrap-logger-",(()=>E.get(c))),i}function A(){const e=(0,h.pV)();g.forEach((t=>{e[t]=(...r)=>function(t,...r){let n=[];return Object.values(e.initializedAgents).forEach((e=>{e&&e.api?e.exposed&&e.api[t]&&n.push(e.api[t](...r)):(0,l.R)(38,t)})),n.length>1?n:n[0]}(t,...r)}))}const S={};var N=r(9417),_=r(5603),O=r(5284);const I=e=>{const t=e.startsWith("http");e+="/",r.p=t?e:"https://"+e};let P=!1;function j(e,t={},g,R){let{init:x,info:E,loader_config:j,runtime:C={},exposed:k=!0}=t;C.loaderType=g;const L=(0,h.pV)();E||(x=L.init,E=L.info,j=L.loader_config),(0,N.xN)(e.agentIdentifier,x||{}),(0,_.a)(e.agentIdentifier,j||{}),E.jsAttributes??={},d.bv&&(E.jsAttributes.isWorker=!0),(0,i.x1)(e.agentIdentifier,E);const H=(0,N.D0)(e.agentIdentifier),M=[E.beacon,E.errorBeacon];P||(H.proxy.assets&&(I(H.proxy.assets),M.push(H.proxy.assets)),H.proxy.beacon&&M.push(H.proxy.beacon),A(),(0,h.US)("activatedFeatures",O.B),e.runSoftNavOverSpa&&=!0===H.soft_navigations.enabled&&H.feature_flags.includes("soft_nav")),C.denyList=[...H.ajax.deny_list||[],...H.ajax.block_internal?M:[]],C.ptid=e.agentIdentifier,(0,o.V)(e.agentIdentifier,C),e.ee=s.ee.get(e.agentIdentifier),void 0===e.api&&(e.api=function(e,t,h=!1){t||(0,c.Ak)(e,"api");const g={};var R=s.ee.get(e),x=R.get("tracer");S[e]=b.g.OFF,R.on(p.G4.REPLAY_RUNNING,(t=>{S[e]=t}));var E="api-",A=E+"ixn-";function N(t,r,n,o){const a=(0,i.Vp)(e);return null===r?delete a.jsAttributes[t]:(0,i.x1)(e,{...a,jsAttributes:{...a.jsAttributes,[t]:r}}),I(E,n,!0,o||null===r?"session":void 0)(t,r)}function _(){}g.log=function(e,{customAttributes:t={},level:r=y.p_.INFO}={}){(0,a.p)(f.xV,["API/log/called"],void 0,n.K7.metrics,R),(0,w.R)(R,e,t,r)},g.wrapLogger=(e,t,{customAttributes:r={},level:i=y.p_.INFO}={})=>{(0,a.p)(f.xV,["API/wrapLogger/called"],void 0,n.K7.metrics,R),T(R,e,t,{customAttributes:r,level:i})},m.forEach((e=>{g[e]=I(E,e,!0,"api")})),g.addPageAction=I(E,"addPageAction",!0,n.K7.genericEvents),g.recordCustomEvent=I(E,"recordCustomEvent",!0,n.K7.genericEvents),g.setPageViewName=function(t,r){if("string"==typeof t)return"/"!==t.charAt(0)&&(t="/"+t),(0,o.f)(e).customTransaction=(r||"http://custom.transaction")+t,I(E,"setPageViewName",!0)()},g.setCustomAttribute=function(e,t,r=!1){if("string"==typeof e){if(["string","number","boolean"].includes(typeof t)||null===t)return N(e,t,"setCustomAttribute",r);(0,l.R)(40,typeof t)}else(0,l.R)(39,typeof e)},g.setUserId=function(e){if("string"==typeof e||null===e)return N("enduser.id",e,"setUserId",!0);(0,l.R)(41,typeof e)},g.setApplicationVersion=function(e){if("string"==typeof e||null===e)return N("application.version",e,"setApplicationVersion",!1);(0,l.R)(42,typeof e)},g.start=()=>{try{(0,a.p)(f.xV,["API/start/called"],void 0,n.K7.metrics,R),R.emit("manual-start-all")}catch(e){(0,l.R)(23,e)}},g[p.G4.RECORD]=function(){(0,a.p)(f.xV,["API/recordReplay/called"],void 0,n.K7.metrics,R),(0,a.p)(p.G4.RECORD,[],void 0,n.K7.sessionReplay,R)},g[p.G4.PAUSE]=function(){(0,a.p)(f.xV,["API/pauseReplay/called"],void 0,n.K7.metrics,R),(0,a.p)(p.G4.PAUSE,[],void 0,n.K7.sessionReplay,R)},g.interaction=function(e){return(new _).get("object"==typeof e?e:{})};const O=_.prototype={createTracer:function(e,t){var r={},i=this,o="function"==typeof t;return(0,a.p)(f.xV,["API/createTracer/called"],void 0,n.K7.metrics,R),h||(0,a.p)(A+"tracer",[(0,v.t)(),e,r],i,n.K7.spa,R),function(){if(x.emit((o?"":"no-")+"fn-start",[(0,v.t)(),i,o],r),o)try{return t.apply(this,arguments)}catch(e){const t="string"==typeof e?new Error(e):e;throw x.emit("fn-err",[arguments,this,t],r),t}finally{x.emit("fn-end",[(0,v.t)()],r)}}}};function I(e,t,r,i){return function(){return(0,a.p)(f.xV,["API/"+t+"/called"],void 0,n.K7.metrics,R),i&&(0,a.p)(e+t,[r?(0,v.t)():performance.now(),...arguments],r?null:this,i,R),r?void 0:this}}function P(){r.e(478).then(r.bind(r,8778)).then((({setAPI:t})=>{t(e),(0,c.Ze)(e,"api")})).catch((e=>{(0,l.R)(27,e),R.abort()}))}return["actionText","setName","setAttribute","save","ignore","onEnd","getContext","end","get"].forEach((e=>{O[e]=I(A,e,void 0,h?n.K7.softNav:n.K7.spa)})),g.setCurrentRouteName=h?I(A,"routeName",void 0,n.K7.softNav):I(E,"routeName",!0,n.K7.spa),g.noticeError=function(t,r){"string"==typeof t&&(t=new Error(t)),(0,a.p)(f.xV,["API/noticeError/called"],void 0,n.K7.metrics,R),(0,a.p)("err",[t,(0,v.t)(),!1,r,!!S[e]],void 0,n.K7.jserrors,R)},d.RI?(0,u.GG)((()=>P()),!0):P(),g}(e.agentIdentifier,R,e.runSoftNavOverSpa)),void 0===e.exposed&&(e.exposed=k),P=!0}},8374:(e,t,r)=>{r.nc=(()=>{try{return document?.currentScript?.nonce}catch(e){}return""})()},860:(e,t,r)=>{"use strict";r.d(t,{$J:()=>u,K7:()=>s,P3:()=>c,XX:()=>i,qY:()=>n,v4:()=>a});const n="events",i="jserrors",o="browser/blobs",a="rum",s={ajax:"ajax",genericEvents:"generic_events",jserrors:i,logging:"logging",metrics:"metrics",pageAction:"page_action",pageViewEvent:"page_view_event",pageViewTiming:"page_view_timing",sessionReplay:"session_replay",sessionTrace:"session_trace",softNav:"soft_navigations",spa:"spa"},c={[s.pageViewEvent]:1,[s.pageViewTiming]:2,[s.metrics]:3,[s.jserrors]:4,[s.spa]:5,[s.ajax]:6,[s.sessionTrace]:7,[s.softNav]:8,[s.sessionReplay]:9,[s.logging]:10,[s.genericEvents]:11},u={[s.pageViewEvent]:a,[s.pageViewTiming]:n,[s.ajax]:n,[s.spa]:n,[s.softNav]:n,[s.metrics]:i,[s.jserrors]:i,[s.sessionTrace]:o,[s.sessionReplay]:o,[s.logging]:"browser/logs",[s.genericEvents]:"ins"}}},n={};function i(e){var t=n[e];if(void 0!==t)return t.exports;var o=n[e]={exports:{}};return r[e](o,o.exports,i),o.exports}i.m=r,i.d=(e,t)=>{for(var r in t)i.o(t,r)&&!i.o(e,r)&&Object.defineProperty(e,r,{enumerable:!0,get:t[r]})},i.f={},i.e=e=>Promise.all(Object.keys(i.f).reduce(((t,r)=>(i.f[r](e,t),t)),[])),i.u=e=>({212:"nr-spa-compressor",249:"nr-spa-recorder",478:"nr-spa"}[e]+"-1.281.0.min.js"),i.o=(e,t)=>Object.prototype.hasOwnProperty.call(e,t),e={},t="NRBA-1.281.0.PROD:",i.l=(r,n,o,a)=>{if(e[r])e[r].push(n);else{var s,c;if(void 0!==o)for(var u=document.getElementsByTagName("script"),d=0;d<u.length;d++){var l=u[d];if(l.getAttribute("src")==r||l.getAttribute("data-webpack")==t+o){s=l;break}}if(!s){c=!0;var f={478:"sha512-jmvAlmjCn64ans8tLueqHRlBI/iWekylsDWb94A77CG0ukSriVDvgD3dThx+XjUSBBBMYhFn8B1a18fViyBPEQ==",249:"sha512-ICY/ZrcytM/86t5KFy+9OAWVYmNNJy10EBtxoSUGjQWuZx53p/eLo+L8HfrGjvHuRHRnutqLTGSnvNttffJkaA==",212:"sha512-pQSn+X/RfBOvx/49HvlghaiXMLhhDQXTi13n1N2XMpDquWJgs9U0pbqE3RbAnYC9nsdaTu/RVGvneEPv1fpCxA=="};(s=document.createElement("script")).charset="utf-8",s.timeout=120,i.nc&&s.setAttribute("nonce",i.nc),s.setAttribute("data-webpack",t+o),s.src=r,0!==s.src.indexOf(window.location.origin+"/")&&(s.crossOrigin="anonymous"),f[a]&&(s.integrity=f[a])}e[r]=[n];var h=(t,n)=>{s.onerror=s.onload=null,clearTimeout(p);var i=e[r];if(delete e[r],s.parentNode&&s.parentNode.removeChild(s),i&&i.forEach((e=>e(n))),t)return t(n)},p=setTimeout(h.bind(null,void 0,{type:"timeout",target:s}),12e4);s.onerror=h.bind(null,s.onerror),s.onload=h.bind(null,s.onload),c&&document.head.appendChild(s)}},i.r=e=>{"undefined"!=typeof Symbol&&Symbol.toStringTag&&Object.defineProperty(e,Symbol.toStringTag,{value:"Module"}),Object.defineProperty(e,"__esModule",{value:!0})},i.p="https://js-agent.newrelic.com/",(()=>{var e={38:0,788:0};i.f.j=(t,r)=>{var n=i.o(e,t)?e[t]:void 0;if(0!==n)if(n)r.push(n[2]);else{var o=new Promise(((r,i)=>n=e[t]=[r,i]));r.push(n[2]=o);var a=i.p+i.u(t),s=new Error;i.l(a,(r=>{if(i.o(e,t)&&(0!==(n=e[t])&&(e[t]=void 0),n)){var o=r&&("load"===r.type?"missing":r.type),a=r&&r.target&&r.target.src;s.message="Loading chunk "+t+" failed.\n("+o+": "+a+")",s.name="ChunkLoadError",s.type=o,s.request=a,n[1](s)}}),"chunk-"+t,t)}};var t=(t,r)=>{var n,o,[a,s,c]=r,u=0;if(a.some((t=>0!==e[t]))){for(n in s)i.o(s,n)&&(i.m[n]=s[n]);if(c)c(i)}for(t&&t(r);u<a.length;u++)o=a[u],i.o(e,o)&&e[o]&&e[o][0](),e[o]=0},r=self["webpackChunk:NRBA-1.281.0.PROD"]=self["webpackChunk:NRBA-1.281.0.PROD"]||[];r.forEach(t.bind(null,0)),r.push=t.bind(null,r.push.bind(r))})(),(()=>{"use strict";i(8374);var e=i(944),t=i(6344),r=i(9566);class n{agentIdentifier;constructor(){this.agentIdentifier=(0,r.LA)(16)}#e(t,...r){if("function"==typeof this.api?.[t])return this.api[t](...r);(0,e.R)(35,t)}addPageAction(e,t){return this.#e("addPageAction",e,t)}recordCustomEvent(e,t){return this.#e("recordCustomEvent",e,t)}setPageViewName(e,t){return this.#e("setPageViewName",e,t)}setCustomAttribute(e,t,r){return this.#e("setCustomAttribute",e,t,r)}noticeError(e,t){return this.#e("noticeError",e,t)}setUserId(e){return this.#e("setUserId",e)}setApplicationVersion(e){return this.#e("setApplicationVersion",e)}setErrorHandler(e){return this.#e("setErrorHandler",e)}addRelease(e,t){return this.#e("addRelease",e,t)}log(e,t){return this.#e("log",e,t)}}class o extends n{#e(t,...r){if("function"==typeof this.api?.[t])return this.api[t](...r);(0,e.R)(35,t)}start(){return this.#e("start")}finished(e){return this.#e("finished",e)}recordReplay(){return this.#e(t.G4.RECORD)}pauseReplay(){return this.#e(t.G4.PAUSE)}addToTrace(e){return this.#e("addToTrace",e)}setCurrentRouteName(e){return this.#e("setCurrentRouteName",e)}interaction(){return this.#e("interaction")}wrapLogger(e,t,r){return this.#e("wrapLogger",e,t,r)}}var a=i(860),s=i(9417);const c=Object.values(a.K7);function u(e){const t={};return c.forEach((r=>{t[r]=function(e,t){return!0===(0,s.gD)(t,"".concat(e,".enabled"))}(r,e)})),t}var d=i(425);var l=i(1687),f=i(4234),h=i(5289),p=i(6154),g=i(5270),m=i(7767),v=i(6389);class b extends f.W{constructor(e,t,r=!0){super(e.agentIdentifier,t),this.auto=r,this.abortHandler=void 0,this.featAggregate=void 0,this.onAggregateImported=void 0,!1===e.init[this.featureName].autoStart&&(this.auto=!1),this.auto?(0,l.Ak)(e.agentIdentifier,t):this.ee.on("manual-start-all",(0,v.J)((()=>{(0,l.Ak)(e.agentIdentifier,this.featureName),this.auto=!0,this.importAggregator(e)})))}importAggregator(t,r={}){if(this.featAggregate||!this.auto)return;let n;this.onAggregateImported=new Promise((e=>{n=e}));const o=async()=>{let o;try{if((0,m.V)(this.agentIdentifier)){const{setupAgentSession:e}=await i.e(478).then(i.bind(i,6526));o=e(t)}}catch(t){(0,e.R)(20,t),this.ee.emit("internal-error",[t]),this.featureName===a.K7.sessionReplay&&this.abortHandler?.()}try{if(!this.#t(this.featureName,o))return(0,l.Ze)(this.agentIdentifier,this.featureName),void n(!1);const{lazyFeatureLoader:e}=await i.e(478).then(i.bind(i,6103)),{Aggregate:a}=await e(this.featureName,"aggregate");this.featAggregate=new a(t,r),t.runtime.harvester.initializedAggregates.push(this.featAggregate),n(!0)}catch(t){(0,e.R)(34,t),this.abortHandler?.(),(0,l.Ze)(this.agentIdentifier,this.featureName,!0),n(!1),this.ee&&this.ee.abort()}};p.RI?(0,h.GG)((()=>o()),!0):o()}#t(e,t){switch(e){case a.K7.sessionReplay:return(0,g.SR)(this.agentIdentifier)&&!!t;case a.K7.sessionTrace:return!!t;default:return!0}}}var y=i(6630);class w extends b{static featureName=y.T;constructor(e,t=!0){super(e,y.T,t),this.importAggregator(e)}}var R=i(384);var x=i(9908),E=i(2843),T=i(3878),A=i(782),S=i(1863);class N extends b{static featureName=A.T;constructor(e,t=!0){super(e,A.T,t),p.RI&&((0,E.u)((()=>(0,x.p)("docHidden",[(0,S.t)()],void 0,A.T,this.ee)),!0),(0,T.sp)("pagehide",(()=>(0,x.p)("winPagehide",[(0,S.t)()],void 0,A.T,this.ee))),this.importAggregator(e))}}var _=i(3969);class O extends b{static featureName=_.TZ;constructor(e,t=!0){super(e,_.TZ,t),this.importAggregator(e)}}var I=i(6774),P=i(3304);class j{constructor(e,t,r,n,i){this.name="UncaughtError",this.message="string"==typeof e?e:(0,P.A)(e),this.sourceURL=t,this.line=r,this.column=n,this.__newrelic=i}}function C(e){return H(e)?e:new j(void 0!==e?.message?e.message:e,e?.filename||e?.sourceURL,e?.lineno||e?.line,e?.colno||e?.col,e?.__newrelic)}function k(e){const t="Unhandled Promise Rejection";if(!e?.reason)return;if(H(e.reason))try{return e.reason.message=t+": "+e.reason.message,C(e.reason)}catch(t){return C(e.reason)}const r=C(e.reason);return r.message=t+": "+r?.message,r}function L(e){if(e.error instanceof SyntaxError&&!/:\d+$/.test(e.error.stack?.trim())){const t=new j(e.message,e.filename,e.lineno,e.colno,e.error.__newrelic);return t.name=SyntaxError.name,t}return H(e.error)?e.error:C(e)}function H(e){return e instanceof Error&&!!e.stack}class M extends b{static featureName=I.T;#r=!1;constructor(e,r=!0){super(e,I.T,r);try{this.removeOnAbort=new AbortController}catch(e){}this.ee.on("internal-error",((e,t)=>{this.abortHandler&&(0,x.p)("ierr",[C(e),(0,S.t)(),!0,{},this.#r,t],void 0,this.featureName,this.ee)})),this.ee.on(t.G4.REPLAY_RUNNING,(e=>{this.#r=e})),p.gm.addEventListener("unhandledrejection",(e=>{this.abortHandler&&(0,x.p)("err",[k(e),(0,S.t)(),!1,{unhandledPromiseRejection:1},this.#r],void 0,this.featureName,this.ee)}),(0,T.jT)(!1,this.removeOnAbort?.signal)),p.gm.addEventListener("error",(e=>{this.abortHandler&&(0,x.p)("err",[L(e),(0,S.t)(),!1,{},this.#r],void 0,this.featureName,this.ee)}),(0,T.jT)(!1,this.removeOnAbort?.signal)),this.abortHandler=this.#n,this.importAggregator(e)}#n(){this.removeOnAbort?.abort(),this.abortHandler=void 0}}var D=i(8990);let K=1;const U="nr@id";function V(e){const t=typeof e;return!e||"object"!==t&&"function"!==t?-1:e===p.gm?0:(0,D.I)(e,U,(function(){return K++}))}function G(e){if("string"==typeof e&&e.length)return e.length;if("object"==typeof e){if("undefined"!=typeof ArrayBuffer&&e instanceof ArrayBuffer&&e.byteLength)return e.byteLength;if("undefined"!=typeof Blob&&e instanceof Blob&&e.size)return e.size;if(!("undefined"!=typeof FormData&&e instanceof FormData))try{return(0,P.A)(e).length}catch(e){return}}}var F=i(8139),B=i(7836),W=i(3434);const z={},q=["open","send"];function Z(t){var r=t||B.ee;const n=function(e){return(e||B.ee).get("xhr")}(r);if(void 0===p.gm.XMLHttpRequest)return n;if(z[n.debugId]++)return n;z[n.debugId]=1,(0,F.u)(r);var i=(0,W.YM)(n),o=p.gm.XMLHttpRequest,a=p.gm.MutationObserver,s=p.gm.Promise,c=p.gm.setInterval,u="readystatechange",d=["onload","onerror","onabort","onloadstart","onloadend","onprogress","ontimeout"],l=[],f=p.gm.XMLHttpRequest=function(t){const r=new o(t),a=n.context(r);try{n.emit("new-xhr",[r],a),r.addEventListener(u,(s=a,function(){var e=this;e.readyState>3&&!s.resolved&&(s.resolved=!0,n.emit("xhr-resolved",[],e)),i.inPlace(e,d,"fn-",y)}),(0,T.jT)(!1))}catch(t){(0,e.R)(15,t);try{n.emit("internal-error",[t])}catch(e){}}var s;return r};function h(e,t){i.inPlace(t,["onreadystatechange"],"fn-",y)}if(function(e,t){for(var r in e)t[r]=e[r]}(o,f),f.prototype=o.prototype,i.inPlace(f.prototype,q,"-xhr-",y),n.on("send-xhr-start",(function(e,t){h(e,t),function(e){l.push(e),a&&(g?g.then(b):c?c(b):(m=-m,v.data=m))}(t)})),n.on("open-xhr-start",h),a){var g=s&&s.resolve();if(!c&&!s){var m=1,v=document.createTextNode(m);new a(b).observe(v,{characterData:!0})}}else r.on("fn-end",(function(e){e[0]&&e[0].type===u||b()}));function b(){for(var e=0;e<l.length;e++)h(0,l[e]);l.length&&(l=[])}function y(e,t){return t}return n}var Y="fetch-",X=Y+"body-",J=["arrayBuffer","blob","json","text","formData"],Q=p.gm.Request,ee=p.gm.Response,te="prototype";const re={};function ne(e){const t=function(e){return(e||B.ee).get("fetch")}(e);if(!(Q&&ee&&p.gm.fetch))return t;if(re[t.debugId]++)return t;function r(e,r,n){var i=e[r];"function"==typeof i&&(e[r]=function(){var e,r=[...arguments],o={};t.emit(n+"before-start",[r],o),o[B.P]&&o[B.P].dt&&(e=o[B.P].dt);var a=i.apply(this,r);return t.emit(n+"start",[r,e],a),a.then((function(e){return t.emit(n+"end",[null,e],a),e}),(function(e){throw t.emit(n+"end",[e],a),e}))})}return re[t.debugId]=1,J.forEach((e=>{r(Q[te],e,X),r(ee[te],e,X)})),r(p.gm,"fetch",Y),t.on(Y+"end",(function(e,r){var n=this;if(r){var i=r.headers.get("content-length");null!==i&&(n.rxSize=i),t.emit(Y+"done",[null,r],n)}else t.emit(Y+"done",[e],n)})),t}var ie=i(7485),oe=i(5603);class ae{constructor(e){this.agentIdentifier=e}generateTracePayload(e){if(!this.shouldGenerateTrace(e))return null;var t=(0,oe.o)(this.agentIdentifier);if(!t)return null;var n=(t.accountID||"").toString()||null,i=(t.agentID||"").toString()||null,o=(t.trustKey||"").toString()||null;if(!n||!i)return null;var a=(0,r.ZF)(),s=(0,r.el)(),c=Date.now(),u={spanId:a,traceId:s,timestamp:c};return(e.sameOrigin||this.isAllowedOrigin(e)&&this.useTraceContextHeadersForCors())&&(u.traceContextParentHeader=this.generateTraceContextParentHeader(a,s),u.traceContextStateHeader=this.generateTraceContextStateHeader(a,c,n,i,o)),(e.sameOrigin&&!this.excludeNewrelicHeader()||!e.sameOrigin&&this.isAllowedOrigin(e)&&this.useNewrelicHeaderForCors())&&(u.newrelicHeader=this.generateTraceHeader(a,s,c,n,i,o)),u}generateTraceContextParentHeader(e,t){return"00-"+t+"-"+e+"-01"}generateTraceContextStateHeader(e,t,r,n,i){return i+"@nr=0-1-"+r+"-"+n+"-"+e+"----"+t}generateTraceHeader(e,t,r,n,i,o){if(!("function"==typeof p.gm?.btoa))return null;var a={v:[0,1],d:{ty:"Browser",ac:n,ap:i,id:e,tr:t,ti:r}};return o&&n!==o&&(a.d.tk=o),btoa((0,P.A)(a))}shouldGenerateTrace(e){return this.isDtEnabled()&&this.isAllowedOrigin(e)}isAllowedOrigin(e){var t=!1,r={};if((0,s.gD)(this.agentIdentifier,"distributed_tracing")&&(r=(0,s.D0)(this.agentIdentifier).distributed_tracing),e.sameOrigin)t=!0;else if(r.allowed_origins instanceof Array)for(var n=0;n<r.allowed_origins.length;n++){var i=(0,ie.D)(r.allowed_origins[n]);if(e.hostname===i.hostname&&e.protocol===i.protocol&&e.port===i.port){t=!0;break}}return t}isDtEnabled(){var e=(0,s.gD)(this.agentIdentifier,"distributed_tracing");return!!e&&!!e.enabled}excludeNewrelicHeader(){var e=(0,s.gD)(this.agentIdentifier,"distributed_tracing");return!!e&&!!e.exclude_newrelic_header}useNewrelicHeaderForCors(){var e=(0,s.gD)(this.agentIdentifier,"distributed_tracing");return!!e&&!1!==e.cors_use_newrelic_header}useTraceContextHeadersForCors(){var e=(0,s.gD)(this.agentIdentifier,"distributed_tracing");return!!e&&!!e.cors_use_tracecontext_headers}}var se=i(9300),ce=i(7295),ue=["load","error","abort","timeout"],de=ue.length,le=(0,R.dV)().o.REQ,fe=(0,R.dV)().o.XHR;class he extends b{static featureName=se.T;constructor(e,t=!0){super(e,se.T,t),this.dt=new ae(e.agentIdentifier),this.handler=(e,t,r,n)=>(0,x.p)(e,t,r,n,this.ee);try{const e={xmlhttprequest:"xhr",fetch:"fetch",beacon:"beacon"};p.gm?.performance?.getEntriesByType("resource").forEach((t=>{if(t.initiatorType in e&&0!==t.responseStatus){const r={status:t.responseStatus},n={rxSize:t.transferSize,duration:Math.floor(t.duration),cbTime:0};pe(r,t.name),this.handler("xhr",[r,n,t.startTime,t.responseEnd,e[t.initiatorType]],void 0,a.K7.ajax)}}))}catch(e){}ne(this.ee),Z(this.ee),function(e,t,r,n){function i(e){var t=this;t.totalCbs=0,t.called=0,t.cbTime=0,t.end=R,t.ended=!1,t.xhrGuids={},t.lastSize=null,t.loadCaptureCalled=!1,t.params=this.params||{},t.metrics=this.metrics||{},e.addEventListener("load",(function(r){E(t,e)}),(0,T.jT)(!1)),p.lR||e.addEventListener("progress",(function(e){t.lastSize=e.loaded}),(0,T.jT)(!1))}function o(e){this.params={method:e[0]},pe(this,e[1]),this.metrics={}}function s(t,r){e.loader_config.xpid&&this.sameOrigin&&r.setRequestHeader("X-NewRelic-ID",e.loader_config.xpid);var i=n.generateTracePayload(this.parsedOrigin);if(i){var o=!1;i.newrelicHeader&&(r.setRequestHeader("newrelic",i.newrelicHeader),o=!0),i.traceContextParentHeader&&(r.setRequestHeader("traceparent",i.traceContextParentHeader),i.traceContextStateHeader&&r.setRequestHeader("tracestate",i.traceContextStateHeader),o=!0),o&&(this.dt=i)}}function c(e,r){var n=this.metrics,i=e[0],o=this;if(n&&i){var a=G(i);a&&(n.txSize=a)}this.startTime=(0,S.t)(),this.body=i,this.listener=function(e){try{"abort"!==e.type||o.loadCaptureCalled||(o.params.aborted=!0),("load"!==e.type||o.called===o.totalCbs&&(o.onloadCalled||"function"!=typeof r.onload)&&"function"==typeof o.end)&&o.end(r)}catch(e){try{t.emit("internal-error",[e])}catch(e){}}};for(var s=0;s<de;s++)r.addEventListener(ue[s],this.listener,(0,T.jT)(!1))}function u(e,t,r){this.cbTime+=e,t?this.onloadCalled=!0:this.called+=1,this.called!==this.totalCbs||!this.onloadCalled&&"function"==typeof r.onload||"function"!=typeof this.end||this.end(r)}function d(e,t){var r=""+V(e)+!!t;this.xhrGuids&&!this.xhrGuids[r]&&(this.xhrGuids[r]=!0,this.totalCbs+=1)}function l(e,t){var r=""+V(e)+!!t;this.xhrGuids&&this.xhrGuids[r]&&(delete this.xhrGuids[r],this.totalCbs-=1)}function f(){this.endTime=(0,S.t)()}function h(e,r){r instanceof fe&&"load"===e[0]&&t.emit("xhr-load-added",[e[1],e[2]],r)}function g(e,r){r instanceof fe&&"load"===e[0]&&t.emit("xhr-load-removed",[e[1],e[2]],r)}function m(e,t,r){t instanceof fe&&("onload"===r&&(this.onload=!0),("load"===(e[0]&&e[0].type)||this.onload)&&(this.xhrCbStart=(0,S.t)()))}function v(e,r){this.xhrCbStart&&t.emit("xhr-cb-time",[(0,S.t)()-this.xhrCbStart,this.onload,r],r)}function b(e){var t,r=e[1]||{};if("string"==typeof e[0]?0===(t=e[0]).length&&p.RI&&(t=""+p.gm.location.href):e[0]&&e[0].url?t=e[0].url:p.gm?.URL&&e[0]&&e[0]instanceof URL?t=e[0].href:"function"==typeof e[0].toString&&(t=e[0].toString()),"string"==typeof t&&0!==t.length){t&&(this.parsedOrigin=(0,ie.D)(t),this.sameOrigin=this.parsedOrigin.sameOrigin);var i=n.generateTracePayload(this.parsedOrigin);if(i&&(i.newrelicHeader||i.traceContextParentHeader))if(e[0]&&e[0].headers)s(e[0].headers,i)&&(this.dt=i);else{var o={};for(var a in r)o[a]=r[a];o.headers=new Headers(r.headers||{}),s(o.headers,i)&&(this.dt=i),e.length>1?e[1]=o:e.push(o)}}function s(e,t){var r=!1;return t.newrelicHeader&&(e.set("newrelic",t.newrelicHeader),r=!0),t.traceContextParentHeader&&(e.set("traceparent",t.traceContextParentHeader),t.traceContextStateHeader&&e.set("tracestate",t.traceContextStateHeader),r=!0),r}}function y(e,t){this.params={},this.metrics={},this.startTime=(0,S.t)(),this.dt=t,e.length>=1&&(this.target=e[0]),e.length>=2&&(this.opts=e[1]);var r,n=this.opts||{},i=this.target;"string"==typeof i?r=i:"object"==typeof i&&i instanceof le?r=i.url:p.gm?.URL&&"object"==typeof i&&i instanceof URL&&(r=i.href),pe(this,r);var o=(""+(i&&i instanceof le&&i.method||n.method||"GET")).toUpperCase();this.params.method=o,this.body=n.body,this.txSize=G(n.body)||0}function w(e,t){if(this.endTime=(0,S.t)(),this.params||(this.params={}),(0,ce.iW)(this.params))return;let n;this.params.status=t?t.status:0,"string"==typeof this.rxSize&&this.rxSize.length>0&&(n=+this.rxSize);const i={txSize:this.txSize,rxSize:n,duration:(0,S.t)()-this.startTime};r("xhr",[this.params,i,this.startTime,this.endTime,"fetch"],this,a.K7.ajax)}function R(e){const t=this.params,n=this.metrics;if(!this.ended){this.ended=!0;for(let t=0;t<de;t++)e.removeEventListener(ue[t],this.listener,!1);t.aborted||(0,ce.iW)(t)||(n.duration=(0,S.t)()-this.startTime,this.loadCaptureCalled||4!==e.readyState?null==t.status&&(t.status=0):E(this,e),n.cbTime=this.cbTime,r("xhr",[t,n,this.startTime,this.endTime,"xhr"],this,a.K7.ajax))}}function E(e,r){e.params.status=r.status;var n=function(e,t){var r=e.responseType;return"json"===r&&null!==t?t:"arraybuffer"===r||"blob"===r||"json"===r?G(e.response):"text"===r||""===r||void 0===r?G(e.responseText):void 0}(r,e.lastSize);if(n&&(e.metrics.rxSize=n),e.sameOrigin){var i=r.getResponseHeader("X-NewRelic-App-Data");i&&((0,x.p)(_.rs,["Ajax/CrossApplicationTracing/Header/Seen"],void 0,a.K7.metrics,t),e.params.cat=i.split(", ").pop())}e.loadCaptureCalled=!0}t.on("new-xhr",i),t.on("open-xhr-start",o),t.on("open-xhr-end",s),t.on("send-xhr-start",c),t.on("xhr-cb-time",u),t.on("xhr-load-added",d),t.on("xhr-load-removed",l),t.on("xhr-resolved",f),t.on("addEventListener-end",h),t.on("removeEventListener-end",g),t.on("fn-end",v),t.on("fetch-before-start",b),t.on("fetch-start",y),t.on("fn-start",m),t.on("fetch-done",w)}(e,this.ee,this.handler,this.dt),this.importAggregator(e)}}function pe(e,t){var r=(0,ie.D)(t),n=e.params||e;n.hostname=r.hostname,n.port=r.port,n.protocol=r.protocol,n.host=r.hostname+":"+r.port,n.pathname=r.pathname,e.parsedOrigin=r,e.sameOrigin=r.sameOrigin}const ge={},me=["pushState","replaceState"];function ve(e){const t=function(e){return(e||B.ee).get("history")}(e);return!p.RI||ge[t.debugId]++||(ge[t.debugId]=1,(0,W.YM)(t).inPlace(window.history,me,"-")),t}var be=i(3738);const{He:ye,bD:we,d3:Re,Kp:xe,TZ:Ee,Lc:Te,uP:Ae,Rz:Se}=be;class Ne extends b{static featureName=Ee;constructor(e,t=!0){super(e,Ee,t);if(!(0,m.V)(this.agentIdentifier))return void this.deregisterDrain();const r=this.ee;let n;ve(r),this.eventsEE=(0,F.u)(r),this.eventsEE.on(Ae,(function(e,t){this.bstStart=(0,S.t)()})),this.eventsEE.on(Te,(function(e,t){(0,x.p)("bst",[e[0],t,this.bstStart,(0,S.t)()],void 0,a.K7.sessionTrace,r)})),r.on(Se+Re,(function(e){this.time=(0,S.t)(),this.startPath=location.pathname+location.hash})),r.on(Se+xe,(function(e){(0,x.p)("bstHist",[location.pathname+location.hash,this.startPath,this.time],void 0,a.K7.sessionTrace,r)}));try{n=new PerformanceObserver((e=>{const t=e.getEntries();(0,x.p)(ye,[t],void 0,a.K7.sessionTrace,r)})),n.observe({type:we,buffered:!0})}catch(e){}this.importAggregator(e,{resourceObserver:n})}}var _e=i(2614);class Oe extends b{static featureName=t.TZ;#i;#o;constructor(e,r=!0){let n;super(e,t.TZ,r),this.replayRunning=!1,this.#o=e;try{n=JSON.parse(localStorage.getItem("".concat(_e.H3,"_").concat(_e.uh)))}catch(e){}(0,g.SR)(e.agentIdentifier)&&this.ee.on(t.G4.RECORD,(()=>this.#a())),this.#s(n)?(this.#i=n?.sessionReplayMode,this.#c()):this.importAggregator(e),this.ee.on("err",(e=>{this.replayRunning&&(this.errorNoticed=!0,(0,x.p)(t.G4.ERROR_DURING_REPLAY,[e],void 0,this.featureName,this.ee))})),this.ee.on(t.G4.REPLAY_RUNNING,(e=>{this.replayRunning=e}))}#s(e){return e&&(e.sessionReplayMode===_e.g.FULL||e.sessionReplayMode===_e.g.ERROR)||(0,g.Aw)(this.agentIdentifier)}#u=!1;async#c(e){if(!this.#u){this.#u=!0;try{const{Recorder:t}=await Promise.all([i.e(478),i.e(249)]).then(i.bind(i,8589));this.recorder??=new t({mode:this.#i,agentIdentifier:this.agentIdentifier,trigger:e,ee:this.ee,agentRef:this.#o}),this.recorder.startRecording(),this.abortHandler=this.recorder.stopRecording}catch(e){}this.importAggregator(this.#o,{recorder:this.recorder,errorNoticed:this.errorNoticed})}}#a(){this.featAggregate?this.featAggregate.mode!==_e.g.FULL&&this.featAggregate.initializeRecording(_e.g.FULL,!0):(this.#i=_e.g.FULL,this.#c(t.Qb.API),this.recorder&&this.recorder.parent.mode!==_e.g.FULL&&(this.recorder.parent.mode=_e.g.FULL,this.recorder.stopRecording(),this.recorder.startRecording(),this.abortHandler=this.recorder.stopRecording))}}var Ie=i(3962);class Pe extends b{static featureName=Ie.TZ;constructor(e,t=!0){if(super(e,Ie.TZ,t),!p.RI||!(0,R.dV)().o.MO)return;const r=ve(this.ee);Ie.tC.forEach((e=>{(0,T.sp)(e,(e=>{a(e)}),!0)}));const n=()=>(0,x.p)("newURL",[(0,S.t)(),""+window.location],void 0,this.featureName,this.ee);r.on("pushState-end",n),r.on("replaceState-end",n);try{this.removeOnAbort=new AbortController}catch(e){}(0,T.sp)("popstate",(e=>(0,x.p)("newURL",[e.timeStamp,""+window.location],void 0,this.featureName,this.ee)),!0,this.removeOnAbort?.signal);let i=!1;const o=new((0,R.dV)().o.MO)(((e,t)=>{i||(i=!0,requestAnimationFrame((()=>{(0,x.p)("newDom",[(0,S.t)()],void 0,this.featureName,this.ee),i=!1})))})),a=(0,v.s)((e=>{(0,x.p)("newUIEvent",[e],void 0,this.featureName,this.ee),o.observe(document.body,{attributes:!0,childList:!0,subtree:!0,characterData:!0})}),100,{leading:!0});this.abortHandler=function(){this.removeOnAbort?.abort(),o.disconnect(),this.abortHandler=void 0},this.importAggregator(e,{domObserver:o})}}var je=i(7378);const Ce={},ke=["appendChild","insertBefore","replaceChild"];function Le(e){const t=function(e){return(e||B.ee).get("jsonp")}(e);if(!p.RI||Ce[t.debugId])return t;Ce[t.debugId]=!0;var r=(0,W.YM)(t),n=/[?&](?:callback|cb)=([^&#]+)/,i=/(.*)\.([^.]+)/,o=/^(\w+)(\.|$)(.*)$/;function a(e,t){if(!e)return t;const r=e.match(o),n=r[1];return a(r[3],t[n])}return r.inPlace(Node.prototype,ke,"dom-"),t.on("dom-start",(function(e){!function(e){if(!e||"string"!=typeof e.nodeName||"script"!==e.nodeName.toLowerCase())return;if("function"!=typeof e.addEventListener)return;var o=(s=e.src,c=s.match(n),c?c[1]:null);var s,c;if(!o)return;var u=function(e){var t=e.match(i);if(t&&t.length>=3)return{key:t[2],parent:a(t[1],window)};return{key:e,parent:window}}(o);if("function"!=typeof u.parent[u.key])return;var d={};function l(){t.emit("jsonp-end",[],d),e.removeEventListener("load",l,(0,T.jT)(!1)),e.removeEventListener("error",f,(0,T.jT)(!1))}function f(){t.emit("jsonp-error",[],d),t.emit("jsonp-end",[],d),e.removeEventListener("load",l,(0,T.jT)(!1)),e.removeEventListener("error",f,(0,T.jT)(!1))}r.inPlace(u.parent,[u.key],"cb-",d),e.addEventListener("load",l,(0,T.jT)(!1)),e.addEventListener("error",f,(0,T.jT)(!1)),t.emit("new-jsonp",[e.src],d)}(e[0])})),t}const He={};function Me(e){const t=function(e){return(e||B.ee).get("promise")}(e);if(He[t.debugId])return t;He[t.debugId]=!0;var r=t.context,n=(0,W.YM)(t),i=p.gm.Promise;return i&&function(){function e(r){var o=t.context(),a=n(r,"executor-",o,null,!1);const s=Reflect.construct(i,[a],e);return t.context(s).getCtx=function(){return o},s}p.gm.Promise=e,Object.defineProperty(e,"name",{value:"Promise"}),e.toString=function(){return i.toString()},Object.setPrototypeOf(e,i),["all","race"].forEach((function(r){const n=i[r];e[r]=function(e){let i=!1;[...e||[]].forEach((e=>{this.resolve(e).then(a("all"===r),a(!1))}));const o=n.apply(this,arguments);return o;function a(e){return function(){t.emit("propagate",[null,!i],o,!1,!1),i=i||!e}}}})),["resolve","reject"].forEach((function(r){const n=i[r];e[r]=function(e){const r=n.apply(this,arguments);return e!==r&&t.emit("propagate",[e,!0],r,!1,!1),r}})),e.prototype=i.prototype;const o=i.prototype.then;i.prototype.then=function(...e){var i=this,a=r(i);a.promise=i,e[0]=n(e[0],"cb-",a,null,!1),e[1]=n(e[1],"cb-",a,null,!1);const s=o.apply(this,e);return a.nextPromise=s,t.emit("propagate",[i,!0],s,!1,!1),s},i.prototype.then[W.Jt]=o,t.on("executor-start",(function(e){e[0]=n(e[0],"resolve-",this,null,!1),e[1]=n(e[1],"resolve-",this,null,!1)})),t.on("executor-err",(function(e,t,r){e[1](r)})),t.on("cb-end",(function(e,r,n){t.emit("propagate",[n,!0],this.nextPromise,!1,!1)})),t.on("propagate",(function(e,r,n){this.getCtx&&!r||(this.getCtx=function(){if(e instanceof Promise)var r=t.context(e);return r&&r.getCtx?r.getCtx():this})}))}(),t}const De={},Ke="setTimeout",Ue="setInterval",Ve="clearTimeout",Ge="-start",Fe=[Ke,"setImmediate",Ue,Ve,"clearImmediate"];function Be(e){const t=function(e){return(e||B.ee).get("timer")}(e);if(De[t.debugId]++)return t;De[t.debugId]=1;var r=(0,W.YM)(t);return r.inPlace(p.gm,Fe.slice(0,2),Ke+"-"),r.inPlace(p.gm,Fe.slice(2,3),Ue+"-"),r.inPlace(p.gm,Fe.slice(3),Ve+"-"),t.on(Ue+Ge,(function(e,t,n){e[0]=r(e[0],"fn-",null,n)})),t.on(Ke+Ge,(function(e,t,n){this.method=n,this.timerDuration=isNaN(e[1])?0:+e[1],e[0]=r(e[0],"fn-",this,n)})),t}const We={};function ze(e){const t=function(e){return(e||B.ee).get("mutation")}(e);if(!p.RI||We[t.debugId])return t;We[t.debugId]=!0;var r=(0,W.YM)(t),n=p.gm.MutationObserver;return n&&(window.MutationObserver=function(e){return this instanceof n?new n(r(e,"fn-")):n.apply(this,arguments)},MutationObserver.prototype=n.prototype),t}const{TZ:qe,d3:Ze,Kp:Ye,$p:Xe,wW:$e,e5:Je,tH:Qe,uP:et,rw:tt,Lc:rt}=je;class nt extends b{static featureName=qe;constructor(e,t=!0){if(super(e,qe,t),!p.RI)return;try{this.removeOnAbort=new AbortController}catch(e){}let r,n=0;const i=this.ee.get("tracer"),o=Le(this.ee),a=Me(this.ee),s=Be(this.ee),c=Z(this.ee),u=this.ee.get("events"),d=ne(this.ee),l=ve(this.ee),f=ze(this.ee);function h(e,t){l.emit("newURL",[""+window.location,t])}function g(){n++,r=window.location.hash,this[et]=(0,S.t)()}function m(){n--,window.location.hash!==r&&h(0,!0);var e=(0,S.t)();this[Je]=~~this[Je]+e-this[et],this[rt]=e}function v(e,t){e.on(t,(function(){this[t]=(0,S.t)()}))}this.ee.on(et,g),a.on(tt,g),o.on(tt,g),this.ee.on(rt,m),a.on($e,m),o.on($e,m),this.ee.on("fn-err",((...t)=>{t[2]?.__newrelic?.[e.agentIdentifier]||(0,x.p)("function-err",[...t],void 0,this.featureName,this.ee)})),this.ee.buffer([et,rt,"xhr-resolved"],this.featureName),u.buffer([et],this.featureName),s.buffer(["setTimeout"+Ye,"clearTimeout"+Ze,et],this.featureName),c.buffer([et,"new-xhr","send-xhr"+Ze],this.featureName),d.buffer([Qe+Ze,Qe+"-done",Qe+Xe+Ze,Qe+Xe+Ye],this.featureName),l.buffer(["newURL"],this.featureName),f.buffer([et],this.featureName),a.buffer(["propagate",tt,$e,"executor-err","resolve"+Ze],this.featureName),i.buffer([et,"no-"+et],this.featureName),o.buffer(["new-jsonp","cb-start","jsonp-error","jsonp-end"],this.featureName),v(d,Qe+Ze),v(d,Qe+"-done"),v(o,"new-jsonp"),v(o,"jsonp-end"),v(o,"cb-start"),l.on("pushState-end",h),l.on("replaceState-end",h),window.addEventListener("hashchange",h,(0,T.jT)(!0,this.removeOnAbort?.signal)),window.addEventListener("load",h,(0,T.jT)(!0,this.removeOnAbort?.signal)),window.addEventListener("popstate",(function(){h(0,n>1)}),(0,T.jT)(!0,this.removeOnAbort?.signal)),this.abortHandler=this.#n,this.importAggregator(e)}#n(){this.removeOnAbort?.abort(),this.abortHandler=void 0}}var it=i(3333);class ot extends b{static featureName=it.TZ;constructor(e,t=!0){super(e,it.TZ,t);const r=[e.init.page_action.enabled,e.init.performance.capture_marks,e.init.performance.capture_measures,e.init.user_actions.enabled,e.init.performance.resources.enabled];if(p.RI&&(e.init.user_actions.enabled&&(it.Zp.forEach((e=>(0,T.sp)(e,(e=>(0,x.p)("ua",[e],void 0,this.featureName,this.ee)),!0))),it.qN.forEach((e=>{const t=(0,v.s)((e=>{(0,x.p)("ua",[e],void 0,this.featureName,this.ee)}),500,{leading:!0});(0,T.sp)(e,t)}))),e.init.performance.resources.enabled&&p.gm.PerformanceObserver?.supportedEntryTypes.includes("resource"))){new PerformanceObserver((e=>{e.getEntries().forEach((e=>{(0,x.p)("browserPerformance.resource",[e],void 0,this.featureName,this.ee)}))})).observe({type:"resource",buffered:!0})}r.some((e=>e))?this.importAggregator(e):this.deregisterDrain()}}var at=i(993),st=i(3785);class ct extends b{static featureName=at.TZ;constructor(e,t=!0){super(e,at.TZ,t);const r=this.ee;this.ee.on("wrap-logger-end",(function([e]){const{level:t,customAttributes:n}=this;(0,st.R)(r,e,n,t)})),this.importAggregator(e)}}new class extends o{constructor(t){super(),p.gm?(this.features={},(0,R.bQ)(this.agentIdentifier,this),this.desiredFeatures=new Set(t.features||[]),this.desiredFeatures.add(w),this.runSoftNavOverSpa=[...this.desiredFeatures].some((e=>e.featureName===a.K7.softNav)),(0,d.j)(this,t,t.loaderType||"agent"),this.run()):(0,e.R)(21)}get config(){return{info:this.info,init:this.init,loader_config:this.loader_config,runtime:this.runtime}}run(){try{const t=u(this.agentIdentifier),r=[...this.desiredFeatures];r.sort(((e,t)=>a.P3[e.featureName]-a.P3[t.featureName])),r.forEach((r=>{if(!t[r.featureName]&&r.featureName!==a.K7.pageViewEvent)return;if(this.runSoftNavOverSpa&&r.featureName===a.K7.spa)return;if(!this.runSoftNavOverSpa&&r.featureName===a.K7.softNav)return;const n=function(e){switch(e){case a.K7.ajax:return[a.K7.jserrors];case a.K7.sessionTrace:return[a.K7.ajax,a.K7.pageViewEvent];case a.K7.sessionReplay:return[a.K7.sessionTrace];case a.K7.pageViewTiming:return[a.K7.pageViewEvent];default:return[]}}(r.featureName).filter((e=>!(e in this.features)));n.length>0&&(0,e.R)(36,{targetFeature:r.featureName,missingDependencies:n}),this.features[r.featureName]=new r(this)}))}catch(t){(0,e.R)(22,t);for(const e in this.features)this.features[e].abortHandler?.();const r=(0,R.Zm)();delete r.initializedAgents[this.agentIdentifier]?.api,delete r.initializedAgents[this.agentIdentifier]?.features,delete this.sharedAggregator;return r.ee.get(this.agentIdentifier).abort(),!1}}}({features:[he,w,N,Ne,Oe,O,M,ot,ct,Pe,nt],loaderType:"spa"})})()})();</script><meta charset="utf-8" /><meta name="viewport" content="width=device-width, initial-scale=1" /><meta http-equiv="Expires" content="0" /><meta name="DCSext.FullHTMLview" content="1" /><meta name="WT.cg_n" content="acgcr" /><meta name="WT.cg_s" content="Articles,Open Access Articles" /><meta name="wkhealth_journal_title" content="ACG Case Reports Journal" /><meta name="wkhealth_journal_title_legacy" content="ACG Case Reports Journal" /><meta name="wkhealth_issue" content="10" /><meta name="wkhealth_article_publication_date" content="October 10, 2024" /><meta name="wkhealth_volume" content="11" /><meta name="wkhealth_ovid_accession_number" content="02075970-202410000-00019" /><meta name="wkhealth_issn" content="2326-3253" /><meta name="wkhealth_title" content="An Infiltrative Case of Angiosarcoma Causing Portal Hypertension" /><meta name="wkhealth_authors" content="Bae, Gina;Dunleavy, Katie A.;Hagen, Catherine;Simonetto, Douglas A.;Abdelmalek, Manal F." /><meta name="wkhealth_doi" content="10.14309/crj.0000000000001532" /><meta name="wkhealth_abstract_html_url" content="https://journals.lww.com/acgcr/abstract/2024/10000/an_infiltrative_case_of_angiosarcoma_causing.19.aspx" /><meta name="wkhealth_fulltext_html_url" content="https://journals.lww.com/acgcr/fulltext/2024/10000/an_infiltrative_case_of_angiosarcoma_causing.19.aspx" /><meta name="wkhealth_toc_section" content="CASE REPORT" /><meta name="wkhealth_toc_sub_section" content="LIVER" /><meta name="wkhealth_eJpId" content="acgcr:2024:10000:00019" /><meta name="wkhealth_firstpage" content="e01532" /><meta name="wkhealth_date" content="October 2024" /><meta name="wkhealth_pdf_url" content="https://journals.lww.com/acgcr/_layouts/15/oaks.journals/downloadpdf.aspx?trckng_src_pg=Other&an=02075970-202410000-00019" /><meta name="Description" content="Hepatic angiosarcoma is a rare and aggressive liver tumor. We report a case study of an 82-year-old " /><meta property="og:site_name" content="LWW" /><meta property="og:type" content="article" /><meta property="og:title" content="An Infiltrative Case of Angiosarcoma Causing Portal... : ACG Case Reports Journal" /><meta property="og:description" content=" infiltrative form, rather than distinct masses, which led to portal hypertension and ascites. The variance in symptomatology and radiology presentations make a diagnosis of hepatic angiosarcoma challenging and require a high index of suspicion...." /><meta property="og:image" content="https://images.journals.lww.com/acgcr/SocialThumb.02075970-202410000-00019.F1.jpeg" /><meta property="og:image:width" content="951" /><meta property="og:image:height" content="774" /><meta property="og:url" content="https://journals.lww.com/acgcr/fulltext/2024/10000/an_infiltrative_case_of_angiosarcoma_causing.19.aspx" /><meta property="twitter:card" content="summary" /><meta name="robots" content="index, follow, noarchive" /><meta name="WT.sv" content="ZUSE1PEJPWEB01" /><meta name="Title" content="ACG Case Reports Journal" /><style id="SPThemeHideForms" type="text/css">body {opacity:0 !important}</style>  <link href="https://fonts.googleapis.com/css?family=Arvo:400,400i,700|Fira+Sans:300,300i,400,400i,500,500i,600,600i,700,700i&display=swap" rel="stylesheet" /> <script> // temporary workaround for Bug 316328:[Stage][Registration][Regression 05.04] - Omniture events are not displayed for article viewer page // prevents JS exception in Adobe launch.js caused by situation when wkhealth_institution_type meta tag is present while wkhealth_institution_name tag is not in the page head // see this check in Adobe launch.js: null != document.querySelector("meta[name='wkhealth_institution_name']") ... // TODO: implement proper code fix after release 05.04.00 deployment var wkhealth_institution_type = document.querySelector("meta[name='wkhealth_institution_type']"); var wkhealth_institution_name = document.querySelector("meta[name='wkhealth_institution_name']"); console.warn(wkhealth_institution_type); console.warn(wkhealth_institution_name); if (wkhealth_institution_type && !wkhealth_institution_name) { console.warn('Workaround in release 05.04.00 - removing wkhealth_institution_type meta tag if wkhealth_institution_name is not present'); wkhealth_institution_type.remove(); } </script> <link rel="shortcut icon" href="https://cdn.wolterskluwer.io/wk-logos/1.0.x/favicon.png" type="image/vnd.microsoft.icon" id="favicon" /> <link id="ctl00_ctl14_wkfavicon_linkFavIcon" rel="shortcut icon" href="/acgcr/PublishingImages/WKfavicon.ico" type="image/x-icon"></link> <meta name="msapplication-TileImage" content="/_layouts/15/images/SharePointMetroAppTile.png" /><meta name="msapplication-TileColor" content="#0072C6" /> <link rel="stylesheet" type="text/css" href="https://lww.com/_layouts/15/1033/styles/Themable/corev15.css?v=05.24.00.023" media="screen" /> <link rel="stylesheet" type="text/css" href="https://lww.com/_layouts/15/oaks.journals/core/bootstrap.min.css?v=05.24.00.023" media="screen" /> <link id="ctl00_ctl14_FontAwesomeStylesheet" rel="stylesheet" type="text/css" href="https://unpkg.com/font-awesome@4.4.0/css/font-awesome.min.css"></link> <link rel="stylesheet" type="text/css" href="https://lww.com/_layouts/15/1033/styles/oaks.journals/bootstrap-overwrites.css?v=05.24.00.023" media="screen" /><link rel="stylesheet" type="text/css" href="https://lww.com/_layouts/15/1033/styles/oaks.journals/tachyons.css?v=05.24.00.023" media="screen" /><link rel="stylesheet" type="text/css" href="/acgcr/_layouts/15/1033/styles/oaks.journals/base-main-header.css?v=05.24.00.023" media="screen" /><link rel="stylesheet" type="text/css" href="https://lww.com/_layouts/15/oaks.journals/core/lww-core.css?v=05.24.00.023" media="screen" /><link rel="stylesheet" type="text/css" href="https://lww.com/_layouts/15/oaks.journals/core/ejp.css?v=05.24.00.023" media="screen" /><link rel="stylesheet" type="text/css" href="https://lww.com/_layouts/15/oaks.journals/core/ejp-print.css?v=05.24.00.023" media="print" /><link rel="stylesheet" type="text/css" href="https://lww.com/_layouts/15/oaks.journals/core/jqueryui.css?v=05.24.00.023" media="screen" /> <link rel="stylesheet" type="text/css" href="/acgcr/Style%20Library/journal.css?v=05.24.00.023" media="screen" /> <link rel="stylesheet" type="text/css" href="/acgcr/Style%20Library/custom.journal.css?v=05.24.00.023" media="screen" /> <script>var WebContext = {"EndPoints":{"ArticleMetricsEndpoint":"//services.journals.lww.com/IntegrationServices/ArticleMetricsService.svc","ThirdPartyRSSFeedServiceEndPoint":"https://services.journals.lww.com/IntegrationServices/ThirdPartyRSSFeedService.svc","JwtTokenServiceEndpoint":"https://journals.lww.com/acgcr/_layouts/15/OAKS.Journals/JsonWebToken.svc"}}</script> <script type="text/javascript">// <![CDATA[ var g_SPOffSwitches={}; // ]]> </script> <script type="text/javascript" src="/_layouts/15/1033/initstrings.js?rev=nDf18IVeB%2B72%2BM6Jhf9Utg%3D%3DTAG0"></script> <script type="text/javascript" src="/_layouts/15/init.js?rev=tUeDdv3F0bt%2B53gKekYVYQ%3D%3DTAG0"></script> <script type="text/javascript" src="/_layouts/15/1033/strings.js?rev=ZpwERQVJtz0nJ0TWzlZWYw%3D%3DTAG0"></script> <script type="text/javascript" src="/_layouts/15/theming.js?rev=SuLUbbwTXcxFWOWLFUsOkw%3D%3DTAG0"></script> <script type="text/javascript" src="/_layouts/15/ie55up.js?rev=JyfVJS9cC6zB7iMW4%2BoyXg%3D%3DTAG0"></script> <script type="text/javascript" src="/ScriptResource.axd?d=F7rjznvAP1ZvjwmSYaDR9a3zqrnKFnNGXs7A_cRIg2rplizpOOjwg9eBfW_KxBMLRVN3lzATjzWkisQusj_Iaw7I7xHhM2EsA2p1WTk5lIh-1_uEIMq1sktVYKM3D6Gp5VSqOtDTEnrScqHWTHOzdCPnKDjm2mtJH72pNbP0u4uI_zDnfi9spPAqI_kz3qnF0&t=ffffffffaa493ab8"></script> <script type="text/javascript" src="/_layouts/15/blank.js?rev=aECCBG3EW5w5rcRXMfaDHw%3D%3DTAG0"></script> <script type="text/javascript" src="/ScriptResource.axd?d=yatK8ruofouVZAe4qMCnoohEpb3HRGGjDeZZjZ7kMmC722OeAMhxqxkQCI5Rxx8YROZ4ohEXEd-BY-UzqqqylduXIs6jc38C73kN3lT2QdlwTljpny1fYEjcvvbYSMHNq1-TT-bDa0cFUDuAr5ywhChhEELpPbB_In_xfOO6OlgjpjP86LmsgZzKkXo8aCS90&t=ffffffffaa493ab8"></script> <script type="text/javascript" src="/ScriptResource.axd?d=Fr5k7XDliwj7SPEiKSqb-V3uT_yv_Vc0LBq3yd_m1_Ea8vkvI41fPqtWB8rH7kW9D2--SObxiXOCEDDg2Tv5yxNEAylK5ZpV5j9rD03yPUcCPh8w-y9A8MWLSg0jrQ-0kisGzu4Hba8Ct3e6oiiAj5nLa8lUDGLzNSKFrT8wEzRvrGDuqa6AKloxdLDyhLNb6sYlIjtGIn7oUTXlG_HGsg2&t=596f116c"></script> <script type="text/javascript" src="/ScriptResource.axd?d=LXNyktQiaIpbp533FW-c46OHB30ylIqDlrzk7r3HlWeMLy05SwQ7ZZDsPGq7NzzDRSU0tvewepiuVrszZuoio7QLmOYibhCj6dQNfSL2hGpxpyP-E7et27fbWMHpoIuHecopwN8d_b-WR8rimwUGdbN6akitIdX32lXMez7LH7qkG1jVMDvXf2M0_6gdMpGjpPKlEhmMrNGzYuo05_KLRO4TeTkKykcR_5pPB2fyzgk1&t=596f116c"></script> <script type="text/javascript" src="/ScriptResource.axd?d=UozfgYfgcP8g118ZMoKEWz_x5V51ZaIWOeFUe49mdZ8Yy8frQahBfRlFRNNeizXxYfmbtpE1uZMOMW2QeF7QCWjREvRvpNDSCGO5YICh1GalcUtEGJaGvVObluwmGza6-lV8S-wgb9vDF6UYZlWbyLOo-d94ckB8BN1hUlnIdqL9auDE1qR-ddFC7rw_89VZWQ6uTxR6vOlq2jE0iTr3J_6_Q3a7SLOduMua_ZXDgk7k01lBMUodCwi6dm-oTxLE0&t=596f116c"></script> <script type="text/javascript" src="/ScriptResource.axd?d=ZWgxL8bxzPcm3sf7nBtjnXIE2wsAF-izuHnFdkP9YIwhY40NTQZWAMXXd5_I4JNrdCjHASB5kHO0Yp663zuk5AhL_jRl1k_SY5vnpUrSCkFxyolVdXM4FQlXIKn4Vvw31N76GuK5LU06Z_W9PLwfY2Syw-289UtPxVzBx9gVTRruCab2sQxw8wsPzWwQuzodrorJnIINUBwKL_vl4JpUyg2&t=596f116c"></script> <script type="text/javascript" src="/ScriptResource.axd?d=EBaCwkyF6v0hRUf3ae-93ssVmxQ7oIMqv_PPxkqrb9oreHGbb2-nfpYVrHcdp3m-zVM-7IejfExLCflpv83MelmvDxCP_bfWTqE6qeqNKtnJrC6U7f-VSqzDeiqxeFeQcr2gdWPsj6xuQIL9yofEjL-H9aGyCIOqWIpEBJ7whIjP5cINMF1LSl9sjJQ7m8EzvCkRy97Lv87xdtMaOwsPZQua3oe2eRAfQMy5DfH1rBU1&t=596f116c"></script> <script type="text/javascript" src="/ScriptResource.axd?d=wD8VqdUYdbEDwBKpnhKPdzJbzZckynHSZAFSwtw0pb9xBjjkE5QcyWugHeKYmmlr5VSa3nfGB1Xz7jafz_E7BWSKiwSgokhW7jiO928L_QrPFxF6EUuMyF_R_k74O2ZH3Z2j_4YTihok5YYe4jIHNbXew2ICIYicdQ6t5hTNp6rgynp1DalRocxe5znBs87HZLCu8p1QfDK38eKJRZE968HV31IWzfYmG-OLm0YY--COCDBd2W06gq-Q4GGHyVyR0&t=596f116c"></script> <script type="text/javascript" src="/ScriptResource.axd?d=-7EYqBUD5SBnN9GXen_j6q1vUCHCiGsBm9LG-6jUM7Rd46ySBRRKNEzamKwU97Ev4GNWdvuZGqjKPpTco_vaUnZotagIyWjSOr8Y_YpPpCBN41u1qvqUa_Z3KhaMpFpLnBCVAOGXsZBX0gnLdrWl7SPrwgrfSJovgJOyKQNohnCagrVGRS7D0SajjiwZiBwbRFFXzQUODi-UXS4-R3OUE9NEoYmrfX_DvTq3geTEsrQ1&t=596f116c"></script> <script type="text/javascript" src="/ScriptResource.axd?d=1Bz5XD8diaSe1jTYew43lskkqvoOQ7xUk9zYBR9yPfNI5dG64NIPCYkFSKOHNDL_QVi-dGp62xDY0jGHiOTaybK9bApxYHqJLIbzEwEQB4irPiQPiKBzzY5p7N4f-D0FpCNtiMYBBQwavF6nxBbyIVOMdRyTBQ10Hm9Zmj9z2NOmhfNxDVkOcXNQDwO54qpnA74wIl4P7kqB5Ngz9hx4kY3xEadtMKXSX7uqRVTMzso1&t=596f116c"></script> <script type="text/javascript" src="/ScriptResource.axd?d=2jUlVNSVbehJJ-Lt4PSuX3imkArDDoAUwrw500StXDnRKdoHS2np91egmJiBUG7feIOax9x-3d3eG4JYvatg-8X9LQmJU49eWww19gWY7vSdphyQrCWf_QI352TwlgZkOjBO9SLzCdnP0Rkx2chN2q3GkIbDzjCD2z0q_V19F4FLoBgT9FcKUizcWUqIzBoXhgYN9ZOMKI0YCb0cjcqnIG9l7yUe6eYzolUqVyyoo5k1&t=596f116c"></script> <script type="text/javascript">RegisterSod("require.js", "\u002f_layouts\u002f15\u002frequire.js?rev=bv3fWJhk0uFGpVwBxnZKNQ\u00253D\u00253DTAG0");</script> <script type="text/javascript">RegisterSod("core.js", "\u002f_layouts\u002f15\u002fcore.js?rev=X4uLEufFgYqcOIdgpIhuDA\u00253D\u00253DTAG0");</script> <script type="text/javascript">RegisterSod("menu.js", "\u002f_layouts\u002f15\u002fmenu.js?rev=zERCzIJdrBRUbXplwABKCQ\u00253D\u00253DTAG0");</script> <script type="text/javascript">RegisterSod("mQuery.js", "\u002f_layouts\u002f15\u002fmquery.js?rev=\u00252FXyuxYpmZkrb\u00252F8hr8qAp4A\u00253D\u00253DTAG0");</script> <script type="text/javascript">RegisterSod("callout.js", "\u002f_layouts\u002f15\u002fcallout.js?rev=SXWks4yuc56TLK08Mqi8DQ\u00253D\u00253DTAG0");RegisterSodDep("callout.js", "mQuery.js");RegisterSodDep("callout.js", "core.js");</script> <script type="text/javascript">RegisterSod("clienttemplates.js", "\u002f_layouts\u002f15\u002fclienttemplates.js?rev=8RUHcNWt4aaDq4HzXGpgPQ\u00253D\u00253DTAG0");</script> <script type="text/javascript">RegisterSod("sharing.js", "\u002f_layouts\u002f15\u002fsharing.js?rev=CqmUs94LHGI3QsRmU9Hl4Q\u00253D\u00253DTAG0");RegisterSodDep("sharing.js", "mQuery.js");RegisterSodDep("sharing.js", "clienttemplates.js");RegisterSodDep("sharing.js", "core.js");</script> <script type="text/javascript">RegisterSod("suitelinks.js", "\u002f_layouts\u002f15\u002fsuitelinks.js?rev=k\u00252F45L4VD\u00252Fgl6msDK35hKtQ\u00253D\u00253DTAG0");RegisterSodDep("suitelinks.js", "core.js");</script> <script type="text/javascript">RegisterSod("followingcommon.js", "\u002f_layouts\u002f15\u002ffollowingcommon.js?rev=nxqbG0N9Bxu\u00252F41zqaoZIcA\u00253D\u00253DTAG0");RegisterSodDep("followingcommon.js", "sp.js");RegisterSodDep("followingcommon.js", "userprofile");RegisterSodDep("followingcommon.js", "core.js");RegisterSodDep("followingcommon.js", "mQuery.js");</script> <script type="text/javascript">RegisterSod("profilebrowserscriptres.resx", "\u002f_layouts\u002f15\u002f1033\u002fprofilebrowserscriptres.js?rev=qwf69WaVc1mYlJLXqmZmVA\u00253D\u00253DTAG0");</script> <script type="text/javascript">RegisterSod("inplview", "\u002f_layouts\u002f15\u002finplview.js?rev=bD6deNlE40\u00252F6a2UbjkGcjA\u00253D\u00253DTAG0");RegisterSodDep("inplview", "core.js");RegisterSodDep("inplview", "clienttemplates.js");RegisterSodDep("inplview", "sp.js");</script> <script type="text/javascript">RegisterSod("dragdrop.js", "\u002f_layouts\u002f15\u002fdragdrop.js?rev=d8Tf8wkopFDKzaLlme\u00252Fv7w\u00253D\u00253DTAG0");</script> <script type="text/javascript">RegisterSod("quicklaunch.js", "\u002f_layouts\u002f15\u002fquicklaunch.js?rev=Y7JKqHS8v90gdlTdpIRXTw\u00253D\u00253DTAG0");RegisterSodDep("quicklaunch.js", "dragdrop.js");</script> <script type="text/javascript">RegisterSod("WPAdderClass", "\u002f_layouts\u002f15\u002fwpadder.js?rev=Q6piPtxcFkq3zycHqbG9pQ\u00253D\u00253DTAG0");</script> <script type="text/javascript" src="https://lww.com/_layouts/15/oaks.journals/core/jquery.js?v=05.24.00.023"> </script> <script type="text/javascript" src="https://lww.com/_layouts/15/oaks.journals/core/bootstrap.bundle.min.js?v=05.24.00.023" defer="true"> </script> <script type="text/javascript" src="https://lww.com/_layouts/15/oaks.journals/core/jqueryui.js?v=05.24.00.023"> </script> <link type="text/xml" rel="alternate" href="/acgcr/_vti_bin/spsdisco.aspx" /> <link rel="canonical" href="https://journals.lww.com/acgcr/fulltext/2024/10000/an_infiltrative_case_of_angiosarcoma_causing.19.aspx" /> <noscript> <meta http-equiv="Refresh" content="3;url=/_layouts/1033/OAKS.Journals/Error/JavaScript.html" /> </noscript> <script type="text/javascript" src="https://lww.com/_layouts/15/oaks.journals/core/lww-core.js?v=05.24.00.023"> </script> <script type="text/javascript" src="https://lww.com/_layouts/15/1033/Scripts/wk/journal-navigation.min.js?v=05.24.00.023" defer="true"> </script> <script type="text/javascript" src="https://lww.com/_layouts/15/1033/Scripts/wk/journals_master.min.js?v=05.24.00.023"> </script> <script type="text/javascript" src="https://lww.com/_layouts/15/oaks.journals/core/manifest.js?v=05.24.00.023" defer="true"> </script> <script type="text/javascript" src="https://lww.com/_layouts/15/oaks.journals/core/ejp.js?v=05.24.00.023" defer="true"> </script> <script type="text/javascript" src="https://lww.com/_layouts/15/oaks.journals/core/react-redux-vendors.js?v=05.24.00.023" defer="true"> </script> <script type="text/javascript"> var scpl_time = new Date(); scpl_time = scpl_time.getTime(); window.A8AJQ = jQuery.noConflict(); window.$ = jQuery.noConflict(); </script> <script async type="text/plain" src="https://aim-tag.hcn.health/js/client.js?dl=aimDataLayer&target=ie11" class="optanon-category-C0004"></script> <script> window.aimDataLayer = window.aimDataLayer || []; function aimTag() { aimDataLayer.push(arguments); } aimTag('2429bf11-c05b-409f-b998-8acef505546e', 'pageview'); aimTag('2429bf11-c05b-409f-b998-8acef505546e', 'signal', function (err, success) { if (err) { console.log(err); } else { console.log(success); if (success.identity_type === "AUT") { } } }); </script> <meta name="citation_doi" content="10.14309/crj.0000000000001532"><meta name="citation_fulltext_world_readable" content="" /></head> <body id="ctl00_BodyTag" class="lww-body lww-article-view"> <span class="js-custom-event" data-config="{"name":"omni:page:view","detail":{"uid":"","uid_src":"None","page_loc":"https://journals.lww.com/acgcr/pages/articleviewer.aspx?year=2024&issue=10000&article=00019&type=Fulltext","page_ttl":"ACG Case Reports Journal"},"order":2147483647,"config":{"bubbles":true,"cancelable":true,"composed":false}}"></span>  <noscript><iframe src="https://www.googletagmanager.com/ns.html?id=GTM-NLR6H6W"height="0" width="0" style="display:none;visibility:hidden"></iframe></noscript>  <div id="imgPrefetch" style="display:none"> <img src="https://cdn.wolterskluwer.io/wk-logos/1.0.x/favicon.png?rev=43" /> <img src="/_layouts/15/images/spcommon.png?rev=43" /> </div> <noscript><div class='noindex'>You may be trying to access this site from a secured browser on the server. Please enable scripts and reload this page.</div></noscript> <form method="post" action="/acgcr/fulltext/2024/10000/an_infiltrative_case_of_angiosarcoma_causing.19.aspx" onsubmit="javascript:return WebForm_OnSubmit();" id="aspnetForm"> <div class="aspNetHidden"> <input type="hidden" name="_wpcmWpid" id="_wpcmWpid" value="" /> <input type="hidden" name="wpcmVal" id="wpcmVal" value="" /> <input type="hidden" name="MSOWebPartPage_PostbackSource" id="MSOWebPartPage_PostbackSource" value="" /> <input type="hidden" name="MSOTlPn_SelectedWpId" id="MSOTlPn_SelectedWpId" value="" /> <input type="hidden" name="MSOTlPn_View" id="MSOTlPn_View" value="0" /> <input type="hidden" name="MSOTlPn_ShowSettings" id="MSOTlPn_ShowSettings" value="False" /> <input type="hidden" name="MSOGallery_SelectedLibrary" id="MSOGallery_SelectedLibrary" value="" /> <input type="hidden" name="MSOGallery_FilterString" id="MSOGallery_FilterString" value="" /> <input type="hidden" name="MSOTlPn_Button" id="MSOTlPn_Button" value="none" /> <input type="hidden" name="__EVENTTARGET" id="__EVENTTARGET" value="" /> <input type="hidden" name="__EVENTARGUMENT" id="__EVENTARGUMENT" value="" /> <input type="hidden" name="__REQUESTDIGEST" id="__REQUESTDIGEST" value="noDigest" /> <input type="hidden" name="MSOSPWebPartManager_DisplayModeName" id="MSOSPWebPartManager_DisplayModeName" value="Browse" /> <input type="hidden" name="MSOSPWebPartManager_ExitingDesignMode" id="MSOSPWebPartManager_ExitingDesignMode" value="false" /> <input type="hidden" name="MSOWebPartPage_Shared" id="MSOWebPartPage_Shared" value="" /> <input type="hidden" name="MSOLayout_LayoutChanges" id="MSOLayout_LayoutChanges" value="" /> <input type="hidden" name="MSOLayout_InDesignMode" id="MSOLayout_InDesignMode" value="" /> <input type="hidden" name="_wpSelected" id="_wpSelected" value="" /> <input type="hidden" name="_wzSelected" id="_wzSelected" value="" /> <input type="hidden" name="MSOSPWebPartManager_OldDisplayModeName" id="MSOSPWebPartManager_OldDisplayModeName" value="Browse" /> <input type="hidden" name="MSOSPWebPartManager_StartWebPartEditingName" id="MSOSPWebPartManager_StartWebPartEditingName" value="false" /> <input type="hidden" name="MSOSPWebPartManager_EndWebPartEditing" id="MSOSPWebPartManager_EndWebPartEditing" value="false" /> <input type="hidden" name="listContainerControlstate" id="listContainerControlstate" value="AAEAAAD/////AQAAAAAAAAAEAQAAAA5TeXN0ZW0uQm9vbGVhbgEAAAAHbV92YWx1ZQABAAs=" /> <input type="hidden" name="hiddenDisplayItemView" id="hiddenDisplayItemView" value="Citation" /> <input type="hidden" name="hiddenSortBy" id="hiddenSortBy" value="" /> <input type="hidden" name="__LASTFOCUS" id="__LASTFOCUS" value="" /> <input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE" value="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" /> </div> <script type="text/javascript"> //<![CDATA[ var theForm = document.forms['aspnetForm']; if (!theForm) { theForm = document.aspnetForm; } function __doPostBack(eventTarget, eventArgument) { if (!theForm.onsubmit || (theForm.onsubmit() != false)) { theForm.__EVENTTARGET.value = eventTarget; theForm.__EVENTARGUMENT.value = eventArgument; theForm.submit(); } } //]]> </script> <script src="/WebResource.axd?d=dnaDAFNiQGyAS-8AAnEusSAvRcEvxsZnbowJJdr_Pi9Oz7lzs5k45FStkRo1xlEHk9NeovbY1Hwq_CwXR_md87LXDXM1L2hMpaL8ksMyAA01&t=637811513229275428" type="text/javascript"></script> <script type="text/javascript"> //<![CDATA[ var MSOWebPartPageFormName = 'aspnetForm'; var g_presenceEnabled = true; var g_wsaEnabled = false; var g_correlationId = '5e5f82a1-8266-f0c3-d9ba-fea1bbdfd4a0'; var g_wsaQoSEnabled = false; var g_wsaQoSDataPoints = []; var g_wsaRUMEnabled = false; var g_wsaLCID = 1033; var g_wsaListTemplateId = 850; var g_wsaSiteTemplateId = 'EJOURNALS#7'; var _spPageContextInfo={"webServerRelativeUrl":"/acgcr","webAbsoluteUrl":"https://journals.lww.com/acgcr","viewId":"","listId":"{c08a8467-c504-4c74-8c10-20b54753869f}","listPermsMask":{"High":0,"Low":200769},"listUrl":"/acgcr/Pages","listTitle":"Pages","listBaseTemplate":850,"viewOnlyExperienceEnabled":false,"blockDownloadsExperienceEnabled":false,"idleSessionSignOutEnabled":false,"cdnPrefix":"","siteAbsoluteUrl":"https://journals.lww.com/acgcr","siteId":"{1301912b-5b06-4e54-894e-2fee30d6dffe}","showNGSCDialogForSyncOnTS":false,"supportPoundStorePath":true,"supportPercentStorePath":true,"siteSubscriptionId":null,"CustomMarkupInCalculatedFieldDisabled":true,"AllowCustomMarkupInCalculatedField":false,"isSPO":false,"farmLabel":null,"serverRequestPath":"/acgcr/pages/articleviewer.aspx","layoutsUrl":"_layouts/15","webId":"{33edc246-2b6f-4223-ade6-8fef19739f27}","webTitle":"ACG Case Reports Journal","webTemplate":"20200","webTemplateConfiguration":"EJOURNALS#7","webDescription":"","tenantAppVersion":"0","isAppWeb":false,"webLogoUrl":"_layouts/15/images/siteicon.png","webLanguage":1033,"currentLanguage":1033,"currentUICultureName":"en-US","currentCultureName":"en-US","currentCultureLCID":1033,"env":null,"nid":0,"fid":0,"serverTime":"2025-02-17T12:01:38.6250835Z","siteClientTag":"0$$16.0.10416.20026","crossDomainPhotosEnabled":false,"openInClient":false,"Has2019Era":true,"webUIVersion":15,"webPermMasks":{"High":0,"Low":196608},"pageListId":"{c08a8467-c504-4c74-8c10-20b54753869f}","pageItemId":64,"pagePermsMask":{"High":0,"Low":200769},"pagePersonalizationScope":1,"userEmail":"","userId":0,"userLoginName":null,"userDisplayName":null,"isAnonymousUser":true,"isAnonymousGuestUser":false,"isEmailAuthenticationGuestUser":false,"isExternalGuestUser":false,"systemUserKey":null,"alertsEnabled":true,"siteServerRelativeUrl":"/acgcr","allowSilverlightPrompt":"True","themeCacheToken":"/acgcr::2:","themedCssFolderUrl":null,"themedImageFileNames":null,"modernThemingEnabled":true,"isSiteAdmin":false,"ExpFeatures":[480216468,1884350801,1158731092,62197791,538521105,335811073,4194306,34614301,268500996,-1946025984,28445328,-2147475455,134291456,65536,288,950272,1282,808326148,134217873,0,0,-1073217536,545285252,18350656,-467402752,6291457,-2147483644,1074794496,-1728053184,1845537108,622628,4102,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0],"killSwitches":{},"InternalValidAuthorities":["journals.na.lww.com","journals.lww.com","journals.na.lww.com","journals.lww.com","cloud-journals.lww.com","cloud-journals.lww.com"],"CorrelationId":"5e5f82a1-8266-f0c3-d9ba-fea1bbdfd4a0","hasManageWebPermissions":false,"isNoScriptEnabled":false,"groupId":null,"groupHasHomepage":true,"groupHasQuickLaunchConversationsLink":false,"departmentId":null,"hubSiteId":null,"hasPendingWebTemplateExtension":false,"isHubSite":false,"isWebWelcomePage":false,"siteClassification":"","hideSyncButtonOnODB":false,"showNGSCDialogForSyncOnODB":false,"sitePagesEnabled":false,"sitePagesFeatureVersion":0,"DesignPackageId":"00000000-0000-0000-0000-000000000000","groupType":null,"groupColor":"#23874b","siteColor":"#23874b","headerEmphasis":0,"navigationInfo":null,"guestsEnabled":false,"MenuData":{"SignInUrl":"/acgcr/_layouts/15/Authenticate.aspx?Source=%2Facgcr%2Ffulltext%2F2024%2F10000%2Fan%5Finfiltrative%5Fcase%5Fof%5Fangiosarcoma%5Fcausing%2E19%2Easpx"},"RecycleBinItemCount":-1,"PublishingFeatureOn":true,"PreviewFeaturesEnabled":false,"disableAppViews":false,"disableFlows":false,"serverRedirectedUrl":null,"formDigestValue":"0x811D6CCA206166481C9304EA7A81E2D56B2B5E7C0FAA9A2423DD604F57F1D8D7CB8687D06832862F627549AA4CF6ED135B88C73C44954ECDD555C8CCDAB15877,17 Feb 2025 12:01:38 -0000","maximumFileSize":10240,"formDigestTimeoutSeconds":1800,"canUserCreateMicrosoftForm":false,"canUserCreateVisioDrawing":true,"readOnlyState":null,"isTenantDevSite":false,"preferUserTimeZone":false,"userTimeZoneData":null,"userTime24":false,"userFirstDayOfWeek":null,"webTimeZoneData":null,"webTime24":false,"webFirstDayOfWeek":null,"isSelfServiceSiteCreationEnabled":null,"alternateWebAppHost":"","aadTenantId":"","aadUserId":"","aadInstanceUrl":"","msGraphEndpointUrl":"https://","allowInfectedDownload":true};_spPageContextInfo.updateFormDigestPageLoaded=new Date();_spPageContextInfo.clientServerTimeDelta=new Date(_spPageContextInfo.serverTime)-new Date();if(typeof(define)=='function'){define('SPPageContextInfo',[],function(){return _spPageContextInfo;});}var L_Menu_BaseUrl="/acgcr"; var L_Menu_LCID="1033"; var L_Menu_SiteTheme="null"; document.onreadystatechange=fnRemoveAllStatus; function fnRemoveAllStatus(){removeAllStatus(true)};//]]> </script> <script src="https://lww.com/_layouts/15/1033/Scripts/wk/alerts-subscription.min.js?v=05.24.00.023" type="text/javascript"></script> <script type="text/javascript"> //<![CDATA[ Flighting.ExpFeatures = [480216468,1884350801,1158731092,62197791,538521105,335811073,4194306,34614301,268500996,-1946025984,28445328,-2147475455,134291456,65536,288,950272,1282,808326148,134217873,0,0,-1073217536,545285252,18350656,-467402752,6291457,-2147483644,1074794496,-1728053184,1845537108,622628,4102,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0]; (function() { if(typeof(window.SP) == "undefined") window.SP = {}; if(typeof(window.SP.YammerSwitch) == "undefined") window.SP.YammerSwitch = {}; var ysObj = window.SP.YammerSwitch; ysObj.IsEnabled = false; ysObj.TargetYammerHostName = "www.yammer.com"; } )(); var _spWebPartComponents = new Object();function openEmtcIfAuthenticated(resourceId){logCounterDataEmailToColleagueByAN('02075970-202410000-00019', false); window.location.assign('https://journals.lww.com/acgcr/pages/login.aspx?ReturnUrl=%2facgcr%2ffulltext%2f2024%2f10000%2fan_infiltrative_case_of_angiosarcoma_causing.19.aspx');}function slideShow_NavigateToUrl(urlToNavigate) { $('#ArticleImageModal').modal('hide'); logCounterDataImageGalleryByAN('02075970-202410000-00019'); window.location = urlToNavigate; }function HideSlideShow() { $('#ArticleImageModal').modal('hide'); }//]]> </script> <script src="https://lww.com/_layouts/15/1033/Scripts/wk/ListContainerControlBase.js?v=05.24.00.023" type="text/javascript"></script> <script type="text/javascript"> //<![CDATA[ function getSelectedItemsField() { return $get("selectedItems"); }function getCheckBoxListContainer() { return $get("checkBoxListContainer"); }function getListActionsContainerTop() { return $get("listActionsContainerTop"); }function getListActionsContainerBottom() { return $get("listActionsContainerBottom"); }function getSelectedItemsCount() {{ return getSelectedItemsField().value.split(';').length - 1; }}function article_AddSelectedItem(){ addToMyCollectionsLinkClicked('00019'); }function getEmailRegularExpression() { return /^(([a-zA-Z0-9_\-\.]+)@([a-zA-Z0-9_\-\.]+)\.([a-zA-Z]{2,5}){1,25})$/; }function getMultipleEmailsRegularExpression() { return /^(([a-zA-Z0-9_\-\.]+)@([a-zA-Z0-9_\-\.]+)\.([a-zA-Z]{2,5}){1,25})+([;.](([a-zA-Z0-9_\-\.]+)@([a-zA-Z0-9_\-\.]+)\.([a-zA-Z]{2,5}){1,25})+)*$/; }function getMailMessage() { return 'Thought you might appreciate this item(s) I saw in ACG Case Reports Journal.'; }function getImageCountStatus() { return $get("ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_slideShowUserControl_imageCountStatus"); }function getCallshowImage() { return $get("ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_slideShowUserControl_callShowImage"); }function getImageUrl() { return $get("ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_slideShowUserControl_image_url"); }function getDescription() { return $get("ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_slideShowUserControl_image_description"); }function getImageSourceTitle() { return $get("ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_slideShowUserControl_image_sourceTitle"); }function getImageSourceUrl() { return $get("ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_slideShowUserControl_image_sourceUrl"); }function getImageSourceInfo() { return $get("ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_slideShowUserControl_image_sourceInfo"); }function getImageKey() { return $get("ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_slideShowUserControl_image_key"); }function getImageFullSizeUrl() { return $get("ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_slideShowUserControl_image_fullSizeUrl"); }function getImageGalleryUrl() { return $get("ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_slideShowUserControl_image_imageGalleryUrl"); }function getEmailTOColleaguePopupID() { return "ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_emailToColleague"; }function image(id, nextImageId, previousImageId, title, description, rolloverUrl, popupUrl, fullSizeUrl, originalUrl, imageGalleryUrl, windowId){this.id = id;this.title = title;this.description = description;this.rolloverUrl = rolloverUrl;this.popupUrl = popupUrl;this.nextImageId = nextImageId;this.previousImageId = previousImageId; this.fullsizeUrl = fullSizeUrl; this.originalUrl = originalUrl;this.imageGalleryUrl = imageGalleryUrl; this.windowId=windowId}function Global_GetImagesCollection(){var images = new Object();images["F1"]=new image("F1","F2","","Figure 1.","Abdominal computed tomography demonstrating splenic lesions.","https://images.journals.lww.com/acgcr/Rollover.02075970-202410000-00019.F1.jpeg","https://images.journals.lww.com/acgcr/Gallery.02075970-202410000-00019.F1.jpeg","https://journals.lww.com/acgcr/_layouts/oaks.journals/ImageView.aspx?k=acgcr:2024:10000:00019&i=F1&year=2024&issue=10000&article=00019&type=Fulltext","https://images.journals.lww.com/acgcr/Original.02075970-202410000-00019.F1.jpeg","/acgcr/pages/imagegallery.aspx?year=2024&issue=10000&article=00019", "acgcr_2024_10000_00019_F1");images["F2"]=new image("F2","F3","F1","Figure 2.","Positron emission tomography-computed tomography scan showed fluorodeoxyglucose uptake in the liver, spleen, and bone marrow.","https://images.journals.lww.com/acgcr/Rollover.02075970-202410000-00019.F2.jpeg","https://images.journals.lww.com/acgcr/Gallery.02075970-202410000-00019.F2.jpeg","https://journals.lww.com/acgcr/_layouts/oaks.journals/ImageView.aspx?k=acgcr:2024:10000:00019&i=F2&year=2024&issue=10000&article=00019&type=Fulltext","https://images.journals.lww.com/acgcr/Original.02075970-202410000-00019.F2.jpeg","/acgcr/pages/imagegallery.aspx?year=2024&issue=10000&article=00019", "acgcr_2024_10000_00019_F2");images["F3"]=new image("F3","F4","F2","Figure 3.","Liver biopsy was diagnostic for hepatic angiosarcoma (Hematoxylin and eosin stain; magnification, 200\u00D7) with atypical spindle cell proliferation, hyperchromatic nuclei, and scant pale eosinophilic cytoplasm growing along sinusoids causing destruction of liver cell plates.","https://images.journals.lww.com/acgcr/Rollover.02075970-202410000-00019.F3.jpeg","https://images.journals.lww.com/acgcr/Gallery.02075970-202410000-00019.F3.jpeg","https://journals.lww.com/acgcr/_layouts/oaks.journals/ImageView.aspx?k=acgcr:2024:10000:00019&i=F3&year=2024&issue=10000&article=00019&type=Fulltext","https://images.journals.lww.com/acgcr/Original.02075970-202410000-00019.F3.jpeg","/acgcr/pages/imagegallery.aspx?year=2024&issue=10000&article=00019", "acgcr_2024_10000_00019_F3");images["F4"]=new image("F4","","F3","Figure 4.","Liver biopsy was diagnostic for hepatic angiosarcoma (immunohistochemical stain for ERG showing nuclear tumor positivity; magnification, 200\u00D7) with atypical spindle cell proliferation, hyperchromatic nuclei, and scant pale eosinophilic cytoplasm growing along sinusoids causing destruction of liver cell plates.","https://images.journals.lww.com/acgcr/Rollover.02075970-202410000-00019.F4.jpeg","https://images.journals.lww.com/acgcr/Gallery.02075970-202410000-00019.F4.jpeg","https://journals.lww.com/acgcr/_layouts/oaks.journals/ImageView.aspx?k=acgcr:2024:10000:00019&i=F4&year=2024&issue=10000&article=00019&type=Fulltext","https://images.journals.lww.com/acgcr/Original.02075970-202410000-00019.F4.jpeg","/acgcr/pages/imagegallery.aspx?year=2024&issue=10000&article=00019", "acgcr_2024_10000_00019_F4"); return images; }function getPopupImageId() { return $get("ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_slideShowUserControl_popupImageId"); }function getIsExportToPPT() { return $get("ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_slideShowUserControl_IsExportToPPT"); }//]]> </script> <script src="/ScriptResource.axd?d=11ySqNT2t8wJXf-5ynqkHTYVaR0CZPUQDLhFk5-B61-yY4pHK9T4A-OmNoLERHX1OU2F3io32lKHXeNlvH0kpnJP6-ZQm2Ado5OlvNqUwB9TpwuIgMVQBgIz-DSVpHWqDoVFHrt69C9fSrbhF6t9QBuuAcSpa-p9_2de4EnR0aU1&t=2265eaa7" type="text/javascript"></script> <script src="/_layouts/15/blank.js?rev=aECCBG3EW5w5rcRXMfaDHw%3D%3DTAG0" type="text/javascript"></script> <script type="text/javascript"> //<![CDATA[ window.SPThemeUtils && SPThemeUtils.RegisterCssReferences([]); (function(){ if (typeof(_spBodyOnLoadFunctions) === 'undefined' || _spBodyOnLoadFunctions === null) { return; } _spBodyOnLoadFunctions.push(function() { SP.SOD.executeFunc('core.js', 'FollowingDocument', function() { FollowingDocument(); }); }); })();(function(){ if (typeof(_spBodyOnLoadFunctions) === 'undefined' || _spBodyOnLoadFunctions === null) { return; } _spBodyOnLoadFunctions.push(function() { SP.SOD.executeFunc('core.js', 'FollowingCallout', function() { FollowingCallout(); }); }); })();if (typeof(DeferWebFormInitCallback) == 'function') DeferWebFormInitCallback();//]]> </script> <script src="/WebResource.axd?d=ujR-dJ4zUHGN6jELxLVetl199sJpE_qZiBmEfUoaRM4DCmEfpBr9GGhTGo9ZJcfF6mQ45yf4Ik1RnQ9yqZG9_5EcA9R0xynU6JEfYiEh3vA1&t=637811513229275428" type="text/javascript"></script> <script type="text/javascript"> //<![CDATA[ function WebForm_OnSubmit() { UpdateFormDigest('\u002facgcr', 1440000);if (typeof(ValidatorOnSubmit) == "function" && ValidatorOnSubmit() == false) return false;if (typeof(_spFormOnSubmitWrapper) != 'undefined') {return _spFormOnSubmitWrapper();} else {return true;}; return true; } //]]> </script> <div class="aspNetHidden"> <input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="DBBF4348" /> <input type="hidden" name="__EVENTVALIDATION" id="__EVENTVALIDATION" value="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" /> </div> <script type="text/javascript"> var submitHook = function () { return false; }; theForm._spOldSubmit = theForm.submit; theForm.submit = function () { if (!submitHook()) { this._spOldSubmit(); } }; </script> <span id="DeltaSPWebPartManager"> </span> <script type="text/javascript">$.getJSON("https://login.journals.lww.com/AuthCheck.aspx?Callback=?", null, function (data) { if(data.IsAuthenticated.toLowerCase() == "true") {window.location.replace("https://login.journals.lww.com/?wa=wsignin1.0&wtrealm=urn%3ajournals&wctx=https%3a%2f%2fjournals.lww.com%2facgcr%2f_layouts%2f15%2fAuthenticate.aspx%3fSource%3d%252facgcr%252ffulltext%252f2024%252f10000%252fan_infiltrative_case_of_angiosarcoma_causing.19.aspx"); } }) </script> <script type="text/javascript"> //<![CDATA[ Sys.WebForms.PageRequestManager._initialize('ctl00$ScriptManager', 'aspnetForm', ['fctl00$WebPartAdderUpdatePanel',''], [], ['ctl00$WebPartAdder','','ctl00$ctl29$g_c168c423_9055_40ab_abd6_309bb94ef67f$ctl00$ucArticleTools$exportToCitationManager$btnOpenExportDialog',''], 90, 'ctl00'); //]]> </script> <span id="DeltaDelegateControls"> </span>   <div id="ctl00_MicrobarContainer" class="top-microbar-container"> <script> ; (function ($) { $.fn.responsiveMenu = function (options) { var settings = $.extend({ breakWidth: 600, label: 'Visit our other sites', position: 'left' }, options); var menu = $(this); var clone = menu.clone().insertBefore(menu).removeAttr('class').removeAttr('id'); var wrapper = $('<div class="responsive-menu rm-' + settings.position + '"></div>'); var button = $('<button onclick="return false;" class="rm-toggle">' + (settings.label ? '<span class="caret"></span><span class="rm-label">' + settings.label + '</span>' : '') + '</button>'); wrapper.insertBefore(menu); wrapper.prepend(clone); wrapper.prepend(button); var switchMenu = function () { if ($(window).width() <= settings.breakWidth) { wrapper.show(); menu.hide(); } else { wrapper.hide(); menu.hide(); } }; switchMenu(); button.click(function () { clone.toggle(); }); $(window).resize(switchMenu); }; })(window.Zepto || window.jQuery); </script> <script> $(function () { $('#menu').responsiveMenu({ breakWidth: 1000, // label: false, position: 'right' }); }); </script> <div id="ctl00__fefef87f4ae8527c_headerLinks"><div class="headerNav"> <div class="headerNavContent"> <ul class="headerNavTabs"> <li class="headerNavTab middleTab"><a href="https://gi.org">American College of Gastroenterology</a></li> <li class="headerNavTab middleTab"><a href="https://journals.lww.com/ajg/pages/default.aspx">American Journal of Gastroenterology</a></li> <li class="headerNavTab lastNavTab"><a href="https://journals.lww.com/ctg/pages/default.aspx" target="_blank">Clinical and Translational Gastroenterology</a></li></ul> </div> </div> <ul id="menu" class="navbar dummyhidden" style="display:none;"> <li><a href="https://gi.org">American College of Gastroenterology</a><</li> <li><a href="https://journals.lww.com/ajg/pages/default.aspx">American Journal of Gastroenterology</a></li> <li><a href="https://journals.lww.com/ctg/pages/default.aspx" target="_blank">Clinical and Translational Gastroenterology</a></li> </ul> <style type="text/css"> div.headerNav { background:#CCCCCC; height: 40px; word-spacing: 1.5px; border-bottom:5px solid #3F3F3F; border-top:5px solid #CCCCCC; } div.headerNavContent { margin: 0 auto; min-height: 30px; padding-right: 0px; width: 800px; } div.headerNavContent p{ font-style:italic; float:left; color:#e2e2e2; margin-top:8px; } ul.headerNavTabs { display: block; left: auto; margin: 0 auto; position: relative; width: 800px; padding:0px; } li.firstNavTab { padding-left:10px !important; } li.headerNavTab { background: none repeat scroll 0 0 #3F3F3F; display: inline; float: left; height: 30px; margin: 0; padding: 0; } ul.headerNavTabs li { display: inline; float: left; text-align: center; padding:0 5px; border-top-right-radius:5px; border-top-left-radius:5px; margin:2px 5px 0 5px; } ul.headerNavTabs li a:link, ul.headerNavTabs li a:active, ul.headerNavTabs li a:hover, ul.headerNavTabs li a:visited { color: #ffffff; font-size: 10.125pt; font-style: normal; font-weight: normal; outline: 0 none; position: relative; text-decoration: none; } li.lastNavTab { float: left; } li.lastNavTab, li.lastMainNavTab { float: right; } span.headerNavTab { color: #3b488c; font-size: 14px; font-style: normal; font-weight: normal; outline: 0 none; position: relative; text-decoration: none; top: 10px; } li.on a { color: White !important; } @-moz-document url-prefix() { ul.headerNavTabs li a:link, ul.headerNavTabs li a:active, ul.headerNavTabs li a:hover, ul.headerNavTabs li a:visited { top: 6px; } span.headerNavTab { top: 6px; } } </style> <script type="text/javascript" language="javascript"> $(document).ready(function () { setHeaderLinks(); }); function setHeaderLinks() { $('li.headerNavTab').click(function (event) { }).mouseenter(function () { if ($(this).children('ul').length > 0) { $(this).children('ul').show(); $(this).css('background-color', '#194F3D'); } }).mouseleave(function () { if ($(this).children('ul').length > 0) { $(this).children('ul').hide(); $(this).css('background-color', '#323232'); } }); } </script></div> </div>  <a id="HiddenAnchor" href="javascript:;" style="display: none;"></a>  <div id="ctl00_TopAdvertisementContainer" class="advertisement-content_top top-banner"> <div class="top-banner__content--centered top-banner--low-opacity"> <div id="ctl00_ctl49_adContainer" class="ej-advertisement ej-advertisement-topcombo"> <div class="ej-advertisement-content"> <div> <div id="ga_336a9d14-7ac1-44a9-8eb5-f4cbd7146153" class="ad-slot-container ad-slot-container-ga_336a9d14-7ac1-44a9-8eb5-f4cbd7146153" data-sizemap="[[[730, 500], [[728, 90]]], [[0, 0], [[300, 50]]]]" data-adpath="/15726702761/Desktop/acgcr/Article/Top" data-autoload="yes" data-outofpage="no" data-sticky="no" data-slottargeting='' data-displayslug="yes" data-sticky-duration="5" data-name="Top"></div> </div> </div> </div> </div> </div> <div class="main-wrapper"> <div id="main-container">  <header class="header"> <div class="header__holder"> <div class="header__layout-top wk-grid-page-container"> <script type="text/javascript" src="https://lww.com/_layouts/15/1033/Scripts/wk/UserToolbarDropdown.js?v=05.24.00.023" defer="true"> </script> <section class="user-action-toolbar"> <ul class="user-menu user-info" role="tablist"> <li id="ctl00_ctl51_Header_UserActionTools_liLogin" class="user-menu__item user-menu__item--popup-container user-menu__item--login-popup-container dib"> <button class="user-menu__link user-menu__link--login js-ejp-login-btn" type="button" data-config="{"eventName":"login","eventDetail":{"source":"Masthead Dropdown"},"isNull":false}"> <i class="fa fa-sign-in"></i> <span>Log in</span> </button> </li> <li id="ctl00_ctl51_Header_UserActionTools_liOr" class="dib or-spacing"><span>or</span></li> <li id="ctl00_ctl51_Header_UserActionTools_liRegister2" class="user-menu__item dib"> <a id="ctl00_ctl51_Header_UserActionTools_RegisterUserPopupLnk" class="user-menu__link js-register-link" data-config="{"eventName":"Register","eventDetail":{"source":"Masthead Dropdown"},"isNull":false}" href="https://journals.lww.com/acgcr/pages/register.aspx?ContextUrl=%2facgcr%2ffulltext%2f2024%2f10000%2fan_infiltrative_case_of_angiosarcoma_causing.19.aspx">Register</a> </li> <li id="ctl00_ctl51_Header_UserActionTools_liIssueAlerts" class="user-menu__item dib"> <i class="fa fa-envelope"></i> <a rel="nofollow" title href="javascript:javascript: alerts_ShowSubscribeeTOCPopup('ACG Case Reports Journal','acgcr','eTOC', 'eTOC');;" onclick="javascript: alerts_ShowSubscribeeTOCPopup('ACG Case Reports Journal','acgcr','eTOC', 'eTOC');" class="user-menu__link"><span id="ctl00_ctl51_Header_UserActionTools_SubscribeToAlertsActionToolLink_defaultText" class="hideOnFixed">Get new issue alerts</span><span id="ctl00_ctl51_Header_UserActionTools_SubscribeToAlertsActionToolLink_stickyText" class="showOnFixed">Get alerts</span></a> </li> </ul> </section> <span id="ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_dummyTargetControl"></span> <div id="ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_pnlunSubscribeToAlerts" style="display: none;"> <div tabindex="-1" role="dialog" class="wk-modal horizontally-centered small wk-modal-with-overlay wk-modal-small ejp-modal"> <div id="ej-box-modal-style-1"> <div id="ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_pnlMain"> <div id="tocUnsubscribeModal" > <section class="wk-modal-content"> <header class="wk-modal-header ejp-modal-header"> <div class="wk-modal-title ejp-modal-title"></div> <button aria-label="close dialog" class="js-close primary-button wk-button-icon wk-modal-close ejp-modal-close "><i class="fa fa-times"></i></button> </header> <div class="wk-modal-body"> <div class="wk-field-item"> <p> <span id="ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_lblUnsubscribeMessage"></span> </p> <div class="wk-button-bar"> <div class="wk-button-group-left"> <p id="ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_pUnsubscribeButtons" Style="display: none;"> <input type="submit" name="ctl00$ctl51$Header$UserActionTools$ucUnsubscribeToAlertsUserControl$btnContinue" value="Yes" onclick="javascript:WebForm_DoPostBackWithOptions(new WebForm_PostBackOptions("ctl00$ctl51$Header$UserActionTools$ucUnsubscribeToAlertsUserControl$btnContinue", "", true, "", "", false, false))" id="ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_btnContinue" class="primary-button" /> <input type="button" value="No" id="btnCancel" aria-label="close dialog" class="js-close secondary-button" /> </p> </div> </div> </div> </div> </section> </div> </div> </div> </div> </div> <div id="ej-clear-float"> </div> <input type="hidden" name="ctl00$ctl51$Header$UserActionTools$ucUnsubscribeToAlertsUserControl$hiddenUnSubscribeAlertType" id="ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenUnSubscribeAlertType" /> <input type="hidden" name="ctl00$ctl51$Header$UserActionTools$ucUnsubscribeToAlertsUserControl$hiddenUnsubscribeJournalId" id="ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenUnsubscribeJournalId" /> <input type="hidden" name="ctl00$ctl51$Header$UserActionTools$ucUnsubscribeToAlertsUserControl$hiddenUnsubscribeMessage" id="ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenUnsubscribeMessage" /> <input type="hidden" name="ctl00$ctl51$Header$UserActionTools$ucUnsubscribeToAlertsUserControl$hiddenTopicalCollectionId" id="ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenTopicalCollectionId" /> <input type="hidden" name="ctl00$ctl51$Header$UserActionTools$ucUnsubscribeToAlertsUserControl$hiddenOvidId" id="ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenOvidId" /> <input type="hidden" name="ctl00$ctl51$Header$UserActionTools$ucUnsubscribeToAlertsUserControl$hiddenJournalId" id="ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenJournalId" /> <script type="text/javascript"> function alerts_ShowUnSubscribeeTOCPopup(title, alertType, journalId) { var unSubscribeeTocPopup = $find('unSubscribeToAlerts'); var lblUnsubscribeMessage = document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_lblUnsubscribeMessage'); lblUnsubscribeMessage.innerHTML = title; document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenUnSubscribeAlertType').value = alertType; document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenUnsubscribeMessage').value = title; $('#' + 'ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_pUnsubscribeButtons').show(); if (document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenJournalId').value == null || document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenJournalId').value == '') { document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenJournalId').value = journalId; } if (unSubscribeeTocPopup != null) { unSubscribeeTocPopup.show(); } } function alerts_ShowUnSubscribeeTOCPopup_Root(title, journalId, alertType) { var unSubscribeeTocPopup = $find('unSubscribeToAlerts'); var lblUnsubscribeMessage = document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_lblUnsubscribeMessage'); lblUnsubscribeMessage.innerHTML = title; document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenUnsubscribeMessage').value = title; document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenUnSubscribeAlertType').value = alertType; document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenUnsubscribeJournalId').value = journalId; $('#' + 'ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_pUnsubscribeButtons').show(); if (unSubscribeeTocPopup != null) { unSubscribeeTocPopup.show(); } } function alerts_ShowUnSubscribeeTOCPopup_Citation(title, journalId, ovidId) { var unSubscribeeTocPopup = $find('unSubscribeToAlerts'); var lblUnsubscribeMessage = document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_lblUnsubscribeMessage'); lblUnsubscribeMessage.innerHTML = title; document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenUnsubscribeMessage').value = title; document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenUnSubscribeAlertType').value = 'Citation'; document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenUnsubscribeJournalId').value = journalId; document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenOvidId').value = ovidId; $('#' + 'ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_pUnsubscribeButtons').show(); if (unSubscribeeTocPopup != null) { unSubscribeeTocPopup.show(); } } function alerts_ShowUnSubscribeeTOCPopup_Topical(title, journalId, topicalCollectionId) { var unSubscribeeTocPopup = $find('unSubscribeToAlerts'); var lblUnsubscribeMessage = document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_lblUnsubscribeMessage'); lblUnsubscribeMessage.innerHTML = title; document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenUnsubscribeMessage').value = title; document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenUnSubscribeAlertType').value = 'Topical'; document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenUnsubscribeJournalId').value = journalId; document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenTopicalCollectionId').value = topicalCollectionId; $('#' + 'ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_pUnsubscribeButtons').show(); if (document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenJournalId').value == null || document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenJournalId').value == '') { document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenJournalId').value = journalId; } if (unSubscribeeTocPopup != null) { unSubscribeeTocPopup.show(); } } function alerts_ShowUnSubscribeeTOCSuccessPopup() { var unSubscribeeTocPopup = $find('unSubscribeToAlerts'); if (unSubscribeeTocPopup != null) { unSubscribeeTocPopup.show(); } } $('.js-close').on('click', function() { var unSubscribeeTocPopup = $find('unSubscribeToAlerts'); if (unSubscribeeTocPopup != null) { unSubscribeeTocPopup.hide(); } return false; }); </script> <span id="ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_dummyTargetControl"></span> <input type="hidden" name="ctl00$ctl51$Header$UserActionTools$SubscribeToEtocPopupControl$hiddenSubscribeToEtocPopupState" id="ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_hiddenSubscribeToEtocPopupState" value="showemail" /> <input type="hidden" name="ctl00$ctl51$Header$UserActionTools$SubscribeToEtocPopupControl$hiddenConfirmSubscriptionPageUrl" id="ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_hiddenConfirmSubscriptionPageUrl" /> <input type="hidden" name="ctl00$ctl51$Header$UserActionTools$SubscribeToEtocPopupControl$hiddenJournalId" id="ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_hiddenJournalId" /> <input type="hidden" name="ctl00$ctl51$Header$UserActionTools$SubscribeToEtocPopupControl$hiddenSubscriptionType" id="ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_hiddenSubscriptionType" /> <div id="divPopupOverLay" class="Popup-Overlay" style="display: none; position: fixed; left: 0; top: 0; z-index: 3800; width: 1920px; height: 4517px;"></div> <div id="ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_pnlSubscribeToEtoc" class="etoc-popup ej-box-modal-drop-shadow" style="display: none;"> <div tabindex="-1" role="dialog" class="wk-modal horizontally-centered small wk-modal-with-overlay wk-modal-small ejp-modal"> <div id="ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_pnlMain" onkeypress="javascript:return WebForm_FireDefaultButton(event, 'ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_btnContinue')"> <section class="wk-modal-content"> <header class="wk-modal-header ejp-modal-header"> <div class="wk-modal-title ejp-modal-title"> <span id="ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_lblTitle"></span> </div> <button aria-label="close dialog" class="js-close primary-button wk-button-icon wk-modal-close ejp-modal-close "> <i class="fa fa-times"></i> </button> </header> <div class="wk-modal-body"> <div class="wk-field-item"> <div class="wk-field-body"> <strong> <span id="ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_lblThankYouMessage"></span></strong> </div> <div class="wk-field-body"> <span id="ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_cvEmailError" style="color:Black;display:none;"> <div class="ej-error-message"> <p class="ej-error-message-icon error-red"> </p> </div> </span> <label for="Email input">Enter your Email address:</label> <div class="wk-field-body"> <input name="ctl00$ctl51$Header$UserActionTools$SubscribeToEtocPopupControl$txtEmailAddress" type="text" id="ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_txtEmailAddress" class="ej-box-modal-style-1-input" /> </div> </div> <div class="wk-button-bar"> <div class="wk-button-group-left"> <input type="submit" name="ctl00$ctl51$Header$UserActionTools$SubscribeToEtocPopupControl$btnContinue" value="Continue" onclick="javascript:WebForm_DoPostBackWithOptions(new WebForm_PostBackOptions("ctl00$ctl51$Header$UserActionTools$SubscribeToEtocPopupControl$btnContinue", "", true, "", "", false, false))" id="ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_btnContinue" class="primary-button" /> <input type="button" value="Cancel" id="btnCancel" class="js-close secondary-button" /> </div> </div> </div> <div class="wk-field-item"> <div class="wk-field-body"> <a id="ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_hypPrivacy" href="https://journals.lww.com/acgcr/_layouts/oaks.journals/privacy.aspx" target="_blank">Privacy Policy</a> </div> </div> </div> </section> </div> <div id="ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_pnlAuthenticatedUser" style="display: none;"> <section class="wk-modal-content"> <header class="wk-modal-header ejp-modal-header"> <div class="wk-modal-title ejp-modal-title"></div> <button aria-label="close dialog" class="js-close primary-button wk-button-icon wk-modal-close ejp-modal-close "><i class="fa fa-times"></i></button> </header> <div class="wk-modal-body"> <div class="wk-field-item"> <p> <strong> <span id="ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_lblAuthenticatedUserTitle"></span> </strong> </p> </div> <p id="ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_pAuthenticatedUserMessage"> </p> </div> </section> </div> </div> </div> <div id="ej-clear-float"> </div> <script type="text/javascript"> function alerts_SaveSubscriptionTypeInHiddenField(url, subscriptionType, journalId, yearId, issueId, articleId) { if (journalId && yearId && issueId && articleId) { logCounterDataAlertWhenCitedSynchronously(journalId, yearId, issueId, articleId); } $('#' + 'ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_hiddenSubscriptionType').val(subscriptionType); $('#' + 'ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_hiddenJournalId').val(journalId); if (url) window.location = url; else __doPostBack('hypSubscribeToAlerts'); return false; } function alerts_ShowSubscribeeTOCPopup(journalTitle, journalId, subscriptionType, displaySubscriptionType) { $('#' + 'ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_hiddenSubscriptionType').val(subscriptionType); var subscribeToEtocPopup = $find('subscribeToEtoc'); subscribeToEtocPopup.show(); document.getElementsByTagName( 'html' )[0].classList.add('no-scroll'); var modelPopupState = document.getElementById('ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_hiddenSubscribeToEtocPopupState'); var emailTextBox = document.getElementById('ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_txtEmailAddress'); var thanksPanel = document.getElementById('ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_pnlAuthenticatedUser'); var mainPanel = document.getElementById('ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_pnlMain'); var thankYouMessageUnAuthenticated = document.getElementById('ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_lblThankYouMessage'); var thankYouMessageAuthenticated = document.getElementById('ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_lblAuthenticatedUserTitle'); if (!displaySubscriptionType) { displaySubscriptionType = subscriptionType; } if (modelPopupState.value == 'showthanksmessage') { thanksPanel.style.display = "block"; mainPanel.style.display = "none"; thankYouMessageAuthenticated.innerHTML = "Thank you for subscribing to the " + displaySubscriptionType + " for " + journalTitle + "."; } if (modelPopupState.value == 'showemail') { thanksPanel.style.display = "none"; mainPanel.style.display = "block"; thankYouMessageUnAuthenticated.innerHTML = "Thank you for choosing to subscribe to the " + displaySubscriptionType + " for " + journalTitle + "."; } if ($('.etoc-popup') != null) { document.getElementById('ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_hiddenJournalId').value = journalId; if (modelPopupState.value == 'showemail') emailTextBox.focus(); } } $('.js-close').on('click', function () { document.getElementById('ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_txtEmailAddress').value = ""; document.getElementById('ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_cvEmailError').style.display = "none"; var pageUrl = document.getElementById('ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_hiddenConfirmSubscriptionPageUrl'); var subscribeeTocPopup = $find('subscribeToEtoc'); if (subscribeeTocPopup != null) { subscribeeTocPopup.hide(); document.getElementsByTagName( 'html' )[0].classList.remove('no-scroll'); if (pageUrl.value !== '' && pageUrl.value !== window.location.pathname) window.location = pageUrl.value; } return false; }); </script> <div id="ctl00_ctl51_Header_UserActionTools_eTocTopContainer"> <div id="eTocTop" style="display: none;"> <a rel="nofollow" title href="javascript:javascript: alerts_ShowSubscribeeTOCPopup('ACG Case Reports Journal','acgcr','eTOC', 'eTOC');;" onclick="javascript: alerts_ShowSubscribeeTOCPopup('ACG Case Reports Journal','acgcr','eTOC', 'eTOC');"><span id="ctl00_ctl51_Header_UserActionTools_alertLinkControlTop_defaultText" class="hideOnFixed">Subscribe to eTOC</span></a> </div> </div> <script> $(function () { //find recent searches link and move container var recentSearchesControl = $("a[id$='RecentSearches']"); if (recentSearchesControl.length) { recentSearchesControl.click(function (e) { e.stopPropagation(); if ($("#ResentSearchContainer").is(":hidden")) { $("#ResentSearchContainer").slideDown("slow"); recentSearchesControl.addClass('open'); } else { $("#ResentSearchContainer").hide(); recentSearchesControl.removeClass('open'); } }); } var eTocAccountLink = $("ul.js-user-action-toolbar__dropdown>li>a[id='SubscribeToEToc']"); if (eTocAccountLink.length) { eTocAccountLink.parent().html($("#eTocTop>a")); } }); </script> <a class="logo-secondary black" href="http://wolterskluwer.com/" target="_blank"> <h3 class="logo-secondary-text">Secondary Logo</h3> </a> <a href="#" class="sticky-search"><i class="fa fa-search"></i></a> </div> <div class="header__layout-bottom wk-grid-page-container"> <a id="hypJournals" class="logo-main" href="https://journals.lww.com/acgcr/pages/default.aspx"> <h3 class="logo-main-text">Journal Logo </h3> </a> <div class="search-v2"> <div class="search-wrapper"> <select name="ctl00$ctl51$Header$SearchTopBoxControl$ddlContentScope" id="ctl00_ctl51_Header_SearchTopBoxControl_ddlContentScope"> <option value="All">All</option> <option selected="selected" value="Articles">Articles</option> <option value="Images">Images</option> <option value="Videos">Videos</option> <option value="Podcasts">Podcasts</option> <option value="Blogs">Blogs</option> </select> <div class="input-group" id="globalSearch"> <input name="ctl00$ctl51$Header$SearchTopBoxControl$txtKeywords" type="text" value="Search" id="ctl00_ctl51_Header_SearchTopBoxControl_txtKeywords" class="form-control searchText" /> <span class="input-group-btn"> <button id="ctl00_ctl51_Header_SearchTopBoxControl_btnGlobalSearchMagnifier" type="submit" class="btn btn-default"><i class="fa fa-search"></i></button> </span> <input type="hidden" name="ctl00$ctl51$Header$SearchTopBoxControl$IsAutoCompleteEnabled" id="ctl00_ctl51_Header_SearchTopBoxControl_IsAutoCompleteEnabled" value="false" /> <input type="hidden" name="ctl00$ctl51$Header$SearchTopBoxControl$AutocompleteApiUrl" id="ctl00_ctl51_Header_SearchTopBoxControl_AutocompleteApiUrl" value="https://platformservices.wolterskluwerhealth.com/autocomplete/ACGCRJ/shingle/" /> </div> </div> <div class="advance-search" style=""> <a id="ctl00_ctl51_Header_SearchTopBoxControl_lnkAdvanceSearch" href="https://journals.lww.com/acgcr/pages/advancedsearch.aspx">Advanced Search</a> <input type="submit" name="ctl00$ctl51$Header$SearchTopBoxControl$btnGlobalSearch" value="" id="ctl00_ctl51_Header_SearchTopBoxControl_btnGlobalSearch" disabled="disabled" class="aspNetDisabled btnGlobalSearch" style="display: none;" /> <input name="ctl00$ctl51$Header$SearchTopBoxControl$hfldKeywords" type="hidden" id="ctl00_ctl51_Header_SearchTopBoxControl_hfldKeywords" class="hfldKeywords" value="disableButton" /> </div> </div> <script> $(function() { try { var objSearchBox = { btnGlobalSearchMagnifierId: 'ctl00_ctl51_Header_SearchTopBoxControl_btnGlobalSearchMagnifier', searchButtonId: 'ctl00_ctl51_Header_SearchTopBoxControl_btnGlobalSearch', txtKeywordsId: 'ctl00_ctl51_Header_SearchTopBoxControl_txtKeywords', hfldKeywordsHiddenId: 'ctl00_ctl51_Header_SearchTopBoxControl_hfldKeywords', defaultSearchText: 'Search' }; new Searchbox(objSearchBox).Init(); } catch (e) { console.error(e); } }); //autocomplete functionality for basic search //this functionality will call the SBA url and start suggesting after typing 3rd character var textKeywords = null; var hiddenAutocompleteApiUrl = null; var buttonGlobalSearch = null; $(function () { try { var objAutocomplete = { hiddenIsAutoCompleteEnabled: $('#ctl00_ctl51_Header_SearchTopBoxControl_IsAutoCompleteEnabled'), textKeywords: $('#ctl00_ctl51_Header_SearchTopBoxControl_txtKeywords'), hiddenAutocompleteApiUrl: $('#ctl00_ctl51_Header_SearchTopBoxControl_AutocompleteApiUrl'), buttonGlobalSearch: $('#ctl00_ctl51_Header_SearchTopBoxControl_btnGlobalSearch'), enableNewAutoComplete: true, newAutoCompleteUrl: 'https://dxg-search-na-prd.wkgposvc.cloud/Query.svc/Query_Expand', newAutoCompleteMaxSuggestions: '10', newAutoCompleteDictionaryIds: 'ovid_sted28_mesh22' }; autoComplete(objAutocomplete); } catch (e) { console.error(e); } }); $(function () { let searchSelect = $('select[id$="ddlContentScope"]');; if (searchSelect.length){ searchSelect.selectize(); } }); </script> </div> <div id="main-nav-container-v2"> <nav id="main-nav" class="navbar navbar-default yamm wk-grid-page-container"> <div class="navbar-header"> <button id="fatJuicy" type="button" class="navbar-hamburger-button navbar-toggle collapsed pull-left" data-bs-toggle="collapse" data-bs-target="#zz1_TopNavigationMenu" aria-expanded="false" aria-controls="navbar"> <span class="visually-hidden">Toggle navigation</span> <span class="icon-bar"></span> <span class="icon-bar"></span> <span class="icon-bar"></span> <span class="navbar-hamburger-button__text"></span> </button> </div> <div id="navActionButtons" class="btn-group navbar-hover-color" role="group" aria-label="..."> <a id="ctl00_ctl51_lnkRegister" class="btn btn-default navbar-button" href="https://journals.lww.com/acgcr/pages/register.aspx?ContextUrl=%2facgcr%2ffulltext%2f2024%2f10000%2fan_infiltrative_case_of_angiosarcoma_causing.19.aspx">Register</a> <button class="user-menu__link user-menu__link--login js-ejp-login-btn btn btn-default navbar-button" type="button" data-config="{"eventName":"login","eventDetail":{},"isNull":false}"> <span>Login</span> </button> </div> <div id="ctl00_ctl51_TopNavigationMenuConfiguration" style="display:none" class="js-top-navigation-menu-configuration" data-config="{"browsingHistory":{"isEnabled":true,"serviceUrl":"https://apim-hlrp-ejp-prod.azure-api.net/ee","pdfDownloadUrl":"/_layouts/15/oaks.journals/downloadpdf.aspx?trckng_src_pg=HistoryTab"}}"></div> <div id="zz1_TopNavigationMenu" class="navbar-collapse collapse js-top-navigation-menu noindex ms-core-listMenu-horizontalBox"> <ul id="zz2_RootAspMenu" class="root ms-core-listMenu-root static"> <li class="static dynamic-children"><span class="static dynamic-children menu-item ms-core-listMenu-item ms-displayInline ms-navedit-linkNode"><span aria-haspopup="true" class="additional-background ms-navedit-flyoutArrow dynamic-children"><span class="menu-item-text">Articles & Issues</span></span></span><ul aria-hidden="true" class="dynamic"> <li class="dynamic"><a class="dynamic menu-item ms-core-listMenu-item ms-displayInline ms-navedit-linkNode" href="/acgcr/pages/currenttoc.aspx" accesskey="1"><span class="additional-background ms-navedit-flyoutArrow"><span class="menu-item-text">Current Issue</span></span></a></li><li class="dynamic"><a class="dynamic menu-item ms-core-listMenu-item ms-displayInline ms-navedit-linkNode" href="/acgcr/pages/issuelist.aspx"><span class="additional-background ms-navedit-flyoutArrow"><span class="menu-item-text">Previous Issues</span></span></a></li><li class="dynamic"><a class="dynamic menu-item ms-core-listMenu-item ms-displayInline ms-navedit-linkNode" href="/acgcr/pages/latestarticles.aspx"><span class="additional-background ms-navedit-flyoutArrow"><span class="menu-item-text">Latest Articles</span></span></a></li> </ul></li><li class="static dynamic-children"><span class="static dynamic-children menu-item ms-core-listMenu-item ms-displayInline ms-navedit-linkNode"><span aria-haspopup="true" class="additional-background ms-navedit-flyoutArrow dynamic-children"><span class="menu-item-text">For Authors</span></span></span><ul aria-hidden="true" class="dynamic"> <li class="dynamic"><a class="dynamic menu-item ms-core-listMenu-item ms-displayInline ms-navedit-linkNode" href="https://www.editorialmanager.com/acgcr/default.aspx"><span class="additional-background ms-navedit-flyoutArrow"><span class="menu-item-text">Submit a Manuscript</span></span></a></li><li class="dynamic"><a class="dynamic menu-item ms-core-listMenu-item ms-displayInline ms-navedit-linkNode" href="/acgcr/Pages/informationforauthors.aspx"><span class="additional-background ms-navedit-flyoutArrow"><span class="menu-item-text">Information for Authors</span></span></a></li><li class="dynamic"><a class="dynamic menu-item ms-core-listMenu-item ms-displayInline ms-navedit-linkNode" href="/acgcr/_layouts/1033/oaks.journals/editservices.aspx"><span class="additional-background ms-navedit-flyoutArrow"><span class="menu-item-text">Language Editing Services</span></span></a></li><li class="dynamic"><a class="dynamic menu-item ms-core-listMenu-item ms-displayInline ms-navedit-linkNode" href="https://cdn-tp2.mozu.com/16833-m1/cms/files/Author-Document.pdf?_mzts=636519775710000000"><span class="additional-background ms-navedit-flyoutArrow"><span class="menu-item-text">Author Permissions</span></span></a></li> </ul></li><li class="static dynamic-children"><span class="static dynamic-children menu-item ms-core-listMenu-item ms-displayInline ms-navedit-linkNode"><span aria-haspopup="true" class="additional-background ms-navedit-flyoutArrow dynamic-children"><span class="menu-item-text">Journal Info</span></span></span><ul aria-hidden="true" class="dynamic"> <li class="dynamic"><a class="dynamic menu-item ms-core-listMenu-item ms-displayInline ms-navedit-linkNode" href="/acgcr/pages/aboutthejournal.aspx"><span class="additional-background ms-navedit-flyoutArrow"><span class="menu-item-text">About the Journal</span></span></a></li><li class="dynamic"><a class="dynamic menu-item ms-core-listMenu-item ms-displayInline ms-navedit-linkNode" href="/acgcr/pages/editorialboard.aspx"><span class="additional-background ms-navedit-flyoutArrow"><span class="menu-item-text">Editorial Board</span></span></a></li><li class="dynamic"><a class="dynamic menu-item ms-core-listMenu-item ms-displayInline ms-navedit-linkNode" href="/acgcr/pages/affiliatedsociety.aspx"><span class="additional-background ms-navedit-flyoutArrow"><span class="menu-item-text">About the ACG</span></span></a></li><li class="dynamic"><a class="dynamic menu-item ms-core-listMenu-item ms-displayInline ms-navedit-linkNode" href="/acgcr/Pages/advertising.aspx"><span class="additional-background ms-navedit-flyoutArrow"><span class="menu-item-text">Advertising</span></span></a></li><li class="dynamic"><a class="dynamic menu-item ms-core-listMenu-item ms-displayInline ms-navedit-linkNode" href="/acgcr/Pages/Reprints.aspx"><span class="additional-background ms-navedit-flyoutArrow"><span class="menu-item-text">Reprints</span></span></a></li><li class="dynamic"><a class="dynamic menu-item ms-core-listMenu-item ms-displayInline ms-navedit-linkNode" href="/acgcr/Pages/Open-Access.aspx"><span class="additional-background ms-navedit-flyoutArrow"><span class="menu-item-text">Open Access</span></span></a></li> </ul></li><li class="static"><a class="static menu-item ms-core-listMenu-item ms-displayInline ms-navedit-linkNode" href="/acgcr/Pages/featuredarticles.aspx?featuredArticleGroup=2"><span class="additional-background ms-navedit-flyoutArrow"><span class="menu-item-text">Topics for Fellows</span></span></a></li> </ul> </div> <div class="search-v2"> <div class="search-wrapper"> <select name="ctl00$ctl51$SearchBox$ddlContentScope" id="ctl00_ctl51_SearchBox_ddlContentScope"> <option value="All">All</option> <option selected="selected" value="Articles">Articles</option> <option value="Images">Images</option> <option value="Videos">Videos</option> <option value="Podcasts">Podcasts</option> <option value="Blogs">Blogs</option> </select> <div class="input-group" id="globalSearch"> <input name="ctl00$ctl51$SearchBox$txtKeywords" type="text" value="Search" id="ctl00_ctl51_SearchBox_txtKeywords" class="form-control searchText" /> <span class="input-group-btn"> <button id="ctl00_ctl51_SearchBox_btnGlobalSearchMagnifier" type="submit" class="btn btn-default"><i class="fa fa-search"></i></button> </span> <input type="hidden" name="ctl00$ctl51$SearchBox$IsAutoCompleteEnabled" id="ctl00_ctl51_SearchBox_IsAutoCompleteEnabled" value="false" /> <input type="hidden" name="ctl00$ctl51$SearchBox$AutocompleteApiUrl" id="ctl00_ctl51_SearchBox_AutocompleteApiUrl" value="https://platformservices.wolterskluwerhealth.com/autocomplete/ACGCRJ/shingle/" /> </div> </div> <div class="advance-search" style=""> <a id="ctl00_ctl51_SearchBox_lnkAdvanceSearch" href="https://journals.lww.com/acgcr/pages/advancedsearch.aspx">Advanced Search</a> <input type="submit" name="ctl00$ctl51$SearchBox$btnGlobalSearch" value="" id="ctl00_ctl51_SearchBox_btnGlobalSearch" disabled="disabled" class="aspNetDisabled btnGlobalSearch" style="display: none;" /> <input name="ctl00$ctl51$SearchBox$hfldKeywords" type="hidden" id="ctl00_ctl51_SearchBox_hfldKeywords" class="hfldKeywords" value="disableButton" /> </div> </div> <script> $(function() { try { var objSearchBox = { btnGlobalSearchMagnifierId: 'ctl00_ctl51_SearchBox_btnGlobalSearchMagnifier', searchButtonId: 'ctl00_ctl51_SearchBox_btnGlobalSearch', txtKeywordsId: 'ctl00_ctl51_SearchBox_txtKeywords', hfldKeywordsHiddenId: 'ctl00_ctl51_SearchBox_hfldKeywords', defaultSearchText: 'Search' }; new Searchbox(objSearchBox).Init(); } catch (e) { console.error(e); } }); //autocomplete functionality for basic search //this functionality will call the SBA url and start suggesting after typing 3rd character var textKeywords = null; var hiddenAutocompleteApiUrl = null; var buttonGlobalSearch = null; $(function () { try { var objAutocomplete = { hiddenIsAutoCompleteEnabled: $('#ctl00_ctl51_SearchBox_IsAutoCompleteEnabled'), textKeywords: $('#ctl00_ctl51_SearchBox_txtKeywords'), hiddenAutocompleteApiUrl: $('#ctl00_ctl51_SearchBox_AutocompleteApiUrl'), buttonGlobalSearch: $('#ctl00_ctl51_SearchBox_btnGlobalSearch'), enableNewAutoComplete: true, newAutoCompleteUrl: 'https://dxg-search-na-prd.wkgposvc.cloud/Query.svc/Query_Expand', newAutoCompleteMaxSuggestions: '10', newAutoCompleteDictionaryIds: 'ovid_sted28_mesh22' }; autoComplete(objAutocomplete); } catch (e) { console.error(e); } }); $(function () { let searchSelect = $('select[id$="ddlContentScope"]');; if (searchSelect.length){ searchSelect.selectize(); } }); </script> </nav> </div> </div> </header>     <div id="main-container-content" class="wk-grid-page-container"> <div id="DeltaWebPartAdderUpdatePanelContainer" class="ms-core-webpartadder"> <div id="WebPartAdderUpdatePanelContainer"> <div id="ctl00_WebPartAdderUpdatePanel"> <span id="ctl00_WebPartAdder"></span> </div> </div> </div> <div id="notificationArea" class="ms-notif-box"></div> <div id="DeltaPageStatusBar"> <div id="pageStatusBar"></div> </div> <div id="DeltaPlaceHolderMain" class="delta-place-holder-main"> <a id="mainContent" name="mainContent" tabindex="-1"></a> <div id="ctl00_PlaceHolderMain_ResponsivePageLayoutRenderer_responsivePageLayoutContainer" class="main-content ejp-page-container"> <div class="wk-grid-container-no-margin" id="AddRowTopContainer"> </div> <div id="ctl00_PlaceHolderMain_ResponsivePageLayoutRenderer_ResponsiveLayoutRowRepeater_ctl00_ResponsiveLayoutRowContainer" class="wk-grid-container-no-margin"> <div id="ctl00_PlaceHolderMain_ResponsivePageLayoutRenderer_ResponsiveLayoutRowRepeater_ctl00_ResponsiveLayoutRow" class="wk-grid"> <div id="ctl00_PlaceHolderMain_ResponsivePageLayoutRenderer_ResponsiveLayoutRowRepeater_ctl00_ResponsiveLayoutColumnRepeater_ctl00_ResponsiveLayoutColumn" class=" wk-column-12 wk-column-12-m wk-column-12-l wk-column-12-xl wk-column-12-xxl"> <div class="ms-webpart-zone ms-fullWidth"> <div id="MSOZoneCell_WebPartctl00_ctl29_g_3e2c2cff_3f0a_4d2a_8f5a_564f9d037df5" class="s4-wpcell-plain ms-webpartzone-cell ms-webpart-cell-vertical-inline-table ms-webpart-cell-vertical ms-fullWidth "> <div class="ms-webpart-chrome ms-webpart-chrome-vertical ms-webpart-chrome-fullWidth "> <div WebPartID="3e2c2cff-3f0a-4d2a-8f5a-564f9d037df5" HasPers="false" id="WebPartctl00_ctl29_g_3e2c2cff_3f0a_4d2a_8f5a_564f9d037df5" width="100%" class="ms-WPBody noindex " allowDelete="false" style="" ><div id="ctl00_ctl29_g_3e2c2cff_3f0a_4d2a_8f5a_564f9d037df5">  <div class="ejp-article-breadcrumb"> <div class="ejp-article-breadcrumb__left"> <a title href="/acgcr/toc/2024/10000" class="ejp-article-nav__list-link-back">October 2024 - Volume 11 - Issue 10 </a> </div> <div class="ejp-article-breadcrumb__right"> <nav id="ctl00_ctl29_g_3e2c2cff_3f0a_4d2a_8f5a_564f9d037df5__fe7c3ea038d8ae38_ArticleNavigator"> <ul class="ejp-article-nav__list"> <li id="ctl00_ctl29_g_3e2c2cff_3f0a_4d2a_8f5a_564f9d037df5__fe7c3ea038d8ae38_liArticleNavigatorPrev"> <a title href="/acgcr/fulltext/2024/10000/enteropathy_associated_t_cell_lymphoma_treated.18.aspx" onmouseover="javascript:Tooltip_Article('Enteropathy-Associated T-Cell Lymphoma Treated With Autologous Hematopoietic Stem-Cell Transplant: A Glimmer of Hope?', 'Gahra Amrit MBBS MD; Katrevula, Anudeep MD, MRCP, DM; Sekaran, Anuradha MD, DNB, MNAMS; Wanve, Balasaheb DNB, DM; Reddy Katukuri, Goutham MD, DM; Lakhtakia, Sundeep MD, DM; Duvvur, Nageshwar Reddy MD, DM', 'ACG Case Reports Journal', 'October 2024', '11', '10' , 'p e01529')" onmouseout="javascript:Tooltip_MouseOut()" class="ejp-article-nav__list-link-prev"> <span>Previous</span> <span class="ejp-article-nav__list-link-mobile-hide">Article</span> </a> </li> <li id="ctl00_ctl29_g_3e2c2cff_3f0a_4d2a_8f5a_564f9d037df5__fe7c3ea038d8ae38_liArticleNavigatorNext"> <a title href="/acgcr/fulltext/2024/10000/crohn_s_disease_discovery_to_modern_treatment__a.20.aspx" onmouseover="javascript:Tooltip_Article('Crohn\'s Disease Discovery to Modern Treatment: A Gastroenterology Fellow\'s Experience at Mount Sinai With the Crohn\'s &amp; Colitis Foundation Visiting Fellowship Program', 'Pattison Robert James MD MPH; Djalal, Arafa MD', 'ACG Case Reports Journal', 'October 2024', '11', '10' , 'p e01533')" onmouseout="javascript:Tooltip_MouseOut()" class="ejp-article-nav__list-link-next"> <span>Next</span> <span class="ejp-article-nav__list-link-mobile-hide">Article</span> </a> </li> </ul> </nav> </div> </div> </div><div class="ms-clear"></div></div> </div> </div> </div></div> </div> </div> <div id="ctl00_PlaceHolderMain_ResponsivePageLayoutRenderer_ResponsiveLayoutRowRepeater_ctl01_ResponsiveLayoutRowContainer" class="wk-grid-container-no-margin"> <div id="ctl00_PlaceHolderMain_ResponsivePageLayoutRenderer_ResponsiveLayoutRowRepeater_ctl01_ResponsiveLayoutRow" class="wk-grid"> <div id="ctl00_PlaceHolderMain_ResponsivePageLayoutRenderer_ResponsiveLayoutRowRepeater_ctl01_ResponsiveLayoutColumnRepeater_ctl00_ResponsiveLayoutColumn" class=" wk-column-12 wk-column-8-m wk-column-8-l wk-column-8-xl wk-column-8-xxl"> <div class="ms-webpart-zone ms-fullWidth"> <div id="MSOZoneCell_WebPartctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f" class="s4-wpcell-plain ms-webpartzone-cell ms-webpart-cell-vertical-inline-table ms-webpart-cell-vertical ms-fullWidth "> <div class="ms-webpart-chrome ms-webpart-chrome-vertical ms-webpart-chrome-fullWidth "> <div WebPartID="c168c423-9055-40ab-abd6-309bb94ef67f" HasPers="false" id="WebPartctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f" width="100%" class="ms-WPBody noindex " allowDelete="false" style="" ><div id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f">  <script type="text/javascript" src="https://lww.com/_layouts/15/1033/Scripts/wk/article.min.js?v=05.24.00.023"> </script> <link rel="stylesheet" type="text/css" href="https://lww.com/_layouts/1033/OAKS.Journals/MediaElement/mediaelementplayer.css?v=05.24.00.023" media="print" /> <span class="js-custom-event" data-config="{"name":"articleView","detail":{"articleDetails":{"journalName":"ACG Case Reports Journal","articleTopicName":"","articleName":"An Infiltrative Case of Angiosarcoma Causing Portal Hypertension","publicationDate":"10/01/2024","accessionNumber":"02075970-202410000-00000","doi":"10.14309/crj.0000000000001532","authors":"Gina Bae, BS; Katie A. Dunleavy, MB, BCh, BAO; Catherine Hagen, MD; Douglas A. Simonetto, MD; Manal F. Abdelmalek, MD","societyName":"","collectionName":"","abstractValues":"Hepatic angiosarcoma is a rare and aggressive live","sku":"2326-3253","format":"HTML","articleKeywords":"hepatic angiosarcoma; hepatic tumor; portal hypertension","articleMetadata":"OPENACCESS=TRUE","systemIndicators":["Open"],"meshTerms":["Hemangiosarcoma","Hypertension, Portal","Ascites","Liver","Liver Neoplasms","Diagnosis","Biopsy","Case Reports","Failure to Thrive","Radiology"],"pageSource":"ArticleViewer"},"articleDisplayType":"Fulltext"},"order":2147483647,"config":{"bubbles":true,"cancelable":true,"composed":false}}"></span><span class="js-custom-event" data-config="{"name":"omni:article:view","detail":{"viewType":"Fulltext","publisher":"LWW","journalTitle":"ACG Case Reports Journal","issueNumber":"10000","volumeNumber":"11","accessionNumber":"02075970-202410000-00019","doi":"10.14309/crj.0000000000001532","articleTitle":"An Infiltrative Case of Angiosarcoma Causing Portal Hypertension","publicationDate":"10/01/2024","flags":"Open","keywords":"hepatic angiosarcoma, hepatic tumor, portal hypertension","tocSection":"CASE REPORT","tocSubSection":"LIVER","firstPage":"e01532"},"order":2147483647,"config":{"bubbles":true,"cancelable":true,"composed":false}}"></span>  <link rel="stylesheet" type="text/css" href="https://lww.com/_layouts/1033/styles/oaks.journals/print-article.css?v=05.24.00.023" media="print" /> <script type="text/javascript"> var articleContainer = document.getElementById('ArticleContainer'); function getElementReferences() { textDiv = articleContainer; // textDiv = document.getElementById('ArticleContainer'); } function getArticleContainer() { return articleContainer; } $(function () { // Change the '+', '-' icon when panels are collapsed. $('a.toggle-content').click(function () { var isExpanded = $(this).attr('aria-expanded'); var i = $(this).children('i'); if (isExpanded === 'true') { i.removeClass('fa fa-minus-square-o').addClass('fa fa-plus-square-o'); } else { i.removeClass('fa fa-plus-square-o').addClass('fa fa-minus-square-o'); } }); var articleAbstractLink = $('#article-abstract-content4>ul>li>a')[0]; if ($(articleAbstractLink).html() === 'Abstract') { $(articleAbstractLink).click($.proxy(clickAbstractLink, this)); } }); function LogArticleSubTabClickEventToCounterData(subTabType) { var dualAccessHelper = new DualAccess(); if (subTabType === "AISummary") { //handle it for other sub tab types dualAccessHelper.SendCounterDataRequestByAn(dualAccessHelper.EventTypes.Investigation, dualAccessHelper.ContentTypes.AISummary, '02075970-202410000-00019'); } else { dualAccessHelper.SendCounterDataRequestByAn(dualAccessHelper.EventTypes.Investigation, dualAccessHelper.ContentTypes.ArticleTab, '02075970-202410000-00019'); } }; function ArticleTabClickLogToCounterService() { var dualAccessHelper = new DualAccess(); dualAccessHelper.SendCounterDataRequestByAn(dualAccessHelper.EventTypes.Investigation, dualAccessHelper.ContentTypes.ArticleTab, '02075970-202410000-00019'); }; window.addEventListener("load", () => { HighlightSearchTerms(); }); document.addEventListener('DOMContentLoaded', function() { function dispatchCustomEvent(eventName, linkUrl) { document.dispatchEvent(new CustomEvent(eventName, { detail: { link_url: linkUrl } })); } var anchors = { 'omni:articleviewer:buy': document.getElementById('ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_hypPurchase'), 'omni:articleviewer:subscribe': document.getElementById('ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_hypSubscribe'), 'omni:articleviewer:permission': document.getElementById('ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_hypliPatentOrCaregiver'), 'omni:articleviewer:society': document.getElementById('ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_hypSociety') }; Object.keys(anchors).forEach(function(eventName) { var anchor = anchors[eventName]; if (anchor) { anchor.addEventListener('click', function(event) { dispatchCustomEvent(eventName, anchor.href); }); } }); }); </script> <script> function closeArticleViewerModalDialog() { $('#articleViewerDialog').hide(); return false; } </script> <div class="ejp-article-wrapper"> <div id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_container" data-article-config="{"title":"ReadAloud: An Infiltrative Case of Angiosarcoma Causing Portal Hypertension","doi":"10.14309/crj.0000000000001532"}" data-read-along="false" data-ppt-event-detail="{"eventName":"PPTDownload","eventDetail":{"url":"https://journals.lww.com:443/acgcr/fulltext/2024/10000/an_infiltrative_case_of_angiosarcoma_causing.19.aspx?Ppt=Article|acgcr:2024:10000:00019|10.14309/crj.0000000000001532|","gating":false},"eventOptions":{"bubbles":true,"cancelable":true,"composed":false},"loginDetail":{"isLoginOptional":true,"promptLogin":false},"isNull":false}" data-has-ce="false" data-is-social-sharing-enabled="false" data-ce-cme-redirect="false" data-ppt-visible="true" data-email-to-colleague-control-id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_emailToColleagueControl" data-images-slideshow-visible="true" data-social-sharing-title="An Infiltrative Case of Angiosarcoma Causing Portal... : ACG Case Reports Journal" data-pdf-visible="true" class="js-ejp-article-tools lww-ejp-article-tools" data-ce-cme-url="" data-has-permissions="true" data-epub-enabled="true" data-article-accession-number="02075970-202410000-00019" data-epub-visible="true" data-image-gallery-url="/acgcr/pages/imagegallery.aspx?year=2024&issue=10000&article=00019" data-social-sharing-source="https://journals.lww.com/acgcr/fulltext/2024/10000/an_infiltrative_case_of_angiosarcoma_causing.19.aspx" data-favorites-event-detail="{"eventName":"AddToFavorites","eventDetail":{"items":["Article|acgcr:2024:10000:00019|10.14309/crj.0000000000001532|"],"an":"02075970-202410000-00019"},"eventOptions":{"bubbles":true,"cancelable":true,"composed":false},"loginDetail":{"isLoginOptional":false,"promptLogin":true,"loginPromptText":"To save this item, login or register"},"isNull":false}" data-ce-cme-title="" data-is-fulltext="true" data-has-cme="false" data-pdf-enabled="true" data-images-gallery-visible="true" data-pdf-event-detail="{"eventName":"PDFDownloadInit","eventDetail":{"url":"https://journals.lww.com/acgcr/_layouts/15/oaks.journals/downloadpdf.aspx?trckng_src_pg=ArticleViewer&an=02075970-202410000-00019","gating":false},"eventOptions":{"bubbles":true,"cancelable":true,"composed":false},"loginDetail":{"isLoginOptional":true,"promptLogin":false},"isNull":false}" data-epub-event-detail="{"eventName":"EPUBDownload","eventDetail":{"url":"https://journals.lww.com:443/acgcr/fulltext/2024/10000/an_infiltrative_case_of_angiosarcoma_causing.19.aspx?generateEpub=Article|acgcr:2024:10000:00019|10.14309/crj.0000000000001532|","gating":false},"eventOptions":{"bubbles":true,"cancelable":true,"composed":false},"loginDetail":{"isLoginOptional":true,"promptLogin":false},"isNull":false}" data-pdf-url="https://journals.lww.com/acgcr/_layouts/15/oaks.journals/downloadpdf.aspx?trckng_src_pg=ArticleViewer&an=02075970-202410000-00019"> </div> <div style="display: none;"> <div id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_epubContainer"> <a an="02075970-202410000-00019" rel="opener" title href="#epub-link" class="ej-art-as-epub">Article as EPUB</a> </div> <a href="/acgcr/fulltext/2024/10000/an_infiltrative_case_of_angiosarcoma_causing.19.aspx?Ppt=Article|acgcr:2024:10000:00019|10.14309/crj.0000000000001532|" id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_lnkExportImagesToPPT_fileLink" rel="nofollow">Export All Images to PowerPoint File</a> <button class="user-menu__link user-menu__link--add-to-favorites js-ejp-login-btn addToMyFavoriteLink" type="button" data-config="{"eventName":"AddToFavorites","eventDetail":{"items":["Article|acgcr:2024:10000:00019|10.14309/crj.0000000000001532|"],"an":"02075970-202410000-00019"},"eventOptions":{"bubbles":true,"cancelable":true,"composed":false},"loginDetail":{"isLoginOptional":false,"promptLogin":true,"loginPromptText":"To save this item, login or register"},"isNull":false}"> <span>Add to My Favorites</span> </button> </div> <script type="text/javascript" src="https://lww.com/_layouts/15/1033/Scripts/wk/EmailToColleague.js?v=05.24.00.023" defer="true"> </script> <a id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_emailToColleagueControl_hypEmailToColleague" href="javascript:" style="display:none;"></a> <div id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_emailToColleagueControl_pnlEmailToColleague" class="wk-modal-table" style="display: none"> <div class="wk-modal-cell"> <div id="ej-box-modal-drop-shadow" class="wk-modal horizontally-centered small wk-modal-with-overlay wk-modal-small ejp-modal email-to-colleague" tabindex="-1" role="dialog" style="position: static;"> <div id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_emailToColleagueControl_pnlMain" class="js-main-panel" onkeypress="javascript:return WebForm_FireDefaultButton(event, 'ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_emailToColleagueControl_btnSend')"> <section class="wk-modal-content"> <header class="wk-modal-header ejp-modal-header"> <div class="wk-modal-title ejp-modal-title"> <strong> <span id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_emailToColleagueControl_lblEmailToColleague">Email to Colleague</span></strong> </div> <button aria-label="close dialog" class="primary-button wk-button-icon wk-modal-close ejp-modal-close js-close "> <i class="fa fa-times"></i> </button> </header> <div class="wk-modal-body"> <div class="wk-field-item"> <div class="wk-field-header"> <div id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_emailToColleagueControl_divErrorMessage" class="js-error-message-div ej-error-message-panel" style="display: none; color: red; font-style: italic"> <p class="ej-error-message-icon"> <span id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_emailToColleagueControl_lblErrorMessage" class="js-error-message-label">Colleague's E-mail is Invalid</span> </p> </div> </div> </div> <div class="wk-field-item"> <div class="wk-field-header"> Your Name: </div> <div class="wk-field-body"> <input name="ctl00$ctl29$g_c168c423_9055_40ab_abd6_309bb94ef67f$ctl00$ucArticleTools$emailToColleagueControl$txtYourName" type="text" id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_emailToColleagueControl_txtYourName" class="js-name" /> </div> </div> <div class="wk-field-item"> <div class="wk-field-header"> <span id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_emailToColleagueControl_lblColleaguesEmail" class="js-collegaues-email-lbl">Colleague's Email:</span> </div> <div class="wk-field-body no-bottom-margin"> <input name="ctl00$ctl29$g_c168c423_9055_40ab_abd6_309bb94ef67f$ctl00$ucArticleTools$emailToColleagueControl$txtColleaguesEmail" type="text" id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_emailToColleagueControl_txtColleaguesEmail" class="js-collegaues-email" /> </div> <div class="wk-field-header"><span class="ej-form-comments">Separate multiple e-mails with a (;).</span></div> </div> <div class="wk-field-item"> <div class="wk-field-header"> Message: </div> <div class="wk-field-body"> <textarea name="ctl00$ctl29$g_c168c423_9055_40ab_abd6_309bb94ef67f$ctl00$ucArticleTools$emailToColleagueControl$txtMessage" rows="2" cols="20" id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_emailToColleagueControl_txtMessage" class="js-message"> Thought you might appreciate this item(s) I saw in ACG Case Reports Journal.</textarea> </div> </div> <div class="wk-button-bar"> <div class="wk-button-group-left"> <input type="submit" name="ctl00$ctl29$g_c168c423_9055_40ab_abd6_309bb94ef67f$ctl00$ucArticleTools$emailToColleagueControl$btnSend" value="Send" id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_emailToColleagueControl_btnSend" class="js-send-button primary-button grecaptcha-email-colleague-7154c2140cf74ceb91ff996a9d5b1ce0" /> <input type="button" value="Cancel" id="btnCancel" class="secondary-button js-close" /> </div> </div> <div class="wk-field-item wk-email-colleague-captcha-bar"> <div class="wk-field-body"> <div id="div-recaptcha-7154c2140cf74ceb91ff996a9d5b1ce0" class="div-recaptcha-container" data-uniqueclassidentifier="grecaptcha-email-colleague-7154c2140cf74ceb91ff996a9d5b1ce0" data-sitekey="6LeeoSAUAAAAACFv8yNuINPv8IWyXHJ6uN447qEK" data-callback="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_emailToColleagueControl_captchaCallBack" data-badge="inline" data-size="invisible" data-type="image" > </div> </div> </div> </div> </section> </div> <div id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_emailToColleagueControl_pnlSuccessMessage" class="js-success-message-panel" style="display: none;"> <section class="wk-modal-content"> <header class="wk-modal-header ejp-modal-header"> <div class="wk-modal-title ejp-modal-title"></div> <button aria-label="close dialog" class="primary-button wk-button-icon wk-modal-close ejp-modal-close js-close "><i class="fa fa-times"></i></button> </header> <div class="wk-modal-body"> <div class="wk-field-item"> <br /> <p> <span id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_emailToColleagueControl_lblMessageSent">Your message has been successfully sent to your colleague.</span> </p> <br /> </div> <div class="wk-button-bar"> <div class="wk-button-group-left"> <input type="button" value="Close Window" id="btnClose" class="primary-button js-close" /> </div> </div> </div> </section> </div> <div id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_emailToColleagueControl_pnlErrorMessage" class="js-error-message-panel" style="display: none;"> <section class="wk-modal-content"> <header class="wk-modal-header ejp-modal-header"> <div class="wk-modal-title ejp-modal-title"></div> <button aria-label="close dialog" class="primary-button wk-button-icon wk-modal-close ejp-modal-close js-close "><i class="fa fa-times"></i></button> </header> <div class="wk-modal-body"> <br /> <div class="wk-field-item"> <span id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_emailToColleagueControl_lblInvalidEmail" style="color:Red;">Some error has occurred while processing your request. Please try after some time.</span> </div> <br /> <div class="wk-button-bar"> <div class="wk-button-group-left"> <input type="button" value="Close Window" id="btnEClose" class="primary-button js-close" /> </div> </div> </div> </section> </div> </div> <input type="hidden" name="ctl00$ctl29$g_c168c423_9055_40ab_abd6_309bb94ef67f$ctl00$ucArticleTools$emailToColleagueControl$hiddenEmailToColleague" id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_emailToColleagueControl_hiddenEmailToColleague" /> <input type="hidden" name="ctl00$ctl29$g_c168c423_9055_40ab_abd6_309bb94ef67f$ctl00$ucArticleTools$emailToColleagueControl$hiddenIsUser" id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_emailToColleagueControl_hiddenIsUser" /> </div> </div> <script type="text/javascript"> window.emailToColleaguePopups = window.emailToColleaguePopups || []; var ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_emailToColleagueControl_captchaCallBack = function () { ejpAnalytics.track('emailColleaguereCAPTCHA'); ejpAnalytics.track('emailColleagueComplete'); __doPostBack('ctl00$ctl29$g_c168c423_9055_40ab_abd6_309bb94ef67f$ctl00$ucArticleTools$emailToColleagueControl$btnSend','') }; var initEmailToColleaguectl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_emailToColleagueControl = function () { window.emailToColleaguePopups['ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_emailToColleagueControl'] = new EmailToColleagueComponent('ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_emailToColleagueControl_pnlEmailToColleague', 'div-recaptcha-7154c2140cf74ceb91ff996a9d5b1ce0', 'grecaptcha-email-colleague-7154c2140cf74ceb91ff996a9d5b1ce0', 'emailToColleaguePopupExtender_1859226663', 'ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_emailToColleagueControl_hiddenEmailToColleague', 'ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_emailToColleagueControl_hiddenIsUser', '02075970-202410000-00019' ); } Sys.WebForms.PageRequestManager.getInstance().add_pageLoaded(initEmailToColleaguectl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_emailToColleagueControl); </script> <script type="text/javascript" src="https://lww.com/_layouts/15/1033/Scripts/wk/ExportToCitationManager.js?v=05.24.00.023" defer="true"> </script> <a id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_exportToCitationManager_hypExportToCitationManager" href="javascript:" style="display:none;"></a> <div id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_exportToCitationManager_pnlExportTo" style="display: none"> <div id="ej-box-modal-drop-shadow"> <div id="ej-box-modal-style-1" tabindex="-1" role="dialog" class="wk-modal wk-modal-with-overlay wk-modal-small ejp-modal horizontally-centered" data-behaviorid="OpenExportToPopupExtender__195590522"> <div id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_exportToCitationManager_pnlMainExport"> <section class="wk-modal-content"> <header class="wk-modal-header ejp-modal-header"> <div class="wk-modal-title ejp-modal-title"><strong>Export to</strong></div> <button onclick="return closeExportToModalPopUp();" aria-label="close dialog" class="primary-button wk-button-icon wk-modal-close ejp-modal-close "><i class="fa fa-times"></i></button> </header> <div class="wk-modal-body"> <div class="wk-field-item"> <fieldset> <table id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_exportToCitationManager_radioBtnExportTypes"> <tr> <td><input id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_exportToCitationManager_radioBtnExportTypes_0" type="radio" name="ctl00$ctl29$g_c168c423_9055_40ab_abd6_309bb94ef67f$ctl00$ucArticleTools$exportToCitationManager$radioBtnExportTypes" value="EndNote" checked="checked" /><label for="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_exportToCitationManager_radioBtnExportTypes_0">End Note</label></td> </tr><tr> <td><input id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_exportToCitationManager_radioBtnExportTypes_1" type="radio" name="ctl00$ctl29$g_c168c423_9055_40ab_abd6_309bb94ef67f$ctl00$ucArticleTools$exportToCitationManager$radioBtnExportTypes" value="Procite" /><label for="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_exportToCitationManager_radioBtnExportTypes_1">Procite</label></td> </tr><tr> <td><input id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_exportToCitationManager_radioBtnExportTypes_2" type="radio" name="ctl00$ctl29$g_c168c423_9055_40ab_abd6_309bb94ef67f$ctl00$ucArticleTools$exportToCitationManager$radioBtnExportTypes" value="ReferenceManager" /><label for="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_exportToCitationManager_radioBtnExportTypes_2">Reference Manager</label></td> </tr> </table> </fieldset> <p> <label for="default"> <input id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_exportToCitationManager_checkBoxSaveMySelection" type="checkbox" name="ctl00$ctl29$g_c168c423_9055_40ab_abd6_309bb94ef67f$ctl00$ucArticleTools$exportToCitationManager$checkBoxSaveMySelection" /><label for="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_exportToCitationManager_checkBoxSaveMySelection">Save my selection</label> </label> </p> <div class="wk-button-bar"> <div class="wk-button-group-left"> <input type="submit" name="ctl00$ctl29$g_c168c423_9055_40ab_abd6_309bb94ef67f$ctl00$ucArticleTools$exportToCitationManager$btnOpenExportDialog" value="Export" onclick="return validateExportType();WebForm_DoPostBackWithOptions(new WebForm_PostBackOptions("ctl00$ctl29$g_c168c423_9055_40ab_abd6_309bb94ef67f$ctl00$ucArticleTools$exportToCitationManager$btnOpenExportDialog", "", true, "", "", false, false))" id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_exportToCitationManager_btnOpenExportDialog" class="primary-button" /> <input type="submit" name="ctl00$ctl29$g_c168c423_9055_40ab_abd6_309bb94ef67f$ctl00$ucArticleTools$exportToCitationManager$btnCancelOpenExportDialog" value="Cancel" onclick="return closeExportToModalPopUp();WebForm_DoPostBackWithOptions(new WebForm_PostBackOptions("ctl00$ctl29$g_c168c423_9055_40ab_abd6_309bb94ef67f$ctl00$ucArticleTools$exportToCitationManager$btnCancelOpenExportDialog", "", true, "", "", false, false))" id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_exportToCitationManager_btnCancelOpenExportDialog" class="secondary-button" /> <p id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_exportToCitationManager_pUnsubscribeButtons"> </p> </div> </div> </div> </div> </section> </div> </div> </div> <div id="ej-clear-float"></div> <input type="hidden" name="ctl00$ctl29$g_c168c423_9055_40ab_abd6_309bb94ef67f$ctl00$ucArticleTools$exportToCitationManager$hiddenExportType" id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_exportToCitationManager_hiddenExportType" /> </div> <script type="text/javascript"> var hiddenExportType = $get('ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_exportToCitationManager_hiddenExportType'); function getExportPopup() { return $find('OpenExportToPopupExtender__195590522'); } var pnlMainExport = $get('ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_exportToCitationManager_pnlMainExport'); document.addEventListener('DOMContentLoaded', function () { function dispatchCustomEvent(eventName) { try { document.dispatchEvent(new CustomEvent(eventName)); } catch (error) { console.error('Error dispatching custom event:', error); } } try { var exportButton = document.getElementById('ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_exportToCitationManager_btnOpenExportDialog'); var radioButtons = document.querySelectorAll('#ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_exportToCitationManager_radioBtnExportTypes input[type=radio]'); exportButton.addEventListener('click', function (event) { var selectedRadioButton = Array.from(radioButtons).find(rb => rb.checked); if (selectedRadioButton) { var selectedValue = selectedRadioButton.value; var eventName = ''; switch (selectedValue) { case "Procite": case "ReferenceManager": eventName = 'omni:articletools:cite:ris'; break; case 'EndNote': eventName = 'omni:articletools:cite:endnote'; break; default: eventName = ''; } if (eventName) { dispatchCustomEvent(eventName); } else { console.warn('No event name matched for the selected radio button value:', selectedValue); } } else { console.warn('No radio button selected'); } }); } catch (error) { console.error('Error initializing event listeners:', error); } }); </script> <script type="text/javascript"> $(document).ready(function () { $('p').filter(function () { return this.innerHTML.trim() === "" }).remove(); }); function showPrinterFriendlyView() { open("https://journals.lww.com/acgcr/pages/printerfriendly.aspx?year=2024&issue=10000&article=00019&type=Fulltext", ""); } function showExportToCitationPopUp() { return "OpenExportToPopupExtender__195590522"; } function getPermissionsClick() { showRightsLinkPopUp( 'https://s100.copyright.com/AppDispatchServlet', 'WoltersKluwer', 'AC9', 'An Infiltrative Case of Angiosarcoma Causing Portal Hypertension', '10102024', 'Gina Bae, Katie A. Dunleavy, Catherine Hagen, et al', '11', '10', '\u00A9 2024 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology.', '02075970-202410000-00019', '', true, 'CCBY-NC-ND'); } </script> <div id="ArticleContainer"> <article id="ej-article-view" class="js-article-view ej-article-view" xmlns:ssr="http://ssr-eus-go-csi.cloudapp.net/v1/assets" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xhtml="http://www.w3.org/1999/xhtml"><section class="ejp-r-article-subsection"><div class="ejp-r-article-subsection__text">CASE REPORT: LIVER</div></section><header class="ejp-article-header"><h1 class="ejp-article-title">An Infiltrative Case of Angiosarcoma Causing Portal Hypertension</h1></header><section id="ejp-article-authors"><p id="P7">Bae, Gina BS<sup xmlns:mrws="http://webservices.ovid.com/mrws/1.0">1</sup>; Dunleavy, Katie A. MB, BCh, BAO<sup xmlns:mrws="http://webservices.ovid.com/mrws/1.0">2</sup>; Hagen, Catherine MD<sup xmlns:mrws="http://webservices.ovid.com/mrws/1.0">3</sup>; Simonetto, Douglas A. MD<sup xmlns:mrws="http://webservices.ovid.com/mrws/1.0">2</sup>; Abdelmalek, Manal F. MD<sup xmlns:mrws="http://webservices.ovid.com/mrws/1.0">2</sup></p><section><a href="#" id="ejp-article-authors-link"> Author Information <i class="wk-icon-arrow-down-r"></i></a></section></section><section id="ejp-article-authors-info" class="ejp-article-authors-info ejp-article-authors-info--hidden"><div class="ejp-article-authors-info-holder"> <p id=""><sup xmlns:mrws="http://webservices.ovid.com/mrws/1.0">1</sup>Alabama College of Osteopathic Medicine, Dothan, AL</p> <p id=""><sup xmlns:mrws="http://webservices.ovid.com/mrws/1.0">2</sup>Division of Gastroenterology and Hepatology, Mayo Clinic College of Medicine, Rochester, MN</p> <p id=""><sup xmlns:mrws="http://webservices.ovid.com/mrws/1.0">3</sup>Department of Laboratory Medicine and Pathology, Mayo Clinic College of Medicine, Rochester, MN</p> <p id="cor1"><strong xmlns:mrws="http://webservices.ovid.com/mrws/1.0">Correspondence:</strong> Katie A. Dunleavy, MB, BCh, BAO (<span><a href="/cdn-cgi/l/email-protection#bfd2ded6d3cbd085fbcad1d3dadec9c691d4decbd6daffd2dec6d091dadbca" onclick="javascript:window.open('mailto:mailto:Dunleavy.katie@mayo.edu');return false"><span class="__cf_email__" data-cfemail="783c0d16141d190e015613190c111d3815190117561d1c0d">[email protected]</span></a></span>).</p> <p id="">This is an open access article distributed under the terms of the <span><a href="http://creativecommons.org/licenses/by-nc-nd/4.0/" onclick="javascript:window.open('http://creativecommons.org/licenses/by-nc-nd/4.0/');return false">Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND)</a></span>, where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.</p> </div></section><section id="article-journal-info"><div class="ej-journal-info"><span class="ej-journal-name">ACG Case Reports Journal </span><span id="ej-journal-date-volume-issue-pg"><a href="/acgcr/toc/2024/10000">11(10):p e01532, October 2024.</a></span><span> | </span><span class="ej-journal-doi">DOI: </span>10.14309/crj.0000000000001532<a id="ej-article-indicators-ccl" onmouseover="javascript:Tooltip_CCL('This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.')" onmouseout="javascript:Tooltip_MouseOut()" href="http://creativecommons.org/licenses/by-nc-nd/4.0/" target="_blank"><span class="ejp-article-indicators__ccl"></span></a></div></section><section id="ejp-article-indicators" class="ejp-article-indicators"><ul class="ejp-article-indicators__list"> <li id="ej-article-indicators-open" class="ejp-article-indicators__list-item" onmouseover="javascript:Tooltip_Open()" onmouseout="javascript:Tooltip_MouseOut()"><span class="ejp-indicator">Open</span></li> </ul><button id="openArticleMetricsPopupButton" type="button" class="wk-button wk-button-ghost wk-button-icon-left ejp-article-metrics-btn" data-articleMetricsEndpoint="//services.journals.lww.com/IntegrationServices/ArticleMetricsService.svc" data-articleMetricsDetailsUrl="https://wolterskluwer.altmetric.com/details/" data-doi="10.14309/crj.0000000000001532" data-suiteId="vrs_woltere_journalsglobalvrs" data-articlePublicationDate="2024-10-10" data-articlePublicationDateString="October 10, 2024" data-receivedDate="2024-02-05" data-revisionReceivedDate="" data-acceptedDate="2024-09-09" data-crossrefRefLinkRoot="https://doi.org/" data-medlineRefLinkRoot="http://www.ncbi.nlm.nih.gov/pubmed/" data-pubMedId="39391806"><i class="wk-icon-filled-chart-r"></i><i class="wk-icon-filled-chart-white-r"></i> Metrics </button></section><section class="ejp-article-tabs" id="abstractWrap"><h2 class="ejp-article-tabs-heading">Abstract</h2> <div class="ejp-article-tabs__tabpanel" id="panel1" role="tabpanel" aria-labelledby="tab1"> <div id="article-abstract-content1"> <div class="ejp-article-text-abstract"> <p>Hepatic angiosarcoma is a rare and aggressive liver tumor. We report a case study of an 82-year-old elderly gentleman who presented with failure to thrive and ascites. Initially suspected to be cirrhosis, biopsy results eventually concluded angiosarcoma of the liver. Our patient presented with an infiltrative form, rather than distinct masses, which led to portal hypertension and ascites. The variance in symptomatology and radiology presentations make a diagnosis of hepatic angiosarcoma challenging and require a high index of suspicion.</p> </div> </div> </div></section><div class="ejp-fulltext-content js-ejp-fulltext-content"><section id="ArticleBody"><h2 class="ejp-article-outline-heading" data-level="1" id="s1">INTRODUCTION</h2> <p id="JCL-P-1">Hepatic angiosarcoma (HAS) is a rare and aggressive malignancy, accounting for only 2% of primary liver malignancy with majority of untreated patients dying within 6 months.<sup xmlns:mrws="http://webservices.ovid.com/mrws/1.0"><sup><a class="ejp-citation-link js-ejp-citation-link" data-reference-links="R1 R2">1,2</a></sup></sup> A review of the National Cancer Institute's epidemiology database identified only 207 patients with primary HAS over a period of 30+ years.<sup xmlns:mrws="http://webservices.ovid.com/mrws/1.0"><sup><a class="ejp-citation-link js-ejp-citation-link" data-reference-links="R3">3</a></sup></sup> Certain exposure agents—such as vinyl chloride, Thorotrast, arsenic, and anabolic steroid use—have been linked with HAS, although 75% of etiology still remains unknown.<sup xmlns:mrws="http://webservices.ovid.com/mrws/1.0"><sup><a class="ejp-citation-link js-ejp-citation-link" data-reference-links="R4 R5">4,5</a></sup></sup> The largely idiopathic nature, low incidence rate, and variable presentation hinder the development of efficient diagnostic protocols and effective treatment options. Here, we present a case of an infiltrative presentation of this exceedingly rare disease.</p> <h2 class="ejp-article-outline-heading" data-level="1" id="s2">CASE REPORT</h2> <p id="JCL-P-2">An 82-year-old man was admitted for failure to thrive. He had large ascites and splenomegaly. Laboratory workup revealed thrombocytopenia, aspartate aminotransferase 166 U/L, alanine aminotransferase 60 U/L, total bilirubin 2.8 mg/dL, and alkaline phosphatase 500 U/L. Albumin was 3.4 g/dL. Serum ascites albumin gradient >1.1 suggested ascites secondary to portal hypertension. The total protein of the ascitic fluid was 1.0 g/dL with negative cytology. Abdominal computed tomography demonstrated splenic lesions (<a href="javascript:void(0)" onclick="javascript:showSlideShowByImageID('F1', '02075970-202410000-00019');">Figure 1</a>). Owing to concern for infectious etiology, the inpatient medical team ordered serology for Coxiella, Bartonella, and Brucellosis, all of which were negative. Positron emission tomography-computed tomography scan showed fluorodeoxyglucose uptake in the liver, spleen, and bone marrow (<a href="javascript:void(0)" onclick="javascript:showSlideShowByImageID('F2', '02075970-202410000-00019');">Figure 2</a>). Flow cytometry and bone marrow aspirates were unrevealing. A detailed history and physical examination did not provide further concerns for alcohol-associated liver disease, metabolic-associated liver disease, or drug-induced liver injury. Chronic hepatitis A, B, and D were negative. Genetic causes including α-1 antitrypsin deficiency and hereditary hemochromatosis were excluded. No features of autoimmune liver disease were found on liver biopsy. Imaging did not show concern for chronic Budd-Chiari syndrome. Liver biopsy was diagnostic for HAS (<a href="javascript:void(0)" onclick="javascript:showSlideShowByImageID('F3', '02075970-202410000-00019');">Figures 3 and 4</a>: Hematoxylin and eosin stain, magnification, 200×; immunohistochemical stain for ERG showing nuclear tumor positivity, magnification 200×), with atypical spindle cell proliferation, hyperchromatic nuclei, and scant pale eosinophilic cytoplasm growing along sinusoids causing destruction of liver cell plates. Detailed medical and surgical history following the diagnosis did not elucidate clear underlying risk of development of this liver tumor. Owing to our patient's age and comorbidities, his family elected to transition him to comfort care. He died a few weeks later.</p><section class="ejp-r-article-images"><figure class="ejp-r-article-images__figure"><a href="javascript:void(0)" class="ejp-r-article-images__image-link" onclick="showSlideShowByImageID('F1', '02075970-202410000-00019')"><img class="ejp-r-article-images__img js-lazy-load lazy-load" src="javascript:void(0);" data-src="https://images.journals.lww.com/acgcr/ArticleViewerPreview.02075970-202410000-00019.F1.jpeg" data-srcset="https://images.journals.lww.com/acgcr/ArticleViewerPreview@2.02075970-202410000-00019.F1.jpeg 2x" srcset="" alt="F1"></a><figcaption class="ejp-r-article-images__figcaption"><a href="javascript:void(0)" class="ejp-r-article-images__figcaption-link" onclick="showSlideShowByImageID('F1', '02075970-202410000-00019')">Figure 1.: </a><div class="ejp-r-article-images__figcaption-text">Abdominal computed tomography demonstrating splenic lesions.</div></figcaption></figure><figure class="ejp-r-article-images__figure"><a href="javascript:void(0)" class="ejp-r-article-images__image-link" onclick="showSlideShowByImageID('F2', '02075970-202410000-00019')"><img class="ejp-r-article-images__img js-lazy-load lazy-load" src="javascript:void(0);" data-src="https://images.journals.lww.com/acgcr/ArticleViewerPreview.02075970-202410000-00019.F2.jpeg" data-srcset="https://images.journals.lww.com/acgcr/ArticleViewerPreview@2.02075970-202410000-00019.F2.jpeg 2x" srcset="" alt="F2"></a><figcaption class="ejp-r-article-images__figcaption"><a href="javascript:void(0)" class="ejp-r-article-images__figcaption-link" onclick="showSlideShowByImageID('F2', '02075970-202410000-00019')">Figure 2.: </a><div class="ejp-r-article-images__figcaption-text">Positron emission tomography-computed tomography scan showed fluorodeoxyglucose uptake in the liver, spleen, and bone marrow.</div></figcaption></figure><figure class="ejp-r-article-images__figure"><a href="javascript:void(0)" class="ejp-r-article-images__image-link" onclick="showSlideShowByImageID('F3', '02075970-202410000-00019')"><img class="ejp-r-article-images__img js-lazy-load lazy-load" src="javascript:void(0);" data-src="https://images.journals.lww.com/acgcr/ArticleViewerPreview.02075970-202410000-00019.F3.jpeg" data-srcset="https://images.journals.lww.com/acgcr/ArticleViewerPreview@2.02075970-202410000-00019.F3.jpeg 2x" srcset="" alt="F3"></a><figcaption class="ejp-r-article-images__figcaption"><a href="javascript:void(0)" class="ejp-r-article-images__figcaption-link" onclick="showSlideShowByImageID('F3', '02075970-202410000-00019')">Figure 3.: </a><div class="ejp-r-article-images__figcaption-text">Liver biopsy was diagnostic for hepatic angiosarcoma (Hematoxylin and eosin stain; magnification, 200×) with atypical spindle cell proliferation, hyperchromatic nuclei, and scant pale eosinophilic cytoplasm growing along sinusoids causing destruction of liver cell plates.</div></figcaption></figure><figure class="ejp-r-article-images__figure"><a href="javascript:void(0)" class="ejp-r-article-images__image-link" onclick="showSlideShowByImageID('F4', '02075970-202410000-00019')"><img class="ejp-r-article-images__img js-lazy-load lazy-load" src="javascript:void(0);" data-src="https://images.journals.lww.com/acgcr/ArticleViewerPreview.02075970-202410000-00019.F4.jpeg" data-srcset="https://images.journals.lww.com/acgcr/ArticleViewerPreview@2.02075970-202410000-00019.F4.jpeg 2x" srcset="" alt="F4"></a><figcaption class="ejp-r-article-images__figcaption"><a href="javascript:void(0)" class="ejp-r-article-images__figcaption-link" onclick="showSlideShowByImageID('F4', '02075970-202410000-00019')">Figure 4.: </a><div class="ejp-r-article-images__figcaption-text">Liver biopsy was diagnostic for hepatic angiosarcoma (immunohistochemical stain for ERG showing nuclear tumor positivity; magnification, 200×) with atypical spindle cell proliferation, hyperchromatic nuclei, and scant pale eosinophilic cytoplasm growing along sinusoids causing destruction of liver cell plates.</div></figcaption></figure></section><h2 class="ejp-article-outline-heading" data-level="1" id="s3">DISCUSSION</h2> <p id="JCL-P-3">HAS is a rare malignant tumor which arises from vascular endothelium with poor prognosis and rapid clinical decline.<sup xmlns:mrws="http://webservices.ovid.com/mrws/1.0"><sup><a class="ejp-citation-link js-ejp-citation-link" data-reference-links="R6">6</a></sup></sup> Clinical presentation can be nonspecific with hepatomegaly, pain, anorexia, fatigue, and weight loss. Most cases present as hypervascular foci, allowing for detection as distinct masses through contrast imaging.<sup xmlns:mrws="http://webservices.ovid.com/mrws/1.0"><sup><a class="ejp-citation-link js-ejp-citation-link" data-reference-links="R7">7</a></sup></sup> This patient presented with an infiltrative form, highlighting the difficulty with early diagnosis due to the variance in symptomatology and radiologic features. Moreover, extrahepatic involvement is common, and, in this case, the splenic lesions found on the CT scan may present as metastasis. Interestingly, this patient also presented with features of noncirrhotic portal hypertension. A study by Wu X et al suggested that HAS and noncirrhotic portal hypertension may share similar etiologies although no clear associations have been made yet.<sup xmlns:mrws="http://webservices.ovid.com/mrws/1.0"><sup><a class="ejp-citation-link js-ejp-citation-link" data-reference-links="R8">8</a></sup></sup></p> <p id="JCL-P-4">The number of patients with primary HAS is low, and furthermore, the proportion of those with the infiltrative form is even more rare. Primary angiosarcoma of the liver disproportionately occur in men with peak incidence in the sixth or seventh decade of life.<sup xmlns:mrws="http://webservices.ovid.com/mrws/1.0"><sup><a class="ejp-citation-link js-ejp-citation-link" data-reference-links="R5">5</a></sup></sup> Unfortunately, prognosis is poor with a rapid clinical decline 6–12 months following diagnosis. Complications include hepatic failure or intra-abdominal bleeding secondary to rupture. The poor prognosis is mostly attributed to the aggressive nature of the tumor, early metastasis, and the relatively low awareness among physicians, which further delay the diagnostic process and optimal treatment administration.<sup xmlns:mrws="http://webservices.ovid.com/mrws/1.0"><sup><a class="ejp-citation-link js-ejp-citation-link" data-reference-links="R9">9</a></sup></sup> Currently, there are no established guidelines for management and treatment. In patients with good functional status, radical resection can be considered. Liver transplantation is contraindicated due to high rate of recurrence. Transcatheter arterial chemoembolization can be used to control bleeding or to palliate a dominant mass.</p> <p id="JCL-P-5">This case presented a diagnostic challenge because our patients' workup for failure to thrive initially revealed anemia, thrombocytopenia, elevated liver biochemistries, and splenic lesions. He was found to have an infiltrative form of HAS, rather than distinct masses, which may have contributed to the portal hypertension and ascites. Without the presence of the splenic lesions, it is likely he would have been diagnosed with cirrhosis. As infiltrative angiosarcoma is a rare finding on workup for liver disease, this case helps highlight keeping the differential diagnosis broad as you evaluate for nonspecific symptoms of pain, fatigue, and weight loss in the setting of hepatomegaly.</p> <h2 class="ejp-article-outline-heading" data-level="1" id="s4">DISCLOSURES</h2> <p id="JCL-P-6">Author contributions: G. Bae and KA Dunleavy wrote and revised the manuscript. C. Hagen provided the radiographic and histologic images. DA Simonetto and MF Abdelmalek supervised and reviewed the manuscript for intellectual content. KA Dunleavy is the article guarantor.</p> <p id="JCL-P-7">Financial disclosure: None to report.</p> <p id="JCL-P-8">Informed consent was obtained for this report.</p></section><section id="article-references" class="article-references js-article-references"><h2 class="ejp-article-outline-heading" data-level="1" id="JCL-L-0">REFERENCES</h2> <div id="R1" class="article-references__item js-article-reference">1. Chaudhary P, Bhadana U, Singh RA, Ahuja A. Primary hepatic angiosarcoma. Eur J Surg Oncol. 2015;41(9):1137–43.<div> <ul class="article-references__item-links"> <li class="internal-links"><a href="#JCL-P-1"> Cited Here</a> | </li> <li><a href="https://scholar.google.com/scholar_lookup?title=Primary+hepatic+angiosarcoma&publication_year=2015&author=P+Chaudhary&author=U+Bhadana&author=RA+Singh&author=A+Ahuja" onclick="javascript:window.open('https://scholar.google.com/scholar_lookup?title=Primary+hepatic+angiosarcoma&publication_year=2015&author=P+Chaudhary&author=U+Bhadana&author=RA+Singh&author=A+Ahuja');return false">Google Scholar</a></li> </ul> </div> </div> <div id="R2" class="article-references__item js-article-reference">2. Kim HR, Rha SY, Cheon SH, Roh JK, Park YN, Yoo NC. Clinical features and treatment outcomes of advanced stage primary hepatic angiosarcoma. Ann Oncol. 2009;20(4):780–7.<div> <ul class="article-references__item-links"> <li class="internal-links"><a href="#JCL-P-1"> Cited Here</a> | </li> <li><a href="https://scholar.google.com/scholar_lookup?title=Clinical+features+and+treatment+outcomes+of+advanced+stage+primary+hepatic+angiosarcoma&publication_year=2009&author=HR+Kim&author=SY+Rha&author=SH+Cheon&author=JK+Roh&author=YN+Park&author=NC+Yoo" onclick="javascript:window.open('https://scholar.google.com/scholar_lookup?title=Clinical+features+and+treatment+outcomes+of+advanced+stage+primary+hepatic+angiosarcoma&publication_year=2009&author=HR+Kim&author=SY+Rha&author=SH+Cheon&author=JK+Roh&author=YN+Park&author=NC+Yoo');return false">Google Scholar</a></li> </ul> </div> </div> <div id="R3" class="article-references__item js-article-reference">3. Groeschl RT, Miura JT, Oshima K, Gamblin TC, Turaga KK. Does histology predict outcome for malignant vascular tumors of the liver? J Surg Oncol. 2014;109(5):483–6.<div> <ul class="article-references__item-links"> <li class="internal-links"><a href="#JCL-P-1"> Cited Here</a> | </li> <li><a href="https://scholar.google.com/scholar_lookup?title=Does+histology+predict+outcome+for+malignant+vascular+tumors+of+the+liver%3f&publication_year=2014&author=RT+Groeschl&author=JT+Miura&author=K+Oshima&author=TC+Gamblin&author=KK+Turaga" onclick="javascript:window.open('https://scholar.google.com/scholar_lookup?title=Does+histology+predict+outcome+for+malignant+vascular+tumors+of+the+liver%3f&publication_year=2014&author=RT+Groeschl&author=JT+Miura&author=K+Oshima&author=TC+Gamblin&author=KK+Turaga');return false">Google Scholar</a></li> </ul> </div> </div> <div id="R4" class="article-references__item js-article-reference">4. Kumar A, Sharma B, Samant H. Liver Angiosarcoma. StatPearls: Treasure Island, FL, 2023.<div> <ul class="article-references__item-links"> <li class="internal-links"><a href="#JCL-P-1"> Cited Here</a></li> </ul> </div> </div> <div id="R5" class="article-references__item js-article-reference">5. Wilson GC, Lluis N, Nalesnik MA, et al. Hepatic angiosarcoma: A multi-institutional, international experience with 44 cases. Ann Surg Oncol. 2019;26(2):576–82.<div> <ul class="article-references__item-links"> <li class="internal-links"><a href="#JCL-P-1"> Cited Here</a> | </li> <li><a href="https://scholar.google.com/scholar_lookup?title=Hepatic+angiosarcoma%3a+A+multi-institutional%2c+international+experience+with+44+cases&publication_year=2019&author=GC+Wilson&author=N+Lluis&author=MA+Nalesnik" onclick="javascript:window.open('https://scholar.google.com/scholar_lookup?title=Hepatic+angiosarcoma%3a+A+multi-institutional%2c+international+experience+with+44+cases&publication_year=2019&author=GC+Wilson&author=N+Lluis&author=MA+Nalesnik');return false">Google Scholar</a></li> </ul> </div> </div> <div id="R6" class="article-references__item js-article-reference">6. Singh G, Mills C, Asadi K, Testro A. Hepatic angiosarcoma as a cause of acute liver failure. BMJ Case Rep. 2018;2018:bcr2018225896.<div> <ul class="article-references__item-links"> <li class="internal-links"><a href="#JCL-P-3"> Cited Here</a> | </li> <li><a href="https://scholar.google.com/scholar_lookup?title=Hepatic+angiosarcoma+as+a+cause+of+acute+liver+failure&publication_year=2018&author=G+Singh&author=C+Mills&author=K+Asadi&author=A+Testro" onclick="javascript:window.open('https://scholar.google.com/scholar_lookup?title=Hepatic+angiosarcoma+as+a+cause+of+acute+liver+failure&publication_year=2018&author=G+Singh&author=C+Mills&author=K+Asadi&author=A+Testro');return false">Google Scholar</a></li> </ul> </div> </div> <div id="R7" class="article-references__item js-article-reference">7. Pickhardt PJ, Kitchin D, Lubner MG, Ganeshan DM, Bhalla S, Covey AM. Primary hepatic angiosarcoma: Multi-institutional comprehensive cancer centre review of multiphasic CT and MR imaging in 35 patients. Eur Radiol. 2015;25(2):315–22.<div> <ul class="article-references__item-links"> <li class="internal-links"><a href="#JCL-P-3"> Cited Here</a> | </li> <li><a href="https://scholar.google.com/scholar_lookup?title=Primary+hepatic+angiosarcoma%3a+Multi-institutional+comprehensive+cancer+centre+review+of+multiphasic+CT+and+MR+imaging+in+35+patients&publication_year=2015&author=PJ+Pickhardt&author=D+Kitchin&author=MG+Lubner&author=DM+Ganeshan&author=S+Bhalla&author=AM+Covey" onclick="javascript:window.open('https://scholar.google.com/scholar_lookup?title=Primary+hepatic+angiosarcoma%3a+Multi-institutional+comprehensive+cancer+centre+review+of+multiphasic+CT+and+MR+imaging+in+35+patients&publication_year=2015&author=PJ+Pickhardt&author=D+Kitchin&author=MG+Lubner&author=DM+Ganeshan&author=S+Bhalla&author=AM+Covey');return false">Google Scholar</a></li> </ul> </div> </div> <div id="R8" class="article-references__item js-article-reference">8. Wu X, Yu X, Gan Q, et al. Primary hepatic angiosarcoma with noncirrhotic portal hypertension: A case report. Front Oncol. 2023;13:1037820.<div> <ul class="article-references__item-links"> <li class="internal-links"><a href="#JCL-P-3"> Cited Here</a> | </li> <li><a href="https://scholar.google.com/scholar_lookup?title=Primary+hepatic+angiosarcoma+with+noncirrhotic+portal+hypertension%3a+A+case+report&publication_year=2023&author=X+Wu&author=X+Yu&author=Q+Gan" onclick="javascript:window.open('https://scholar.google.com/scholar_lookup?title=Primary+hepatic+angiosarcoma+with+noncirrhotic+portal+hypertension%3a+A+case+report&publication_year=2023&author=X+Wu&author=X+Yu&author=Q+Gan');return false">Google Scholar</a></li> </ul> </div> </div> <div id="R9" class="article-references__item js-article-reference">9. Lin XJ, Luo HC. Rare infiltrative primary hepatic angiosarcoma: A case report and review of literature. World J Gastrointest Oncol. 2024;16(7):3341–9.<div> <ul class="article-references__item-links"> <li class="internal-links"><a href="#JCL-P-4"> Cited Here</a> | </li> <li><a href="https://scholar.google.com/scholar_lookup?title=Rare+infiltrative+primary+hepatic+angiosarcoma%3a+A+case+report+and+review+of+literature&publication_year=2024&author=XJ+Lin&author=HC+Luo" onclick="javascript:window.open('https://scholar.google.com/scholar_lookup?title=Rare+infiltrative+primary+hepatic+angiosarcoma%3a+A+case+report+and+review+of+literature&publication_year=2024&author=XJ+Lin&author=HC+Luo');return false">Google Scholar</a></li> </ul> </div> </div> <div class="article-references__button-container"></div></section><div><strong>Keywords:</strong><p id="">hepatic angiosarcoma; hepatic tumor; portal hypertension</p> </div><section class="ej-article-copyright">© 2024 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology.</section></div><button class="ejp-toggle-fulltext-button js-ejp-toggle-fulltext-button">View full article text</button></article> </div> </div> <div id="article-metrics"> <div id="article-metrics-container"> </div> </div> <div id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_divOutlineHTML"></div> <script data-cfasync="false" src="/cdn-cgi/scripts/5c5dd728/cloudflare-static/email-decode.min.js"></script><script type="text/javascript" src="https://lww.com/_layouts/15/1033/Scripts/wk/SlideShowPopup.js?v=05.24.00.023" defer="true"> </script> <script type="text/javascript" src="https://lww.com/_layouts/15/1033/Scripts/wk/zoom.js?v=05.24.00.023" defer="true"> </script> <script> var sample = 6; var smPos = 153; var spPos = 153; var sW; var sH; var articleImageDialogModal = $('#ArticleImageDialogModal'); function setImage(imageUrl) { var $container = $("#zoom_container"); var width = $container.width(); $container.z("destroy") .css("background-image", "url(/_layouts/1033/images/oaks.journals/preloader.gif)") .z({ width: width, image_url: imageUrl, responsive: true, responsive_maintain_ratio: true, max_WIDTH: '1200', max_HEIGHT: '1200', initial_ZOOM: 100, initial_POSITION: '0,0' }); return false; } </script> <div id="ArticleImageModal" class="wk-modal wk-modal-slideshow horizontally-centered large fixed-vertical ejp-modal" role="dialog" style="display: none;"> <div class="modal-dialog"> <section class="modal-content wk-modal-content wk-modal-slideshow__content"> <header class="wk-modal-header ejp-modal-header"> <button onclick="return displaySlideShowModal(false);" aria-label="close dialog" class="wk-button-icon wk-modal-close ejp-modal-close" data-dismiss="wk-modal"><i class="fa fa-times"></i></button> </header> <div class="modal-body wk-modal-body wk-modal-slideshow__body flex flex-column"> <div id="zoom_container" class="wk-modal-slideshow__zoom-container"></div> <div id="ZoomContainerDetails" class="wk-modal-slideshow__zoom-container-details pa3"> <h3> <div class="wk-modal-slideshow__title"></div> </h3> <div class="wk-modal-slideshow__description"></div> <h4>Source</h4> <div class="wk-modal-slideshow__source-article mb4"> <a href="javascript:void(0);" id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_slideShowUserControl_sourceArticleUrl" onclick="HideSlideShow();">An Infiltrative Case of Angiosarcoma Causing Portal Hypertension</a> </div> <div id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_slideShowUserControl_citationdiv" class="wk-modal-slideshow__source-citation mb4"> ACG Case Reports Journal11(10):e01532, October 2024. </div> </div> </div> <div class="modal-footer wk-modal-footer wk-modal-slideshow__footer pa2 flex flex-column flex-wrap"> <div class="wk-modal-slideshow__zoom-controls flex justify-between items-center mb2"> <div id="zoom_buttons" class="wk-modal-slideshow__zoom-buttons flex justify-between"> <a href="#" onmousedown="$('#zoom_container').z('zoomIn')" onclick="return false" title="Zoom In" class="ph3"><i class="fa fa-plus-square white"></i></a> <a href="#" onmousedown="$('#zoom_container').z('zoomOut')" onclick="return false" title="Zoom Out" class="ph3"><i class="fa fa-minus-square white"></i></a> </div> <div class="wk-modal-slideshow__list-pager flex pr3"> <a href="javascript:void(0);" onclick="MovePrevious();" id="anchorPrev" title="Previous"><i class="fa fa-arrow-circle-left white"></i></a> <span id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_slideShowUserControl_imageCountStatus" class="wk-modal-slideshow__list-pager-text mh3 tc white"></span> <a href="javascript:void(0);" onclick="MoveNext();" id="anchorNext" title="Next"><i class="fa fa-arrow-circle-right white"></i></a> </div> </div> <ul class="wk-modal-slideshow__action-controls flex justify-between"> <li class="pv2 ph3"> <a href="javascript:void(0);" onclick="ShowFullSize('02075970-202410000-00019');" class="white tc"> <i class="fa fa-arrows-alt mb2 db white"></i> <span class="wk-modal-slideshow__action-controls-text">Full-Size</span> </a> </li> <li id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_slideShowUserControl_lnkEmailToColleague" class="pv2 ph3"> <a href="javascript:void(0);" onclick="slideShow_EmailLinkClicked(imageIndex);" class="white tc"> <i class="fa fa-envelope mb2 db white"></i> <span class="wk-modal-slideshow__action-controls-text">Email</span> </a> </li> <li id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_slideShowUserControl_lnkFavorites" class="pv2 ph3"> <button class="user-menu__link user-menu__link--add-to-favorites js-ejp-login-btn white tc" type="button" data-config="{"eventName":"AddToFavoritesFromSlideShow","eventDetail":{"items":["Image|acgcr:2024:10000:00019|{0}|"],"an":"02075970-202410000-00019"},"eventOptions":{"bubbles":true,"cancelable":true,"composed":false},"loginDetail":{"isLoginOptional":false,"promptLogin":true,"loginPromptText":"To save this item, login or register"},"isNull":false}"> <i class="fa fa-folder mb2 db white"></i> <span class="wk-modal-slideshow__action-controls-text">+ Favorites</span> </button> </li> <li class="pv2 ph3"> <button class="user-menu__link user-menu__link--ppt-download js-ejp-login-btn" type="button" data-config="{"eventName":"PPTDownload","eventDetail":{"url":"https://journals.lww.com:443/acgcr/fulltext/2024/10000/an_infiltrative_case_of_angiosarcoma_causing.19.aspx?Ppt=Article|acgcr:2024:10000:00019|10.14309/crj.0000000000001532|","gating":false},"eventOptions":{"bubbles":true,"cancelable":true,"composed":false},"loginDetail":{"isLoginOptional":true,"promptLogin":false},"isNull":false}"> <i class="fa fa-file-powerpoint-o mb2 db white"></i> <span class="wk-modal-slideshow__action-controls-text">Export</span> </button> </li> <li class="wk-modal-slideshow__view-gallery pv2 ph3"> <a href="javascript:void(0);" id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_slideShowUserControl_imageGalleryUrl" class="white tc" onclick="slideShow_NavigateToUrl('/acgcr/pages/imagegallery.aspx?year=2024&issue=10000&article=00019')"> <i class="fa fa-th-large mb2 db white"></i> <span class="wk-modal-slideshow__action-controls-text">View in Gallery</span> </a> </li> </ul> </div> </section> </div> </div> <input type="hidden" name="ctl00$ctl29$g_c168c423_9055_40ab_abd6_309bb94ef67f$ctl00$slideShowUserControl$callShowImage" id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_slideShowUserControl_callShowImage" /> <input type="hidden" name="ctl00$ctl29$g_c168c423_9055_40ab_abd6_309bb94ef67f$ctl00$slideShowUserControl$popupImageId" id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_slideShowUserControl_popupImageId" value="F1" /> <input type="hidden" name="ctl00$ctl29$g_c168c423_9055_40ab_abd6_309bb94ef67f$ctl00$slideShowUserControl$IsExportToPPT" id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_slideShowUserControl_IsExportToPPT" value="false" /> <input type="hidden" name="ctl00$ctl29$g_c168c423_9055_40ab_abd6_309bb94ef67f$ctl00$slideShowUserControl$keyword" id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_slideShowUserControl_keyword" /> <input type="hidden" name="ctl00$ctl29$g_c168c423_9055_40ab_abd6_309bb94ef67f$ctl00$slideShowUserControl$image_url" id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_slideShowUserControl_image_url" /> <input type="hidden" name="ctl00$ctl29$g_c168c423_9055_40ab_abd6_309bb94ef67f$ctl00$slideShowUserControl$image_description" id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_slideShowUserControl_image_description" /> <input type="hidden" name="ctl00$ctl29$g_c168c423_9055_40ab_abd6_309bb94ef67f$ctl00$slideShowUserControl$image_sourceTitle" id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_slideShowUserControl_image_sourceTitle" /> <input type="hidden" name="ctl00$ctl29$g_c168c423_9055_40ab_abd6_309bb94ef67f$ctl00$slideShowUserControl$image_sourceUrl" id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_slideShowUserControl_image_sourceUrl" /> <input type="hidden" name="ctl00$ctl29$g_c168c423_9055_40ab_abd6_309bb94ef67f$ctl00$slideShowUserControl$image_sourceInfo" id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_slideShowUserControl_image_sourceInfo" /> <input type="hidden" name="ctl00$ctl29$g_c168c423_9055_40ab_abd6_309bb94ef67f$ctl00$slideShowUserControl$image_key" id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_slideShowUserControl_image_key" /> <input type="hidden" name="ctl00$ctl29$g_c168c423_9055_40ab_abd6_309bb94ef67f$ctl00$slideShowUserControl$image_fullSizeUrl" id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_slideShowUserControl_image_fullSizeUrl" /> <input type="hidden" name="ctl00$ctl29$g_c168c423_9055_40ab_abd6_309bb94ef67f$ctl00$slideShowUserControl$image_imageGalleryUrl" id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_slideShowUserControl_image_imageGalleryUrl" /> <input type="hidden" id="NoOfImages" name="NoOfImages" value="4" /> <script type="text/javascript" src="https://lww.com/_layouts/15/1033/Scripts/wk/EmailToColleague.js?v=05.24.00.023" defer="true"> </script> <a id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_emailToColleague_hypEmailToColleague" href="javascript:" style="display:none;"></a> <div id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_emailToColleague_pnlEmailToColleague" class="wk-modal-table" style="display: none"> <div class="wk-modal-cell"> <div id="ej-box-modal-drop-shadow" class="wk-modal horizontally-centered small wk-modal-with-overlay wk-modal-small ejp-modal email-to-colleague" tabindex="-1" role="dialog" style="position: static;"> <div id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_emailToColleague_pnlMain" class="js-main-panel" onkeypress="javascript:return WebForm_FireDefaultButton(event, 'ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_emailToColleague_btnSend')"> <section class="wk-modal-content"> <header class="wk-modal-header ejp-modal-header"> <div class="wk-modal-title ejp-modal-title"> <strong> <span id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_emailToColleague_lblEmailToColleague">Email to Colleague</span></strong> </div> <button aria-label="close dialog" class="primary-button wk-button-icon wk-modal-close ejp-modal-close js-close "> <i class="fa fa-times"></i> </button> </header> <div class="wk-modal-body"> <div class="wk-field-item"> <div class="wk-field-header"> <div id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_emailToColleague_divErrorMessage" class="js-error-message-div ej-error-message-panel" style="display: none; color: red; font-style: italic"> <p class="ej-error-message-icon"> <span id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_emailToColleague_lblErrorMessage" class="js-error-message-label">Colleague's E-mail is Invalid</span> </p> </div> </div> </div> <div class="wk-field-item"> <div class="wk-field-header"> Your Name: </div> <div class="wk-field-body"> <input name="ctl00$ctl29$g_c168c423_9055_40ab_abd6_309bb94ef67f$ctl00$emailToColleague$txtYourName" type="text" id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_emailToColleague_txtYourName" class="js-name" /> </div> </div> <div class="wk-field-item"> <div class="wk-field-header"> <span id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_emailToColleague_lblColleaguesEmail" class="js-collegaues-email-lbl">Colleague's Email:</span> </div> <div class="wk-field-body no-bottom-margin"> <input name="ctl00$ctl29$g_c168c423_9055_40ab_abd6_309bb94ef67f$ctl00$emailToColleague$txtColleaguesEmail" type="text" id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_emailToColleague_txtColleaguesEmail" class="js-collegaues-email" /> </div> <div class="wk-field-header"><span class="ej-form-comments">Separate multiple e-mails with a (;).</span></div> </div> <div class="wk-field-item"> <div class="wk-field-header"> Message: </div> <div class="wk-field-body"> <textarea name="ctl00$ctl29$g_c168c423_9055_40ab_abd6_309bb94ef67f$ctl00$emailToColleague$txtMessage" rows="2" cols="20" id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_emailToColleague_txtMessage" class="js-message"> Thought you might appreciate this item(s) I saw in ACG Case Reports Journal.</textarea> </div> </div> <div class="wk-button-bar"> <div class="wk-button-group-left"> <input type="submit" name="ctl00$ctl29$g_c168c423_9055_40ab_abd6_309bb94ef67f$ctl00$emailToColleague$btnSend" value="Send" id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_emailToColleague_btnSend" class="js-send-button primary-button grecaptcha-email-colleague-803e8dcf21a64daabae0eef8bb7daf9c" /> <input type="button" value="Cancel" id="btnCancel" class="secondary-button js-close" /> </div> </div> <div class="wk-field-item wk-email-colleague-captcha-bar"> <div class="wk-field-body"> <div id="div-recaptcha-803e8dcf21a64daabae0eef8bb7daf9c" class="div-recaptcha-container" data-uniqueclassidentifier="grecaptcha-email-colleague-803e8dcf21a64daabae0eef8bb7daf9c" data-sitekey="6LeeoSAUAAAAACFv8yNuINPv8IWyXHJ6uN447qEK" data-callback="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_emailToColleague_captchaCallBack" data-badge="inline" data-size="invisible" data-type="image" > </div> </div> </div> </div> </section> </div> <div id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_emailToColleague_pnlSuccessMessage" class="js-success-message-panel" style="display: none;"> <section class="wk-modal-content"> <header class="wk-modal-header ejp-modal-header"> <div class="wk-modal-title ejp-modal-title"></div> <button aria-label="close dialog" class="primary-button wk-button-icon wk-modal-close ejp-modal-close js-close "><i class="fa fa-times"></i></button> </header> <div class="wk-modal-body"> <div class="wk-field-item"> <br /> <p> <span id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_emailToColleague_lblMessageSent">Your message has been successfully sent to your colleague.</span> </p> <br /> </div> <div class="wk-button-bar"> <div class="wk-button-group-left"> <input type="button" value="Close Window" id="btnClose" class="primary-button js-close" /> </div> </div> </div> </section> </div> <div id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_emailToColleague_pnlErrorMessage" class="js-error-message-panel" style="display: none;"> <section class="wk-modal-content"> <header class="wk-modal-header ejp-modal-header"> <div class="wk-modal-title ejp-modal-title"></div> <button aria-label="close dialog" class="primary-button wk-button-icon wk-modal-close ejp-modal-close js-close "><i class="fa fa-times"></i></button> </header> <div class="wk-modal-body"> <br /> <div class="wk-field-item"> <span id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_emailToColleague_lblInvalidEmail" style="color:Red;">Some error has occurred while processing your request. Please try after some time.</span> </div> <br /> <div class="wk-button-bar"> <div class="wk-button-group-left"> <input type="button" value="Close Window" id="btnEClose" class="primary-button js-close" /> </div> </div> </div> </section> </div> </div> <input type="hidden" name="ctl00$ctl29$g_c168c423_9055_40ab_abd6_309bb94ef67f$ctl00$emailToColleague$hiddenEmailToColleague" id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_emailToColleague_hiddenEmailToColleague" /> <input type="hidden" name="ctl00$ctl29$g_c168c423_9055_40ab_abd6_309bb94ef67f$ctl00$emailToColleague$hiddenIsUser" id="ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_emailToColleague_hiddenIsUser" /> </div> </div> <script type="text/javascript"> window.emailToColleaguePopups = window.emailToColleaguePopups || []; var ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_emailToColleague_captchaCallBack = function () { ejpAnalytics.track('emailColleaguereCAPTCHA'); ejpAnalytics.track('emailColleagueComplete'); __doPostBack('ctl00$ctl29$g_c168c423_9055_40ab_abd6_309bb94ef67f$ctl00$emailToColleague$btnSend','') }; var initEmailToColleaguectl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_emailToColleague = function () { window.emailToColleaguePopups['ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_emailToColleague'] = new EmailToColleagueComponent('ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_emailToColleague_pnlEmailToColleague', 'div-recaptcha-803e8dcf21a64daabae0eef8bb7daf9c', 'grecaptcha-email-colleague-803e8dcf21a64daabae0eef8bb7daf9c', 'emailToColleaguePopupExtender_1258665720', 'ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_emailToColleague_hiddenEmailToColleague', 'ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_emailToColleague_hiddenIsUser', '02075970-202410000-00019' ); } Sys.WebForms.PageRequestManager.getInstance().add_pageLoaded(initEmailToColleaguectl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_emailToColleague); </script> <input type="hidden" id="selectedItems" name="selectedItems" value="" /> </div><div class="ms-clear"></div></div> </div> </div> </div></div> <div id="ctl00_PlaceHolderMain_ResponsivePageLayoutRenderer_ResponsiveLayoutRowRepeater_ctl01_ResponsiveLayoutColumnRepeater_ctl01_ResponsiveLayoutColumn" class=" wk-column-12 wk-column-4-m wk-column-4-l wk-column-4-xl wk-column-4-xxl"> <div class="ms-webpart-zone ms-fullWidth"> <div id="MSOZoneCell_WebPartWPQ1" class="s4-wpcell-plain ms-webpartzone-cell ms-webpart-cell-vertical-inline-table ms-webpart-cell-vertical ms-fullWidth "> <div class="ms-webpart-chrome ms-webpart-chrome-vertical ms-webpart-chrome-fullWidth "> <div WebPartID="bcb44f38-efa3-4ed6-ac8b-6cab786dbcc2" HasPers="false" id="WebPartWPQ1" width="100%" class="ms-WPBody noindex " allowDelete="false" style="" ><div id="ctl00_ctl29_g_bcb44f38_efa3_4ed6_ac8b_6cab786dbcc2"> <div id="ctl00_ctl29_g_bcb44f38_efa3_4ed6_ac8b_6cab786dbcc2_ctl00_adContainer" class="ej-advertisement ej-advertisement-middle"> <div class="ej-advertisement-content"> <div> <div id="ga_d3123261-4c42-402a-8e2f-bd694401eadc" class="ad-slot-container ad-slot-container-ga_d3123261-4c42-402a-8e2f-bd694401eadc" data-sizemap="[[[0, 0], [[300, 250]]]]" data-adpath="/15726702761/Desktop/acgcr/Article/Right" data-autoload="no" data-outofpage="no" data-sticky="no" data-slottargeting='' data-displayslug="yes" data-sticky-duration="0" data-name="Right"></div> </div> </div> </div> </div><div class="ms-clear"></div></div> </div><div class="ms-PartSpacingVertical"></div> </div><div id="MSOZoneCell_WebPartWPQ2" class="s4-wpcell-plain ms-webpartzone-cell ms-webpart-cell-vertical-inline-table ms-webpart-cell-vertical ms-fullWidth "> <div class="ms-webpart-chrome ms-webpart-chrome-vertical ms-webpart-chrome-fullWidth "> <div WebPartID="fdd90111-81d0-4047-974e-23626b17d1fc" HasPers="false" id="WebPartWPQ2" width="100%" class="ms-WPBody noindex " allowDelete="false" style="" ><div id="ctl00_ctl29_g_fdd90111_81d0_4047_974e_23626b17d1fc"> <div class="js-advanced-recommendation-widget" data-config="{"serviceUrl":null,"displayMode":"ListView","headerText":"Related Articles","hash":"1","itemsPerPage":6,"renderOnServer":false,"showConsoleLog":false,"shouldShowSpeciality":"0","kind":"Article","title":"An Infiltrative Case of Angiosarcoma Causing Portal Hypertension","meshTerms":["Hemangiosarcoma","Hypertension, Portal","Ascites","Liver","Liver Neoplasms","Diagnosis","Biopsy","Case Reports","Failure to Thrive","Radiology"],"wkmrid":"JOURNAL/acgcrj/04.03/02075970-202410000-00019/root/v/2024-10-09T112651Z/r/text-xml","imageHandlerUrl":"https://images.journals.lww.com/acgcr","accessionNumber":"02075970-202410000-00019","fontSize":"small","displayImage":false,"showJournalTitle":false,"showPublicationDate":false}"></div> </div><div class="ms-clear"></div></div> </div><div class="ms-PartSpacingVertical"></div> </div><div id="MSOZoneCell_WebPartWPQ3" class="s4-wpcell-plain ms-webpartzone-cell ms-webpart-cell-vertical-inline-table ms-webpart-cell-vertical ms-fullWidth "> <div class="ms-webpart-chrome ms-webpart-chrome-vertical ms-webpart-chrome-fullWidth "> <div WebPartID="af3d8d3d-a08b-4f7b-ab76-45691226be72" HasPers="false" id="WebPartWPQ3" width="100%" class="ms-WPBody noindex " allowDelete="false" style="" ><div id="ctl00_ctl29_g_af3d8d3d_a08b_4f7b_ab76_45691226be72"> <div id="ctl00_ctl29_g_af3d8d3d_a08b_4f7b_ab76_45691226be72_ctl00_adContainer" class="ej-advertisement ej-advertisement-middle"> <div class="ej-advertisement-content"> <div> <div id="ga_41d4e7ba-54d7-4ce4-b581-07596b63ef6f" class="ad-slot-container ad-slot-container-ga_41d4e7ba-54d7-4ce4-b581-07596b63ef6f" data-sizemap="[[[0, 0], [[300, 250]]]]" data-adpath="/15726702761/Desktop/acgcr/Article/Right" data-autoload="no" data-outofpage="no" data-sticky="no" data-slottargeting='' data-displayslug="yes" data-sticky-duration="0" data-name="Right"></div> </div> </div> </div> </div><div class="ms-clear"></div></div> </div><div class="ms-PartSpacingVertical"></div> </div><div id="MSOZoneCell_WebPartWPQ4" class="s4-wpcell-plain ms-webpartzone-cell ms-webpart-cell-vertical-inline-table ms-webpart-cell-vertical ms-fullWidth "> <div class="ms-webpart-chrome ms-webpart-chrome-vertical ms-webpart-chrome-fullWidth "> <div WebPartID="a734cb32-fafa-4681-8bc5-f8bed7a521c9" HasPers="false" id="WebPartWPQ4" width="100%" class="ms-WPBody noindex " allowDelete="false" style="" ><div id="ctl00_ctl29_g_a734cb32_fafa_4681_8bc5_f8bed7a521c9"> <div data-config="{"serviceUrl":null,"displayMode":null,"hash":"1","itemsPerPage":40,"renderOnServer":false}"></div><section id="ctl00_ctl29_g_a734cb32_fafa_4681_8bc5_f8bed7a521c9_ctl01_divRecentActivity" class="content-box cb-collapsible"> <div class="ejp-uc--small"> <header class="ejp-heading-2"> <h2 aria-expanded="false"> Readers Of this Article Also Read </h2> </header> <div id="ej-box-01-body"> <div id="ej-articlesWithTerms"> <ul> <li class="ejp-uc__list-item"> <h3 class='ejp-uc__article-title'><a title href="https://journals.lww.com/acgcr/fulltext/2024/04000/successful_endoscopic_retrograde_appendicitis.6.aspx" onmouseover="javascript:event.cancelBubble = true;Tooltip_Article('Successful Endoscopic Retrograde Appendicitis Therapy Following a Recent ST-Elevation Myocardial Infarction', 'Suarez Zoilo K. MD; Samhoun, Jalal MD; Drourr, Joshua BS; Nagi, Talwinder MD; Haider, Muhammad A. MD; Vallejo, Charles MD; Touqir, Zahra MD; Forcione, David MD', 'ACG Case Reports Journal', 'April 2024', '11', '4' , 'p e01324');" onmouseout="javascript:Tooltip_MouseOut()" class="ejp-uc__article-title-link">Successful Endoscopic Retrograde Appendicitis Therapy Following a Recent...</a></h3></li> <li class="ejp-uc__list-item"> <h3 class='ejp-uc__article-title'><a title href="https://journals.lww.com/acgcr/fulltext/2024/04000/progesterone_only_contraceptive_induced_ischemic.10.aspx" onmouseover="javascript:event.cancelBubble = true;Tooltip_Article('Progesterone-Only Contraceptive-Induced Ischemic Colitis', 'Rajamanuri Medha MD; Garg, Meher AS; Siddiqui, Harris MD; Pannala, Sreeram MD', 'ACG Case Reports Journal', 'April 2024', '11', '4' , 'p e01313');" onmouseout="javascript:Tooltip_MouseOut()" class="ejp-uc__article-title-link">Progesterone-Only Contraceptive-Induced Ischemic Colitis</a></h3></li> <li class="ejp-uc__list-item"> <h3 class='ejp-uc__article-title'><a title href="https://journals.lww.com/acgcr/fulltext/2024/08000/beyond_antibiotics__novel_approaches_in_the.1.aspx" onmouseover="javascript:event.cancelBubble = true;Tooltip_Article('Beyond Antibiotics: Novel Approaches in the Treatment of Recurrent <em xmlns:mrws=\"http://webservices.ovid.com/mrws/1.0\">Clostridioides difficile</em> Infection', 'Zaidi Syed Murtaza Haider MD; Haider, Ramsha MBBS; Kazmi, Syeda Amna Batool MBBS; Husnain, Ali MBBS; Khan, Saniah MBBS; Merchant, Sabrina MBBS; Tayyab, Hamnah MBBS; Wazeen, Fazl Rahim MD; Chaudhary, Ammad Javaid MD', 'ACG Case Reports Journal', 'August 2024', '11', '8' , 'p e01333');" onmouseout="javascript:Tooltip_MouseOut()" class="ejp-uc__article-title-link">Beyond Antibiotics: Novel Approaches in the Treatment of Recurrent <em...</a></h3></li> <li class="ejp-uc__list-item"> <h3 class='ejp-uc__article-title'><a title href="https://journals.lww.com/acgcr/fulltext/2024/10000/sliced_tomato_appearance_of_malignant_melanoma_.2.aspx" onmouseover="javascript:event.cancelBubble = true;Tooltip_Article('Sliced Tomato Appearance of Malignant Melanoma: Diffuse Involvement of the Upper Gastrointestinal Tract Presenting With Melena', 'Bartosek Nathanial MD; Gill, Inayat DO; Patel, Atulkumar MD', 'ACG Case Reports Journal', 'October 2024', '11', '10' , 'p e01459');" onmouseout="javascript:Tooltip_MouseOut()" class="ejp-uc__article-title-link">Sliced Tomato Appearance of Malignant Melanoma: Diffuse Involvement of the...</a></h3></li> <li class="ejp-uc__list-item"> <h3 class='ejp-uc__article-title'><a title href="https://journals.lww.com/acgcr/fulltext/2024/10000/live_typhoid_and_yellow_fever_vaccines.3.aspx" onmouseover="javascript:event.cancelBubble = true;Tooltip_Article('Live Typhoid and Yellow Fever Vaccines Administered to a Patient With Ulcerative Colitis on Vedolizumab', 'Hegde Yash MD; Hayney, Mary S. PharmD, MPH; Caldera, Freddy DO, PhD', 'ACG Case Reports Journal', 'October 2024', '11', '10' , 'p e01507');" onmouseout="javascript:Tooltip_MouseOut()" class="ejp-uc__article-title-link">Live Typhoid and Yellow Fever Vaccines Administered to a Patient With...</a></h3></li> </ul> </div> </div> </div> </section> </div><div class="ms-clear"></div></div> </div><div class="ms-PartSpacingVertical"></div> </div><div id="MSOZoneCell_WebPartWPQ5" class="s4-wpcell-plain ms-webpartzone-cell ms-webpart-cell-vertical-inline-table ms-webpart-cell-vertical ms-fullWidth "> <div class="ms-webpart-chrome ms-webpart-chrome-vertical ms-webpart-chrome-fullWidth "> <div WebPartID="a8bc5309-7129-453a-8924-805a4edc1f60" HasPers="false" id="WebPartWPQ5" width="100%" class="ms-WPBody noindex " allowDelete="false" style="" ><div id="ctl00_ctl29_g_a8bc5309_7129_453a_8924_805a4edc1f60"> <div id="ctl00_ctl29_g_a8bc5309_7129_453a_8924_805a4edc1f60_ctl00_adContainer" class="ej-advertisement ej-advertisement-bannercombo"> <div class="ej-advertisement-content"> <div> <div id="ga_0991133c-9709-4e97-b0fd-010763eaaaf1" class="ad-slot-container ad-slot-container-ga_0991133c-9709-4e97-b0fd-010763eaaaf1" data-sizemap="[[[1050, 200], [[300, 600], [300, 250], [160, 600]]], [[730, 600], [[300, 600], [300, 250]]], [ [ 0, 0 ], [ [300, 250] ] ] ]" data-adpath="/15726702761/Desktop/acgcr/Article/Right1" data-autoload="no" data-outofpage="no" data-sticky="no" data-slottargeting='' data-displayslug="yes" data-sticky-duration="0" data-name="Right1"></div> </div> </div> </div> </div><div class="ms-clear"></div></div> </div><div class="ms-PartSpacingVertical"></div> </div><div id="MSOZoneCell_WebPartWPQ6" class="s4-wpcell-plain ms-webpartzone-cell ms-webpart-cell-vertical-inline-table ms-webpart-cell-vertical ms-fullWidth "> <div class="ms-webpart-chrome ms-webpart-chrome-vertical ms-webpart-chrome-fullWidth "> <div WebPartID="a06f7896-92e8-4b52-916e-d4f46ebca7ea" HasPers="false" id="WebPartWPQ6" width="100%" class="ms-WPBody noindex " allowDelete="false" style="" ><div id="ctl00_ctl29_g_a06f7896_92e8_4b52_916e_d4f46ebca7ea"> <div class="js-ejp-universalMostPopular-webpart" data-config="{"serviceUrl":"https://services.journals.lww.com/IntegrationServices/MostPopularDataService.svc/GetMostPopularItems?timeframe=90d&journalIds=acgcr&publisher=LWW&results=5&numberOfSymbolsInSubtitle=275&hash=1&displayCustomIndicator=False","headerText":"Most Popular","headerUrl":null,"displayMode":"ListView","hash":"1","shouldShowImage":false,"shouldShowSpeciality":"JournalSpeciality","showArticleDescription":false,"showJournalTitle":false,"viewAllLink":null,"fontSize":"small","showSpecialitySection":false,"showPublicationDate":false,"showIndicators":false}"></div> </div><div class="ms-clear"></div></div> </div> </div> </div></div> </div> </div> <div class="wk-grid-container-no-margin" id="AddRowBottomContainer"> </div> </div> <div style='display:none' id='hidZone'><menu class="ms-hide"> <ie:menuitem id="MSOMenu_Help" iconsrc="/_layouts/15/images/HelpIcon.gif" onmenuclick="MSOWebPartPage_SetNewWindowLocation(MenuWebPart.getAttribute('helpLink'), MenuWebPart.getAttribute('helpMode'))" text="Help" type="option" style="display:none"> </ie:menuitem> </menu></div> </div> <div id="DeltaFormDigest"> <script type="text/javascript">//<![CDATA[ var formDigestElement = document.getElementsByName('__REQUESTDIGEST')[0]; if (!((formDigestElement == null) || (formDigestElement.tagName.toLowerCase() != 'input') || (formDigestElement.type.toLowerCase() != 'hidden') || (formDigestElement.value == null) || (formDigestElement.value.length <= 0))) { formDigestElement.value = '0x811D6CCA206166481C9304EA7A81E2D56B2B5E7C0FAA9A2423DD604F57F1D8D7CB8687D06832862F627549AA4CF6ED135B88C73C44954ECDD555C8CCDAB15877,17 Feb 2025 12:01:38 -0000';_spPageContextInfo.updateFormDigestPageLoaded = new Date(); } //]]> </script> </div> </div>  <footer class="ejp-footer"> <div class="container wk-grid-page-container"> <a class="ejp-footer__back-to-top-link"><i class="fa fa-angle-up b ejp-footer__back-to-top-link-icon"></i>Back to Top</a> <div class="ejp-footer__main-content">  <div class="ejp-footer__smart-control-section"> <section class="ejp-footer__smart-control-section-wrapper js-section-alert"> <div class="ejp-footer__smart-control-section-image-container"> <img src="https://images.journals.lww.com/acgcr/XLargeThumb.02075970-202501000-00000.CV.jpeg" id="ctl00_ctl56_FooterSmartControl_ctl00_imgAlertControl" alt="Current Issue Cover Image" class="" /> </div> <div class="ejp-footer__smart-control-section-text-holder"> <h4 id="ctl00_ctl56_FooterSmartControl_ctl00_headerAlertControl">Never Miss an Issue</h4> <div class="js-section-alert__content"> <span id="ctl00_ctl56_FooterSmartControl_ctl00_spanBodyAlertControl" class="ejp-footer__smart-control-section-info">Get new journal Tables of Contents sent right to your email inbox</span> <input name="ctl00$ctl56$FooterSmartControl$ctl00$userEmailAlertControl" type="text" id="ctl00_ctl56_FooterSmartControl_ctl00_userEmailAlertControl" class="js-section-alert__email" placeholder="Type your email" /> <span class="js-section-alert--error"></span> <button id="ctl00_ctl56_FooterSmartControl_ctl00_buttonAlertControl" type="button" class="js-section-alert__subscribe-button" data-alert-type="Etoc" data-subscribed-msg="You are now subscribed to receive eTOC alerts whenever new issues are published">Get New Issue Alerts</button> </div> </div> </section> <script type="text/javascript"> (function($) { $("#smartWpMostPopularLink").on('click', function() { window.location = "https://journals.lww.com/acgcr/pages/viewallmostpopulararticles.aspx?WT.mc_id=HPxADx20100319xMP"; }); })(jQuery); </script> </div> <div class="ejp-footer__info-holder"> <div id="ctl00_ctl56_divLeftColumn" class="ejp-footer__info-left-wrapper"> <div class="ejp-footer__info-block"> <h4 class="ejp-footer__info-block-header">Browse Journal Content</h4> <ul class="ejp-footer__info-block-two-col-list"> <li> <a href='/acgcr/pages/viewallmostpopulararticles.aspx' target='' rel="noopener">Most Popular</a> </li> <li> <a href='/acgcr/_layouts/1033/oaks.journals/informationforauthors.aspx' target='' rel="noopener">For Authors</a> </li> <li> <a href='/acgcr/pages/aboutthejournal.aspx' target='' rel="noopener">About the Journal</a> </li> <li> <a href='/acgcr/pages/issuelist.aspx' target='' rel="noopener">Past Issues</a> </li> <li> <a href='/acgcr/pages/currenttoc.aspx' target='' rel="noopener">Current Issue</a> </li> <li id="ctl00_ctl56_liRegister"><a id="ctl00_ctl56_lnkRegister" href="https://journals.lww.com/acgcr/pages/register.aspx?ContextUrl=%2facgcr%2ffulltext%2f2024%2f10000%2fan_infiltrative_case_of_angiosarcoma_causing.19.aspx">Register on the website</a></li> <li id="ctl00_ctl56_liHyperSubscribeToEtoc"><a rel="nofollow" title href="javascript:javascript: alerts_ShowSubscribeeTOCPopup('ACG Case Reports Journal','acgcr','eTOC', 'eTOC');;" onclick="javascript: alerts_ShowSubscribeeTOCPopup('ACG Case Reports Journal','acgcr','eTOC', 'eTOC');"><span id="ctl00_ctl56_alertLinkControl_defaultText" class="hideOnFixed">Get eTOC Alerts</span></a> </li> </ul> </div> </div> <div id="ctl00_ctl56_divRightColumn" class="ejp-footer__info-right-wrapper"> <div id="ctl00_ctl56_divForJournalAuthors" class="ejp-footer__info-block"> <h4 class="ejp-footer__info-block-header">For Journal Authors</h4> <ul> <li class=''> <a href='/acgcr/_layouts/15/1033/oaks.journals/informationforauthors.aspx' target='' rel="noopener">Submit an article</a> </li> <li class=''> <a href='https://wkauthorservices.editage.com/' target='_blank' rel="noopener">How to publish with us</a> </li> </ul> </div> <div class="ejp-footer__info-block ejp-footer__info-block--custom-service"> <h4 class="ejp-footer__info-block-header">Customer Service</h4> <div id="liveagent_button_online_5730V0000019KUh" style="display: none; border: 0px none; cursor: pointer" onclick="liveagent.startChat('5730V0000019KUh')" class="live-chat__button live-chat__button--on"> <i class="live-chat__button-icon wk-icon-filled-dialogue-white-r"></i> <span class="live-chat__button-text">Live Chat</span> </div> <div id="liveagent_button_offline_5730V0000019KUh" style="display: none; border: 0px none;" class="live-chat__button live-chat__button--off"> <i class="live-chat__button-icon wk-icon-filled-dialogue-gray-r"></i> <span class="live-chat__button-text">Chat Offline</span> </div> <script type="text/javascript"> if (!window._laq) { window._laq = []; } window._laq.push(function () { liveagent.showWhenOnline('5730V0000019KUh', document.getElementById('liveagent_button_online_5730V0000019KUh')); liveagent.showWhenOffline('5730V0000019KUh', document.getElementById('liveagent_button_offline_5730V0000019KUh')); }); </script> <script type='text/javascript' src='https://c.la1-c1-ia5.salesforceliveagent.com/content/g/js/47.0/deployment.js'></script> <script type='text/javascript'> liveagent.init('https://d.la1-c1-ia5.salesforceliveagent.com/chat', '5720V00000158LL', '00Dd0000000dixc'); </script> <ul> <li class='ejp-footer--hide-on-mobile'> <a href='https://wkhlrp.my.site.com/LippincottOnlineHelpCenter/s/' target='' rel="noopener">Browse the help center</a> </li> <li class='ejp-footer--show-on-mobile'> <a href='https://wkhealth.force.com/lwwonline/s/topic/0TO0V000001YgLZWA0/lww-online?tabset-ddbfe=2' target='' rel="noopener">Help</a> </li> <li><span class="ejp-footer--show-on-mobile">Contact us at:</span> <ul> <li class="ejp-footer__contacts-wrapper ejp-footer__email-settings"> <div class="ejp-footer--show-on-mobile">Support:</div> <a href="https://www.tfaforms.com/4966570" id="ctl00_ctl56_custSupport" target="_blank">Submit a Service Request</a> </li> <li class="ejp-footer__contacts-wrapper ejp-footer__phone-settings"> <div class="ejp-footer--show-on-mobile ejp-footer__phone-settings--version"> <div id="ctl00_ctl56_telMobileCustom">TEL:</div> </div> <div class="ejp-footer__phone-settings--holder"> <div>800-638-3030 (within the USA)</div> <div>301-223-2300 (outside of the USA)</div> </div> </li> </ul> </li> </ul> <ul><li> <button id="ot-sdk-btn" class="ot-sdk-show-settings ot-ejp-btn" onclick="return false;">Cookie Settings</button> </li> </ul> </div> </div> </div> <span id="ctl00_ctl56_FooterConfiguration" class="js-config-provider" data-config="{"loginConfiguration":{"serviceUrl":"https://services.journals.lww.com/IntegrationServices/AccountService.svc/Login","registerUrl":"https://journals.lww.com/acgcr/pages/register.aspx?ContextUrl=%2facgcr%2ffulltext%2f2024%2f10000%2fan_infiltrative_case_of_angiosarcoma_causing.19.aspx","forgotPasswordUrl":"https://journals.lww.com/acgcr/pages/forgotpassword.aspx?ContextUrl=%2facgcr%2ffulltext%2f2024%2f10000%2fan_infiltrative_case_of_angiosarcoma_causing.19.aspx","redirectUrl":"https://journals.lww.com/acgcr/pages/login.aspx?ContextUrl=%2facgcr%2ffulltext%2f2024%2f10000%2fan_infiltrative_case_of_angiosarcoma_causing.19.aspx","tokenKey":"AppSsoToken","ssoLoginOptions":[],"customerService":{"customerServiceUSPhone":"(800) 638-3030","customerServiceInternationalPhone":"301-223-2300","customerServiceEmail":"customerservice@lww.com"},"useAlternativeAccountLinks":false},"commonConfiguration":{"commonEndpoints":{"addToFavoritesServiceUrl":"https://journals.lww.com/acgcr/_layouts/15/OAKS.Journals/UserCollectionsService.svc/AddToFavorites","saveSearchServiceUrl":"https://journals.lww.com/acgcr/_layouts/15/OAKS.Journals/UserCollectionsService.svc/SaveSearch","counterDataServiceUrl":"https://journals.lww.com/acgcr/_layouts/15/OAKS.Journals/DualAccessService.svc/SendCounterDataRequestByAN"},"kaltura":{"partnerId":"1315631","playerId":"52253872","kalturaWidgetUrl":"https://cdnapisec.kaltura.com/p/1315631/embedPlaykitJs/uiconf_id/52253872"},"brightCove":{"brightCoveScriptUrl":"https://players.brightcove.net/2324982687001/HyP0JSARx_default/index.min.js","dataAccount":"2324982687001","dataPlayer":"HyP0JSARx"},"math":{"libUrl":"https://cdn.jsdelivr.net/npm/mathjax@3/es5/tex-mml-chtml.js"},"recoWidget":{"journals":[{"Id":"acgcr","Version":"04.03","ProductCode":"acgcrj"}],"pubFilter":{},"clientId":"ejp_v3","libUrl":"https://assets.ovid.com/widget/v3/widget.js"},"sciteBadge":{"libUrl":"https://cdn.scite.ai/badge/scite-badge-latest.min.js"}}}"></span> </div> <div class="ejp-footer__bottom-links"> <ul class="ejp-footer__useful-links"> <li><a id="ctl00_ctl56_hlkPrivacy" href="https://journals.lww.com/acgcr/_layouts/oaks.journals/privacy.aspx">Privacy Policy</a></li> <li><a id="ctl00_ctl56_hlkLegal" href="https://journals.lww.com/acgcr/_layouts/oaks.journals/disclaimer.aspx">Legal Disclaimer</a></li> <li><a id="ctl00_ctl56_hlkTermsOfUse" href="https://journals.lww.com/acgcr/_layouts/oaks.journals/terms.aspx">Terms of Use</a></li> <li><a id="ctl00_ctl56_hlkNIHPublicAccess" href="https://www.wolterskluwer.com/en/solutions/lippincott-journals/lippincott-open-access">Open Access Policy</a></li> <li><a id="ctl00_ctl56_hlkCAPrivacyChoices" href="https://privacyportal-de.onetrust.com/webform/2217e117-526b-4696-8a98-8c402f8f2b81/5b049ba3-0106-4b77-a7da-5d12238c90a4">Your California Privacy Choices</a> <img src="/_layouts/1033/IMAGES/OAKS.Journals/CAPrivacyPolicy.png" id="ctl00_ctl56_imgCAPrivacyPolicyChoices" class="wk-footer__ca-privacy-logo" alt="California Consumer Privacy Act (CCPA) Opt-Out Icon" /> </li> </ul> <ul class="ejp-footer__copyright-block"> <li><span>Copyright © 2025</span></li> <li><a href="https://www.wolterskluwer.com/en/health" target="_blank">Wolters Kluwer Health, Inc. and/or its subsidiaries. All rights reserved.</a></li> </ul> </div> </div> </footer> </div> </div>   <script> $(document).on('click', '.yamm .dropdown-menu', function (e) { e.stopPropagation(); }); </script>   <div id="ctl00_ctl59_adContainer" class="ej-advertisement ejp-advertisement-highimpact js-advertisement-highimpact"> <div class="ej-advertisement-content"> <div> <div id="ga_0f0fcd40-6031-4b9a-b277-c6a935cd4718" class="ad-slot-container ad-slot-container-ga_0f0fcd40-6031-4b9a-b277-c6a935cd4718" data-sizemap="[[[992, 500], [[300, 250]]], [[768, 180], [[728, 90]]], [[0, 0], [[300, 50]]]]" data-adpath="/15726702761/Desktop/acgcr/HighImpact" data-autoload="yes" data-outofpage="no" data-sticky="yes" data-slottargeting='' data-displayslug="yes" data-sticky-duration="10" data-name="HighImpact"></div> </div> </div> </div>    <script type="text/javascript"> //<![CDATA[ var Page_Validators = new Array(document.getElementById("ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_cvEmailError")); //]]> </script> <script type="text/javascript"> //<![CDATA[ var ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_cvEmailError = document.all ? document.all["ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_cvEmailError"] : document.getElementById("ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_cvEmailError"); ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_cvEmailError.display = "Dynamic"; ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_cvEmailError.validationGroup = "EmailValidationGroup"; ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_cvEmailError.evaluationfunction = "CustomValidatorEvaluateIsValid"; //]]> </script> <script type="text/javascript"> //<![CDATA[ var _spFormDigestRefreshInterval = 1440000;window.SPThemeUtils && SPThemeUtils.ApplyCurrentTheme(true); IsSPSocialSwitchEnabled = function() { return true; };var _fV4UI = true; function _RegisterWebPartPageCUI() { var initInfo = {editable: false,isEditMode: false,allowWebPartAdder: false,listId: "{c08a8467-c504-4c74-8c10-20b54753869f}",itemId: 64,recycleBinEnabled: true,enableMinorVersioning: false,enableModeration: false,forceCheckout: false,rootFolderUrl: "\u002facgcr\u002fPages",itemPermissions:{High:0,Low:200769}}; SP.Ribbon.WebPartComponent.registerWithPageManager(initInfo); var wpcomp = SP.Ribbon.WebPartComponent.get_instance(); var hid; hid = document.getElementById("_wpSelected"); if (hid != null) { var wpid = hid.value; if (wpid.length > 0) { var zc = document.getElementById(wpid); if (zc != null) wpcomp.selectWebPart(zc, false); } } hid = document.getElementById("_wzSelected"); if (hid != null) { var wzid = hid.value; if (wzid.length > 0) { wpcomp.selectWebPartZone(null, wzid); } } }; function __RegisterWebPartPageCUI() { ExecuteOrDelayUntilScriptLoaded(_RegisterWebPartPageCUI, "sp.ribbon.js");} _spBodyOnLoadFunctionNames.push("__RegisterWebPartPageCUI");var __wpmExportWarning='This Web Part Page has been personalized. As a result, one or more Web Part properties may contain confidential information. Make sure the properties contain information that is safe for others to read. After exporting this Web Part, view properties in the Web Part description file (.WebPart) by using a text editor such as Microsoft Notepad.';var __wpmCloseProviderWarning='You are about to close this Web Part. It is currently providing data to other Web Parts, and these connections will be deleted if this Web Part is closed. To close this Web Part, click OK. To keep this Web Part, click Cancel.';var __wpmDeleteWarning='You are about to permanently delete this Web Part. Are you sure you want to do this? To delete this Web Part, click OK. To keep this Web Part, click Cancel.';var lblColleaguesEmail = $get('ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_emailToColleagueControl_lblColleaguesEmail'); var Page_ValidationActive = false; if (typeof(ValidatorOnLoad) == "function") { ValidatorOnLoad(); } function ValidatorOnSubmit() { if (Page_ValidationActive) { return ValidatorCommonOnSubmit(); } else { return true; } } //]]> </script> <script type='text/javascript'>SP.SOD.set_prefetch(0);</script> <script type="text/javascript"> //<![CDATA[ WPSC.Init(document); var varPartWPQ1 = WPSC.WebPartPage.Parts.Register('WPQ1','bcb44f38-efa3-4ed6-ac8b-6cab786dbcc2',document.getElementById('WebPartWPQ1')); var varPartWPQ2 = WPSC.WebPartPage.Parts.Register('WPQ2','fdd90111-81d0-4047-974e-23626b17d1fc',document.getElementById('WebPartWPQ2')); var varPartWPQ3 = WPSC.WebPartPage.Parts.Register('WPQ3','af3d8d3d-a08b-4f7b-ab76-45691226be72',document.getElementById('WebPartWPQ3')); var varPartWPQ4 = WPSC.WebPartPage.Parts.Register('WPQ4','a734cb32-fafa-4681-8bc5-f8bed7a521c9',document.getElementById('WebPartWPQ4')); var varPartWPQ5 = WPSC.WebPartPage.Parts.Register('WPQ5','a8bc5309-7129-453a-8924-805a4edc1f60',document.getElementById('WebPartWPQ5')); var varPartWPQ6 = WPSC.WebPartPage.Parts.Register('WPQ6','a06f7896-92e8-4b52-916e-d4f46ebca7ea',document.getElementById('WebPartWPQ6')); WPSC.WebPartPage.WebURL = 'https:\u002f\u002fjournals.lww.com\u002facgcr'; WPSC.WebPartPage.WebServerRelativeURL = '\u002facgcr'; var g_clientIdDeltaPlaceHolderMain = "DeltaPlaceHolderMain"; var g_clientIdDeltaPlaceHolderUtilityContent = "DeltaPlaceHolderUtilityContent"; WebForm_AutoFocus('ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_emailToColleague_txtYourName');Sys.Application.add_init(function() { $create(AjaxControlToolkit.ModalPopupBehavior, {"BackgroundCssClass":"Popup-Overlay","DropShadow":true,"PopupControlID":"ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_pnlunSubscribeToAlerts","dynamicServicePath":"/acgcr/pages/articleviewer.aspx","id":"unSubscribeToAlerts"}, null, null, $get("ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_dummyTargetControl")); }); Sys.Application.add_init(function() { $create(AjaxControlToolkit.ModalPopupBehavior, {"BackgroundCssClass":"Popup-Overlay","DropShadow":true,"PopupControlID":"ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_pnlSubscribeToEtoc","dynamicServicePath":"/acgcr/pages/articleviewer.aspx","id":"subscribeToEtoc"}, null, null, $get("ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_dummyTargetControl")); }); document.getElementById('ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_cvEmailError').dispose = function() { Array.remove(Page_Validators, document.getElementById('ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_cvEmailError')); } g_QuickLaunchControlIds.push("zz1_TopNavigationMenu");_spBodyOnLoadFunctionNames.push('QuickLaunchInitDroppable'); var g_zz1_TopNavigationMenu = null; function init_zz1_TopNavigationMenu() { if (g_zz1_TopNavigationMenu == null) g_zz1_TopNavigationMenu = $create(SP.UI.AspMenu, null, null, null, $get('zz1_TopNavigationMenu')); } if(g_spPreFetchKeys) {{ g_spPreFetchKeys.push('SP.Core.js');}}EnsureScriptFunc('SP.Core.js', 'SP.UI.AspMenu', init_zz1_TopNavigationMenu); Sys.Application.add_init(function() { $create(AjaxControlToolkit.ModalPopupBehavior, {"BackgroundCssClass":"Popup-Overlay","PopupControlID":"ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_emailToColleagueControl_pnlEmailToColleague","dynamicServicePath":"/acgcr/pages/articleviewer.aspx","id":"emailToColleaguePopupExtender_1859226663"}, null, null, $get("ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_emailToColleagueControl_hypEmailToColleague")); }); Sys.Application.add_init(function() { $create(AjaxControlToolkit.ModalPopupBehavior, {"BackgroundCssClass":"Popup-Overlay","PopupControlID":"ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_exportToCitationManager_pnlExportTo","dynamicServicePath":"/acgcr/pages/articleviewer.aspx","id":"OpenExportToPopupExtender__195590522"}, null, null, $get("ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_ucArticleTools_exportToCitationManager_hypExportToCitationManager")); }); Sys.Application.add_init(function() { $create(AjaxControlToolkit.ModalPopupBehavior, {"BackgroundCssClass":"Popup-Overlay","PopupControlID":"ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_emailToColleague_pnlEmailToColleague","dynamicServicePath":"/acgcr/pages/articleviewer.aspx","id":"emailToColleaguePopupExtender_1258665720"}, null, null, $get("ctl00_ctl29_g_c168c423_9055_40ab_abd6_309bb94ef67f_ctl00_emailToColleague_hypEmailToColleague")); }); //]]> </script> </form> <span id="DeltaPlaceHolderUtilityContent"> </span> <script type="text/javascript">// <![CDATA[ var g_Workspace = "s4-workspace"; // ]]> </script> <div id="ctl00_ctl64_divAdConfig" data-adconfig="{"adTitle":"Advertisement","slotClass":"ad-slot-container","topBanner":{"sticky":"false","stickyDuration":"5000"},"lazyLoadingEnabled":false,"npiHash":"","pageTargeting":{"ArticleId":"02075970-202410000-00019"}}" data-videoadconfig="{"serverURL":"https://pubads.g.doubleclick.net/gampad/ads","sizes":"320x180|640x360","overlayUnitPath":"/15726702761/Desktop/acgcr/Video/overlay","prerollUnitPath":"/15726702761/Desktop/acgcr/Video/pre-roll","postrollUnitPath":"/15726702761/Desktop/acgcr/Video/post-roll"}" class="js-ad-config"> </div> <div id="ctl00_ctl64_divScripts"><script type="text/plain" async="async" src="https://securepubads.g.doubleclick.net/tag/js/gpt.js" class="optanon-category-C0004"></script> <script type="text/javascript" src="https://lww.com/_layouts/15/oaks.journals/core/ads.js?v=05.24.00.023" defer="true"> </script> </div>  <script type="text/javascript"> (function($) { if (false) { $(".top-microbar-container").addClass('top-microbar-container-moved').insertAfter(".advertisement-content_top"); } $(function () { if (false) { $( '<div class="top-banner-verify-email">Be sure to check your email to verify your new user account! Thanks!</div>') .insertAfter(".top-microbar-container"); } }); })(jQuery); </script> <script type="text/javascript"> window.twttr = (function(d, s, id) { var js, fjs = d.getElementsByTagName(s)[0], t = window.twttr || {}; if (d.getElementById(id)) return t; js = d.createElement(s); js.id = id; js.src = "https://platform.twitter.com/widgets.js"; fjs.parentNode.insertBefore(js, fjs); t._e = []; t.ready = function(f) { t._e.push(f); }; return t; }(document, "script", "twitter-wjs")); </script> <script type="text/javascript" src="https://lww.com/_layouts/15/oaks.journals/core/ee.js?v=05.24.00.023" defer="true"> </script> <script type="text/javascript"> function OTScriptExecutedEventHandler(e) { if (window.WKTracker && window.TrackingSetup) { window.TrackingSetup.api = window.TrackingSetup.api || {}; window.TrackingSetup.api.baseUrl = 'https://apim-hlrp-ejp-prod.azure-api.net/ee'; window.TrackingSetup.api.log = window.TrackingSetup.api.log || {}; window.TrackingSetup.api.resolve = window.TrackingSetup.api.resolve || {}; window.TrackingSetup.gdpr = window.TrackingSetup.gdpr || {}; window.TrackingSetup.gdpr.cookieUsageConsent = window.cookieUsageConsent || false; window.WKTracker.configure(window.TrackingSetup); window.WKTracker.track(); // Remove the event listener window.removeEventListener('OTScriptExecuted', OTScriptExecutedEventHandler); } } window.addEventListener('OTScriptExecuted', OTScriptExecutedEventHandler); </script> <script>(function(){function c(){var b=a.contentDocument||a.contentWindow.document;if(b){var d=b.createElement('script');d.innerHTML="window.__CF$cv$params={r:'91359fb6194c40c7',t:'MTczOTc5MzY5OS4wMDAwMDA='};var a=document.createElement('script');a.nonce='';a.src='/cdn-cgi/challenge-platform/scripts/jsd/main.js';document.getElementsByTagName('head')[0].appendChild(a);";b.getElementsByTagName('head')[0].appendChild(d)}}if(document.body){var a=document.createElement('iframe');a.height=1;a.width=1;a.style.position='absolute';a.style.top=0;a.style.left=0;a.style.border='none';a.style.visibility='hidden';document.body.appendChild(a);if('loading'!==document.readyState)c();else if(window.addEventListener)document.addEventListener('DOMContentLoaded',c);else{var e=document.onreadystatechange||function(){};document.onreadystatechange=function(b){e(b);'loading'!==document.readyState&&(document.onreadystatechange=e,c())}}}})();</script></body> </html>

CINXE.COM

ACG Case Reports Journal