I want to submit Images to a journal with a short description or a Q&A format. My image was rejected by Hepatology, Gut, Gastroenterology and other such high tier GI journals.
Several other journals have an 'image of the month'-section. My experience tells me that journals such as CGH, Hepatology, Digestive Endoscopy and GIEjournal are by far the most picky (perhaps their good right as top-journals). When you have an interesting case in well written English, you can always try 'Digestive and Liver Diseases (IF 3.3), 'Acta Gastroenterologica Belgica' or Surgical Endoscopy.