59 articles in this issue
Fabrizio Sansone, Erika Bellini, Sabrina Ghersi, Edoardo Zingarelli, Roberto Flocco, Guglielmo Mario Actis Dato, Pier Giuseppe Forsennati, Francesco Parisi, Giuseppe Punta, Gian Luca Bardi, Stefano del Ponte, Riccardo Casabona
The scientific literature has pointed out several predictors of negative outcome after surgery such as pain and depression, negatively affecting the postoperative outcome in cardiac surgery. From January 2009 until June 2010, 15 patients scheduled for car... see more
Sriparna Basu, Aditya Kumar Gupta, Ashok Kumar
Congenital lobar emphysema (CLE) is an uncommon congenital malformation of the lung that can present with respiratory distress in early life. We report a full term female baby who presented with intermittent bluish discoloration of the lips and extremitie... see more
Jo-Etienne Abela, John E. Anderson, Henry R. Whalen, Kenneth G. Mitchell
This case report describes the presentation, management and treatment of a patient who suffered small bowel perforation due to the migration of his biliary stent which had been inserted for benign disease.
Maria do Socorro Teixeira Moreira Almeida, Josué da Costa Arcoverde, Mário Nicolau Barros Jacobino, Antônio Rodrigues Coimbra Neto
Lupus erythematosus is a chronic autoimmune inflammatory disease of unknown cause that involves multiple systems. Autoimmune diseases that are prevalent in men usually manifest themselves clinically before the age of 50 years old and are characterized by ... see more
Hangyuan Guo, Yangbo Xing, Fukang Xu
A 65-year-old man was admitted as for one month of repetitive dizziness and one episode of syncope. Electrocardiogram showed sinus bradycardia and his Holter monitoring also showed sinus bradycardia with sinus arrest, sino-atrial block and a longest pause... see more
Hiroaki Ishida, Tomone Yano, Yutaka Yasuda, Akiko Takashima, Naoki Takeshita, Toshihiko Kinoshita
Uterine inversion is a rare complication of the postpartum period and an even rarer complication of the nonpuerperal period. A 47-yearold woman, gravid 2, para 2, was referred to our hospital with blood-stained leucorrhoea and severe anemia. Magnetic reso... see more
Binod Dhakal, Veerpal Singh, Anuj Shrestha, Arjun Rao, Nicholas Choong
Pemetrexed is an antifolate chemotherapy agent that is active in malignant mesothelioma and non-small cell lung cancer (NSCLC). Pneumonitis is a rare side effect of Pemetrexed. We report the case of 72-year-old female with metastatic poorly differentiated... see more
Jlenia Marchesini, Gianluca Campo, Riccardo Righi, Giorgio Benea, Roberto Ferrari
ST-segment elevation MI (STEMI) is a rare presentation in patients with coronary artery anomalies. In these patients, the identification of the culprit lesion and its treatment may be difficult, particularly in the emergency setting of primary percutaneou... see more
Salman Yousuf Guraya, Shaista Salman, Hamdi H. Almaramhy
Mesenteric cysts are uncommon benign abdominal lesions with no classical clinical features. The preoperative diagnosis requires the common imaging modalities but the final diagnosis is established only during surgery or histological analysis. The treatmen... see more
Sophie Jambet, Olivier Facy, Pierre Landreau, Céline Duperron, Benjamin Kretz
Intraperitoneal rupture of the bladder is a rare cause of peritonitis. Intraperitoneal rupture of the bladder was diagnosed during an emergency laparotomy for suspected mesenteric ischemia. The patient had undergone iterative urinary catheterization after... see more
George Wong, Simon Chun Ho Yu, Wai Sang Poon
Computed tomographic angiography (CTA) is a well-established non-invasive investigation for this neurological presentation to exclude intracranial aneurysms. However, dural arteriovenous fistulae with anterograde venous drainage only can be missed by CTA.... see more
Jennifer L. Beams, Todd D. Rozen
Head pain is the most common complaint in patients with giant cell arteritis but the headache has no distinct diagnostic features. There have been no published reports of giant cell arteritis presenting as a trigeminal autonomic cephalalgia. We describe a... see more
Subhayu Bandyopadhyay, Sanjay Sinha, Patrick Fan Wui Chien, Dawn Fleming
Actinomycosis has been recognized to be associated with the use of intrauterine contraceptive device. We are reporting a case where a patient with severe pelvic actinomycosis presented with the clinical picture of an ovarian tumour. A 44-year-old lady att... see more
Igor Ivi?-Hofman, Ante Cvitkovi?, Bernard Kai?, Tatjana Vilibi?-?avlek, Nenad Pandak, Zorana Maric, Dragana Juri?
We are reporting on a household outbreak of measles, in which cases of simultaneous measles and chickenpox infection occured in children of a family who resided in Italy during the incubation period (June 2011). In three children, fever and generalized co... see more
Ina Juergenson, Sara Mazzucco, Michele Tinazzi
Watershed infarcts (WI) evolve in hemodynamic risk zones. Clinical picture of WI can be associated to partial epileptic seizures. Diffusion weighted brain magnetic resonance imaging (MRI) allows a clear diagnosis. WI pathogenesis involves either embolic o... see more
Julien Jarry, Vien Nguyen, Adeline Stoltz, Marc Imperato, Philippe Michel
We report an unusual case of pyogenic, hepatic abscess caused by fish bone penetration of the duodenum in a 68-year-old woman. The fish bone had migrated into the liver through the duodenal wall. The patient was initially admitted to our emergency room wi... see more
Irwin M. Best
Fortunately, acute renal artery injuries occur infrequently in blunt trauma patients. Renal salvage in the multi-trauma patient is a daunting task. If after judicious consideration, intervention is warranted, then expeditious repair should follow. Rapid c... see more
Siew M. Keh, Andrew Tait, Syed Farhan Ahsan
Bhari Sharanesha Manjunatha, Patel Sunit, Mahajan Amit, Shah Sanjiv
Benign osteoblastoma (OB) is a rare tumor of bone representing less than 1% of all tumors of the maxillofacial region. Vertebral column, sacrum, long bones, and calvarium are more frequent sites of this tumor. Clinically, patients present with pain and sw... see more
Ramon-Michel Schreuder, Jan-Willem de Groot, Adriaan M. Kamper
In immunocompetent hosts, symptomatic cytomegalovirus (CMV) infection occurs in around 10% and has traditionally been considered to have a benign, self-limiting course. Active CMV infection in immunocompetent persons is very rare. However, manifestations ... see more
Rochana Girish Bakhshi, Sheetal R. Jagtap
Achondroplasia is the commonest form of short-limbed dwarfism and occurs in 1:26,000- 40,000 live births. This is an autosomal dominant disorder with abnormal endochondral ossification whereas periosteal and intramembranous ossification are normal. The ba... see more
Abdel Aziem AbdAllah Ali, Abdalla Ali Mohammed, Awadia Khojali Mohammed Ali
We report a case of an inclusion cyst, resulting from female genital mutilation (FGM), which enlarged to such a degree that it restricted the patient’s movement. This report aims to raise the awareness of the medical community to the dangers that arise fr... see more
Girish D. Bakhshi, Kishor R. Wankhede, Mukund B. Tayade, Sachin S. Shenoy, Shankar T. Mundhe, Chintan Patel
Testicular leiomyosarcoma is a rare tumor. It may arise secondarily following exposure to radiotherapy, chronic inflammation, or usage of high dose anabolic steroids. However, in absence of risk factors, it is rarely seen. Only 15 cases of Primary Intra t... see more
Belinda Sandler, Steve Furniss, Eric McWilliams
Syncope in a patient with a Brugada syndrome channelopathy carries significant prognostic implications and warrants consideration of implantable cardioverter defibrillator (ICD) implantation. We report a case of a 62- year-old gentleman who presented with... see more
Pelin Ustuner, Ozlem Karadag Kose, A. Tulin Gulec, Ozlem Ozen
Nephrogenic systemic fibrosis (NSF) is a recently identified idiopathic cutaneous fibrosing disorder that occurs in the setting of renal failure. The disease initially called nephrogenic fibrosing dermopathy is closely linked to exposure to gadolinium-bas... see more
Thomas Jenkins, Priya Sarasamma, Godfrey Gillett, Stuart Coley, Basil Sharrack
X-linked adrenoleukodystrophy (X-ALD) is a rare inherited metabolic disorder, in which accumulation of very long chain fatty acids (VLCFAs) results in damage to the central nervous system. As the disease is X-linked, males are affected severely, but femal... see more
When the platelet count falls below 20¥ 109/L, the risk of spontaneous life threatening hemorrhage is concerning for both physician and patient. When medical management fails, splenectomy is often used to manage the severe thrombocytopenia before spontane... see more
Takeshi Kusunoki, Kaori Kase, Katsuhisa Ikeda
Orbital apex syndrome is commonly been thought to have a poor prognosis. Many cases of this syndrome have been reported to be caused by paranasal sinus mycosis. We encountered a very rare case (60-year-old woman) of sinusitis with orbital apex syndrome du... see more
Dianbo Cao, Xiaoyan Sun, Jimin Du, Yutian Sun
Duodenal lipomas are relatively uncommon and are rarely responsible for clinical symptoms. Occasionally, searching for aetiology of gastrointestinal bleeding leads to the final diagnosis of duodenal lipomas. Here, we present the case of a 68-year-old woma... see more
Bhushan N. Wani, Vishal Rathod, Pankaj Banode, Anil Bhole
Teratoma is the most commonly encountered germ cell tumour among the most common ovarian tumours; however, teratomas of the omentum and mesentery are extremely rare. They are usually asymptomatic or can produce compressive symptoms. The imaging features a... see more
Ajay H. Bhandarwar, Girish D. Bakhshi, Ashok D. Borisa, Sachin S. Shenoy, Channabasappa G. Kori, Sameer Vora
Retroperitoneal liposarcoma presenting as an inguinal hernia is a rare entity. We present the first case of Giant recurrent liposarcoma presenting as a recurrent inguinal hernia in a 40-year-old male. Physical examination showed an irreducible lump in the... see more
Shraddha Jain, Anil Aggarwal, Prasad Deshmukh, Puneet Singhvi, Kavita Sudarshan
We report a case of congenital heterotopic salivary gland with draining sinus in the lower neck on the right side of a 10-year-old female, which we initially thought to be a branchial fistula. Heterotopic salivary glands are rare lesions in the neck and w... see more
Jignesh B. Rathod, Dharmendra K. Shah, Bhargav D. Yagnik, Vipul D. Yagnik
Upper gastrointestinal (GI) bleeding is defined as bleeding proximal to the ligament of Treitz. The most important aspect of management of GI bleeding is to locate the site and cause of bleeding. The aim of the study is to find out the common etiology, pr... see more
Maaike J. de Goffau, Jan C. Doelman, Jeroen B. van Rijswijk
The differential diagnosis of sudden hearing loss is very extensive. However, in most patients, no underlying pathology will be found and the patient is consequently diagnosed with idiopathic sudden hearing loss. Nevertheless, it is important that one sta... see more
Mitsuru Hanada, Masaaki Takahashi, Yukihiro Matsuyama
The rate of re-rupture of Achilles tendon after surgical treatment were reported to 1.7-5.6% previously. Re-rupture of Achilles tendon generally occurs subcutaneously. We experienced two rare cases of the open re-ruptures of Achilles tendon with a transve... see more
Nikhil Gupta, Tirlok Chand, Nidhi Yadav, Rajeev Kumar, Devender S. Chauhan, Poras Chaudhary, Mohinder P. Arora
Extraosseous Ewings tumor (EES) is a rare entity. Few cases have been reported in literature. There are no specific guidelines for management of this disease. We are reporting a case of EES arising from left lateral abdominal wall. We did wide excision of... see more
Mustafa Kaymakci, Selçuk Yazici
Myxomas are mostly seen in the 2th and 3rd decades. They rarely occur in childhood and maxillofacial region is rarely involved. The recurrence incidence is high. We report this unusual case occurring in a 9-year-old girl in the maxillofacial region and re... see more
Hind Charhi, Zakiya Bernoussi, Azzouz Haddan, Siham Mesmoudi, Abderrahim Elktaibi, Fatima Mansouri, Rachid Elktaibi, Khalid Lahlou, Ahmed Jahid, Najat Mahassini
Solitary fibrous tumor is an uncommon neoplasm affecting adults and typically located in the pleura and can also occur in a large number of other extra thoracic sites. We present the case of a solitary fibrous tumor (SFT) of the retroperitoneum and descri... see more
Mehala Tharmabala, Vijayananda Kandapur, Jenna-Lynn Senger, Rani Kanthan
Adamantinoma is a rare primary bone tumor that commonly arises in the jaw and has also been described in the appendicular skeleton such as the tibia. We report 2 cases of tibial adamantinomas that were originally misdiagnosed; one as fibrous dysplasia of ... see more
Alex L. Sims, Thomas W. Barwick, Richard J. Montgomery
Osteopetrosis is a rare inherited disorder of bone causing increased bone density. Legg- Calvé-Perthes disease (LCPD), by contrast, is a more common idiopathic condition leading to variable avascular necrosis of the immature femoral head. We present a cas... see more
Rashmoni Jana, Tara Sankar Roy
Fibularis tertius (FT) is often considered as part of extensor digitorum longus (EDL) muscle. The muscle is absent in hominoid apes and with the acquisition of the bipedal gait; the muscle emerged as a recent addition in the human foot. From its various m... see more
Zeineb Mzoughi, Ben Abid Sadri, Miloudi Nizar, Hentati Hassen, Arfa Nafaa, Khalfallah Taher
Annular pancreas is a rare congenital abnormality. This entity can rarely be symptomatic. Patients can present with gastrointestinal obstruction or acute pancreatitis. We report a case with a rich iconography, of an annular pancreas discovered intraoperat... see more
Martha M. Rumore, Spencer Evan Lee, Steven Wang, Brenna Farmer
The authors report a case of cardiac arrest in a patient receiving intravenous (IV) metoclopramide and review the pertinent literature. A 62-year-old morbidly obese female admitted for a gastric sleeve procedure, developed cardiac arrest within one minute... see more
Silvia Olivato, Giulia Turri, Sara Mazzucco, Giancarlo Mansueto
A case of a 79-year-old man, affected by persistent right eye blindness after multiple episodes of transient left hemiparesis and right eye amaurosis. Brain computed tomography (Angio CT) well documented right internal carotid artery (ICA) plaque with a 8... see more
Emir Karacaglar, Alp Aydinalp, Mehmet Coskun, Haldun Muderrisoglu
Anomalous origin of coronary arteries is also a relatively rare congenital malformation and has been reported as the cause of angina pectoris and arrhythmia. Long QT syndrome (LQTS) is a rare inherited arrythmogenic disease characterized by susceptibility... see more
Ibrahim El-Hakim, Ahmed Alyamani
Arteriovenous malformation is treated by variety of techniques over the years. Sclerotherapy is considered an effective and conservative technique for the treatment of benign vascular lesions and replaced the traditional role of surgical therapy, especial... see more
Khalid Koulali Idrissi, Farid Galiua
A palmar dislocation of scaphoid and lunate is uncommon. We have found only 19 reported cases in the literature. We reported a simultaneous, divergent dislocation. The closed reduction followed by percutaneous pinning has given a good result without avasc... see more
Carini Dagnoni, Luzete Cristina Silva Granero, Rodrigo Kraft Rovere
We report a case of a 75-year-old man submitted to a rectosigmoidectomy and partial cystectomy because of a sigmoid cancer and colovesical fistula. Seven months later and after four cycles of adjuvant chemotherapy, a lesion was detected in the kidney. His... see more
Fatma Maazoun, Faten Frikha, Mouna Snoussi, Neila Kaddour, Hatem Masmoudi, Zouhir Bahloul
The incidence of myositis in patients with systemic lupus erythematosus (SLE) is low among different series. Here we attempt to describe the main features of SLE/myositis overlap syndrome. We retrospectively reviewed the medical records of 174 patients wi... see more
Nikhil Gupta, Niladhar Shankarrao Hadke, Nita Khurana
Isolated sternal involvement in tuberculosis is rare. Very few case reports are available in literature even from the countries where tuberculosis is endemic. We are reporting a case of 32-year-old female who presented to us with a pus discharging sinus o... see more
William H.C. Tiong, Michael O'Shaughnessy, Sean T. O'Sullivan
Previous studies in USA and Canada have found that physicians and physicians in training have a limited understanding of medical care costs. In this study, we set out to survey all grades of doctors in the surgical department, emergency department, and an... see more
Roberta Doria, Enrico Tagliaferri, Giovanni Andreotti, Riccardo Taddei, Rubinia Nardini, Carlo Tascini, Francesco Menichetti
A young girl was admitted for fever, headache, paresthesia of the hands, involuntary blinking of the left eye and aphasia. Imaging revealed mycotic cerebral aneurysms and finally infective endocarditis was diagnosed and successfully treated with daptomyci... see more
Marcelino Hernandez Valencia, Adia Carrillo Pacheco, Tomás Hernández Quijano, Antonio Vargas Girón, Carlos Vargas López
Human papilloma virus (HPV) can infect any of the mucosal areas of the body and cause cervical cancer. Until recently, no specific treatments were available for this condition; therefore, any damaged tissue had to be removed or destroyed, which may have p... see more
Timucin Alar, Yildiz Degirmenci, Handan Isin Ozisik Karaman
Lightning injury is the second most common cause of weather-related deaths in the United States. Despite the several neurological complications such as polyneuropathy, myelopathy, spinal cord injury, motor neuron disease due to the lightning-induced injur... see more
Tomás J. González-López, Lourdes Vázquez, Teresa Flores, Jesus Fernando San Miguel, Ramon García-Sanz
A 63-year-old woman presented with progressive renal insufficiency, until a glomerular filtration rate (GFR) of 12 mL/min. A renal biopsy demonstrated glomerular deposition of immunoglobulin k light chain. The presence of a small population of monoclonal ... see more
John Anderson, Jo-Etienne Abela
This case report describes the presentation and successful endoscopic retrieval of an impacted denture plate from the distal oesophagus where it had been in-situ for nine months.
Vinod Prabhu, James Johnston, Duncan Ingrams, Carl Passant
The authors report the case to understand this unusual presentation and prognosis of mucoepidermoid carcinoma following treatment. We present a case of mucoepidermoid carcinoma in a 67-year-old man. The cancer was diagnosed in the right side of his neck b... see more
Anthony Zehetner
Iron supplementation reduces the frequency and severity of breath-holding attacks (BHAs), particularly in children with iron deficiency. The issue of iron supplementation is less clear for Westernized children with BHAs who present to an outpatient commun... see more
Attapon Cheepsattayakorn, Ruangrong Cheepsattayakorn
Systemic sclerosis or scleroderma is associated with distal vasculitis, Raynaud’s phenomenon, and inflammation of internal organs and the skin. We present on a 58-year-old Thai woman with systemic sclerosis who came to the 10th Zonal Tuberculosis and Ches... see more