MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Cases Journal' source. Mon, 16 Nov 2009 14:31:03 +0100 http://www.medworm.com/index.php?rid=2802353&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F7092 We report a spectacular response to imiquimod 5 percent cream in a patient with classic Kaposi's sarcoma of the leg. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2802353 Wed, 16 Sep 2009 23:00:00 +0100 2802353 http://www.medworm.com/index.php?rid=2802352&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F9275 Intestinal obstruction due to sigmoid volvulus during pregnancy is rare. The presenting signs/symptoms seen in these patients are the same as with non-pregnant patients. Fetal and maternal mortality rates are higher during pregnancy due to delays in diagnosis. We aimed to present four patients diagnosed with sigmoid volvulus during pregnancy and puerperium in our clinic. Diagnosis requires a high index of suspicion in a patient who presents with complaints of abdominal pain and evidence of bowel obstruction. Prompt intervention is necessary to minimize maternal and fetal morbidity and mortality. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2802352 Wed, 16 Sep 2009 23:00:00 +0100 2802352 http://www.medworm.com/index.php?rid=2802351&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8053 This report has presented the first case with hypocalemia due to licorice consumption in granulated form from Turkey. In addition, the report has aimed to emphasize the importance of obtaining the detailed history of a patient in diagnosis. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2802351 Wed, 16 Sep 2009 23:00:00 +0100 2802351 http://www.medworm.com/index.php?rid=2802349&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8271 Conclusion: In conclusion, steroid treatment is the cornerstone in the management of THS. Even though there is no standardized dose specified in the literature, this type of treatment with steroids at a dose of 1 mg/kg/day tapered slowly over 3 to 4 months has been well received. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2802349 Wed, 16 Sep 2009 23:00:00 +0100 2802349 http://www.medworm.com/index.php?rid=2802348&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F7736 Conclusion. In well-developed countries aflatoxins exposure should be considered in case of unexplained abdominal symptoms. Cancer risk cannot be assessed, nevertheless individual counselling and periodical medical examinations are recommended. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2802348 Wed, 16 Sep 2009 23:00:00 +0100 2802348 http://www.medworm.com/index.php?rid=2802347&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8679 A 26-year-old gravida 3 para 1+1 was referred for antenatal care. In her last pregnancy she had an early spontaneous preterm delivery at 32weeks and 2 days complicated by intra hepatic cholestasis of pregnancy . She had a strong family history of ischemic heart and combined hyperlipidaemia. In view of her past obstetric history a baseline liver function test and fasting bile acid assay was carried out. Up to 21 week her Bile acids were normal but at 22 weeks her fasting bile acid assay increased to the upper limit of normal (9 micromol/L). Ursodeoxycholic acid was started from 28 weeks gestation on a dosage of 500 mg b.i.d., which was subsequently increased to 500mg t.d.s. at 32 weeks.At 34 weeks she gave a history of occasional right upper quadrant abdominal pain and her biochemistry reve... Cases Journal journals http://www.medworm.com/rss/comments.php?id=2802347 Wed, 16 Sep 2009 23:00:00 +0100 2802347 http://www.medworm.com/index.php?rid=2802346&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8304 We report a case of a 27- year old right hand dominant man who sustained a closed vertical trapezium fracture and first carpometacarpal joint dislocation which was treated with closed reduction and percutaneous Kirschner-wire fixation, a technique familiar to all orthopaedic surgeons. Satisfactory functional outcome was achieved at final follow-up. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2802346 Wed, 16 Sep 2009 23:00:00 +0100 2802346 http://www.medworm.com/index.php?rid=2802345&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F7926 Conclusion: Isolated aglossia is very rare condition explained on the basis of growth failure of lateral lingual swellings and tubercular impar. Such patients do not usually need reconstruction of tongue; as feeding, swallowing and taste sensations are usually intact and speech cannot be improved by reconstruction. However, malocclusion of teeth needs to be taken care of. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2802345 Wed, 16 Sep 2009 23:00:00 +0100 2802345 http://www.medworm.com/index.php?rid=2802344&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F7195 Vaginal endometriosis is characterized by the presence of endometrial tissue in the vagina. In this paper the authors present an unusual case of post-hysterectomy vaginal cuff endometriosis. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2802344 Wed, 16 Sep 2009 23:00:00 +0100 2802344 http://www.medworm.com/index.php?rid=2802343&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F9288 Conclusion: We aimed to present this unusual case which perforated presentation of the intestinal metastasis of uterine leiomyosarcoma. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2802343 Wed, 16 Sep 2009 23:00:00 +0100 2802343 http://www.medworm.com/index.php?rid=2802342&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8358 We report a case of a 79 years old woman admitted to hospital because of dyspnea and lower left limb pain. CT scan revealed multiple thrombi to kidney, lower limb and superior mesenteric artery during acute pulmonary embolism. Echocardiogram documented a patent foramen ovale with a right-to-left shunt. The patient was treated with thrombolytic therapy and heparin with progressive improvement of symptoms and resolution of pulmonary embolism and peripheral thrombosis. Patent foramen ovale closure was not performed because a life-long anticoagulation therapy was necessary, a tunnel-type patent foramen ovale may increases difficulty in realizing device implantation and there are no clear evidence-based guidelines to date addressing treatment in presence of a patent foramen ovale. (Source: Case... Cases Journal journals http://www.medworm.com/rss/comments.php?id=2802342 Wed, 16 Sep 2009 23:00:00 +0100 2802342 http://www.medworm.com/index.php?rid=2802341&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F6335 We present a case of an 8 week old infant who presented with atypical Neisseria meningitis with bifrontal subdural empyema formation. Through the utilisation of modern polymerise chain reaction tests on cerebrospinal fluid samples, we were able to confirm the diagnosis and institute appropriate treatment. Early surgical intervention and appropriate intravenous antibiotics meant that the patient fully recovered. In summary, early treatment of meningitis without adequate microbiological investigations can complicate later diagnosis of subdural empyema. Early suspicion of empyema should be considered when patient fails to improve after 48 hrs, seizures are a late sign and gives a poorer prognosis. Computed tomography scanning is still the modality of choice although in this case, magnetic res... Cases Journal journals http://www.medworm.com/rss/comments.php?id=2802341 Wed, 16 Sep 2009 23:00:00 +0100 2802341 http://www.medworm.com/index.php?rid=2822295&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F7873 Conclusion: The phenotypic variability of Desbuquois syndrome might be an element of diagnostic confusion. However, distinctive radiographic features should urgently requiring attention and are virtually diagnostic. We report what might be the first clinical report of Desbuquois dysplasia from a consanguineous family in Austria. Unusual facial dysmorphism resembling Cornelia-De Lange syndrome and early patellar ossification were additional unreported features in connection with Desbuquois dysplasia. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2822295 Tue, 15 Sep 2009 23:00:00 +0100 2822295 http://www.medworm.com/index.php?rid=2798584&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F7873 Conclusion: The phenotypic variability of Desbuquois syndrome might be an element of diagnostic confusion. However, distinctive radiographic features should urgently requiring attention and are virtually diagnostic. We report what might be the first clinical report of Desbuquois dysplasia from a consanguineous family in Austria. Unusual facial dysmorphism resembling Cornelia-De Lange syndrome and early patellar ossification were additional unreported features in connection with Desbuquois dysplasia. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2798584 Tue, 15 Sep 2009 23:00:00 +0100 2798584 http://www.medworm.com/index.php?rid=2798583&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F6898 We report a case of a 33-year-old female, in which a spontaneous extrusion of the peritoneal catheter of a ventriculo-peritoneal shunt through the intact abdominal wall occurred. We suggest that the rather hard peritoneal catheter eroded the abdominal wall, caused local inflammation, and then extruded through the skin. Additionally, the intestinal peristaltic movements, the omental activity and the intraabdominal pressure could play an adjuvant part, pressing direct the foreign body from the peritoneal cavity toward the skin. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2798583 Tue, 15 Sep 2009 23:00:00 +0100 2798583 http://www.medworm.com/index.php?rid=2798582&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F7101 Tracheal stenosis is the most common late airway complication of tracheostomy. Severe tracheal stenosis resulted in hemodynamic deterioration and impairment of respiratory system mechanics. We cared for an 86-year-old man with severe tracheal stenosis due to prolonged placement of a tracheostomy tube for 42-months. At the distal tip of the tracheostomy tube, bronchoscopy revealed severe tracheal luminal obstructions by granulation tissue. During pressure-controlled ventilation, the peak airway pressure was much higher than the inspiratory pressure. For patients with clinical signs of tracheal stenosis after tracheotomy, bronchoscopy should be done as early as possible. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2798582 Tue, 15 Sep 2009 23:00:00 +0100 2798582 http://www.medworm.com/index.php?rid=2798581&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F6264 We present a case of a 77 year old Caucasian male with advanced adenocarcinoma of the lung, who was being treated on clinical trial with single agent sorafenib. After seven weeks of treatment the patient presented to clinic with difficulty walking. Physical exam revealed acral erythema with bollous formation on bilateral soles of his feet. Otoscopic exam revealed bilateral external canal bullous lesion. The patient was diagnosed with plantar erythrodysesthesia with bullous otitis externa, a new toxicities in patients being treated with sorafenib. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2798581 Tue, 15 Sep 2009 23:00:00 +0100 2798581 http://www.medworm.com/index.php?rid=2798580&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8198 Conclusion: We present this case to remind clinicians of the importance of detailed history taking and of milk-alkali syndrome as a cause of hypercalcemia. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2798580 Tue, 15 Sep 2009 23:00:00 +0100 2798580 http://www.medworm.com/index.php?rid=2798579&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F6792 Conclusion: Renal manifestations of diabetes mellitus may antedate other more common presenting symptoms of this disease and we critically review the literature on this subject. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2798579 Tue, 15 Sep 2009 23:00:00 +0100 2798579 http://www.medworm.com/index.php?rid=2798578&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8730 We report, herein, a single case of a splenic cyst in an adult woman, who reported minor symptoms despite the size of the lesion and who demonstrated a possible almost total regression of the cyst within a ten-year period, accompanying with review of the most recent literature. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2798578 Tue, 15 Sep 2009 23:00:00 +0100 2798578 http://www.medworm.com/index.php?rid=2798577&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8285 We reported a case of a 29-year old male presented with per rectal bleeding, diarrhea, generalized abdominal pain and fever for two weeks. After diagnosis suspicion, emergency exploratory laparotomy was performed, where resection of the ulcerated part of the caecum and terminal ileum was performed. Microscopically analysis, diagnosed heavy infestation with Trichuris trichiura. It was complicated with Salmonella typhi infection confirmed later from the blood culture result. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2798577 Tue, 15 Sep 2009 23:00:00 +0100 2798577 http://www.medworm.com/index.php?rid=2798576&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F9289 Conclusion: Our case-report serves to remind us of the need to bear in mind other possible pathologies outwith our own area of expertise when interpreting results of any kind. This is perhaps increasingly important in the current era of increasing sub-specialisation throughout medicine. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2798576 Tue, 15 Sep 2009 23:00:00 +0100 2798576 http://www.medworm.com/index.php?rid=2798575&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F9285 We present a case of 72 year old female with known Crohn's disease with acute right iliac fossa pain. She was investigated with an abdominal CT, giving a definite diagnosis of gallstone ileus. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2798575 Tue, 15 Sep 2009 23:00:00 +0100 2798575 http://www.medworm.com/index.php?rid=2798574&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F6482 Conclusion: Neglected omental cysts as in this case may grow to enormous size, undergo malignant transformation and poses serious diagnostic and surgical challenges. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2798574 Tue, 15 Sep 2009 23:00:00 +0100 2798574 http://www.medworm.com/index.php?rid=2798573&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8780 We report a case of carcinoma of the uncinate process of the pancreas in a patient who initially presented with deep vein thrombosis. The diagnosis of carcinoma of the uncinate process of the pancreas should be considered in patients who present with primary thromboembolic disease and other nonspecific signs. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2798573 Tue, 15 Sep 2009 23:00:00 +0100 2798573 http://www.medworm.com/index.php?rid=2798572&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F7833 An 18-year-old male patient presented with chronic nonspecific pain of three months located at his left proximal tibia. The patient was admitted to our department for plain X-ray, computed tomography and magnetic resonance imaging examination. Plain x-ray and computed tomography revealed a geographic lytic lesion at the medial aspect of the proximal tibia. Biopsy of the lesion showed telangiectatic osteosarcoma. Image findings of all modalities are presented. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2798572 Tue, 15 Sep 2009 23:00:00 +0100 2798572 http://www.medworm.com/index.php?rid=2798591&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F9274 We report a case of 58 year old Caucasian male who presented with a 5 month history of increased frequency of urination, nocturia and weight loss without any fever or hematuria. He was found to have an increased creatinine of 2.8mg/dl and a prostate specific antigen level of 0.18 ng/ml. His azotemia was thought to be secondary to BPH. A Foley catheter was initially placed with a plan for outpatient follow up. On removal of the catheter his problems persisted and he returned to the hospital. Diagnostic work up including abdominal ultrasonography, computed tomography scan, retrograde pyelogram, cystography and cystoscopic biopsies revealed the diagnosis of primary signet ring cell carcinoma of urinary bladder. Although cystectomy was planned, our patient passed away before this could be done... Cases Journal journals http://www.medworm.com/rss/comments.php?id=2798591 Mon, 14 Sep 2009 23:00:00 +0100 2798591 http://www.medworm.com/index.php?rid=2798590&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8402 Conclusion: It is suggested that radiotherapy is a good treatment modality in patients with glomus tumor, and metabolic imaging and treatment planning with positron emission tomography computed tomography is superior to other imaging modalities. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2798590 Mon, 14 Sep 2009 23:00:00 +0100 2798590 http://www.medworm.com/index.php?rid=2798589&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8755 We report the case of an elderly lady who underwent laparotomy for an incarcerated femoral hernia and was found to have the catheter balloon stuck into a bladder diverticulum in the femoral canal and coexisting small bowel diverticular perforation. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2798589 Mon, 14 Sep 2009 23:00:00 +0100 2798589 http://www.medworm.com/index.php?rid=2798588&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F7836 We describe a rare case of hepatic subcapsular biloma after open cholecystectomy successfully treated by percutaneous drainage. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2798588 Mon, 14 Sep 2009 23:00:00 +0100 2798588 http://www.medworm.com/index.php?rid=2798587&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8278 We describe the case of a 78-year-old woman admitted to our department for suspected silent myocardial ischaemia with the evidence of T wave inversion in anterior lead. All the instrumental exams excluded inducible myocardial ischaemia. A gastroscopy showed a moderate hiatal hernia. We postulate that electrocardiogram modification could be attributed to hiatal hernia. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2798587 Mon, 14 Sep 2009 23:00:00 +0100 2798587 http://www.medworm.com/index.php?rid=2798586&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F9192 Conclusion: Bobcat attacks on humans are very rare and extremely suspicious for rabies infection of the animal. Ophthalmologists need to be aware of the importance of immediate and appropriate post exposure rabies vaccination. Proper rabies immunoglobulin administration in the setting of globe injuries is challenging and we report on the Center for Disease Control and Prevention recommendations for globe injuries. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2798586 Mon, 14 Sep 2009 23:00:00 +0100 2798586 http://www.medworm.com/index.php?rid=2798585&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8326 We report a typical case of injection-site granuloma attributed to subcutaneous administration of leuprorelin acetate, an LHRH agonist. A 70-year-old man who had undergone total prostatectomy and was subsequently given leuprorelin injections for prostatic cancer presented with bilateral nodules in the lower abdominal wall. An excisional biopsy revealed a non-caseous epithelioid granuloma consisting of CD-68 positive histiocytic cells with infiltration of T-lymphocytes and eosinophils; skin metastasis from prostatic adenocarcinoma was ruled out through histological and immunohistochemical analysis. Generally, granulomas may be caused by delayed-type hypersensitivity to the constituents of leuprorelin acetate injections. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2798585 Mon, 14 Sep 2009 23:00:00 +0100 2798585 http://www.medworm.com/index.php?rid=2794702&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F7766 Conclusions: There is a need to adequately equip our hospitals for the management of this otherwise straight forward case and alleviate the sufferings of our people. Parents and guardians should exercise caution in the handling of their children/wards. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2794702 Mon, 14 Sep 2009 23:00:00 +0100 2794702 http://www.medworm.com/index.php?rid=2794701&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F6838 This case report presents a 56-year-old man with right upper limb weakness which arose 22 years after initial local radiation treatment for a grade III fibrosarcoma. Nerve conduction studies revealed impairment of all three major upper limb nerves compared with the left, with particular impairment of the median and ulnar nerves in the most fibrotic area that had been irradiated. In addition, the patient received multiple courses of chemotherapy. The occurrence of radiation-induced brachial plexopathy should be considered in patients presenting with limb pain or weakness even many years after radiation therapy. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2794701 Mon, 14 Sep 2009 23:00:00 +0100 2794701 http://www.medworm.com/index.php?rid=2794700&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F6784 Esophageal perforation is a serious condition with a high mortality rate. Successful therapy depends on the size of the rupture; the time elapsed between rupture and diagnosis, and the underlying health of the patient. Common causes of esophageal perforation include medical instrumentation, foreign-body ingestion, and trauma. A case of esophageal perforation due to fish bone ingestion in a 67-year-old male is described here, with a review of the pertinent literature. The patient presented with chest pain, fever and right-sided pleural effusion. Initial evaluation was nondiagnostic. The water-soluble contrast swallow test showed no evidence of leakage. Computed tomography scan demonstrated a pneumomediastinum, and right-sided hydropneumothorax. The patient was successfully treated using con... Cases Journal journals http://www.medworm.com/rss/comments.php?id=2794700 Mon, 14 Sep 2009 23:00:00 +0100 2794700 http://www.medworm.com/index.php?rid=2794699&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F7927 Genotype 4 Hepatitis C virus represents approximately 20% of global Hepatitis C virus infection and is the source of a considerable burden to health-care providers across the globe. Many studies reported that interferon reduces the risk of hepatocellular carcinoma in patients with chronic hepatitis C. Hereby, we are reporting two cases of hepatocellular carcinoma in Hepatitis C virus-genotype 4 after complete viral eradication and in absence of cirrhosis. We aim to highlight the possible direct oncogenic effect of Hepatitis C virus -genotype 4, particularly with concomitant bilharzial infection and the importance of life-log follow up of these patients even in absence of cirrhosis. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2794699 Mon, 14 Sep 2009 23:00:00 +0100 2794699 http://www.medworm.com/index.php?rid=2794698&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F6835 Coronary artery anomalies occur in approximately 0.3% to 0.8% of the population, and include morphological variants of origin, course, or termination. Detection of these types of anomalously originating coronary arteries is crucial for therapeutic intervention. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2794698 Mon, 14 Sep 2009 23:00:00 +0100 2794698 http://www.medworm.com/index.php?rid=2794697&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F9029 Conclusion: A thorough examination and proper workup are necessary to determine the exact cause and rule out serious conditions. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2794697 Mon, 14 Sep 2009 23:00:00 +0100 2794697 http://www.medworm.com/index.php?rid=2794696&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F6718 In the last decade, several sophisticated and accurate imaging methods such as positron emission tomography have been developed in order to evaluate malignant potential in enlarged mediastinal lymph nodes. This case illustrates an unusual presentation of sarcoidosis that mimicked lymphatic metastases of non small cell lung carcinoma. The reported high specificity and sensitivity of positron emission tomography -Computer Tomography regarding mediastinal staging could lead in same cases of false positives to a delaying of stage adapted therapy of non small cell lung carcinoma, showing that despite the recent advances of imaging techniques, such as positron emission tomography - computer tomography, several limitations of this imaging technique are still existing. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2794696 Mon, 14 Sep 2009 23:00:00 +0100 2794696 http://www.medworm.com/index.php?rid=2794695&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F9237 Conclusion: Aspartame had a vestibulocochlear toxicity in a pair of siblings, suggesting a genetic susceptibility to aspartame toxicity. Even though the yield may be low, asking patients with dizziness, vertigo, tinnitus, or high-frequency hearing loss about their aspartame consumption and suggesting cessation of its use, may prove helpful for some. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2794695 Mon, 14 Sep 2009 23:00:00 +0100 2794695 http://www.medworm.com/index.php?rid=2794694&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F7978 The case illustrates the myriad of fulminating complications due to Clostridium difficile infection in a previously healthy individual without any risk factors. Community acquired Clostridium difficile infection can occur even many weeks after the course of broad spectrum antibiotics. There is no definitive pattern or guidelines to predict who would develop the fulminating complications. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2794694 Mon, 14 Sep 2009 23:00:00 +0100 2794694 http://www.medworm.com/index.php?rid=2794693&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F7201 Conclusion: Membranoproliferative glomerulonephritis has been known to be associated with both chronic lymphocytic leukemia and non-Hodgkin's lymphoma, particularly with B cell lymphocytic type non-Hodgkin's lymphoma. There is limited information available concerning the effects of treatment of non-Hodgkin's lymphoma on the progression of non-Hodgkin's lymphoma associated membranoproliferative glomerulonephritis. In the few reported cases we found, long term follow up after initial resolution of the membranoproliferative glomerulonephritis was lacking. This report presented a rare case of non-Hodgkin's lymphoma associated membranoproliferative glomerulonephritis, that continued to be in remission during eleven years of follow up after initial chemotherapy treatment of lymphoma. (Source: Ca... Cases Journal journals http://www.medworm.com/rss/comments.php?id=2794693 Mon, 14 Sep 2009 23:00:00 +0100 2794693 http://www.medworm.com/index.php?rid=2791778&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8881 Conclusion: Cutting balloon angioplasty of renal artery lesions resistant to conventional balloon angioplasty should not be considered as safe as previously thought. When proceeding with such a procedure, a stent graft should be available for immediate use. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2791778 Sun, 13 Sep 2009 23:00:00 +0100 2791778 http://www.medworm.com/index.php?rid=2791777&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F6857 Vertebral osteomyelitis is an uncommon complication of infective endocarditis with the organism Streptococcus viridans being a rare cause of the condition. This case highlights an unusual presentation of Streptococcus viridans associated with infective endocarditis and pyogenic osteomyelitis in a patient following a dental procedure. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2791777 Sun, 13 Sep 2009 23:00:00 +0100 2791777 http://www.medworm.com/index.php?rid=2791776&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F6821 We report a case of primary aorto enteric fistula in a 62 year old man whose diagnosis was only made at laparotomy. A high index of suspicion along with a good history and physical exam is critical for making a successful diagnosis. Surgical exploration is warranted if other investigation is not conclusive. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2791776 Sun, 13 Sep 2009 23:00:00 +0100 2791776 http://www.medworm.com/index.php?rid=2791775&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F6555 Conclusion: The anomaly of situs viscerum inversus influenced the surgical strategy in this case because of the vascular and lymphatic anomalies. Lymphatic vessels were therefore marked with subserosal injection of patent blue in the proximity of the tumor. Subsequently, right colectomy was performed. Colectomy extended from the distal ileum to the descending colon, by ligature of the right colic artery and vein at the origin from the superior mesenteric vessels. Patent blue guided lymphadenectomy was also performed with curative intent. Finally, a mechanical ileo-colic anastomosis was carried out. After right colectomy and ileo-descending anastomosis, the Ladd's procedure for intestinal malrotation was unnecessary. The authors believe that this strategy, despite the anatomical difficultie... Cases Journal journals http://www.medworm.com/rss/comments.php?id=2791775 Sun, 13 Sep 2009 23:00:00 +0100 2791775 http://www.medworm.com/index.php?rid=2791774&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8766 Conclusion: In conclusion, we report that the coexistence of Myasthenia Gravis with Autoimmune thyroid disease might have prognostic relevance and occurs in a subgroup of myasthenia gravis patients with a mild form of the disease. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2791774 Sun, 13 Sep 2009 23:00:00 +0100 2791774 http://www.medworm.com/index.php?rid=2791773&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F6746 Conclusion: Identifying these types of variations is important during imaging this region and surgical operations of mediastinum. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2791773 Sun, 13 Sep 2009 23:00:00 +0100 2791773 http://www.medworm.com/index.php?rid=2791772&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F7343 We report a case of inadvertent penetration of the tibio-talar joint by the smooth guide wire caused by incarceration of a fracture fragment between the nail and the guide wire at the time of insertion. This was noted intra-operatively. The guide-wire and the nail were removed followed by insertion of a new nail and completion of the procedure. The patient did not have any symptoms attributable to this at the time of healing of her fracture. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2791772 Sun, 13 Sep 2009 23:00:00 +0100 2791772 http://www.medworm.com/index.php?rid=2791771&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F7275 Conclusion: This case shows the use of computed tomography in demonstrating the primary cause of iron deficiency anaemia, and at the same time, staging the disease for loco-regional metastasis. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2791771 Sun, 13 Sep 2009 23:00:00 +0100 2791771 http://www.medworm.com/index.php?rid=2784025&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F7770 We report a case study of a 55-year-old white male with severe persistent refractory corticosteroid- dependent asthma receiving inhaled combination therapy with fluticasone propionate 500 microgram and salmeterol 50 microgram twice-daily in addition to 6-week cycles of oral corticosteroid treatment for the previous 7 months. The patient was switched to high-dose mometasone furoate delivered via a dry powder inhaler (660 microgram twice-daily) for 6 weeks. Considerable improvement from baseline in peak expiratory flow, use of rescue medication, and asthma symptoms of coughing and wheezing was observed. The patient discontinued the oral corticosteroid after 1 week of high-dose mometasone furoate treatment. Plasma cortisol value at 8 a.m. was 8.4 microgram/dL (normal range, 4.3-22.6 microgram... Cases Journal journals http://www.medworm.com/rss/comments.php?id=2784025 Thu, 10 Sep 2009 23:00:00 +0100 2784025 http://www.medworm.com/index.php?rid=2784024&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F6773 Non-typhoid Salmonella and Mycobacterium avium complex infections are part of the constellation of infections seen with increasing frequency in patients with acquired immuned deficiency syndrome. The incidence has reduced significantly since highly active antiretroviral therapy era, but their critical nature is unchanged. The co-existence of these infections and the accompanied increased mortality is presented in this case report. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2784024 Thu, 10 Sep 2009 23:00:00 +0100 2784024 http://www.medworm.com/index.php?rid=2784023&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F7011 Conclusion: Essential thrombocythemia should be considered as a differential cause in patient presenting with atypical chest pain, vasomotor symptoms and high platelet counts. These symptoms are generally more bothersome than dangerous and are usually controlled by low dose aspirin therapy. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2784023 Thu, 10 Sep 2009 23:00:00 +0100 2784023 http://www.medworm.com/index.php?rid=2784022&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F7805 Conclusion: Considering the prevalence of cancer, it is imperative that clinicians be mindful of occult carcinoma as the cause of suspicious intramedullary spinal cord lesion. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2784022 Thu, 10 Sep 2009 23:00:00 +0100 2784022 http://www.medworm.com/index.php?rid=2784021&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8982 Conclusion: Splenosis is a benign condition after traumatic splenectomy which should be taken into account in the differential diagnosis with peritoneal seeding of malignancy because its appearance may resemble malignancy. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2784021 Thu, 10 Sep 2009 23:00:00 +0100 2784021 http://www.medworm.com/index.php?rid=2784020&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F6557 Acute Fulminant Necrotizing Amoebic Colitis is a rare complication of amoebiasis that is associated with high mortality. Only one to four such cases are seen per year in large hospitals of India, and only few such cases have been reported in the literature. The condition requires early diagnosis and surgical intervention. We recently cared for a patient who presented with acute abdomen with history of intermittent abdominal pain and diarrhea. Before presenting to our institution he was misdiagnosed as a case of inflammatory bowel disease and had been treated with steroids. On emergency exploration, extensive necrosis and multiple perforations in retroperitoneum involving entire colon were seen. Total colectomy with ileostomy was performed. Postoperative course was marked by septicaemia and... Cases Journal journals http://www.medworm.com/rss/comments.php?id=2784020 Thu, 10 Sep 2009 23:00:00 +0100 2784020 http://www.medworm.com/index.php?rid=2784019&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F7150 Splenic artery aneurysms are rare. We discuss a case of a 58 year-old gentleman presenting with collapse and shock secondary to spontaneous splenic artery aneurysm rupture. Patient underwent laparotomy and splenectomy then discharged home within a week of presentation. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2784019 Thu, 10 Sep 2009 23:00:00 +0100 2784019 http://www.medworm.com/index.php?rid=2784018&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F6414 Conclusions: Access to Health care in general and access to emergency obstetric care in particular were challenges faced by the deceased women. Poor quality of health services, especially at hospital level, was also seen in terms of admission to the medical ward when she faced probable puerperal sepsis and its complications. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2784018 Thu, 10 Sep 2009 23:00:00 +0100 2784018 http://www.medworm.com/index.php?rid=2784017&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F6912 Conclusion: The atypical presentation of cavernous orbital hemangioma with early infantile onset, merits attention. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2784017 Thu, 10 Sep 2009 23:00:00 +0100 2784017 http://www.medworm.com/index.php?rid=2784016&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F6390 Venous thromboembolus is an important cause of hospital acquired morbidity and mortality. Venous thrombosis is a very rare occurrence in patients with haemophilia A. The thrombosis originated from the right main and external iliac veins, and effects the cranial segments of the main, deep and superficial femoral veins as an acute phase thrombus. Neither any local anatomic compression nor any predisposing thrombophilic risk factors were identified. We treated the patient with enoxaparine 1 mg/kg twice a day subcutaneously and then started oral anticoagulation with warfarin. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2784016 Thu, 10 Sep 2009 23:00:00 +0100 2784016 http://www.medworm.com/index.php?rid=2784015&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8872 We report a case of chronic lymphocytic leukemia with a characteristic cytogenetics finding detected by fluorescent in situ hybridization. This case has deletion in p53 gene in 50% of interphase nuclei studied in the peripheral blood and polyploidy in 30% of cells. To our knowledge polyploidy is not commonly reported with chronic lymphocytic leukemia patients. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2784015 Thu, 10 Sep 2009 23:00:00 +0100 2784015 http://www.medworm.com/index.php?rid=2784014&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F6808 Acute adult pharyngitis is a common reason to visit the primary care physician's office. Without knowledge of the natural course of acute pharyngitis in the adult patient, it can be easy to miss a serious complication. We offer the case of a 46 year-old man who initially presented with acute pharyngitis and eventually developed a peritonsillar abscess requiring intubation and intensive care unit admission. We hope to further clarify the normal natural history of adult pharyngitis and suggest clinical guidelines in the event of worsening pharyngitis. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2784014 Thu, 10 Sep 2009 23:00:00 +0100 2784014 http://www.medworm.com/index.php?rid=2784013&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8212 A 35-year-old Chinese female experienced sudden onset of right knee pain one day after a charity hiking event with no history of injury. The pain was neither relieved with diclofenic sodium nor acetaminophen and she subsequently received various modalities of physiotherapy treatment. The pain disappeared within six weeks and she was able to resume full activity. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2784013 Thu, 10 Sep 2009 23:00:00 +0100 2784013 http://www.medworm.com/index.php?rid=2784012&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F9238 The authors describe a case of a 31-year-old female with tuberous sclerosis, a genetic, rare, variably expressed disease. Clinical symptoms were chest pain, and progressive dyspnea. Computed tomography scan of the chest showed bilateral, diffuse, small thin-walled cysts scattered throughout the lungs characteristic for pulmonary lymphangioleiomyomatosis. Computed tomography scan of the abdomen revealed enlarged, heterogeneous kidneys, with low density tumors corresponding to angiomyolipomas. Pulmonary lymphangioleiomyomatosis and bilateral renal angiomyolipomas are some presentations of tuberous sclerosis and the coexistence of both conditions may cause devastating morbidity and mortality. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2784012 Thu, 10 Sep 2009 23:00:00 +0100 2784012 http://www.medworm.com/index.php?rid=2780270&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8142 We report a case of acute myocardial infarction and syncope in an 18-year-old athlete during high-performance exercise. A coronary arteriography and an angiographic computed tomography scan subsequently revealed a left coronary arterial origin from the right aortic sinus along with an intramural course of the left main stem. The patient was successfully treated with surgical unroofing of the left main stem from inside the aorta. To our knowledge, this is the first report demonstrating this type of anomaly pre- and postoperatively by use of angiographic computed tomography scan in the context of acute coronary syndrome. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2780270 Wed, 09 Sep 2009 23:00:00 +0100 2780270 http://www.medworm.com/index.php?rid=2780269&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8778 Conclusion: Spectral domain optical coherence tomography is an emerging modality in imaging of the retina and reveals ultrastructural changes occurring in various retina pathologies. In this case report we illustrate the use of spectral domain optical coherence tomography for the first time to document retinal changes overlying a choroidal hemangioma and its role as a non-invasive tool in planning the treatment and prognosticating the final visual outcome following treatment for circumscribed subfoveal choroidal hemangiomas. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2780269 Wed, 09 Sep 2009 23:00:00 +0100 2780269 http://www.medworm.com/index.php?rid=2780268&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F7864 We present a case report of an unusual presentation of a rare complication following metacarpophalangeal joint replacement performed 17 years ago. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2780268 Wed, 09 Sep 2009 23:00:00 +0100 2780268 http://www.medworm.com/index.php?rid=2780267&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F7860 A 14 year old male presented to the neurosurgical clinic with swelling just above the right eye which had been growing slowly for the last eight years. The swelling first appeared following a non-penetrating trauma eight years ago. On examination it was a non-tender, non-erythematous, firm, round swelling causing marked proptosis and diplopia on downward gaze only. The visual acuity was intact. MRI showed an intraorbital, extraconal mass isointense on T1 and hypointense on T2 imaging. A diagnosis of orbital tumor was made. A white, friable mass consistent with meningioma was resected. However histopathology report later showed it to be an Aspergilloma. The patient was successfully treated with anti-fungal medicine and was disease-free at one year follow-up. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2780267 Wed, 09 Sep 2009 23:00:00 +0100 2780267 http://www.medworm.com/index.php?rid=2780266&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8070 Conclusion: Bronchogenic cyst should be included in the differential diagnosis of a child with cough, dyspnea, and fever. Although rare, we stress the importance of keeping mycobacterial infection in mind in cases of an infected cyst. Acid-fast culture should be done on sputum and cyst contents. Due to the frequency of negative cultures, stains should also be performed on resected cyst specimens. Antibiotic therapy should be considered and administered based on the extent of infection. All symptomatic or enlarging cysts warrant surgical excision. Prophylactic removal of asymptomatic cysts is recommended due to higher rates of perioperative complications once cysts become symptomatic. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2780266 Wed, 09 Sep 2009 23:00:00 +0100 2780266 http://www.medworm.com/index.php?rid=2780265&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8186 We present a case of a 66-year-old female patient who presented with obscure anemia due to gastrointestinal bleeding and underwent exploratory laparotomy during which a large gastrointestinal stromal tumour of the small intestine was discovered. Examining the preoperative results of video capsule endoscopy, computed tomography, and angiography and comparing them with the operative findings we discuss which of these investigations plays the most important role in the detection and localization of gastrointestinal stromal tumours. A sort review of the literature is also conducted on these rare mesenchymal tumours. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2780265 Wed, 09 Sep 2009 23:00:00 +0100 2780265 http://www.medworm.com/index.php?rid=2780264&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8950 Conclusion: Maneuvers during copious childbirth should be applied from trained personnel and should be performed safely. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2780264 Wed, 09 Sep 2009 23:00:00 +0100 2780264 http://www.medworm.com/index.php?rid=2780263&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F7572 Conclusion: X-linked hypophosphatemic rickets is an uncommon disorder of phosphate metabolism resulting in bone deformity. Patients are predisposed to the development of secondary hyperparathyroidism due to chronic vitamin D supplementation which may progress to tertiary hyperparathyroidism with autonomous parathyroid function. Preoperative evaluation with Technitium-99 m Sestamibi SPECT and ultrasound imaging, as well as the use of intraoperative parathyroid hormone are effective in guiding surgical resection. Subtotal parathyroidectomy with cryopreservation is indicated to produce operative cure and limit the risk of recurrence. Although these patients are susceptible to severe postoperative bone hunger, appropriate supplementation with intravenous and oral calcium can minimize hypocalce... Cases Journal journals http://www.medworm.com/rss/comments.php?id=2780263 Wed, 09 Sep 2009 23:00:00 +0100 2780263 http://www.medworm.com/index.php?rid=2780262&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8048 A 34-year-old female presented with right hypochondrial pain of 6 months following an uneventful open cholecystectomy about 5 years ago. A firm intra abdominal lump was felt in the right hypochondrium. Ultrasonography and computed tomography of the abdomen showed a large cystic lesion in relation to the porta hepatis. On exploration, a large cystic mass was found in relation to the undersurface of liver, adherent to the colon and duodenum. The cyst was excised leaving a cuff of cyst wall, densely adherent to the duodenum. A small opening with bile trickling through it was noted in the region of the confluence of hepatic ducts. Choledochotomy was done and T-tube placed. The bilious output from the sub-hepatic drain gradually decreased and the repeat T-tube cholangiogram on 14th day followin... Cases Journal journals http://www.medworm.com/rss/comments.php?id=2780262 Wed, 09 Sep 2009 23:00:00 +0100 2780262 http://www.medworm.com/index.php?rid=2780261&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8951 Conclusion: The hormonal status should be carefully investigated in all cases of suspected ACC, as the pattern of hormone secretion may be a clue to the malignancy of an adrenal lesion. In addition, more data are needed to clarify the clinical and prognostic significance of the combined production of all adrenocortical hormones affecting either the survival or the quality of life of ACC patients. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2780261 Wed, 09 Sep 2009 23:00:00 +0100 2780261 http://www.medworm.com/index.php?rid=2776414&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8827 Conclusion: It is very important to recognize on time Marfan syndrome, as preventive actions that should be undertaken can avoid its serious consequences. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2776414 Tue, 08 Sep 2009 23:00:00 +0100 2776414 http://www.medworm.com/index.php?rid=2776413&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8559 Conclusion: Acute ethanol poisoning has the potential to prolong the PR interval in adults with first-degree atrioventricular block and provoke intermittent second- and third-degree atrioventricular blocks, possibly by its direct inhibitory action on the conduction system and increasing parasympathetic tone due to nausea and vomiting. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2776413 Tue, 08 Sep 2009 23:00:00 +0100 2776413 http://www.medworm.com/index.php?rid=2776412&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F7619 We present the case of a 45-year-old man with Barrett's oesophagus, in which the histology of routine biopsies of an asymptomatic patient, were reported as 'carcinoma in situ'. Further biopsies were taken over a three month period but showed no evidence of malignancy. Tissue contamination or 'cross over' was identified as the likely cause of the abnormal result. This case report highlights the importance of the correlation of the clinical and histopathological findings and tissue contamination should be considered when both of these findings are not consistent. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2776412 Tue, 08 Sep 2009 23:00:00 +0100 2776412 http://www.medworm.com/index.php?rid=2776411&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F7509 The authors report and discuss a case of bilateral renal artery stenosis in a hypertensive 9 year-old girl that was first suspected with 99mTechnetium-dimercaptosuccinic acid renal scintigraphy. The scintigraphy showed signs of acute renal failure while the patient was on enalapril for controlling her hypertension. Bilateral renal artery stenosis was confirmed with computed tomography angiography. Hypertension resolved after bilateral renal artery angioplasty. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2776411 Tue, 08 Sep 2009 23:00:00 +0100 2776411 http://www.medworm.com/index.php?rid=2776410&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8074 A 29-year-old Indian female patient presented clinically as a case of acute appendicitis. Peroperative finding showed inflamed diverticula of an appendix without perforation. Macroscopically, the rest of the appendix appeared normal. Histopathological examination confirmed appendicular diverticulitis in a noninflamed appendix. The vermiform appendix can rarely be a site of development of diverticula which may be inflamed or noninflamed, with or without appendicitis. Appendicular diverticulosis can present either with chronic abdominal pain or with acute abdominal pain as acute appendicitis. Thay may be completely asymptomatic. It can be associated with various complications resulting increased morbidities and mortalities. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2776410 Tue, 08 Sep 2009 23:00:00 +0100 2776410 http://www.medworm.com/index.php?rid=2776409&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8095 An 18-year-old male with type 1 diabetes mellitus presented to the emergency department after one day of lethargy and vomiting. Physical examination revealed a dehydrated male with tachycardia and Kussmaul's respiration. There was subcutaneous emphysema in both supraclavicular regions. Chest auscultation revealed a positive Hamman's sign. Laboratory investigation was significant for metabolic acidosis with venous blood pH 7.08. Plasma glucose was 1438 mg/dl; ketones were present in the urine. Chest X-ray showed subcutaneous emphysema and pneumomediastinum, which resolved spontaneously within 72 hours of initiation of treatment for diabetic ketoacidosis.Pneumomediastinum is an uncommon complication of diabetic ketoacidosis. Recognizing that severe diabetic ketoacidosis may cause pneumomedia... Cases Journal journals http://www.medworm.com/rss/comments.php?id=2776409 Tue, 08 Sep 2009 23:00:00 +0100 2776409 http://www.medworm.com/index.php?rid=2776408&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F7298 Conclusion: Patients with bilateral synchronous adrenal metastases should be considered to have disseminated metastatic disease. However, good performance status, the presence of paraneoplastic syndrome and the alleviation of refractory pain are important reasons make an urologist to consider radical nephrectomy in RCC patient with metastases. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2776408 Tue, 08 Sep 2009 23:00:00 +0100 2776408 http://www.medworm.com/index.php?rid=2776407&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F7039 We present a case of 30 year old female having tuberculous involvement of the costochondral junction and presenting as a lump in the lower inner & outer quadrant of right breast. Surgical exploration and histopathological evaluation revealed costochondral junction tuberculosis and secondary abscess formation in the right breast. The lump was located in the breast rather than the usual retromammary location, when arising from chest wall or internal mammary nodes. This unusual manifestation of tuberculosis should be included in differential diagnosis of patients presenting with a breast mass and high risk of tuberculosis. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2776407 Tue, 08 Sep 2009 23:00:00 +0100 2776407 http://www.medworm.com/index.php?rid=2776406&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F7831 We present a unique case of a four-year healthy, uncircumcised boy with multiple pyogenic granuloma on the mucous face of the penis foreskin. Although penile multiple pyogenic granulomas have previously been described in adults, there are no reports of similar problems in children. In this patient, the pathogenesis of the lesions is probably trauma related as reported in the anamnesis. Therapeutic options are discussed. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2776406 Tue, 08 Sep 2009 23:00:00 +0100 2776406 http://www.medworm.com/index.php?rid=2776405&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8434 Sjogren-Larsson syndrome is a rare autosomal recessive disorder that was originally recognized in the coexistence of congenital ichthyosis, spastic diplegia or quadriplegia and mental retardation. We recently saw two cases with characteristic features of this rare syndrome. Two brothers aged 21 and 25 years presented with triad of congenital ichthyosis, mental retardation and spastic diplegia. Magnetic resonance imaging showed demyelinating disease in one of these cases. Electrodiagnostic studies were normal in all cases. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2776405 Tue, 08 Sep 2009 23:00:00 +0100 2776405 http://www.medworm.com/index.php?rid=2776404&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8644 Conclusion: Self retraction of the urethral catheter with balloon may result with clinically important urethral fistula. A wide range of possible options such as complete excision of the fistula tract and primary closure may be considered for individual cases. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2776404 Tue, 08 Sep 2009 23:00:00 +0100 2776404 http://www.medworm.com/index.php?rid=2776403&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8080 A 38-year-old South African lady with a background history of cervical intra-epithelial neoplasia and recent colposcopy presented to the emergency department with severe abdominal pain. Initial investigations were non-diagnostic and despite empirical antibiotic therapy the patient developed peritonism. Post-laprotomy the diagnosis of severe pelvic inflammatory disease and peritonitis secondary to infection with Neisseria gonorrhoea was established. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2776403 Tue, 08 Sep 2009 23:00:00 +0100 2776403 http://www.medworm.com/index.php?rid=2776402&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8570 Conclusion: The formation of pneumatoceles in adult pulmonary tuberculosis can occur before, during or after antituberculous treatment, and the development of complications of pneumatoceles was variable. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2776402 Tue, 08 Sep 2009 23:00:00 +0100 2776402 http://www.medworm.com/index.php?rid=2776401&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8317 This article describes a case of adenomatous colonic polyps, adenocarcinoma of sigmoid colon and concurrent malignant carcinoid tumour of ileocaecal junction, detected on colonoscopic examination. The radiological staging investigations revealed no distant spread of disease. The patient was effectively treated with subtotal colectomy, resection of terminal ileum, excision of locoregional lymph nodes and the bowel continuity was restored with stapled ileo-rectal anastomosis. This article is as an example of concomitant presence of two types of malignant tumours, effectively managed surgically. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2776401 Tue, 08 Sep 2009 23:00:00 +0100 2776401 http://www.medworm.com/index.php?rid=2776400&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8579 Conclusion: In this case, clubbing was most probably caused by the occult tumor rather than by respiratory bronchiolitis-associated interstitial lung disease. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2776400 Tue, 08 Sep 2009 23:00:00 +0100 2776400 http://www.medworm.com/index.php?rid=2776399&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F7532 Conclusion: Symptomatic giant ingested foreign bodies represent a management challenge sometimes and usually necessitate surgical intervention when all conservative means fail. We review the literature on management of giant ingested foreign bodies. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2776399 Tue, 08 Sep 2009 23:00:00 +0100 2776399 http://www.medworm.com/index.php?rid=2776398&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F7765 Conclusion: The administration of systemic corticosteriods did not cause any major changes in outcome in our cases. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2776398 Tue, 08 Sep 2009 23:00:00 +0100 2776398 http://www.medworm.com/index.php?rid=2776397&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8848 Of all the epidermoid cysts encountered throughout the body, only 7% occurs in the head and neck area, with the oral cavity accounting for only 1.6%. Intraorally this benign slow growing and painless entity is usually located in the submandibular, sublingual and submental region. They can cause symptoms of dysphagia and dyspnoea and have a malignant transformation potential. Surgical excision is the treatment of choice. Described here is a case of gigantic sublingual epidermoid cyst. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2776397 Tue, 08 Sep 2009 23:00:00 +0100 2776397 http://www.medworm.com/index.php?rid=2776396&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8622 Conclusions: The surface is highly keratinized and no further growth was evidenced during the two year of follow-up. Early detection and biopsy is necessary to determine the clinical behavior of the tumor and potential dentoalveolar complications. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2776396 Tue, 08 Sep 2009 23:00:00 +0100 2776396 http://www.medworm.com/index.php?rid=2776395&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F7901 Right iliac fossa pain, nausea and vomiting in young adults are common symptoms that require careful surgical assessment with acute appendicitis being a common cause. Uncommonly, other conditions can mimic this presentation such as caecal diverticulitis. This condition is often misdiagnosed due to lack of characteristic features and the commonest method of detection is an intraoperative one. Hereby, we describe a rare case of right iliac fossa pain in a 34-year-old female which mimicked an acute appendicitis. The ability to recognize such condition is vital as its management is different and worse outcome can be prevented by earlier detection and proper management. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2776395 Tue, 08 Sep 2009 23:00:00 +0100 2776395 http://www.medworm.com/index.php?rid=2776394&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F6865 Conclusion: We report one case of severe tetanus. In this case, several types of sedative were administrated and most of them were high doses. The patient recovered while no complications remained. This case report indicated that combination and high dose of sedation for severe tetanus were feasible. We recommend this treatment as the guidance of similar patients. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2776394 Tue, 08 Sep 2009 23:00:00 +0100 2776394 http://www.medworm.com/index.php?rid=2776393&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8841 Adrenal cysts are rare clinical entities that can present as acute abdomen through rupture and internal hemorrhage as well as chronic symptoms such as gastrointestinal disturbances. A 20-year-old girl presented to our hospital with a 4-years history of abdominal pain and diarrhea. Ultrasound of the abdomen revealed a cystic area measuring 10 x 10cm between the spleen and left kidney. Computed tomography scan showed a large cystic, homogeneous mass measuring 12.8 x 9.5 x 9.4 cm in the left hypochondrium with most likely origin from the left adrenal gland. Limited work up for hormone hypersecretion was negative. The patient was then encountered in the emergency room with an acute abdomen secondary to intracystic hemorrhage. A laparotomy with left adrenalectomy was performed. Final pathology ... Cases Journal journals http://www.medworm.com/rss/comments.php?id=2776393 Tue, 08 Sep 2009 23:00:00 +0100 2776393 http://www.medworm.com/index.php?rid=2773540&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F7983 In the last decade a significant rise in the prevalence of tuberculosis as well as in its extrapulmonary manifestations is detected worldwide. The central nervous system, the genitourinary tract, the organs of the abdomen and the skeletal system, are common sites of infection. Misdiagnosis and delay in treatment are common events. Herein, we present a case of a 78-year-old man non-smoker, with miliary tuberculosis complicated with tuberculous spondylitis. The patient presented with anemia and a left shoulder pain, accompanied by rigor and fever 37.5??C-38??C of one month duration. This entity is extremely rare, since only two similar cases have been reported in the English literature according to PubMed search. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2773540 Mon, 07 Sep 2009 23:00:00 +0100 2773540 http://www.medworm.com/index.php?rid=2773539&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8952 Conclusion: To the best of our knowledge, this is the first report in the literature of lobular capillary haemangioma in the nasal septum in West Africa. The case is reported due to the rarity of this lesion in our environment. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2773539 Mon, 07 Sep 2009 23:00:00 +0100 2773539 http://www.medworm.com/index.php?rid=2773538&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F7952 We present a 37-year-old male subject who presented with burning sensations in his hands and feet with generalised twitching of his limbs, trunk and face. His symptoms developed 2 weeks after an upper respiratory tract infection. There was associated facial flushing and disturbed night sleep but no memory impairment or generalised sweating. Examination showed generalised myokymia and fasciculations and electromyography revealed widespread continuous semi-rhythmic doublets and triplets of low frequency with interspersed silent periods. Anti voltage gated potassium channel (VGKC) antibodies, antinuclear antibodies, anti-acetylcholine receptor antibodies and the anti-neuronal antibodies anti Hu, anti Yo and anti Ri were all negative. His symptoms improved slightly on lamotrigine and amitripty... Cases Journal journals http://www.medworm.com/rss/comments.php?id=2773538 Mon, 07 Sep 2009 23:00:00 +0100 2773538 http://www.medworm.com/index.php?rid=2773537&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8529 Aneurysms of the hepatic artery are rare. This patient presented to the emergency department with severe epigastric pain and subsequently became haemodynamically unstable. Plain abdominal radiograph showed a ring lesion in the right upper quadrant, ultrasound scan demonstrated a mass with arterial blood flow, and computed tomography revealed a left hepatic artery aneurysm. At surgery, the ruptured aneurysm was identified and the left hepatic artery was successfully ligated. Prompt diagnosis is of paramount importance and crucial information may be gleamed from investigations in the emergency department. If a ruptured aneurysm is diagnosed, we recommend prompt referral to a surgical team for definitive management. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2773537 Mon, 07 Sep 2009 23:00:00 +0100 2773537 http://www.medworm.com/index.php?rid=2773536&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8751 Conclusion: This case is quite rare: only a few cases were presented in literature with an extended period of time before the clinical presentation of subsequent disease. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2773536 Mon, 07 Sep 2009 23:00:00 +0100 2773536 http://www.medworm.com/index.php?rid=2773535&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F6540 Conclusion: Pulmonary nodular amyloidosis should be considered in the differential diagnosis of pulmonary nodules or masses. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2773535 Mon, 07 Sep 2009 23:00:00 +0100 2773535 http://www.medworm.com/index.php?rid=2773534&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F9045 We report here a case of solitary bone sternal metastasis as an initial presentation of clear-cell renal cell carcinoma in a 56-year-old woman. The prognosis for patients with metastasized renal cell carcinoma is poor; treatment of metastasis is usually palliative and designed to provide comfort and pain relief. Palliative nephrectomy may be considered for control of symptoms. Radical nephrectomy associated with metastatic bone tumor resection is being tested to improve functional status and survival, especially when metastasis involves supporting bones. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2773534 Mon, 07 Sep 2009 23:00:00 +0100 2773534 http://www.medworm.com/index.php?rid=2773533&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8525 Conclusion: Peripheral arterial thromboembolic events in patients with amyloidosis are rare. An antiplatelet treatment is recommended in such patients with cardiac amyloidosis for the prevention of embolism. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2773533 Mon, 07 Sep 2009 23:00:00 +0100 2773533 http://www.medworm.com/index.php?rid=2773532&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F9068 Conclusion: Clinically and histologically necrotizing sialometaplasia may mimic malignant lesions. In the above presented case, the patient???s history was suggestive of a malignant process. Thus, knowledge and experience of both clinicians and histopathologists are essential to establish a correct diagnosis, which helps avoid radical surgery. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2773532 Mon, 07 Sep 2009 23:00:00 +0100 2773532 http://www.medworm.com/index.php?rid=2773531&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F6350 A middle aged primigravida was managed at the University of Nigeria Teaching Hospital, Enugu, Nigeria for a pituitary macroadenoma. She was admitted at 33 weeks gestational age following a history of blurred vision and generalized headache, worse on bending down. After neurological consultation and investigations, a diagnosis of pituitary macroadenoma with mass effect was entertained. A plan for neurosurgery after delivery was made and the patient put on bromocriptine to reduce tumour size. Premature labour at 35 weeks resulted in caesarean delivery of a live baby. She was managed in the intensive care unit for three days where oral bromocriptine was resumed before she was transfered to the postnatal ward. Within ten hours of the transfer, she developed accelerated hypertension with enceph... Cases Journal journals http://www.medworm.com/rss/comments.php?id=2773531 Mon, 07 Sep 2009 23:00:00 +0100 2773531 http://www.medworm.com/index.php?rid=2773530&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8857 Conclusion: Although generally considered safe, cooling and warming catheters can be associated with mechanical complications such as catheter-related venous thrombosis. Intensivists who use these devices should be aware of this possible complication. Finally, as with any other invasive catheter, to reduce the risk of complications, the catheter should be removed promptly when no longer needed. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2773530 Mon, 07 Sep 2009 23:00:00 +0100 2773530 http://www.medworm.com/index.php?rid=2773529&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8673 Conclusion: Primary pulmonary leiomyoma is a rare tumor distinct from benign metastasizing leiomyoma. Histologic features include absence of mitotic count, low cellularity, lack of cytologic atypia and pleomorphism. Treatment is by conservative surgical resection and carries a favorable prognosis. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2773529 Mon, 07 Sep 2009 23:00:00 +0100 2773529 http://www.medworm.com/index.php?rid=2764211&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F9079 Conclusion: Our present patient presented with the severe type of peripheral dysostosis. The differential diagnosis includes pseudo (PH) and pseudo-pseudohypoparathyroidism (PPH). The degree of peripheral dysostosis in Albright hereditary osteodystrophy/ normocalcemic pseudo-pseudohypoparathyroidism is less marked than these in our patient. In addition, soft tissue calcifications and intracranial calcifications were not a feature in our patient. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2764211 Thu, 03 Sep 2009 23:00:00 +0100 2764211 http://www.medworm.com/index.php?rid=2764210&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8588 Conclusion: This form of pyomyositis is a rare pyogenic infection, which may be difficult to diagnose and can easily be missed. Therefore, physicians should familiarise themselves with this condition and consider it as a possible differential diagnosis in patients presenting with an acutely painful hip. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2764210 Thu, 03 Sep 2009 23:00:00 +0100 2764210 http://www.medworm.com/index.php?rid=2764209&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8235 Conclusion The pulmonary epithelioid hemangioendothelioma is a tumour of unpredictable prognosis, is bad when linked to the plurifocal and symptomatic forms. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2764209 Thu, 03 Sep 2009 23:00:00 +0100 2764209 http://www.medworm.com/index.php?rid=2764208&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8032 Conclusion: Careful clinical observation, investigation and a high index of suspicion are necessary to effectively manage this condition. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2764208 Thu, 03 Sep 2009 23:00:00 +0100 2764208 http://www.medworm.com/index.php?rid=2764207&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8414 Adrenal myelolipoma is a rare benign neoplasm composed of mature adipose and hematopoietic tissue. Most lesions are small, unilateral and asymptomatic, discovered incidentally at autopsy or on imaging studies performed for other reasons. We would like to present a case report of this rare tumour. Cross-sectional imaging is helpful in making a pre-operative diagnosis. The size of the lesion should be a criterion for surgical intervention. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2764207 Thu, 03 Sep 2009 23:00:00 +0100 2764207 http://www.medworm.com/index.php?rid=2771114&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F6887 Lymphangiosarcoma following breast cancer is a relatively rare entity, with around 300 cases so far reported worldwide. Affecting the long term survivors of breast cancer, lymphangiosarcoma (Stewart-Traves Syndrome) has a high mortality rate. Since lympedema following radical mastectomy or axillary clearance and radiotherapy seems to be the main predisposing factor, further research regarding modifications in the surgical technique of axillary nodes dissection as well as the development of new chemotherapeutic agents effective in lymphangiosarcoma are required. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2771114 Tue, 01 Sep 2009 23:00:00 +0100 2771114 http://www.medworm.com/index.php?rid=2754815&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8404 Talipes equinovarus (clubfoot) is a skeletal anomaly of the embryo's legs, with a frequency of 1-3:1000 living born babies. It may occur as an independent anomaly, or as part of a syndrome with concomitant chromosomal abnormalities.XYY??syndrome is a quite rare sex chromosomal abnormality with 47, XYY karyotype. Prenatal diagnosis is usually accidental because the syndrome is not associated with increased prevalence of sonographically detectable defects. The possibility of co-existence of skeletal anomalies in embryos with 47, XYY karyotype is scant, with only a few cases reported in the literature.An amniocentesis was performed in an embryo at the 21st week of gestation because clubfoot was detected in the 2nd trimester scan, and the embryo was found to have abnormal karyotype of 47, XYY.... Cases Journal journals http://www.medworm.com/rss/comments.php?id=2754815 Tue, 01 Sep 2009 23:00:00 +0100 2754815 http://www.medworm.com/index.php?rid=2754814&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8347 Conclusion: Intravenous n-acetylcysteine administration must be done carefully. Amount of liquid administrated and sodium monitoring should be kept in mind, with special care in small children. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2754814 Tue, 01 Sep 2009 23:00:00 +0100 2754814 http://www.medworm.com/index.php?rid=2754813&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8711 Conclusion: Although ossifying lipomas are very rare, it is important to keep them in mind when a lesion with adipose tissue in combination with ossification is encountered. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2754813 Tue, 01 Sep 2009 23:00:00 +0100 2754813 http://www.medworm.com/index.php?rid=2754812&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F6312 We present a case of a 76 year old diabetic patient on verapamil with undiagnosed renal failure presenting with collapse and severe life threatening bradyarrhythmias. She responded well to inotropic support and calcium supplementation. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2754812 Tue, 01 Sep 2009 23:00:00 +0100 2754812 http://www.medworm.com/index.php?rid=2754811&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8334 In conclusion, this atypical presentation of neurosyphilis in combination with rare complications of treatment is worthy of attention. Neurosyphilis should be part of the differential diagnosis of each patient showing cognitive deterioration and behaviour disturbances. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2754811 Tue, 01 Sep 2009 23:00:00 +0100 2754811 http://www.medworm.com/index.php?rid=2754810&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8512 Conclusion: Regarding complaints in foot area one has to be familiar with such bones in order to make a correct diagnosis. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2754810 Tue, 01 Sep 2009 23:00:00 +0100 2754810 http://www.medworm.com/index.php?rid=2754809&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8108 Conclusion: Although there are existing case reports documenting the occurrence of surgical emphysema following dental procedure, there was no literature documenting a case of periorbital oedema. This can be managed with close observation and antibiotic prophylaxis as in this case but it is important that the potential seriousness of such a complications resulting from dental procedures are not overlooked. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2754809 Tue, 01 Sep 2009 23:00:00 +0100 2754809 http://www.medworm.com/index.php?rid=2754808&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8863 Conclusion: Multiple theories have been proposed for the increasing frequency and natural course of the adrenal myelolipoma, with chronic adrenal stimulation and the contemporary stressful lifestyle to be the most appealing. Surgical treatment is advocated through an extraperitoneal approach because of the quicker recovery of the patient and the smaller postoperative complication rate. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2754808 Tue, 01 Sep 2009 23:00:00 +0100 2754808 http://www.medworm.com/index.php?rid=2754807&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F6887 Lymphangiosarcoma following breast cancer is a relatively rare entity, with around 300 cases so far reported worldwide. Affecting the long term survivors of breast cancer, lymphangiosarcoma (Stewart-Traves Syndrome) has a high mortality rate. Since lympedema following radical mastectomy or axillary clearance and radiotherapy seems to be the main predisposing factor, further research regarding modifications in the surgical technique of axillary nodes dissection as well as the development of new chemotherapeutic agents effective in lymphangiosarcoma are required. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2754807 Tue, 01 Sep 2009 23:00:00 +0100 2754807 http://www.medworm.com/index.php?rid=2754806&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F7126 The case of a 36 year old woman who experienced a late, spontaneous breast seroma 5 years after augmentation in the absence of any known precipitating factors is reported. Although seroma is not an uncommon complication in the immediate postoperative period, it is extremely rare as a late complication of breast implantation. Magnetic resonance imaging is a reliable method to confirm the diagnosis of late seroma formation. Surgery is the preferred treatment. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2754806 Tue, 01 Sep 2009 23:00:00 +0100 2754806 http://www.medworm.com/index.php?rid=2754805&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8416 We present a case of multiple hydatidosis in an 8-year-old boy that resulted from a ruptured hydatid cyst of the spleen and spread into the peritoneal cavity. We also present a new approach for managing these difficult and high-risk cases. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2754805 Tue, 01 Sep 2009 23:00:00 +0100 2754805 http://www.medworm.com/index.php?rid=2805911&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8940 Conclusion: Females presenting with menorrhagia and bleeding from other sites without any discernable cause require proper evaluation for congenital coagulation disorders. In the present case series, females are diagnosed factor IX deficient (Hemophilia B). (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2805911 Mon, 31 Aug 2009 23:00:00 +0100 2805911 http://www.medworm.com/index.php?rid=2802340&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8444 Conclusions: To our knowledge based on systematic review, this is the first case report on Whipple disease complicated by secondary amyloidosis and kidney failure maintained on permanent renal replacement therapy. It is strongly suspected that the use of immunosuppressive treatment in such cases may exacerbate the course of Whipple disease and cause life-threatening complications. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2802340 Mon, 31 Aug 2009 23:00:00 +0100 2802340 http://www.medworm.com/index.php?rid=2798571&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8151 Conclusion: Respiratory epithelial adenomatoid hamartoma, although rare, must be taken into consideration in differential diagnosis of nasal exophytic lesions. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2798571 Mon, 31 Aug 2009 23:00:00 +0100 2798571 http://www.medworm.com/index.php?rid=2794692&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8477 We reported a 21 year-old patient with strict descending aorta coarctation and small post-ductal patent ductus arteriosus, complicated with abortion and hypertension. The patient was successfully treated by endovascular stent-graft with a single cardiac catheterization. Endovascular stent-graft is an easy, safe, and reliable intervention for the treatment of strict descending aorta coarctation and small post-ductal patent ductus arteriosus. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2794692 Mon, 31 Aug 2009 23:00:00 +0100 2794692 http://www.medworm.com/index.php?rid=2791770&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F7456 We describe a case of multiple extracellular, including intracranial, plasmacytoma, with no evidence of marrow involvement, in a patient with relapsed IgA multiple myeloma. To our knowledge, this is the first reported case of a patient with rapid extramedullary relapse of disease despite recent exposure to bortezomib and dexamethasone. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2791770 Mon, 31 Aug 2009 23:00:00 +0100 2791770 http://www.medworm.com/index.php?rid=2784011&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8234 Conclusion: In spite of wonderful advances in endourologic stone surgery, open stone surgery still has its role, but it must be done in experienced centers with good surgical expertise to retain good and acceptable functional kidney, postoperatively. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2784011 Mon, 31 Aug 2009 23:00:00 +0100 2784011 http://www.medworm.com/index.php?rid=2780260&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F6537 We present the case of a 36-year-old woman with large vegetations on the mitral valve due to infective endocarditis detected at the 32nd week of her first pregnancy. The difficulties in selecting the appropriate management strategy, particularly optimal time and mode of delivery, optimal time and type of valve surgery, are emphasized. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2780260 Mon, 31 Aug 2009 23:00:00 +0100 2780260 http://www.medworm.com/index.php?rid=2776392&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8692 We describe a case of Neurocysticercosis with a single brain lesion acquired in Germany in which only surgical removal and subsequent histological examination allowed diagnosis whereas diagnostic investigation yielded no pathological findings. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2776392 Mon, 31 Aug 2009 23:00:00 +0100 2776392 http://www.medworm.com/index.php?rid=2773528&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F6273 In this report, we present a 38-year-old female patient who underwent surgery due to an intraabdominal cystic mass. The diagnosis of spontaneous rupture of the common bile duct and huge retroperitoneal biloma was made by intraoperative abdominal exploration. The biloma was drained, ruptured portion of the common bile duct was primarily repaired over a T-tube. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2773528 Mon, 31 Aug 2009 23:00:00 +0100 2773528 http://www.medworm.com/index.php?rid=2764206&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F6615 Eventration of the diaphragm is the condition where the muscle is permanently elevated, but retains its continuity and attachments to the costal margins. Traumatic diaphragmatic rupture is a recognized consequence of high velocity blunt trauma to the abdomen usually a result of motor vehicle accident. Multi-slice CT and Magnetic Resonance Imaging in the pre-operative evaluation of trauma patients, diaphragmatic rupture can be still overlooked if not evaluated with the fair degree of clinical suspicion, more so if it is associated with an eventration of diaphragm - as was in our case. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2764206 Mon, 31 Aug 2009 23:00:00 +0100 2764206 http://www.medworm.com/index.php?rid=2754822&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F6299 We present a case report of a 46-year-old female who initially presented with worsening headache, nuchal rigidity, fever, and a skin rash, who was subsequently found to have varicella zoster meningitis. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2754822 Mon, 31 Aug 2009 23:00:00 +0100 2754822 http://www.medworm.com/index.php?rid=2754821&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F6304 We present here two cases of ileal primary non-Hodgkin's lymphoma which presented as intussusception, highlighting the differing presentations of these children and their outcome, with a brief review of the literature. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2754821 Mon, 31 Aug 2009 23:00:00 +0100 2754821 http://www.medworm.com/index.php?rid=2754820&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8793 We report on a case of a 43-year-old builder man with medial subtalar dislocation that was further complicated by minimally displaced talar and navicular fractures. Successful closed reduction under general anesthesia was followed by non-weight bearing and ankle immobilization with a below-knee cast for 6 weeks. At 3 years post-injury, the subtalar joint was stable, the foot and ankle mobility was in normal limits and the patient could still work as a builder. However, he complained for occasionally mild pain due to the development of post-traumatic arthritis in subtalar and ankle joints. Our search in literature revealed that conservative treatment of all the successfully reduced and minimally displaced subtalar fracture-dislocations has given superior results compared to surgical managem... Cases Journal journals http://www.medworm.com/rss/comments.php?id=2754820 Mon, 31 Aug 2009 23:00:00 +0100 2754820 http://www.medworm.com/index.php?rid=2754819&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F9069 Conclusion: This event exemplifies the weakness of usual health care facility in resource poor settings to cope with this kind of massive poisoning event. The multiple reported incidences of accidental barium poisoning due to unintentional mixing with food signifies the fact that the use and availability of barium carbonate should be restricted. We hope to draw attention to this relatively uncommon poisoning and to the need for development of poison information centre in resource poor countries. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2754819 Mon, 31 Aug 2009 23:00:00 +0100 2754819 http://www.medworm.com/index.php?rid=2754818&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F7197 Conclusion: We should keep in mind that anticancer drugs or embolic materials can flow into the HFA and may cause abdominal wall injury after transcatheter arterial chemoembolization. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2754818 Mon, 31 Aug 2009 23:00:00 +0100 2754818 http://www.medworm.com/index.php?rid=2754817&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F7969 Conclusion. Our patient was indeed suffering from neurobrucellosis. Brucellosis is a frequently missed cause of pyrexia of unknown. More importantly, our case highlights that in this era taking help from our professional colleagues over the globe is easy which can improve patient care greatly. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2754817 Mon, 31 Aug 2009 23:00:00 +0100 2754817 http://www.medworm.com/index.php?rid=2754816&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8973 We present a rare case of well-differentiated neuroendocrine carcinoma of the pancreas extending to the transverse colon, small bowel, stomach, and lymph nodes with metastasis to the caudate lobe of the liver. The patient had a two-year history of midepigastric abdominal pain that eventually sent him to the Emergency Department and after extensive tests we removed the entire tumor with margins free of growth. Included in this case report are many illustrations to show the severity and we further emphasize the importance of examining patients thoroughly especially when vague symptoms are chronic. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2754816 Mon, 31 Aug 2009 23:00:00 +0100 2754816 http://www.medworm.com/index.php?rid=2754804&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F9070 This case report looks at the association of an endoscopic oesophagogastroduodenoscopy and the onset of retro-orbital oedema in a young female. A literature search was performed in order to find any common factors between an endoscopic investigation and retroorbital oedema. An association between increased vascular permeability secondary to alcohol abuse and retroorbital oedema has been made. The case also describes the clinical signs of retro-orbital oedema and other possible causes. A link has been made between acute reversible retroorbital oedema following endoscopic oesophagogastroduodenoscopy. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2754804 Mon, 31 Aug 2009 23:00:00 +0100 2754804 http://www.medworm.com/index.php?rid=2735957&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8868 Conclusion: This is the second case of adenocarcinoma of the prostate associated with the sign of Leser-Trelat. This report acts as a reminder that in case of Leser-Trelat sign, a complete physical examination is mandatory followed by specific complementary exams. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2735957 Tue, 25 Aug 2009 23:00:00 +0100 2735957 http://www.medworm.com/index.php?rid=2735956&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8852 Conclusion: The surgical management of long bone fractures in patients with such pathology is associated with increased intra and post-operative risk, mainly due to vascular complications. It is therefore mandatory that high dependency facilities and sufficient quantities of blood products are available prior to the procedure. A less invasive fixation method should be used when possible. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2735956 Tue, 25 Aug 2009 23:00:00 +0100 2735956 http://www.medworm.com/index.php?rid=2735955&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8123 Conclusion: The sequeale of traumatic avulsion in a medically compromised patient with SCA is presented. Prompt and early presentation for dental management is very important; while prevention and management of dental trauma should be recognized as a public health issue. Dental trauma in SCA can be minimized by practicing preventive measures with the use of mouth guard which is an effective device for preventing dental injuries, and patients should be advised to wear them during activities to prevent dental injuries. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2735955 Tue, 25 Aug 2009 23:00:00 +0100 2735955 http://www.medworm.com/index.php?rid=2735954&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8535 We present this rare case with a brief review of the literature. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2735954 Tue, 25 Aug 2009 23:00:00 +0100 2735954 http://www.medworm.com/index.php?rid=2732065&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8303 A 52-year-old, Caucasian, British man suffered significant injury following simple fall. A man with no significant past medical history, presented to the accident and emergency with right side chest pain and shortness of breath. He reported a simple fall, two days before admission. Chest radiograph showed simple bilateral pneumothorax and pneumomediastinum. Subsequent computerised tomography confirmed the thoracic injury and identified complex pathophysiology as described. This case shows the extent of injury a person can sustain from a simple fall and the high index of suspicion required to discover the full extent of a patient's injuries. We review the literature to find other forms of presentation. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2732065 Tue, 25 Aug 2009 23:00:00 +0100 2732065 http://www.medworm.com/index.php?rid=2732079&cid=s_37205_22_f&fid=37205&url=http%3A%2F%2Fcasesjournal.com%2Fcasesjournal%2Farticle%2Fview%2F8017 We present the case of 25 year old male presenting with heaviness in left upper abdomen and found to have isolated splenic hyditadosis. (Source: Cases Journal) Cases Journal journals http://www.medworm.com/rss/comments.php?id=2732079 Mon, 24 Aug 2009 23:00:00 +0100 2732079