Pub Date : 2022-03-14DOI: 10.23937/2378-3656/1410386
Agharbi Fatima Zahra, K. A., Chiheb S.
The vestibular papillae (VP) represent an anatomical variant of the normal genital epithelium and are probably the female equivalent of pearly penile papules. It is thought that they are present in 1% of women, and this low percentage may be due to their lack of knowledge by practitioners since their diagnosis are often wrongly spotted as condyloma acuminates warts and this can lead to aggressive investigations, therapy, and anxiety in patients hence the role of dermoscopy. Here, we present a case with 39 weeks of pregnancy, who is planned to undergo cesarean section due to a wrong diagnosis of genital warts. Dermoscopy was performed to differentiate VP from condyloma and the patient gave birth vaginally without any problem. A correct diagnosis of vestibular papillomatosis prevents aggressive investigations and unnecessary therapies. Therefore, it is worthwhile to draw the attention of dermatologists to this entity.
{"title":"The Role of Dermatoscopy to Differentiate Vestibular Papillae from Condyloma Acuminate in a Pregnant Woman","authors":"Agharbi Fatima Zahra, K. A., Chiheb S.","doi":"10.23937/2378-3656/1410386","DOIUrl":"https://doi.org/10.23937/2378-3656/1410386","url":null,"abstract":"The vestibular papillae (VP) represent an anatomical variant of the normal genital epithelium and are probably the female equivalent of pearly penile papules. It is thought that they are present in 1% of women, and this low percentage may be due to their lack of knowledge by practitioners since their diagnosis are often wrongly spotted as condyloma acuminates warts and this can lead to aggressive investigations, therapy, and anxiety in patients hence the role of dermoscopy. Here, we present a case with 39 weeks of pregnancy, who is planned to undergo cesarean section due to a wrong diagnosis of genital warts. Dermoscopy was performed to differentiate VP from condyloma and the patient gave birth vaginally without any problem. A correct diagnosis of vestibular papillomatosis prevents aggressive investigations and unnecessary therapies. Therefore, it is worthwhile to draw the attention of dermatologists to this entity.","PeriodicalId":10450,"journal":{"name":"Clinical Medical Reviews and Case Reports","volume":"53 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80832945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-28DOI: 10.23937/2378-3656/1410385
Sarathy Kasturi Rangan, J. Arun, Samee Abdus
Blood investigations showed a Hemoglobin of 137 g/L (Normal 110 g/L-165 g/L), raised white cell count of 17.6 × 109/L (reference 4.5 × 109/L 11 × 109/L), normal platelets and C reactive protein (CRP) of 70 mg/L (Normal < 10 mg/L). Her electrolytes, liver and renal functions were essentially normal. The eGFR at the time of presentation was 82 (reference range > 90). Urine dip stick examination was essentially within normal limits. Her chest X-ray did not identify any evidence of pneumoperitoneum while abdominal X-ray showed a classic coffee bean sign suggestive of a volvulus (Figure 1). A Computerized Tomography scan (CT scan) of Abdomen and Pelvis confirmed the features of volvulus and no other bowel related pathology was identified. No other intra-abdominal catastrophes noted on the initial CT scan. Introduction
{"title":"Spontaneous Rupture of Renal Pelvis Secondary to Extrinsic Compression of Sigmoid Volvulus","authors":"Sarathy Kasturi Rangan, J. Arun, Samee Abdus","doi":"10.23937/2378-3656/1410385","DOIUrl":"https://doi.org/10.23937/2378-3656/1410385","url":null,"abstract":"Blood investigations showed a Hemoglobin of 137 g/L (Normal 110 g/L-165 g/L), raised white cell count of 17.6 × 109/L (reference 4.5 × 109/L 11 × 109/L), normal platelets and C reactive protein (CRP) of 70 mg/L (Normal < 10 mg/L). Her electrolytes, liver and renal functions were essentially normal. The eGFR at the time of presentation was 82 (reference range > 90). Urine dip stick examination was essentially within normal limits. Her chest X-ray did not identify any evidence of pneumoperitoneum while abdominal X-ray showed a classic coffee bean sign suggestive of a volvulus (Figure 1). A Computerized Tomography scan (CT scan) of Abdomen and Pelvis confirmed the features of volvulus and no other bowel related pathology was identified. No other intra-abdominal catastrophes noted on the initial CT scan. Introduction","PeriodicalId":10450,"journal":{"name":"Clinical Medical Reviews and Case Reports","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75142519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-28DOI: 10.23937/2378-3656/1410384
Leal-Quiroga Ulises, Kane Abigail Sara, Mendoza-Fuerte Eduardo, Borjas-Almaguer Omar David, Leal Eugenia, Castañeda-Sepúlveda Rafael
Background: There are multiple diagnostic methods for the detection of H. pylori; however, because most are not cost-effective and have low sensibility and specificity, gastric biopsy remains the gold standard for diagnosis. H. pylori’s patchy distribution in the gastric mucosa requires multiple biopsy samples to accurately diagnose infection. This study’s objective is to identify the diagnostic value of using BLI-Bright with magnification endoscopy as a tool for guided biopsy sampling in patients with suspected H. pylori infection. Methods: This study was conducted by retrospective analysis of 200 case files of patients who underwent upper endoscopy at Christus Muguerza Hospital Sur in Monterrey, Mexico between August 2016 and June 2018. One hundred ninety-three patient files met the selection criteria. To establish the diagnostic significance of occupied/ unoccupied gastric pits, sensibility, specificity, and positive and negative predictive values were calculated based on histological findings. Results: Predicting H. pylori infection in occupied/ unoccupied pits has a sensitivity of 66.00%, specificity of 95.10%, a positive predictive value of 85.50%, and a negative predictive value of 88.89%. Analysis of gastric pits using BLI-Bright with magnification endoscopy is more sensitive and specific than rapid urease testing for the diagnosis of H. pylori. Conclusions: Given its relatively high negative predictive value, finding empty gastric pits suggests a low probability of finding H. pylori. Blue Laser Imaging (BLI)-Bright with magnification endoscopy is not a replacement for histologic examination, but rather a tool to help select potentially infected areas of the stomach based on the appearance of gastric pits.
{"title":"Blue Laser Imaging and Magnification Endoscopy as a Tool for the Detection of Helicobacter pylori Infected Mucosa","authors":"Leal-Quiroga Ulises, Kane Abigail Sara, Mendoza-Fuerte Eduardo, Borjas-Almaguer Omar David, Leal Eugenia, Castañeda-Sepúlveda Rafael","doi":"10.23937/2378-3656/1410384","DOIUrl":"https://doi.org/10.23937/2378-3656/1410384","url":null,"abstract":"Background: There are multiple diagnostic methods for the detection of H. pylori; however, because most are not cost-effective and have low sensibility and specificity, gastric biopsy remains the gold standard for diagnosis. H. pylori’s patchy distribution in the gastric mucosa requires multiple biopsy samples to accurately diagnose infection. This study’s objective is to identify the diagnostic value of using BLI-Bright with magnification endoscopy as a tool for guided biopsy sampling in patients with suspected H. pylori infection. Methods: This study was conducted by retrospective analysis of 200 case files of patients who underwent upper endoscopy at Christus Muguerza Hospital Sur in Monterrey, Mexico between August 2016 and June 2018. One hundred ninety-three patient files met the selection criteria. To establish the diagnostic significance of occupied/ unoccupied gastric pits, sensibility, specificity, and positive and negative predictive values were calculated based on histological findings. Results: Predicting H. pylori infection in occupied/ unoccupied pits has a sensitivity of 66.00%, specificity of 95.10%, a positive predictive value of 85.50%, and a negative predictive value of 88.89%. Analysis of gastric pits using BLI-Bright with magnification endoscopy is more sensitive and specific than rapid urease testing for the diagnosis of H. pylori. Conclusions: Given its relatively high negative predictive value, finding empty gastric pits suggests a low probability of finding H. pylori. Blue Laser Imaging (BLI)-Bright with magnification endoscopy is not a replacement for histologic examination, but rather a tool to help select potentially infected areas of the stomach based on the appearance of gastric pits.","PeriodicalId":10450,"journal":{"name":"Clinical Medical Reviews and Case Reports","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76173347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-28DOI: 10.23937/2378-3656/1410383
K. Busra
Background: Pelvic inflammatory disease (PID) is an infection of the upper vaginal tract in women that can be subclinical or severe, affecting any or all of the uterus, fallopian tubes, and ovaries. Tuboovarian abscess (TOA) is a common consequence of PID. The purpose of this study is to compare the demographic features, symptoms, clinical findings, and treatment techniques of patients hospitalized with the diagnosis of PID and TOA, to assess their response to treatment protocols and therapy, and to evaluate the development of recurrence. Methods: The study, a descriptive retrospective cohort analysis, included 318 patients with PID and TOA who were admitted to the Gynecology Clinic of the University of Health Sciences Etlik Zubeyde Hanim Women’s Health Training and Research Hospital between January 1, 2016 and August 1, 2019. Results: In terms of age, gravida, parity, BMI, educational background, profession, comorbidities, and previous PID attacks, there were no statistically significant differences between the PID and TOA groups. Among birth control techniques, the TOA group had a higher rate of intrauterine device usage, infection indicators (white blood cell, C-reactive protein, and erythrocyte sedimentation rate), and smoking. The PID group had a significantly greater prior history of uterus surgery. While the patients’ symptoms and length of complaints were comparable in both groups, the duration of antibiotherapy was statistically longer in the TOA group. Conclusion: The incidence of active smoking and the mean hospitalization day were found to be considerably higher in the TOA group, which was consistent with the literature in our series. In the literature, the most risky period for the development of PID was stated to be 21 days after the insertion of an intrauterine device, whereas in our study, it was determined that 20.8 percent of the acute PID group and 47.7 percent of the TOA group had an intrauterine device, and that these patients had long-term use of intrauterine devices. Although there is evidence that laparoscopic surgery may be performed successfully in TOA surgery, most surgeons prefer laparotomy. In our series, the rate of minimally invasive surgery was 88 percent. The study’s strength is that it is the biggest single-center cohort investigation of hospitalized PID and TOA patients, comparing demographic and physical features, symptoms and signs, clinical course, treatment procedures, and followup methods. There have been few studies in this area, and the number of cases is fewer than in our series. Our study’s limitations include the fact that it is retrospective, and not all diagnoses can be validated by culture.
{"title":"Patients with Pelvic Inflammatory Disease vs. Tuboovarian Abscess: Comparison of Follow-Up and Treatment Processes","authors":"K. Busra","doi":"10.23937/2378-3656/1410383","DOIUrl":"https://doi.org/10.23937/2378-3656/1410383","url":null,"abstract":"Background: Pelvic inflammatory disease (PID) is an infection of the upper vaginal tract in women that can be subclinical or severe, affecting any or all of the uterus, fallopian tubes, and ovaries. Tuboovarian abscess (TOA) is a common consequence of PID. The purpose of this study is to compare the demographic features, symptoms, clinical findings, and treatment techniques of patients hospitalized with the diagnosis of PID and TOA, to assess their response to treatment protocols and therapy, and to evaluate the development of recurrence. Methods: The study, a descriptive retrospective cohort analysis, included 318 patients with PID and TOA who were admitted to the Gynecology Clinic of the University of Health Sciences Etlik Zubeyde Hanim Women’s Health Training and Research Hospital between January 1, 2016 and August 1, 2019. Results: In terms of age, gravida, parity, BMI, educational background, profession, comorbidities, and previous PID attacks, there were no statistically significant differences between the PID and TOA groups. Among birth control techniques, the TOA group had a higher rate of intrauterine device usage, infection indicators (white blood cell, C-reactive protein, and erythrocyte sedimentation rate), and smoking. The PID group had a significantly greater prior history of uterus surgery. While the patients’ symptoms and length of complaints were comparable in both groups, the duration of antibiotherapy was statistically longer in the TOA group. Conclusion: The incidence of active smoking and the mean hospitalization day were found to be considerably higher in the TOA group, which was consistent with the literature in our series. In the literature, the most risky period for the development of PID was stated to be 21 days after the insertion of an intrauterine device, whereas in our study, it was determined that 20.8 percent of the acute PID group and 47.7 percent of the TOA group had an intrauterine device, and that these patients had long-term use of intrauterine devices. Although there is evidence that laparoscopic surgery may be performed successfully in TOA surgery, most surgeons prefer laparotomy. In our series, the rate of minimally invasive surgery was 88 percent. The study’s strength is that it is the biggest single-center cohort investigation of hospitalized PID and TOA patients, comparing demographic and physical features, symptoms and signs, clinical course, treatment procedures, and followup methods. There have been few studies in this area, and the number of cases is fewer than in our series. Our study’s limitations include the fact that it is retrospective, and not all diagnoses can be validated by culture.","PeriodicalId":10450,"journal":{"name":"Clinical Medical Reviews and Case Reports","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81502804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-31DOI: 10.23937/2378-3656/1410379
Akolgo Gideon Atinga, A. Anthony, Pereko Janet, Tuffour Joseph, Kotey Nana Konama, Paintsil Albert, Adwapa Gladys, Croffie Akosua Agyapomaa, Donkoh Samuel Kwarteng, Amewu Richard
Buruli ulcer is a necrotizing skin infection caused by Mycobacterium ulcerans. BU lesions may start with characteristic painlessness but most often, the typical presentations of the disease are characterized by large ulcers with undermined edges. If left untreated, BU lesions may result in extensive ulceration that can cover 15% of the body. Even though public sensitization and education have resulted in sufficient and improved knowledge about the etiology of the disease in Ghana, patients still report to health facilities with advanced forms of the disease. As a result, the management of Buruli ulcer (BU) is increasingly becoming a challenge. Therefore, this case report highlights an integrated approach comprising of clinical diagnosis, laboratory confirmation, antibiotic treatment, and wound management of four confirmed cases of Buruli ulcer diseases that were managed at the BU Ward of the Ga West Municipal Hospital. Surgical interventions including debridement and skin grafting coupled with comprehensive wound care and/or physiotherapy were also employed in instances where antibiotic therapy alone was not sufficient for complete healing. The application of integrated management led to full recovery of all the patients, albeit with different times to healing depending on the severity of the lesions.
{"title":"Integrated Management Strategies (Diagnosis, Treatment, and Wound Care Management) for Improved Clinical Outcomes of Buruli Ulcer in Ghana: A Retrospective Case Report in the Ga West Municipal Hospital, Amasaman","authors":"Akolgo Gideon Atinga, A. Anthony, Pereko Janet, Tuffour Joseph, Kotey Nana Konama, Paintsil Albert, Adwapa Gladys, Croffie Akosua Agyapomaa, Donkoh Samuel Kwarteng, Amewu Richard","doi":"10.23937/2378-3656/1410379","DOIUrl":"https://doi.org/10.23937/2378-3656/1410379","url":null,"abstract":"Buruli ulcer is a necrotizing skin infection caused by Mycobacterium ulcerans. BU lesions may start with characteristic painlessness but most often, the typical presentations of the disease are characterized by large ulcers with undermined edges. If left untreated, BU lesions may result in extensive ulceration that can cover 15% of the body. Even though public sensitization and education have resulted in sufficient and improved knowledge about the etiology of the disease in Ghana, patients still report to health facilities with advanced forms of the disease. As a result, the management of Buruli ulcer (BU) is increasingly becoming a challenge. Therefore, this case report highlights an integrated approach comprising of clinical diagnosis, laboratory confirmation, antibiotic treatment, and wound management of four confirmed cases of Buruli ulcer diseases that were managed at the BU Ward of the Ga West Municipal Hospital. Surgical interventions including debridement and skin grafting coupled with comprehensive wound care and/or physiotherapy were also employed in instances where antibiotic therapy alone was not sufficient for complete healing. The application of integrated management led to full recovery of all the patients, albeit with different times to healing depending on the severity of the lesions.","PeriodicalId":10450,"journal":{"name":"Clinical Medical Reviews and Case Reports","volume":"347 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77406087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-31DOI: 10.23937/2378-3656/1410381
Panigrahi Gunadhar
The current practice in the management DR has been primarily aimed at its neovascular complications, and rests upon the use of laser photocoagulation, intravitreal anti-VGEF injections, and on occasion glucocorticoid therapy. However, these treatments are not curative and there is increasing evidence that anti-VEGF treatment is unlikely to improve retinal perfusion and may not prevent gradual progression of nonperfusion or loss of peripheral visual field associated with worsening diabetes-related eye disease [7]. Moreover, there are many short term and long-term complications associated with these treatments. Diabetic retinopathy is the result of the convergence of many metabolic abnormalities leading to retinal vasculature dysfunction, inflammation, and neurodegeneration [8]. DR has been considered a microcirculatory disease of the retina. However, there is emerging evidence to suggest that retinal neurodegeneration is an early event in the pathogenesis of DR [9]. Introduction
{"title":"Regression of Diabetic Macular Edema by Remission of Type 2 Diabetes with Plant-Based Diet: A Case Report and Review","authors":"Panigrahi Gunadhar","doi":"10.23937/2378-3656/1410381","DOIUrl":"https://doi.org/10.23937/2378-3656/1410381","url":null,"abstract":"The current practice in the management DR has been primarily aimed at its neovascular complications, and rests upon the use of laser photocoagulation, intravitreal anti-VGEF injections, and on occasion glucocorticoid therapy. However, these treatments are not curative and there is increasing evidence that anti-VEGF treatment is unlikely to improve retinal perfusion and may not prevent gradual progression of nonperfusion or loss of peripheral visual field associated with worsening diabetes-related eye disease [7]. Moreover, there are many short term and long-term complications associated with these treatments. Diabetic retinopathy is the result of the convergence of many metabolic abnormalities leading to retinal vasculature dysfunction, inflammation, and neurodegeneration [8]. DR has been considered a microcirculatory disease of the retina. However, there is emerging evidence to suggest that retinal neurodegeneration is an early event in the pathogenesis of DR [9]. Introduction","PeriodicalId":10450,"journal":{"name":"Clinical Medical Reviews and Case Reports","volume":"221 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77541167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-31DOI: 10.23937/2378-3656/1410382
K. Alexander, W. Rosie, Patel Rachel, LaFontaine Joseph
This case report describes a 74-year-old Caucasian female patient who presented with bilateral gluteus muscle trigger point pain, decreased gluteus medius strength, a substantial transverse abdominal scar, and a history of knee replacement culminating in a Trendelenburg gait and chronic pain. Treatment of the patients’ symptoms with lidocaine solution injections, known as neural therapy, into the bilateral gluteus muscle trigger points and along scar tissue facial planes yielded markedly improved gait and immediate resolution of trigger point pain. Neural therapy used in this patient, involves the injection of anesthetic solution into trigger points and scar tissue, to release muscle tension and encourage resetting of dysfunctional nerve pathways.
{"title":"Trendelenburg Gait Improved by Trigger Point and Scar Tissue Lidocaine Injections: A Case Report","authors":"K. Alexander, W. Rosie, Patel Rachel, LaFontaine Joseph","doi":"10.23937/2378-3656/1410382","DOIUrl":"https://doi.org/10.23937/2378-3656/1410382","url":null,"abstract":"This case report describes a 74-year-old Caucasian female patient who presented with bilateral gluteus muscle trigger point pain, decreased gluteus medius strength, a substantial transverse abdominal scar, and a history of knee replacement culminating in a Trendelenburg gait and chronic pain. Treatment of the patients’ symptoms with lidocaine solution injections, known as neural therapy, into the bilateral gluteus muscle trigger points and along scar tissue facial planes yielded markedly improved gait and immediate resolution of trigger point pain. Neural therapy used in this patient, involves the injection of anesthetic solution into trigger points and scar tissue, to release muscle tension and encourage resetting of dysfunctional nerve pathways.","PeriodicalId":10450,"journal":{"name":"Clinical Medical Reviews and Case Reports","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75308927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-31DOI: 10.23937/2378-3656/1410380
S. M, Fatma A. Ben, Lahouel Y, Kerkeni C, Jerbi S
Extra-adrenal myelolipomas are a group of mesenchymal tumors which consist of a mixture of mature adipose tissue with hematopoietic cells. This intriguing tumor most commonly occurs within the adrenal gland; however, it has been occasionally found within the pelvis, thorax, retroperitoneal space, and various other sites throughout the body [1,2]. The physiopathology is not yet clearly explained, Amin, et al. [3] suggest that there may be a relationship between the re-activation of primitive peritoneal foci of extramedullary hematopoiesis under pathological stresses (severe anemia, sepsis, myeloproliferative disease ...) and the origin and progression of extraadrenal myelolipomas.
{"title":"Huge Peri Renal Extra Adrenal Myelolipoma","authors":"S. M, Fatma A. Ben, Lahouel Y, Kerkeni C, Jerbi S","doi":"10.23937/2378-3656/1410380","DOIUrl":"https://doi.org/10.23937/2378-3656/1410380","url":null,"abstract":"Extra-adrenal myelolipomas are a group of mesenchymal tumors which consist of a mixture of mature adipose tissue with hematopoietic cells. This intriguing tumor most commonly occurs within the adrenal gland; however, it has been occasionally found within the pelvis, thorax, retroperitoneal space, and various other sites throughout the body [1,2]. The physiopathology is not yet clearly explained, Amin, et al. [3] suggest that there may be a relationship between the re-activation of primitive peritoneal foci of extramedullary hematopoiesis under pathological stresses (severe anemia, sepsis, myeloproliferative disease ...) and the origin and progression of extraadrenal myelolipomas.","PeriodicalId":10450,"journal":{"name":"Clinical Medical Reviews and Case Reports","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90546702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-31DOI: 10.23937/2378-3656/1410375
Luxmi Sicharam Vijaya, Yue Sun, Qing Chen Xing, Fang Cao Fang, Fedally Swalay, Gang Du Xiao
Thromboembolic events contribute to the most serious outcomes in patients with nephrotic syndrome. We report a case of a young male patient with mesangial proliferative glomerulonephritis presenting with nephrotic syndrome, which rapidly progressed to mesenteric and portal veins thrombosis and septic shock, ultimately leading to death.
{"title":"An Unusual Complication of Mesenteric-Portal Axis Thrombosis and Septic Shock in a Patient with Mesangial Proliferative Glomerulonephritis","authors":"Luxmi Sicharam Vijaya, Yue Sun, Qing Chen Xing, Fang Cao Fang, Fedally Swalay, Gang Du Xiao","doi":"10.23937/2378-3656/1410375","DOIUrl":"https://doi.org/10.23937/2378-3656/1410375","url":null,"abstract":"Thromboembolic events contribute to the most serious outcomes in patients with nephrotic syndrome. We report a case of a young male patient with mesangial proliferative glomerulonephritis presenting with nephrotic syndrome, which rapidly progressed to mesenteric and portal veins thrombosis and septic shock, ultimately leading to death.","PeriodicalId":10450,"journal":{"name":"Clinical Medical Reviews and Case Reports","volume":"84 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83873868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-31DOI: 10.23937/2378-3656/1410377
Musmar Basel, Gabi Alaa
Spontaneous coronary artery dissection (SCAD) is a rare, though, important cause of acute coronary syndrome that is more commonly seen in young and middle-aged women without risk factors for, or a history of, coronary artery disease. Acute embolization of left ventricular (LV) thrombus is an uncommon but known cause of acute limb ischemia. In this case, we present a rare case of SCAD that led to acute limb ischemia due to embolization of LV thrombus. SCAD is a very rare cause of LV thrombus, but still should be taken in consideration. In this case, we present a rare case of SCAD that led to acute limb ischemia.
{"title":"Acute Limb Ischemia as an Unusual Presentation of Spontaneous Coronary Artery Dissection","authors":"Musmar Basel, Gabi Alaa","doi":"10.23937/2378-3656/1410377","DOIUrl":"https://doi.org/10.23937/2378-3656/1410377","url":null,"abstract":"Spontaneous coronary artery dissection (SCAD) is a rare, though, important cause of acute coronary syndrome that is more commonly seen in young and middle-aged women without risk factors for, or a history of, coronary artery disease. Acute embolization of left ventricular (LV) thrombus is an uncommon but known cause of acute limb ischemia. In this case, we present a rare case of SCAD that led to acute limb ischemia due to embolization of LV thrombus. SCAD is a very rare cause of LV thrombus, but still should be taken in consideration. In this case, we present a rare case of SCAD that led to acute limb ischemia.","PeriodicalId":10450,"journal":{"name":"Clinical Medical Reviews and Case Reports","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77745004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：