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Volume 5, Issue 2, Mar - Apr 2019最新文献

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SELF-INSERTION OF FOREIGN BODY (HAIRPIN) IN URETHRA AND ITS REMOVAL BY NON-OPERATIVE TECHNIQUE 尿道内异物(发夹)自插及非手术技术清除
Pub Date : 2019-04-30 DOI: 10.32677/IJCR.2019.V05.I02.025
V. Vishal, Lal Darsan, M. Manikandan, A. Venugopalan, F. Cardoza
A urethral foreign body is usually found as a part of sexual misadventure mostly in a young male. The literature has described items like a fork, battery, wire and other things in the urethra which almost always required a surgical procedure for its removal. Here we present the case of self-insertion of a hairpin in the male urethra with the open pointed end of hairpin facing distally. The hairpin despite being “stuck” inside the urethra due to its sharp end embedded in urethral mucosa was successfully removed with simple manipulation techniques with no complication in follow-up. This case highlights the point that when faced with the situation of an uncommon object in the urethra, the treatment has to be individualized according to the type of object, age and sex of the patient and sometimes common unorthodox technique can save the patient from operative procedure.
尿道异物通常被发现为性意外的一部分,多见于年轻男性。文献描述了尿道中的叉子、电池、电线和其他东西,这些东西几乎总是需要外科手术才能取出。在这里,我们提出的情况下,自插入一个发夹在男性尿道与开放的发夹尖端面对远端。发卡因其尖端嵌于尿道粘膜而“卡”在尿道内,通过简单的手法成功取出,随访无并发症。本病例提示,面对尿道内异常异物时,应根据患者的类型、年龄和性别进行个体化治疗,有时常见的非正统技术可使患者免于手术。
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引用次数: 0
NON-FUNCTIONAL CERVICAL PARAGANGLIOMA IN AN ADULT: A CASE REPORT 成人无功能颈部副神经节瘤1例报告
Pub Date : 2019-04-30 DOI: 10.32677/IJCR.2019.V05.I02.026
Pradeep Balineni, Sandeep Pathivada, Sam Merlin, S. Kamal
Paragangliomas are rare neuroendocrine tumors. The most common site is the adrenals cervical region. Cervical paragangliomasare divided into carotid body and vagus types. Here, we report the case of a non-functional cervical paraganglioma in a 78-yearoldmale came with complaints of swelling in the left side of the neck for 2 years. On imaging, guided core needle biopsy showedeosinophilic cells with vacuolated nuclei and some inclusion bodies which suggested a possible clear cell tumor, neuroendocrinetumor or a paraganglioma. Complete surgical excision was done under general anesthesia, postoperative histopathology andimmunohistochemistry markers (S100, Synaptophysin, and Ki67) suggested of paraganglioma.
副神经节瘤是一种罕见的神经内分泌肿瘤。最常见的部位是肾上腺颈区。颈部副神经节瘤分为颈动脉体型和迷走型。在此,我们报告一例78岁男性的非功能性颈部副神经节瘤,其左侧颈部肿胀持续2年。影像学上,穿刺活检显示嗜酸性细胞伴空泡核和包涵体,提示可能为透明细胞瘤、神经内分泌瘤或副神经节瘤。全麻下手术切除,术后组织病理学和免疫组织化学指标(S100, Synaptophysin, Ki67)提示副神经节瘤。
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引用次数: 0
POLYPOID MULTIFOCAL ILEO-COLONIC AMYLOIDOMA MASQUERADING MALIGNANCY - A RARE CASE REPORT 伪装恶性息肉样多灶性回结肠淀粉样瘤1例
Pub Date : 2019-04-30 DOI: 10.32677/IJCR.2019.V05.I02.031
Aniket Halder, R. Ghosh, S. Ray
Amyloidosis is a group of disorders characterized by extracellular deposition of a proteinaceous homogenous eosinophilic hyaline substance known as amyloid. Congo red staining is a specific stain for amyloid which shows an apple-green birefringence on polarized microscopy. Amyloid deposition can be systemic or localized. Primary amyloidosis (also known as AL amyloidosis) is the most common form of amyloidosis characterized by generalized deposition of excess immunoglobulin light chains. It is associated with an underlying plasma cell dyscrasia and has the maximum gastrointestinal (GI) involvement. Secondary amyloidosis is characterized by deposition of acute-phase reactant - serum amyloid A protein (also known as AA amyloidosis) and it is associated with infectious, inflammatory, or less commonly, neoplastic disorders. Renal dysfunction is the most common symptom of AA amyloidosis at diagnosis. Amyloidosis presenting as a localized mass is known as amyloidoma. Amyloidoma of the GI system is a rare finding in the absence of any systemic involvement. We report a rare case of localized multifocal polypoid amyloidoma in the lower GI tract, which masquerades as malignancy.
淀粉样变性是一组疾病,其特征是细胞外沉积一种称为淀粉样蛋白的均匀的嗜酸性透明物质。刚果红染色是淀粉样蛋白的特异性染色,在偏振显微镜下显示苹果绿双折射。淀粉样蛋白沉积可以是全身性的,也可以是局部的。原发性淀粉样变性(也称为AL淀粉样变性)是最常见的淀粉样变性,其特征是过量免疫球蛋白轻链的广泛性沉积。它与潜在的浆细胞病变有关,并最大程度地累及胃肠道(GI)。继发性淀粉样变性的特征是急性期反应物-血清淀粉样蛋白A的沉积(也称为AA淀粉样变性),它与感染性、炎症性或不太常见的肿瘤性疾病有关。肾功能不全是AA淀粉样变最常见的诊断症状。淀粉样变性表现为局部肿块,称为淀粉样瘤。胃肠道淀粉样瘤是一种罕见的发现,没有任何系统的累及。我们报告一例罕见的下消化道局部多灶性息肉样淀粉样瘤,其伪装为恶性肿瘤。
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引用次数: 0
PRIMARY VERSUS SECONDARY PSYCHIATRIC DISORDERS: A TYPICAL CASE PRESENTATION 原发性与继发性精神障碍:一个典型的病例介绍
Pub Date : 2019-04-30 DOI: 10.32677/IJCR.2019.V05.I02.016
Prerak Kumar, M. Bhaskar, Aaditya Soni
Psychotic features like delusions, hallucinations, disorganized behavior, disorganized speech and negative symptoms like anhedonia,restricted affect can also appear in secondary medical conditions causing psychosis. Here, we present the case of psychotic symptomsin correlation with a medical condition of subclinical hypothyroidism in a 28-years-old female having an illness for 5 years. Thispatient presented with psychotic symptoms and did not show any symptomatic improvement with antipsychotics in the past. Wereached to clinical suspicion of anti-thyroid psychosis or subclinical hypothyroidism with psychosis on the basis of a slight elevationin thyroid stimulating hormone levels and high titers of anti-thyroid peroxidase antibodies. Levothyroxine was augmented in hertreatment regime and she started showing improvement in her symptoms.Levothyroxine, Subclinical hypothyroidism, Thyroid peroxidase antibody.
妄想、幻觉、行为紊乱、言语紊乱等精神病性特征,以及快感缺乏、情感受限等负面症状,也可能出现在导致精神病的继发性医疗条件中。在这里,我们提出的病例精神症状与亚临床甲状腺功能减退症的医学条件相关的28岁女性有疾病5年。该患者表现为精神病症状,过去服用抗精神病药物未见任何症状改善。根据促甲状腺激素水平轻微升高和抗甲状腺过氧化物酶抗体高滴度,临床怀疑为抗甲状腺精神病或亚临床甲状腺功能减退伴精神病。在她的治疗方案中增加了左甲状腺素,她的症状开始有所改善。左甲状腺素,亚临床甲状腺功能减退,甲状腺过氧化物酶抗体。
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引用次数: 0
AN UNUSUAL ANOMALY OF DEEP VENOUS SYSTEM IN THE LOWER LIMB: COMPLETE UNILATERAL AGENESIS OF ILIOFEMORAL VEINS IN THE ABSENCE OF PERSISTENT SCIATIC VEIN 下肢深静脉系统异常:在坐骨静脉缺失的情况下,髂股静脉完全单侧发育
Pub Date : 2019-04-30 DOI: 10.32677/IJCR.2019.V05.I02.022
V. Krishnan, P. Garg, Abhilash Sethy, R. Gupta
Venous anomalies are the most common congenital vascular anomalies. The rarest of these is complete deep venous agenesis. Here, we report a case of a 15-year-old male patient evaluated on color Doppler and computed tomographic venogram with complete right iliofemoral deep venous agenesis with the inferior vena cava continuing as the left common iliac vein and the right popliteal vein draining into superficial anomalous veins of the thigh. These superficial veins were seen to drain through a superficial suprapubic arcuate connector vein into the dilated left common femoral vein. Uniquely in our case, there was no persistent embryonic sciatic vein and no demonstrable reflux into the superficial connector vein, suggesting an uncommon embryological mechanism underlying its pathogenesis. Surgical resection of the dilated superficial veins is absolutely contraindicated in cases of deep venous agenesis and hence accurate diagnosis by the radiologist is absolutely essential in such cases.
静脉异常是最常见的先天性血管异常。其中最罕见的是完全深静脉发育不全。在此,我们报告一个15岁的男性患者,通过彩色多普勒和计算机断层血管造影检查,发现完全的右髂股深静脉发育不全,下腔静脉继续作为左髂总静脉和右腘静脉流入大腿浅表异常静脉。这些浅静脉通过耻骨上浅弓状连接静脉流入扩张的左股总静脉。独特的是,在我们的病例中,没有持续的胚胎坐骨静脉,也没有明显的返流进入浅连接静脉,这表明其发病机制不常见。手术切除扩张的浅表静脉是绝对禁忌的情况下,深静脉发育不全,因此准确的诊断由放射科医生是绝对必要的,在这种情况下。
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引用次数: 0
FUNCTIONAL CONSTIPATION IN CHILDREN; CHANGING CLINICAL SPECTRUM WITH UNUSUAL PRESENTATION: A CASE REPORT 儿童功能性便秘;变化的临床谱与不寻常的表现:一个病例报告
Pub Date : 2019-04-30 DOI: 10.32677/IJCR.2019.V05.I02.030
L. Bharti, B. Kumar
Constipation in children is progressively increasing day by day because of changing lifestyle and dietary intake. Sometimes, functionalconstipation cases are misdiagnosed as functional abdominal pain because of inappropriate history and examination. We present an8-years-old boy with a history of intermittent moderate to severe abdominal pain for 2 months. Basic blood investigations andultrasound of the abdomen were normal, surprisingly, X-ray of the abdomen revealed the diagnosis. Simple X-ray erect abdomen isvery useful in a special situation for the diagnosis of functional constipation.
由于生活方式和饮食摄入的改变,儿童便秘日益增多。由于病史和检查不当,功能性便秘有时被误诊为功能性腹痛。我们报告一名8岁男孩,间歇性中度至重度腹痛2个月。基本的血液检查和腹部超声检查正常,令人惊讶的是,腹部x光片显示了诊断。简单的x线直立腹部在诊断功能性便秘的特殊情况下非常有用。
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引用次数: 1
LAPAROSCOPIC MANAGEMENT OF A GIANT PROSTATIC UTRICLE: A CASE REPORT AND REVIEW OF LITERATURE 腹腔镜下治疗巨大前列腺小泡一例报告及文献复习
Pub Date : 2019-04-30 DOI: 10.32677/IJCR.2019.V05.I02.034
V. Garg, S. Gahlawat, U. Sharma, R. Sood
Prostatic utricle is a Mullerian duct remnant with an incidence of 1 %. Excision of utricle is challenging because of the close proximity of seminal vesicle, ejaculatory ducts, bladder, rectum, ureter, and nerve plexus. Here, we report the case of a 23-year-old male presented with complaints of painful terminal hematuria associated with clots along with retrograde ejaculation. The abdominal and local examination was within normal limits. MRI pelvis showed a large non-communicating cystic structure present in the pelvic cavity, compressing posterior wall of the urinary bladder, seminal vesicle, anterior wall of the rectum and also causing left hydroureteronephrosis. After evaluation, the patient was diagnosed with giant prostatic utricle cyst. Laparoscopic excision of prostatic utricle cyst was done successfully. Postoperative period was uneventful and the patient was discharged in satisfactory condition. Laparoscopic excision of prostatic utricle cyst is technically challenging but with acceptable complications and good surgical results.
前列腺小泡是缪勒管残余,发生率为1%。由于靠近精囊、射精管、膀胱、直肠、输尿管和神经丛,切除小囊具有挑战性。在这里,我们报告的情况下,一个23岁的男性提出了痛苦的终末血尿与凝块和逆行射精相关的投诉。腹部和局部检查在正常范围内。骨盆MRI显示盆腔内有大的非连通囊性结构,压迫膀胱后壁、精囊、直肠前壁,并引起左侧输尿管积水。经检查,诊断为巨大前列腺小囊囊肿。腹腔镜下前列腺小囊囊肿切除术成功。术后顺利,患者出院情况满意。腹腔镜下前列腺小囊囊肿切除术在技术上具有挑战性,但并发症可接受,手术效果良好。
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引用次数: 0
LAPAROSCOPIC MANAGEMENT OF EARLY STAGE PRIMARY FALLOPIAN TUBE CARCINOMA 早期原发性输卵管癌的腹腔镜治疗
Pub Date : 2019-04-30 DOI: 10.32677/IJCR.2019.V05.I02.018
K. Duraisamy, D. Balasubramaniam, K. Ravi, A. Balasubramanium
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引用次数: 0
SURGICAL MANAGEMENT OF PENILE MONDOR’S DISEASE: CASE REPORT AND BRIEF REVIEW OF LITERATURE 阴茎蒙多氏病的外科治疗:病例报告及文献回顾
Pub Date : 2019-04-30 DOI: 10.32677/IJCR.2019.V05.I02.014
S. Gahlawat, D. Gupta, Anuj Kumar, R. Sood
Penile Mondor’s disease (PMD) is a rare condition characterized by thrombosis of superficial dorsal vein of the penis. PMD is usuallycaused due to vigorous sex or repeated trauma to the penis leading to painful swelling of the penis. Most of the patients improvegradually on conservative treatment. Very rarely cord like lesion persists and causes painful erection and intercourse, meriting surgicalmanagement. Here, we report the case of a traumatic Thrombophlebitis of Superficial Dorsal Vein of Penis managed surgically alongwith a brief explanation of the surgical technique. Color Doppler was helpful in delineating the whole extent of thrombus in thevein. Excision of the whole length of the thrombosed vein was done. Abstinence from sex was advised for six weeks and the patientimproved symptomatically.
阴茎蒙多氏病(PMD)是一种罕见的疾病,其特征是阴茎浅背静脉血栓形成。经前症候群通常是由于剧烈的性行为或反复的阴茎创伤导致阴茎肿胀而引起的。多数患者经保守治疗后病情逐渐好转。很少有脊髓样病变持续存在并引起勃起和性交疼痛,需要手术治疗。在此,我们报告一例外伤性阴茎背浅静脉血栓性静脉炎的手术治疗,并简要说明手术技术。彩色多普勒有助于描绘静脉血栓的全部范围。切除整个血栓形成的静脉。建议患者禁欲6周,症状得到改善。
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引用次数: 2
SPONTANEOUS UTERO-RECTAL FISTULA FORMATION FOLLOWING RECONSTRUCTIVE GENITAL TRACT SURGERY: AN INTERESTING CASE REPORT 生殖道重建手术后自发性子宫直肠瘘形成:一个有趣的病例报告
Pub Date : 2019-04-30 DOI: 10.32677/IJCR.2019.V05.I02.032
S. Ghose, P. Pallavee, Rupal Samal, Ashwini
A genital fistula is an abnormal communication between uterus with either urinary tract or gastrointestinal tract. Although genitourinaryfistula is a common entity, rectovaginal or even uterorectal fistula is relatively uncommon. The etiology of fistula is usually due toan obstetric cause in a developing country, whereas, it is gynecological in the developing country. Whether etiology is obstetricalor gynecological, this develops following days of the procedure. Here, we present the case of a 17-year-old girl, who underwentvaginoplasty for cervical atresia and develop uterorectal fistula one and a half year following the first surgery. She was finallymanaged with hysterectomy.
生殖瘘管是子宫与泌尿道或胃肠道之间的异常通信。虽然泌尿生殖系统瘘是一种常见的实体,直肠阴道甚至子宫直肠瘘是相对罕见的。在发展中国家,瘘管病的病因通常是产科原因,而在发展中国家,瘘管病是妇科原因。无论病因是产科还是妇科,这都是在手术后几天发生的。在这里,我们提出一个17岁的女孩,谁接受阴道成形术治疗宫颈闭锁和发展子宫直肠瘘一年半后,第一次手术。最后,她接受了子宫切除术。
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引用次数: 0
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Volume 5, Issue 2, Mar - Apr 2019
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