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Mandibular Melanotic Prognoma: About A Case 下颌骨黑色素瘤:关于一个病例
Pub Date : 2024-08-09 DOI: 10.36347/sjmcr.2024.v12i08.011
S. Taoufiki, S. Auhmani, C. Ahmmana, I. Zouita, D. Basraoui, H. Jalal
Melanotic neuroectodermal tumor is a rare tumor, usually occurring in children under one year of age. The tumor is generally benign, locally aggressive and fast-growing. Mandibular localization is rare. Prognosis depends on complete surgical intervention, and remains favorable. Malignant transformation may occur, but remains exceptional. Long-term monitoring is recommended. In the light of an observation of melanotic progonoma in a 4-month-old infant at mandibular level.
黑色素神经外胚层肿瘤是一种罕见的肿瘤,通常发生在一岁以下的儿童身上。该肿瘤一般为良性,局部侵袭性强,生长迅速。下颌骨定位罕见。预后取决于完整的手术干预,预后良好。恶性转化可能会发生,但仍属罕见。建议进行长期监测。根据对一名 4 个月大婴儿下颌骨黑色素瘤的观察。
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引用次数: 0
Cervicofacial Cystic Lymphangioma: About A Case Report 颈面部囊性淋巴管瘤:病例报告
Pub Date : 2024-08-09 DOI: 10.36347/sjmcr.2024.v12i08.010
S. Taoufiki, S. Auhmani, C. Ahmmana, I. Zouita, D. Basraoui, H. Jalal
Cystic lymphangioma is a congenital malformation of the lymphatic system, usually occurring before the age of one. We report a clinical observation of a cervico-facial cystic lymphangioma in a newborn.
囊性淋巴管瘤是一种先天性淋巴系统畸形,通常发生在一岁之前。我们报告了一例新生儿颈面部囊性淋巴管瘤的临床观察结果。
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引用次数: 0
Gastrojejunal-Colic Fistula of Ulcerative Origin: A Case Report 溃疡性胃空肠结肠瘘:病例报告
Pub Date : 2024-07-20 DOI: 10.36347/sjmcr.2024.v12i07.022
M. S. Belhamidi, S. Hasbi, M. Menfaa, F. Sakit, K. Choho
Gastrojejunocolic fistula was a frequent complication of surgery for peptic ulcer disease. Currently, it has become exceptional since the rarity of ulcer gastrectomies. Only 37 cases have been reported in the literature. The treatment of gastrojejunocolic fistula is surgical. It consists of a triple resection, gastric, jejunal and colonic, including the fistula. We report a case of gastrojejunocolic fistula, previously operated for perforated ulcer treated by simple suture with gastro-entero-anastomosis.
胃空肠结肠瘘是消化性溃疡手术的常见并发症。目前,由于溃疡胃切除术的罕见性,胃空肠结肠瘘已成为罕见的并发症。文献中仅报道了 37 例。胃空肠瘘的治疗方法是外科手术。手术包括胃、空肠和结肠三重切除,包括瘘管。我们报告了一例胃空肠结肠瘘病例,患者之前曾因溃疡穿孔接受过胃肠吻合简单缝合手术。
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引用次数: 0
Post Caesarean Surgical Site Infection: Incidence, Prevalence, Risk Factors and Microbiological Profile of Tertiary Care Hospital, Jaipur 剖腹产后手术部位感染:斋浦尔三级护理医院的发病率、流行率、风险因素和微生物概况
Pub Date : 2024-07-20 DOI: 10.36347/sjmcr.2024.v12i07.021
Priyansha Raj, Kusum Lata Meena, Richa Gupta
Background: In the past few decades, the prevalence of cesarean sections (CS) has continuously increased worldwide making it one of the most frequent surgical procedures. CS can often save a patient's life, but there are chances of postoperative consequences such as surgical site infections (SSI). During this study we have determine the occurrence and risk factors associated surgical site infections in women undergoing CS. Methodology: This is a prospective study conducted in a tertiary care hospital. Total 280 women were selected whose undergoes elective or emergency CS during May 2023 – July 2023. Each woman was properly examined and followed for 7 days to developed SSI. Bacterial profile and antibiotics pattern were examined to relate other factors associated with SSI. Results: Among 280 candidate 59 candidate suspected for SSI which are 4.74%. after microbiological analysis 5 samples were failed to produce culture, 54 (5.18%) samples were identified as SSI. Among 54 samples 77. 78% (n=42) observed as Single bacterial infection and 22.22 (n=12) observed as Mixed bacterial infection. Among all Coagulase negative staphylococci spp (CoNS) showed the highest infection 22.23% followed by Staphylococcus aureus 16.95% highest infection was observed in higher age candidate (>30) 37.04%, rural candidate 59.26%, obese candidate 31.48% and Lower-class candidate 53.70%. Conclusion: This study showed the high incidence of SSI after CS which highlighted the urgent need of prevent and surveillance of SSI. Considering patients demographic and medical history incidences of SSI can be reduced.
背景:在过去的几十年里,剖宫产手术(CS)在全球的发病率持续上升,使其成为最常见的外科手术之一。剖腹产通常可以挽救病人的生命,但也有可能造成术后后果,如手术部位感染(SSI)。在这项研究中,我们确定了接受剖腹产手术的妇女手术部位感染的发生率和相关风险因素。研究方法:这是在一家三级医院进行的前瞻性研究。共选择了 280 名在 2023 年 5 月至 2023 年 7 月期间接受择期或急诊 CS 的女性。每名妇女都接受了适当的检查和 7 天的随访,以确定是否发生了 SSI。研究了细菌概况和抗生素使用模式,以了解与 SSI 相关的其他因素。结果在 280 个候选样本中,有 59 个样本疑似 SSI,占 4.74%。经过微生物分析,有 5 个样本未能进行培养,有 54 个样本(5.18%)被确定为 SSI。在 54 个样本中,77.78%(n=42)为单一细菌感染,22.22%(n=12)为混合细菌感染。在所有样本中,凝固酶阴性葡萄球菌(CoNS)的感染率最高,占 22.23%,其次是金黄色葡萄球菌,占 16.95%,年龄较大(大于 30 岁)的患者感染率最高,占 37.04%,农村患者占 59.26%,肥胖患者占 31.48%,低等人群占 53.70%。结论本研究表明,CS术后SSI的发生率很高,这突出表明迫切需要预防和监测SSI。考虑到患者的人口统计学和病史,可以降低 SSI 的发生率。
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引用次数: 0
Post Obstructive Acute Pulmonary Edema after Sedation 镇静后阻塞性急性肺水肿
Pub Date : 2024-07-19 DOI: 10.36347/sjmcr.2024.v12i07.019
H. Asri, A. Zegmout, A. Rafik, H. Souhi, H. Elouazzani, I. Rhorfi
Post-obstructive acute pulmonary edema (POAPE) is a serious and rare respiratory complication, especially under sedation. We report the case of a patient without comorbidities undergoing sedated colonoscopy who developed respiratory distress, desaturation, and clinical and radiological signs suggestive of acute pulmonary edema. Etiological investigations, including cardiac assessment, returned normal, and the patient's condition improved within hours. The diagnosis of post-obstructive pulmonary edema was established. Through this case report, we emphasize the seriousness of this complication, necessitating early intervention.
梗阻后急性肺水肿(POAPE)是一种严重而罕见的呼吸系统并发症,尤其是在镇静状态下。我们报告了一例在接受结肠镜检查时出现呼吸窘迫、血氧饱和度下降、临床和影像学体征提示急性肺水肿的无合并症患者的病例。包括心脏评估在内的病因检查结果显示正常,患者的病情在数小时内好转。阻塞后肺水肿的诊断成立。通过本病例报告,我们强调了这种并发症的严重性,必须及早干预。
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引用次数: 0
Leber’s Hereditary Optic Neuropathy Following Unilateral Syphilitic Optic Neuritis 单侧梅毒性视神经炎后的 Leber 遗传性视神经病变
Pub Date : 2024-07-19 DOI: 10.36347/sjmcr.2024.v12i07.020
Shinji Makino
This report describes a case of Leber’s hereditary optic neuropathy (LHON) following unilateral syphilitic optic neuritis. A 31-year-old man presented with a four-day history of decreased vision in his left eye. At the initial visit, the patient’s best corrected visual acuity (BCVA) was 1.2 and 0.02 in the right and left eye, respectively, along with a relative afferent pupillary defect in the left eye. Goldmann visual field testing revealed a central absolute scotoma and an enlarged blind spot in the left eye. Serological testing confirmed syphilis with rapid plasma reagin positivity. The patient was diagnosed with syphilitic optic neuritis and treated with intravenous penicillin G (24 million units daily) for two weeks. After two weeks of therapy, his left BCVA improved to 0.4 after two months. However, five months later, despite completing syphilis treatment, the patient developed acute painless visual loss in both eyes. His BCVA decreased to 0.8 and 0.05 in the right and left eyes, respectively. Goldmann visual field testing revealed a central absolute scotoma and an enlarged blind spot in both eyes. After two weeks, BCVA progressively declined to 0.4 in the right and 0.04 in the left eye. Furthermore, Goldmann visual field testing revealed an enlarged central absolute scotoma and blind spot in both eyes. Six months after the initial examination, his BCVA was counting fingers and 0.02 in the right and left eye, respectively. The optic discs appeared diffusely pale in both eyes. Genetic testing for LHON revealed a pathologic mtDNA 11778 point mutation. This case underscores the importance of considering the possibility of LHON if acute or subacute vision loss occurs subsequently or simultaneously in both eyes and remains unresponsive to treatment.
本报告描述了一例继单侧梅毒性视神经炎之后的 Leber 遗传性视神经病变(LHON)病例。一名 31 岁的男子因左眼视力下降四天前来就诊。初诊时,患者左右眼的最佳矫正视力(BCVA)分别为 1.2 和 0.02,左眼瞳孔相对传入缺损。戈德曼视野测试显示,左眼有中央绝对性视网膜障和扩大的盲点。血清学检测证实梅毒快速血浆试剂阳性。患者被诊断为梅毒性视神经炎,并接受了为期两周的青霉素 G(每天 2400 万单位)静脉注射治疗。治疗两周后,他的左眼视力在两个月后改善到 0.4。然而,五个月后,尽管梅毒治疗已经结束,患者的双眼还是出现了急性无痛性视力下降。他的左右眼BCVA分别下降到0.8和0.05。戈德曼视野测试显示,双眼均有中央绝对性视网膜障和盲点扩大。两周后,BCVA逐渐下降,右眼为0.4,左眼为0.04。此外,戈德曼视野测试显示,双眼中央绝对性视网膜瘤和盲点扩大。初次检查六个月后,他的左眼和右眼BCVA分别为数指和0.02。双眼视盘呈弥漫性苍白。LHON基因检测发现,他的mtDNA 11778点突变是病理性的。该病例强调,如果双眼随后或同时出现急性或亚急性视力下降,且对治疗仍无反应,则必须考虑 LHON 的可能性。
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引用次数: 0
Partial Splenectomy in Essential Splenic Cyst in Children: A Case Report 儿童原发性脾囊肿的部分脾切除术:病例报告
Pub Date : 2024-07-17 DOI: 10.36347/sjmcr.2024.v12i07.018
A. Mouad, Fadoua Boughaleb, Jawad Boulajrouf, Monim Ochan, M. Kisra
Splenic cysts in the pediatric population are rare and can present with various clinical symptoms, including acute abdominal pain, necessitating evaluation. The classification, pathogenesis, and management of these cysts remain debated due to their rarity. Modern approaches favor spleen-preserving techniques. We report two cases of pediatric splenic cysts treated by partial splenectomy.
小儿脾囊肿非常罕见,可出现各种临床症状,包括急性腹痛,因此有必要进行评估。由于其罕见性,这些囊肿的分类、发病机制和治疗方法仍存在争议。现代方法倾向于采用保留脾脏的技术。我们报告了两例通过脾脏部分切除术治疗的小儿脾囊肿病例。
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引用次数: 0
Ischemic Stroke Revealing Internal Carotid Artery Hypoplasia: A Case Report 缺血性中风揭示颈内动脉发育不良:病例报告
Pub Date : 2024-07-16 DOI: 10.36347/sjmcr.2024.v12i07.016
S. Kirami, S. Outaghyame, A. Diani, M. Benzalim, S. Alj
Congenital hypoplasia of the internal carotid artery (ICA) is a rare condition, often asymptomatic due to collateral circulation. We report a 22-year-old male with a history of ischemic stroke and chronic headaches, where brain MRI and CT scans revealed right ICA hypoplasia. Imaging, particularly MR angiography and CT, is crucial for diagnosing ICA hypoplasia, evaluating collateral pathways, and detecting potential complications, ensuring accurate assessment and management.
先天性颈内动脉(ICA)发育不良是一种罕见病,由于侧支循环的存在,通常没有症状。我们报告了一名有缺血性中风和慢性头痛病史的 22 岁男性,他的脑部核磁共振成像和 CT 扫描显示其右侧颈内动脉发育不良。影像学检查,尤其是 MR 血管造影和 CT,对于诊断 ICA 发育不全、评估侧支通路和发现潜在并发症至关重要,可确保准确评估和治疗。
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引用次数: 0
Mayer-Rokitansky-Küster-Hauser Syndrome as a Cause of Primary Amenorrhea: A Case Report 导致原发性闭经的 Mayer-Rokitansky-Küster-Hauser 综合征:病例报告
Pub Date : 2024-07-16 DOI: 10.36347/sjmcr.2024.v12i07.015
S. Kirami, S. Outaghyame, A. Diani, M. Benzalim, S. Alj
Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is a rare congenital disorder marked by the absence of the uterus and upper two-thirds of the vagina in women with normal secondary sexual characteristics. We present the case of a 35-year-old woman with primary amenorrhea, where pelvic MRI played a crucial role in diagnosing MRKH syndrome by revealing a rudimentary uterus and normal ovaries. Imaging, particularly MRI, is essential for accurate diagnosis and assessment of associated abnormalities, ensuring a comprehensive evaluation of this condition.
Mayer-Rokitansky-Küster-Hauser(MRKH)综合征是一种罕见的先天性疾病,其特征是第二性征正常的女性没有子宫和上三分之二的阴道。我们介绍了一例 35 岁的原发性闭经妇女的病例,她的盆腔核磁共振成像在诊断 MRKH 综合征中发挥了关键作用,因为它发现了一个不发育的子宫和正常的卵巢。影像学检查,尤其是核磁共振成像,对于准确诊断和评估相关异常至关重要,可确保对该病症进行全面评估。
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引用次数: 0
Right Pulmonary Agenesis with Associated Skeletal Malformation 右肺发育不全伴骨骼畸形
Pub Date : 2024-07-15 DOI: 10.36347/sjmcr.2024.v12i07.014
O. Kardi, S. E. Mahfoudi, S. Jelloul, D. Laoudiyi, K. Chbani, S. Salam
Pulmonary agenesis is a rare congenital anomaly defined by the total absence of pulmonary parenchyma, bronchi and vessels. It is often associated with other malformations. We report the case of a late revelation of right pulmonary agenesis in a 3 year old patient, presenting with recurrent episodes of respiratory infection. Chest radiography showed an opaque right hemithorax. The diagnosis of right lung agenesis was confirmed by chest CT scan with contrast enhancement. In our case pulmonary agenesis was associated with ipsilateral rib synostosis. CT scan is the main imaging modality for establishing a diagnosis of pulmonary agenesis, as well as demonstrating other associated malformations.
肺不张是一种罕见的先天性畸形,表现为肺实质、支气管和血管完全缺失。它通常伴有其他畸形。我们报告了一例晚期发现的右肺缺如病例,患者 3 岁,反复出现呼吸道感染。胸片显示右半胸不透明。经造影剂增强的胸部 CT 扫描确诊为右肺发育不全。在我们的病例中,肺不张与同侧肋骨突起有关。CT 扫描是确诊肺不张以及显示其他相关畸形的主要成像方式。
{"title":"Right Pulmonary Agenesis with Associated Skeletal Malformation","authors":"O. Kardi, S. E. Mahfoudi, S. Jelloul, D. Laoudiyi, K. Chbani, S. Salam","doi":"10.36347/sjmcr.2024.v12i07.014","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i07.014","url":null,"abstract":"Pulmonary agenesis is a rare congenital anomaly defined by the total absence of pulmonary parenchyma, bronchi and vessels. It is often associated with other malformations. We report the case of a late revelation of right pulmonary agenesis in a 3 year old patient, presenting with recurrent episodes of respiratory infection. Chest radiography showed an opaque right hemithorax. The diagnosis of right lung agenesis was confirmed by chest CT scan with contrast enhancement. In our case pulmonary agenesis was associated with ipsilateral rib synostosis. CT scan is the main imaging modality for establishing a diagnosis of pulmonary agenesis, as well as demonstrating other associated malformations.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":" 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141832922","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}
引用次数: 0
期刊
Scholars Journal of Medical Case Reports
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