Pub Date : 2024-05-09DOI: 10.36347/sjmcr.2024.v12i05.008
A. Hebbezni, A. E. Boukhary, Y. Bouktib, A. Elhajjami, B. Boutakioute, M. Idrissi, N. E. Ganouni
A 67-year-old man with a history of MCA (middle cerebral artery) aneurysm, smoking, and arterial hypertension, presented to the emergency department with abdominal pain and a pulsatile mass. The patient's vital signs were within normal ranges. On physical examination, the patient was mildly discomforted due to abdominal pain. His abdomen was soft, with tenderness in the right lower quadrant, and a pulsatile mass was present. A CT scan of the abdomen and pelvis with intravenous iodinated contrast revealed an aneurysmal dilatation of the abdominal aorta measuring 7 cm in diameter, beginning inferior to the level of the renal arteries and continuing to the iliac bifurcation with thrombosis of the right common iliac artery extending its branches. Associated with an aneurysmal dilatation of the celiac trunk and the splenic artery. There was extensive mural thrombus, a patent lumen, and no evidence of frank rupture.
{"title":"A Geant Abdominal Aortic Aneurysm Who Hides Others: A Case Report","authors":"A. Hebbezni, A. E. Boukhary, Y. Bouktib, A. Elhajjami, B. Boutakioute, M. Idrissi, N. E. Ganouni","doi":"10.36347/sjmcr.2024.v12i05.008","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i05.008","url":null,"abstract":"A 67-year-old man with a history of MCA (middle cerebral artery) aneurysm, smoking, and arterial hypertension, presented to the emergency department with abdominal pain and a pulsatile mass. The patient's vital signs were within normal ranges. On physical examination, the patient was mildly discomforted due to abdominal pain. His abdomen was soft, with tenderness in the right lower quadrant, and a pulsatile mass was present. A CT scan of the abdomen and pelvis with intravenous iodinated contrast revealed an aneurysmal dilatation of the abdominal aorta measuring 7 cm in diameter, beginning inferior to the level of the renal arteries and continuing to the iliac bifurcation with thrombosis of the right common iliac artery extending its branches. Associated with an aneurysmal dilatation of the celiac trunk and the splenic artery. There was extensive mural thrombus, a patent lumen, and no evidence of frank rupture.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":" 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140997597","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 : 2024-05-07DOI: 10.36347/sjmcr.2024.v12i05.006
M. E. Ouazzani, A. Nebgui, H. Rachidi, K. Rabbani, A. Louzi, H. Rais, A. Belbachir
Solitary fibrous tumor (SFT), typically found in the pleura, is exceptionally rare in the prostate. We present the case of a 54-year-old man with prostatic SFT, initially revealed as an abdominopelvic mass. Subsequent investigations shown a vascular tumor. The pathological examination found a 23-cm tumor originating from the prostate, composed of short spindle-shaped and polygonal cells with mild nuclear atypia. Occasional mitoses were observed, with vascular invasion. Immunohistochemically, the tumor cells strongly expressed CD34 and STAT6. The maximum Ki-67 labeling index for the tumor cells was 4%. This case report has highlighted one of the rare occurrences of solitary fibrous tumor. A comprehensive microscopic examination paired with an immunohistochemical analysis will be necessary to establish an accurate diagnosis.
{"title":"Solitary Fibrous Tumor of the Prostate: Case Report and Review of the Literature","authors":"M. E. Ouazzani, A. Nebgui, H. Rachidi, K. Rabbani, A. Louzi, H. Rais, A. Belbachir","doi":"10.36347/sjmcr.2024.v12i05.006","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i05.006","url":null,"abstract":"Solitary fibrous tumor (SFT), typically found in the pleura, is exceptionally rare in the prostate. We present the case of a 54-year-old man with prostatic SFT, initially revealed as an abdominopelvic mass. Subsequent investigations shown a vascular tumor. The pathological examination found a 23-cm tumor originating from the prostate, composed of short spindle-shaped and polygonal cells with mild nuclear atypia. Occasional mitoses were observed, with vascular invasion. Immunohistochemically, the tumor cells strongly expressed CD34 and STAT6. The maximum Ki-67 labeling index for the tumor cells was 4%. This case report has highlighted one of the rare occurrences of solitary fibrous tumor. A comprehensive microscopic examination paired with an immunohistochemical analysis will be necessary to establish an accurate diagnosis.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":"24 36","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141004961","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 : 2024-05-03DOI: 10.36347/sjmcr.2024.v12i05.004
C. M. Kyabaambu, B. O. Pea, A. Diani, M. Benzalim, S. Alj
Vascular anatomical variants of the abdomen are very frequent. Knowledge of these variants is of paramount importance in clinical practice, particularly in surgery, because of the related therapeutic implications. Agenesis of the celiac trunk is one of the rare anatomical variants of the abdominal aorta. A limited number of cases have been reported in the medical literature. We report a case of agenesis of the celiac trunk, with separate emergence of its three branches directly from the abdominal aorta, discovered incidentally during a computed tomography (CT)scan performed as part of extension assessment of gallbladder adenocarcinoma.
{"title":"Agenesis of the Celiac Trunk, A Rare Vascular Variant: A Case Report","authors":"C. M. Kyabaambu, B. O. Pea, A. Diani, M. Benzalim, S. Alj","doi":"10.36347/sjmcr.2024.v12i05.004","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i05.004","url":null,"abstract":"Vascular anatomical variants of the abdomen are very frequent. Knowledge of these variants is of paramount importance in clinical practice, particularly in surgery, because of the related therapeutic implications. Agenesis of the celiac trunk is one of the rare anatomical variants of the abdominal aorta. A limited number of cases have been reported in the medical literature. We report a case of agenesis of the celiac trunk, with separate emergence of its three branches directly from the abdominal aorta, discovered incidentally during a computed tomography (CT)scan performed as part of extension assessment of gallbladder adenocarcinoma.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":"103 S7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141016217","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 : 2024-05-03DOI: 10.36347/sjmcr.2024.v12i05.003
C. M. Kyabaambu, B. Nzingoula, A. Diani, M. Benzalim, S. Alj
Parasitic leiomyomas, also known as free leiomyomas, occur outside the uterus and are rarely seen in clinical practice. They usually occur in genitally active women who have undergone hysterectomy or myomectomy. It is difficult to determine the nature of the mass on the basis of imaging studies alone. Diagnosis of certainty is based on anatomopathological examination. Management is essentially surgical. We report the case of a 44-year-old woman with a history of subtotal hysterectomy for fibroleiomyomatous uterus and a lumbar disc herniation, presenting with an extra uterine abdomino-pelvic leiomyoma diagnosed on histology, whereas the CT diagnosis suggested a GIST (gastrointestinal stromal tumour) or desmoid tumour. Our case highlights the importance of considering ectopic leiomyoma as a differential diagnosis in the face of an abdomino-pelvic mass after hysterectomy.
{"title":"Parasitic Leiomyoma, A Less Well Known Entity: A Case Report","authors":"C. M. Kyabaambu, B. Nzingoula, A. Diani, M. Benzalim, S. Alj","doi":"10.36347/sjmcr.2024.v12i05.003","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i05.003","url":null,"abstract":"Parasitic leiomyomas, also known as free leiomyomas, occur outside the uterus and are rarely seen in clinical practice. They usually occur in genitally active women who have undergone hysterectomy or myomectomy. It is difficult to determine the nature of the mass on the basis of imaging studies alone. Diagnosis of certainty is based on anatomopathological examination. Management is essentially surgical. We report the case of a 44-year-old woman with a history of subtotal hysterectomy for fibroleiomyomatous uterus and a lumbar disc herniation, presenting with an extra uterine abdomino-pelvic leiomyoma diagnosed on histology, whereas the CT diagnosis suggested a GIST (gastrointestinal stromal tumour) or desmoid tumour. Our case highlights the importance of considering ectopic leiomyoma as a differential diagnosis in the face of an abdomino-pelvic mass after hysterectomy.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":"107 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141016021","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 : 2024-05-03DOI: 10.36347/sjmcr.2024.v12i05.005
Yunis A. Mohamed, Maha Mubarak, Jaber Alfaifi, Anees Ghassan, Hani Hassan, Naziha Elreih, Osama A. Ibrahim
The mutation of CACNA1C gene on chromosome 12p13, has known to be associated with disorder with hypotonia, language delay, and skeletal defects with or without seizures (NEDHLSS). We report neonate with a novel variant of CACNA1C subtype related disorder with dysmorphisms and distal skeletal dysplasia.
{"title":"A Novel Variant of CACNA1C Subtype Related Disorders: A Neonate with Dysmorphism and Distal Skeletal Defects","authors":"Yunis A. Mohamed, Maha Mubarak, Jaber Alfaifi, Anees Ghassan, Hani Hassan, Naziha Elreih, Osama A. Ibrahim","doi":"10.36347/sjmcr.2024.v12i05.005","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i05.005","url":null,"abstract":"The mutation of CACNA1C gene on chromosome 12p13, has known to be associated with disorder with hypotonia, language delay, and skeletal defects with or without seizures (NEDHLSS). We report neonate with a novel variant of CACNA1C subtype related disorder with dysmorphisms and distal skeletal dysplasia.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":"125 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141017035","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 : 2024-05-02DOI: 10.36347/sjmcr.2024.v12i05.001
Ahmad Fajar Setiawan Djody, Muhammad Zain Firdaus, Vira Alifta, Ika Intansari Utomo Putri, Dyah Bunga Adysti, Iwan Setiawan Adji
Background: Odontogenic infection is an infection that occurs in the oral cavity caused by carious teeth and periodontal disease where the disease can spread to surrounding tissues to the face, jaw and neck. Maxillofacial abscess is a manifestation of periapical or periodontal infection. incicus, canicus or molar teeth, where periapical infection is the most frequent source of odontogenic infection compared to periodontal. Inflammation or damage to chronic dental problems can cause complications of abscesses in the surrounding area. The main complaint that causes sufferers to come to the hospital is pain in the abscess area. These complaints can also be accompanied by trismus, dysphagia, stridor caused by compression of the trachea, and even respiratory tract obstruction. Objective: To determine the progression of maxillofacial abscess so that medical management can be provided up to surgical incision and drainage. Case report: We report 2 cases of maxillofacial abscess due to odontogenic infection with management according to the progression of each case. Conclusion: The most common cause or etiology that can cause maxillofacial abscess is toothache. Management of maxillofacial abscesses begins with empirical antibiotics, which is the first step to reduce bacterial infections that produce beta lactamase. In maxillofacial abscesses, medical therapy can be given in the form of antibiotics combined with ceftriaxone with metronidazole, or meropenem with metronidazole and termination measures in the form of incision and drainage. Treatment can be chosen based on the presence or absence of warning signs and signs of complications. Incision and drainage is performed when complaints do not improve after administration of antibiotics, multiple abscesses and airway obstruction threaten the patient's life.
{"title":"Maxillofacial Abscess et Causa Odontogenic Infection: A Case Report","authors":"Ahmad Fajar Setiawan Djody, Muhammad Zain Firdaus, Vira Alifta, Ika Intansari Utomo Putri, Dyah Bunga Adysti, Iwan Setiawan Adji","doi":"10.36347/sjmcr.2024.v12i05.001","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i05.001","url":null,"abstract":"Background: Odontogenic infection is an infection that occurs in the oral cavity caused by carious teeth and periodontal disease where the disease can spread to surrounding tissues to the face, jaw and neck. Maxillofacial abscess is a manifestation of periapical or periodontal infection. incicus, canicus or molar teeth, where periapical infection is the most frequent source of odontogenic infection compared to periodontal. Inflammation or damage to chronic dental problems can cause complications of abscesses in the surrounding area. The main complaint that causes sufferers to come to the hospital is pain in the abscess area. These complaints can also be accompanied by trismus, dysphagia, stridor caused by compression of the trachea, and even respiratory tract obstruction. Objective: To determine the progression of maxillofacial abscess so that medical management can be provided up to surgical incision and drainage. Case report: We report 2 cases of maxillofacial abscess due to odontogenic infection with management according to the progression of each case. Conclusion: The most common cause or etiology that can cause maxillofacial abscess is toothache. Management of maxillofacial abscesses begins with empirical antibiotics, which is the first step to reduce bacterial infections that produce beta lactamase. In maxillofacial abscesses, medical therapy can be given in the form of antibiotics combined with ceftriaxone with metronidazole, or meropenem with metronidazole and termination measures in the form of incision and drainage. Treatment can be chosen based on the presence or absence of warning signs and signs of complications. Incision and drainage is performed when complaints do not improve after administration of antibiotics, multiple abscesses and airway obstruction threaten the patient's life.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141020989","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 : 2024-05-02DOI: 10.36347/sjmcr.2024.v12i05.002
M. Matouk, F. Chettibi
Background and Objectives: Anesthetizing elderly patients with hip fractures poses a significant challenge in emergency settings, particularly given the aging population both in Algeria and worldwide. With a high prevalence of comorbidities and polypharmacy, effective anesthetic management becomes paramount. Continuous titrated spinal anesthesia (CTSA) has emerged as a promising technique for addressing these complexities by proposing lower doses of local anesthetic (LA) in this patient population. Methods: This retrospective study involved 40 elderly patients (>65 years) undergoing hip fracture repair. Patients received intermittent dosing of a local anesthetic solution via an intrathecal catheter, utilizing 0.25 ml increments of 0.5% isobaric bupivacaine and 0.25 ml of fentanyl (12.5 μg). Evaluation criteria included hemodynamic stability, incidence of hypotension, extent of sensory and motor blockade, total ephedrine consumption, and patient and surgeon satisfaction. Results: A female predominance was noted, with a mean age of 75 years, and 72% classified as ASA ≥ III. Pertrochanteric fractures accounted for 47% of cases, followed by femoral neck fractures at 53%. Nearly all patients achieved a sensory level ≥ D10, with a failure rate of only 2%. Sedation supplementation was required in 20% of cases, with conversion to general anesthesia in one patient. Complications were minimal, including arterial hypotension (3%), vasoconstrictor use (2%), and bradycardia (0.8%). Overall, both patients and surgeons reported high levels of satisfaction. Conclusions: Our findings demonstrate that CTSA is an effective technique for elderly patients undergoing hip fracture repair, offering the advantages of reduced LA doses, excellent hemodynamic stability, and minimal side effects. Its simplicity and cost-effectiveness further enhance its appeal in clinical practice.
{"title":"Effects of Continuous Analgesic Titrated Spinal Anesthesia in Elderly Patients Undergoing Hip Fracture Surgery","authors":"M. Matouk, F. Chettibi","doi":"10.36347/sjmcr.2024.v12i05.002","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i05.002","url":null,"abstract":"Background and Objectives: Anesthetizing elderly patients with hip fractures poses a significant challenge in emergency settings, particularly given the aging population both in Algeria and worldwide. With a high prevalence of comorbidities and polypharmacy, effective anesthetic management becomes paramount. Continuous titrated spinal anesthesia (CTSA) has emerged as a promising technique for addressing these complexities by proposing lower doses of local anesthetic (LA) in this patient population. Methods: This retrospective study involved 40 elderly patients (>65 years) undergoing hip fracture repair. Patients received intermittent dosing of a local anesthetic solution via an intrathecal catheter, utilizing 0.25 ml increments of 0.5% isobaric bupivacaine and 0.25 ml of fentanyl (12.5 μg). Evaluation criteria included hemodynamic stability, incidence of hypotension, extent of sensory and motor blockade, total ephedrine consumption, and patient and surgeon satisfaction. Results: A female predominance was noted, with a mean age of 75 years, and 72% classified as ASA ≥ III. Pertrochanteric fractures accounted for 47% of cases, followed by femoral neck fractures at 53%. Nearly all patients achieved a sensory level ≥ D10, with a failure rate of only 2%. Sedation supplementation was required in 20% of cases, with conversion to general anesthesia in one patient. Complications were minimal, including arterial hypotension (3%), vasoconstrictor use (2%), and bradycardia (0.8%). Overall, both patients and surgeons reported high levels of satisfaction. Conclusions: Our findings demonstrate that CTSA is an effective technique for elderly patients undergoing hip fracture repair, offering the advantages of reduced LA doses, excellent hemodynamic stability, and minimal side effects. Its simplicity and cost-effectiveness further enhance its appeal in clinical practice.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":"9 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141018606","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 : 2024-03-23DOI: 10.36347/sjmcr.2024.v12i03.021
Dao, K, A. Koné, Drago, A. A, Guindo, H, M. A, B. B, C. D, Coulibaly, A, Diallo, M. B, D. Sow
Introduction: Pituitary adenomas are benign, well-differentiated tumours that usually grow slowly over several years and are developed monoclonally from anteropituitary endocrine cells. We report a case of mixed GH and prolactin adenoma diagnosed in the Internal Medicine Department of the Gabriel Touré University Hospital, Bamako, Mali. Observation: The patient was a 36-year-old man with a 4-year history of type 2 diabetes mellitus who had consulted a specialist for headache, polyuro-polydipsic syndrome, decreased libido and erectile dysfunction. On clinical examination, a tumour syndrome was noted with headache and visual blur. The biology revealed a GH hypersecretion syndrome (IGF1) which was elevated to 561.9 µg/ml (VN=116-353) and prolactin elevated to 463.3 µIU/ml (VN: 24-324) and diabetes. Pituitary MRI revealed a pituitary macroadenoma. Our patient was treated with Dostinex 0.5mg/week with a gradual increase in dose and insulin. He was also referred to neurosurgery, where he is awaiting removal of the adenoma after glycaemic control and hormone normalisation. The evolution was marked by the disappearance of headaches, improvement in vision, GH and prolactin hypersecretion syndrome and glycaemic control. Conclusion: In sub-Saharan Africa, the problems posed by pituitary adenomatous pathologies are complex, due to the limited biological and morphological investigation facilities and the rarity of specialised surgical facilities.
{"title":"Type 2 Diabetes Revealing a Mixed GH (Acromegaly) and Prolactin Adenoma: A Case Report of the Internal Medicine Department of the Gabriel Touré University Hospital, Bamako, Mali","authors":"Dao, K, A. Koné, Drago, A. A, Guindo, H, M. A, B. B, C. D, Coulibaly, A, Diallo, M. B, D. Sow","doi":"10.36347/sjmcr.2024.v12i03.021","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i03.021","url":null,"abstract":"Introduction: Pituitary adenomas are benign, well-differentiated tumours that usually grow slowly over several years and are developed monoclonally from anteropituitary endocrine cells. We report a case of mixed GH and prolactin adenoma diagnosed in the Internal Medicine Department of the Gabriel Touré University Hospital, Bamako, Mali. Observation: The patient was a 36-year-old man with a 4-year history of type 2 diabetes mellitus who had consulted a specialist for headache, polyuro-polydipsic syndrome, decreased libido and erectile dysfunction. On clinical examination, a tumour syndrome was noted with headache and visual blur. The biology revealed a GH hypersecretion syndrome (IGF1) which was elevated to 561.9 µg/ml (VN=116-353) and prolactin elevated to 463.3 µIU/ml (VN: 24-324) and diabetes. Pituitary MRI revealed a pituitary macroadenoma. Our patient was treated with Dostinex 0.5mg/week with a gradual increase in dose and insulin. He was also referred to neurosurgery, where he is awaiting removal of the adenoma after glycaemic control and hormone normalisation. The evolution was marked by the disappearance of headaches, improvement in vision, GH and prolactin hypersecretion syndrome and glycaemic control. Conclusion: In sub-Saharan Africa, the problems posed by pituitary adenomatous pathologies are complex, due to the limited biological and morphological investigation facilities and the rarity of specialised surgical facilities.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":" 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140386822","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 : 2024-03-22DOI: 10.36347/sjmcr.2024.v12i03.020
S. Annattah, Y. Hajjaji, A. Haita, Saad Andaloussi, A. E. Madi
Superior mesenteric artery syndrome (SMAS) or Wilkie syndrome is a rare anomaly resulting from extrinsic compression of the third duodenal segment by the superior mesenteric artery (SMA) anteriorly and the abdominal aorta posteriorly. Clinically, SMAS is characterized by acute or chronic upper obstruction associated with intermittent abdominal pain. Abdominal computed tomography is the key examination for establishing the diagnosis. Although initial management is medical, surgery is required if this fails. We report the case of a 12-year-old girl admitted for acute occlusive syndrome associated with abdominal pain, in whom the diagnosis of SMAS was retained. Treatment consisted of Strong's surgical technique after failure of medical treatment with good evolution. Our case reports that in cases of SMAS where medical treatment is ineffective, less invasive surgical options such as Strong's technique may be considered to facilitate rapid recovery while minimizing the risk of complications associated with more complex procedures involving bowel resection and anastomosis.
{"title":"Strong Procedure for Superior Mesenteric Artery Syndrome in Children: A Case Report","authors":"S. Annattah, Y. Hajjaji, A. Haita, Saad Andaloussi, A. E. Madi","doi":"10.36347/sjmcr.2024.v12i03.020","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i03.020","url":null,"abstract":"Superior mesenteric artery syndrome (SMAS) or Wilkie syndrome is a rare anomaly resulting from extrinsic compression of the third duodenal segment by the superior mesenteric artery (SMA) anteriorly and the abdominal aorta posteriorly. Clinically, SMAS is characterized by acute or chronic upper obstruction associated with intermittent abdominal pain. Abdominal computed tomography is the key examination for establishing the diagnosis. Although initial management is medical, surgery is required if this fails. We report the case of a 12-year-old girl admitted for acute occlusive syndrome associated with abdominal pain, in whom the diagnosis of SMAS was retained. Treatment consisted of Strong's surgical technique after failure of medical treatment with good evolution. Our case reports that in cases of SMAS where medical treatment is ineffective, less invasive surgical options such as Strong's technique may be considered to facilitate rapid recovery while minimizing the risk of complications associated with more complex procedures involving bowel resection and anastomosis.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":" 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140387403","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 : 2024-03-21DOI: 10.36347/sjmcr.2024.v12i03.018
Pradnya Jagtap
Congenital cystic adenomatoid malformation (CCAM) is a benign lung lesion that appears before birth as a cyst or mass in the chest. It is made up of abnormal lung tissue that does not function properly, but continues to grow. These lesions compress the adjacent normal lung tissues. CCAMs occur sporadically, and there is no genetic predisposition. They are usually unilobed and unilateral, with arterial supply and venous drainage from the pulmonary circulation. The postnatal management of symptomatic CCAM varies on whether the patient has respiratory distress or is asymptomatic. Symptomatic patients require a lobectomy or pneumonectomy. Perioperative anaesthetic management is challenging because it involves thoracotomy in a young patient that may lead to hemodynamic compromise and inadequate ventilation.
{"title":"Anaesthesia Management of Child with Congenital Cystic Adenomatoid Malformation Posted for Lobectomy","authors":"Pradnya Jagtap","doi":"10.36347/sjmcr.2024.v12i03.018","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i03.018","url":null,"abstract":"Congenital cystic adenomatoid malformation (CCAM) is a benign lung lesion that appears before birth as a cyst or mass in the chest. It is made up of abnormal lung tissue that does not function properly, but continues to grow. These lesions compress the adjacent normal lung tissues. CCAMs occur sporadically, and there is no genetic predisposition. They are usually unilobed and unilateral, with arterial supply and venous drainage from the pulmonary circulation. The postnatal management of symptomatic CCAM varies on whether the patient has respiratory distress or is asymptomatic. Symptomatic patients require a lobectomy or pneumonectomy. Perioperative anaesthetic management is challenging because it involves thoracotomy in a young patient that may lead to hemodynamic compromise and inadequate ventilation.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":" 42","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140387887","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}
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