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Fracture of Stieda Process with Posterior Ankle Impingement Syndrome: A Case Report 伴有后踝内翻综合征的 Stieda Process 骨折:病例报告
Pub Date : 2024-05-17 DOI: 10.36347/sjmcr.2024.v12i05.039
R. Essofi, I. Azzahiri, M. Benzalim, S. Alj
Ankle impingement syndromes, prevalent among athletes, result in significant pain and limited joint mobility. Using imaging techniques (such as radiographs, CT, MRI, and ultrasound) not only assists in diagnosis but also helps in understanding the anatomical cause of the impingement, directing therapeutic injections, and pre-surgery planning. This article presents a case of a 36-year-old female with a two-year history of chronic ankle pain, associated with recurrent swelling and decreased mobility who underwent a radiographic imaging and MRI revealing a fracture of the Stieda process as a cause of posterior ankle impingement (PAI) syndrome. The diagnosis of ankle impingement syndromes mainly depends on comprehensive clinical examination and patient's medical history, but MRI was proved crucial for diagnosing syndromes affecting the posterior areas and excluding other causes of ankle pain.
踝关节撞击综合征在运动员中很常见,会导致明显的疼痛和关节活动受限。使用成像技术(如 X 光片、CT、核磁共振成像和超声波)不仅有助于诊断,还有助于了解撞击的解剖学原因、指导治疗注射和手术前计划。本文介绍了一例 36 岁女性的病例,她有两年的慢性踝关节疼痛病史,并伴有反复肿胀和活动度下降,在接受放射成像和核磁共振成像检查后发现斯蒂达突骨折是导致后踝撞击综合征(PAI)的原因。踝关节撞击综合征的诊断主要取决于全面的临床检查和患者的病史,但核磁共振成像被证明是诊断影响后部的综合征和排除其他踝关节疼痛原因的关键。
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引用次数: 0
Unveiling the Role of the Globus Pallidus in Schizophrenia: A Case Report and Neuroimaging Study 揭示 Globus Pallidus 在精神分裂症中的作用:病例报告与神经影像学研究
Pub Date : 2024-05-17 DOI: 10.36347/sjmcr.2024.v12i05.045
A. Oumoussa, S. T. Eddine, I. Adali, F. Manoudi
Schizophrenia is a complex psychiatric disorder characterized by anomalies in thought, perception, and behavior. Despite advancements in pharmaceutical treatments, managing the disorder remains challenging. Recent research has focused on understanding its biological basis, with particular attention to subcortical structures like the basal ganglia and thalamus, including the globus pallidus. Anomalies in the globus pallidus have been associated with various neurological and psychiatric conditions, showcasing its importance in schizophrenia. However, studies specifically examining abnormalities within the globus pallidus in schizophrenia are limited. In this case report we present the case of a 22-year-old male, Mr. A, diagnosed with schizophrenia. Mr. A exhibited auditory hallucinations, paranoid delusions, and disorganized behavior. Neurological examinations and laboratory tests ruled out underlying medical causes, prompting further investigation with neuroimaging studies. Magnetic resonance imaging revealed bilateral and symmetrical signal anomalies in the posterior part of the globus pallidus, consistent with previous research implicating the basal ganglia in schizophrenia.
精神分裂症是一种复杂的精神疾病,以思维、感知和行为异常为特征。尽管在药物治疗方面取得了进步,但控制这种疾病仍然具有挑战性。近期研究的重点是了解其生物学基础,尤其关注皮层下结构,如基底节和丘脑,包括苍白球。苍白球的异常与多种神经和精神疾病有关,显示了它在精神分裂症中的重要性。然而,专门研究精神分裂症患者的苍白球异常的研究非常有限。在本病例报告中,我们介绍了一名被诊断为精神分裂症的 22 岁男性 A 先生的病例。A 先生表现出幻听、偏执性妄想和行为紊乱。神经系统检查和实验室检测排除了潜在的病因,因此需要进一步进行神经影像学检查。磁共振成像显示,球状苍白球后部出现双侧对称性信号异常,这与之前有关基底节与精神分裂症的研究结果一致。
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引用次数: 0
Lipomyelomeningocele: A Cause of Closed Spinal Dysraphism Two Case Reports and Review of the Literature 脂质脑膜瘤:闭合性脊柱发育不良的病因 两个病例报告和文献综述
Pub Date : 2024-05-17 DOI: 10.36347/sjmcr.2024.v12i05.042
S. Kirami, A. Hebbezni, H. Ahmanna, I. Zouita, D. Basraoui, H. Jalal
Lipomyelomeningocele, a rare spinal anomaly present at birth, involves a lipoma firmly connected to the back of the neural placode, extending outward through a defect in the spine known as spina bifida and merging with subcutaneous fat tissue. MRI imaging is crucial in both diagnosing and managing this condition. Our report details the identification of a lipomyelomeningocele in two infants, aged 3 months and 18 months, respectively.
脂肪瘤是一种出生时就存在的罕见脊柱畸形,是指脂肪瘤与神经胎盘后部紧密相连,通过脊柱裂的缺陷向外延伸,并与皮下脂肪组织融合。核磁共振成像对于诊断和处理这种病症至关重要。我们的报告详细介绍了在两名分别为 3 个月和 18 个月大的婴儿身上发现的脂肪肌膜瘤。
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引用次数: 0
Contribution of Imaging in the Hydatid Cyst of Soft Tissues in the Thigh: A Case Report and Literature Review 成像在大腿软组织水瘤囊肿中的作用:病例报告与文献综述
Pub Date : 2024-05-16 DOI: 10.36347/sjmcr.2024.v12i05.033
M. E. Hassnaoui, H. Loukili, Y. Bouktib, A. E. Hajjami, B. Boutakioute, M. Idrissi, N. C. I. Gannouni
Hydatid cysts in soft tissues remain a rare occurrence, even in endemic regions. This study underscores the crucial importance of imaging modalities for positive diagnosis and topography, providing optimal guidance for effective management strategies. In this article, we present a case of soft tissue hydatidosis in the thigh, directly explored through magnetic resonance imaging (MRI), complemented by soft tissue ultrasound. The observed mass contained vesicles, localized in the thigh. The diagnosis of hydatidosis suggested by ultrasound was confirmed by MRI. A curative surgical intervention was performed on our patient. The diagnosis of soft tissue hydatidosis can be established when ultrasound and/or MRI reveal a multivesicular appearance. MRI proves to be the most useful imaging modality in cases of atypical or pseudo-solid lesions. The peri-cystic enhancement serves as an indicative feature of soft tissue hydatidosis compared to other locations. The study emphasizes the rarity of muscular localization of hydatid cysts and highlights the crucial importance of radiological, surgical, and preventive diagnostic approaches in managing this pathology. The heightened sensitivity of MRI in cases of atypical ultrasound features underscores its central role in the contemporary management of this complex condition, enhancing both diagnostic precision and treatment planning.
软组织中的包虫囊肿仍然是一种罕见病,即使在流行地区也是如此。这项研究强调了成像模式对于明确诊断和地形图的重要性,为有效的治疗策略提供了最佳指导。在本文中,我们介绍了一例大腿软组织包虫病病例,该病例直接通过磁共振成像(MRI)进行检查,并辅以软组织超声波检查。观察到的肿块包含囊泡,位于大腿局部。超声波提示的包虫病诊断结果经核磁共振成像证实。我们对患者进行了根治性手术治疗。如果超声波和/或核磁共振成像显示软组织包虫病呈多囊样,就可以确诊。核磁共振成像被证明是非典型或假性实变病例中最有用的成像方式。与其他部位相比,囊周强化是软组织包虫病的一个指示性特征。这项研究强调了水包虫囊肿肌肉定位的罕见性,并强调了放射学、外科手术和预防性诊断方法在治疗这种病症中的至关重要性。磁共振成像在超声波特征不典型的病例中具有更高的灵敏度,这凸显了磁共振成像在这种复杂病症的现代管理中的核心作用,它提高了诊断的精确性和治疗计划的制定。
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引用次数: 0
Medullary Compression Syndrome Revealing Vertebral Medullary Hydatidosis: A Case Report 髓质压迫综合征揭示了椎髓质水瘤病:病例报告
Pub Date : 2024-05-16 DOI: 10.36347/sjmcr.2024.v12i05.032
M. E. Hassnaoui, M. Jaouaher, A. Diani, M. Bouroumane, M. Benzalim, S. Alj
Spinal cord compression syndrome caused by vertebral medullary hydatidosis is a rare but serious condition requiring precise diagnostic and therapeutic approaches. This article examines the crucial role of magnetic resonance imaging (MRI) and computed tomography (CT) in characterizing lesions, assessing their extent, and monitoring postoperative outcomes in patients with this pathology. With a focus on vertebral medullary surgery, the authors explore the challenges associated with this condition, including the complexity of surgical management and the high risk of recurrence. A better understanding of this pathology and the adoption of early preventive strategies are essential to improve clinical outcomes in patients with this syndrome.
椎体髓质水瘤病引起的脊髓压迫综合征是一种罕见但严重的疾病,需要精确的诊断和治疗方法。本文探讨了磁共振成像(MRI)和计算机断层扫描(CT)在确定病变特征、评估病变范围和监测该病症患者术后效果方面的关键作用。作者以椎体髓质手术为重点,探讨了与这种病症相关的挑战,包括手术治疗的复杂性和复发的高风险。更好地了解这种病理学并采取早期预防策略对于改善这种综合征患者的临床疗效至关重要。
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引用次数: 0
Immature Ovarian Teratoma: A Case Report 未成熟卵巢畸胎瘤:病例报告
Pub Date : 2024-05-16 DOI: 10.36347/sjmcr.2024.v12i05.030
S. Labdellaoui, S. Sidki, H. Kaddouri, M. Bourhafour, M. Belhouari, G. Hatim, T. Chekrine, Z. Bouchbika, N. Benchakroun, H. Jouhadi, N. Tawfiq, S. Sehraoui
We report the case of a 21-year-old single woman who presented with a high-grade immature teratoma revealed by a progressive increase in abdominal circumference, operated on immediately, and in whom we opted for active surveillance instead of adjuvant chemotherapy, Through this observation and the review of the literature, we will be able to discuss and discover what an immature teratoma is and mainly see the indications for adjuvant chemotherapy in high-grade cases, the type of chemotherapy and the modalities of active surveillance.
我们报告了一例 21 岁单身女性的病例,她因腹围进行性增大而发现高级别未成熟畸胎瘤,我们立即对其进行了手术,并选择了积极监测而非辅助化疗。通过这一观察和文献回顾,我们将能够讨论和发现什么是未成熟畸胎瘤,并主要了解高级别病例辅助化疗的适应症、化疗类型和积极监测的方式。
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引用次数: 0
The Role of CT scan in the Diagnosis of Ileosigmoid Knot: A Case Report and Literature Review CT 扫描在回盲结诊断中的作用:病例报告与文献综述
Pub Date : 2024-05-16 DOI: 10.36347/sjmcr.2024.v12i05.031
M. E. Hassnaoui, J. Bouanani, Y. Bouktib, A. E. Hajjami, B. Boutakioute, M. Idrissi, N. C. I. Gannouni
The ileosigmoid knot, although rare, represents a complex surgical emergency requiring rapid and precise man agement. Imaging, particularly computed tomography (CT), plays a crucial role in diagnosis by highlighting specific features such as the "spiral sign" and signs of necrosis. Early detection through these imaging modalities allows for prompt surgical intervention, minimizing the risks of severe complications associated with intestinal torsion. The speed of surgical intervention is crucial to prevent progression to ischemic necrosis, reduce the risks of intestinal perforation, peritonitis, and other serious complications. Various surgical modalities, such as colonic diversion, detorsion, segmental resection, or extended resection in case of necrosis, must be tailored to the clinical presentation and intraoperative findings. Ultimately, the combination of advanced radiological imaging and swift surgical intervention is the key to successful management of the ileosigmoid knot. Emphasizing awareness among healthcare professionals of this rare condition and educating patients to recognize symptoms promptly will contribute to the early and effective management of this infrequent surgical l emergency.
回肠乙状结肠结节虽然罕见,但却是一种复杂的外科急症,需要快速而精确的处理。影像学检查,尤其是计算机断层扫描(CT),在诊断中起着至关重要的作用,可突出显示 "螺旋征 "和坏死迹象等特殊特征。通过这些成像模式的早期发现,可以及时进行手术干预,最大限度地降低肠扭转相关严重并发症的风险。手术干预的速度对于防止发展为缺血性坏死、降低肠穿孔、腹膜炎和其他严重并发症的风险至关重要。各种手术方式,如结肠转流、分离、节段切除或坏死情况下的扩大切除,都必须根据临床表现和术中发现进行调整。归根结底,先进的放射成像技术和迅速的手术干预相结合是成功治疗回肠乙状结肠结节的关键。强调医护人员对这种罕见病症的认识并教育患者及时识别症状,将有助于尽早有效地处理这种并不常见的外科急症。
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引用次数: 0
Peritoneal Carcinosis, An Atypical Metastatic Site in Prostate Adenocarcinoma: A Case Report 腹膜癌--前列腺癌的非典型转移部位:病例报告
Pub Date : 2024-05-16 DOI: 10.36347/sjmcr.2024.v12i05.036
Reda Tariqi, Mehdi Farina, Hamza El Abidi, Youssef Abaair, I. Boualaoui, Ahmed Ibrahimi, H. E. Sayegh, Yassine Nouini
Adenocarcinoma of the prostate is the second most common malignant tumour. It can spread in three ways: locally, via the lymphatic system or through the bloodstream. Diffuse peritoneal carcinosis is a rare entity during the evolution of prostate adenocarcinoma and only a few cases have been reported in the literature. This case report presents a patient with synchronous metastatic prostatic adenocarcinoma with peritoneal carcinosis. This case highlights the rarity of this type of prostate adenocarcinoma metastasis.
前列腺腺癌是第二常见的恶性肿瘤。它可以通过三种方式扩散:局部扩散、经淋巴系统扩散或血液扩散。弥漫性腹膜癌是前列腺腺癌演变过程中的罕见病例,文献中仅有少数病例报道。本病例报告介绍了一名同步转移性前列腺腺癌合并腹膜癌的患者。该病例凸显了这种前列腺腺癌转移的罕见性。
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引用次数: 0
Diagnosis and Management of Two Cases of Post-Traumatic Pseudocyst in Young Adults 两例青年创伤后假囊肿的诊断与处理
Pub Date : 2024-05-16 DOI: 10.36347/sjmcr.2024.v12i05.034
M. E. Hassnaoui, J. Hamdane, B. Boutakioute, M. Idrissi, N. C. I. Gannouni
Pancreatic injuries can be difficult to diagnose, given the low frequency of these injuries and the associated nonspecific clinical features, subtle imaging findings, and multiorgan trauma. The two most important determinants of outcome following pancreatic injury are the time from injury to definitive diagnosis and the status of the main pancreatic duct (MPD). We present two cases highlighting the diverse spectrum of post-traumatic pancreatic pseudocysts to underscore the importance of individualized management strategies.
胰腺损伤的发生率很低,而且具有非特异性的临床特征、微妙的影像学检查结果和多器官创伤,因此很难诊断。胰腺损伤后预后的两个最重要的决定因素是从损伤到明确诊断的时间以及主胰管(MPD)的状态。 我们介绍了两例病例,突出了创伤后胰腺假性囊肿的多样性,强调了个体化管理策略的重要性。
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引用次数: 0
Squamous Cell Carcinoma of the Bladder: Two Case Report 膀胱鳞状细胞癌:两例报告
Pub Date : 2024-05-16 DOI: 10.36347/sjmcr.2024.v12i05.029
S. Labdellaoui, H. Kaddouri, Y. S. Benabdallah, M. Bourhafour, G. Hatim, M. Belhouari, T. Chekrine, Z. Bouchbika, N. Benchekroun, H. Jouhadi, N. Tawfik, S. Sahraoui
Squamous cell carcinoma (SCC) of the bladder is a rare variant of bladder cancer, accounting for less than 5% of cases. Its occurrence shows a balanced distribution across sexes, although it tends to affect the Black population disproportionately. Clinical presentation is often nonspecific, with hematuria being the predominant symptom. Diagnosis relies on endoscopic resection of the bladder followed by histopathological examination. Due to its rarity, treatment approaches remain a subject of debate. However, radical cystectomy with extensive lymph node dissection is typically favored. In this study, we present a series comprising 2 cases of squamous cell carcinoma. Our objective is to shed light on the epidemiological, clinical, histopathological, and therapeutic aspects associated with squamous cell carcinoma of the bladder. The two cases presented in this study highlight the importance of accurate diagnosis and classification of squamous cell carcinoma of the bladder for optimal treatment planning and patient outcomes.
膀胱鳞状细胞癌(SCC)是膀胱癌的一种罕见变种,发病率不到 5%。它的发病率在不同性别间呈均衡分布,但黑人的发病率往往更高。临床表现通常无特异性,血尿是主要症状。诊断主要依靠内窥镜膀胱切除术和组织病理学检查。由于该病罕见,治疗方法仍存在争议。不过,根治性膀胱切除术和广泛淋巴结清扫术通常是首选。在本研究中,我们介绍了由 2 例鳞状细胞癌组成的系列病例。我们的目的是阐明与膀胱鳞状细胞癌相关的流行病学、临床、组织病理学和治疗方面的问题。本研究中介绍的两例病例强调了准确诊断和分类膀胱鳞状细胞癌对于优化治疗计划和患者预后的重要性。
{"title":"Squamous Cell Carcinoma of the Bladder: Two Case Report","authors":"S. Labdellaoui, H. Kaddouri, Y. S. Benabdallah, M. Bourhafour, G. Hatim, M. Belhouari, T. Chekrine, Z. Bouchbika, N. Benchekroun, H. Jouhadi, N. Tawfik, S. Sahraoui","doi":"10.36347/sjmcr.2024.v12i05.029","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i05.029","url":null,"abstract":"Squamous cell carcinoma (SCC) of the bladder is a rare variant of bladder cancer, accounting for less than 5% of cases. Its occurrence shows a balanced distribution across sexes, although it tends to affect the Black population disproportionately. Clinical presentation is often nonspecific, with hematuria being the predominant symptom. Diagnosis relies on endoscopic resection of the bladder followed by histopathological examination. Due to its rarity, treatment approaches remain a subject of debate. However, radical cystectomy with extensive lymph node dissection is typically favored. In this study, we present a series comprising 2 cases of squamous cell carcinoma. Our objective is to shed light on the epidemiological, clinical, histopathological, and therapeutic aspects associated with squamous cell carcinoma of the bladder. The two cases presented in this study highlight the importance of accurate diagnosis and classification of squamous cell carcinoma of the bladder for optimal treatment planning and patient outcomes.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":" 468","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141127787","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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