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Malignant Peritoneal Mesothelioma Mimicking Ovarian Cancer in a Young Patient 恶性腹膜间皮瘤模拟卵巢癌一例年轻患者
Pub Date : 2020-01-01 DOI: 10.5336/caserep.2020-76324
E. Gemcioglu, Semra Firat, Serap Akbay
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引用次数: 0
Ligneous Periodontitis: A Case Report with Different Treatment Approaches and Eleven Years of Follow Up 木质牙周炎:不同治疗方法1例及11年随访
Pub Date : 2020-01-01 DOI: 10.5336/caserep.2019-66815
G. Tüter, Benay Yildirim, Burcu Sengüven Toközlü
ABS TRACT Ligneous mucosal disease is a rare, destructive condition of plasminogen deficiency characterized by generalized membranous gingival enlargement leading to rapid tooth loss. We report a case of long-standing, generalized ligneous periodontitis with an eleven years of follow-up. The patient did not have any extra oral lesions although she had been suffering from plasminogen deficiency. Treatment approaches had no benefit. An abnormal healing process is the main pathogenetic mechanism; still, intensive periodontal health care is essential for the patients who suffer from ligneous mucosal disease. This report describes a ligneous periodontitis case with a history of ligneous conjunctivitis and its clinical and histopathologic findings, therapeutic approaches and eleven years of follow-up.
摘要木质性黏膜疾病是一种罕见的、破坏性的纤溶酶原缺乏疾病,其特征是牙龈泛膜性扩大,导致牙齿迅速脱落。我们报告一例长期,广泛性木质牙周炎与11年的随访。患者虽然患有纤溶酶原缺乏症,但没有任何额外的口腔病变。治疗方法没有效果。异常愈合过程是主要的发病机制;尽管如此,对于患有木质粘膜疾病的患者来说,强化牙周保健是必不可少的。本报告描述一例有木制结膜炎病史的木制牙周炎病例,其临床和组织病理学表现、治疗方法和11年的随访。
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引用次数: 0
Retinal Astrocytoma in a 6-year-old Girl with Tuberous Sclerosis Complex 6岁女童结节性硬化症并发视网膜星形细胞瘤
Pub Date : 2020-01-01 DOI: 10.5336/caserep.2020-73268
Selda Celik Dulger, M. Y. Teke, A. Dilli
systemic neurocutaneous genetic condition with an incidence of almost 1 in 6000 to 10000 live births.1 It is autosomal dominant inheritance and approximately two-thirds of the cases occur with spontaneous mutation. The clinical presentation caused by dysfunction of hamartin and tuberin proteins that are products of TSC1 and TSC2 genes is quite variable. The disease is characterized by hamartomas affecting multiple organs, including skin, brain, heart, kidney, lungs and eye.2
一种全身性神经皮肤遗传疾病,每6000到10000个活产儿中几乎有1个发病它是常染色体显性遗传,大约三分之二的病例发生自发突变。TSC1和TSC2基因产物错构体和tuberin蛋白功能障碍引起的临床表现变化很大。这种疾病的特点是错构瘤影响多个器官,包括皮肤、大脑、心脏、肾脏、肺和眼睛
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引用次数: 0
Behçet's Disease-Related Budd-Chiari Syndrome Responding to Combination of Cyclophosphamide, Rivaroxaban and Corticosteroids 环磷酰胺、利伐沙班和皮质类固醇联合应用对behet病相关Budd-Chiari综合征的影响
Pub Date : 2020-01-01 DOI: 10.5336/caserep.2019-66547
F. Enc, Celal Ulaşoğlu
culitic disease which is characterized by recurrent oral and genital aphtous ulcers, skin lesions, uveitis, arthritis and vasculitis.1 Thrombosis as a result of vasculitis and lower extremity deep vein involvement as the leading finding may be present. Budd-Chiari syndrome (BCS) is caused by obstruction of major hepatic veins. These patients may progress to liver failure and portal hypertension over time.2 BCS is related with BD in 5% of cases in western countries, while 9% in Turkey and 13% in Egypt.3,4 However, misdiagnosis or delay of diagnosis is common in patients with BD-related BCS.5 Some of the patients may be asymptomatic, while abdominal pain, jaundice, emesis, hepatomegaly and ascites are frequently present. In these patients, incomplete diagnostic criteria of BD should not delay the treatment. Here, we present a patient hospitalized for elevated liver enzymes and history of lower extremity thrombosis diagnosed later as BD-related BCS responding to combination therapy.
以复发性口腔和生殖器溃疡、皮肤损伤、葡萄膜炎、关节炎和血管炎为特征的溃疡性疾病由于血管炎和下肢深静脉受累导致的血栓形成可能是主要的发现。Budd-Chiari综合征(BCS)是由肝大静脉阻塞引起的。随着时间的推移,这些患者可能发展为肝功能衰竭和门静脉高压症在西方国家,5%的BCS与BD相关,土耳其为9%,埃及为13%。然而,BCS与BD相关的BCS患者常被误诊或延误诊断。5部分患者可能无症状,但经常出现腹痛、黄疸、呕吐、肝肿大和腹水。在这些患者中,不完整的双相障碍诊断标准不应延误治疗。在这里,我们报告了一位因肝酶升高和下肢血栓病史住院的患者,后来被诊断为bd相关性BCS,对联合治疗有反应。
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引用次数: 0
Metastatic Cavernous Sinus Meningioma: A Theory of Probable Predisposing Factor for Metastasis of Meningioma 转移性海绵状窦脑膜瘤:脑膜瘤转移的可能易感因素理论
Pub Date : 2020-01-01 DOI: 10.5336/caserep.2019-72941
G. Kurt, M. Akmansu, A. Aslan
benign (WHO grade I), however, they are rarely presented with metastasis, particularly in malign (WHO grade III) and atypical (WHO grade II) meningiomas.1 Although there is little data in the literature regarding to the incidence of metastatic meningiomas, extracranial metastases have been reported as 0.1-0.7% in several case series.2,3 According to the reviews of various case reports, anaplastic meningioma was the most frequent metastatic meningioma, followed by atypical and meningothelial subtypes.1
然而,良性脑膜瘤(WHO分级I级)很少出现转移,尤其是恶性(WHO分级III级)和非典型(WHO分级II级)脑膜瘤虽然关于转移性脑膜瘤发病率的文献资料很少,但在几个病例系列中,颅外转移的发生率已报道为0.1-0.7%。2,3根据各种病例报告的回顾,间变性脑膜瘤是最常见的转移性脑膜瘤,其次是非典型和脑膜上皮亚型
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引用次数: 0
A Rare Complication of Simple Hepatic Cyst: Spontaneous Rupture, Case Report and Literature Review 单纯性肝囊肿的罕见并发症:自发性破裂1例报告及文献复习
Pub Date : 2020-01-01 DOI: 10.5336/caserep.2019-71557
Y. Guler, Serkan Şengül, H. Çaliş, O. Ozen, Z. Karabulut
ABS TRACT Simple hepatic cysts are usually asymptomatic; most of them are found incidentally, and complications, such as rupture, bleeding, infection and obstructive jaundice, are rare. Intracystic hemorrhage is seen in 2-5% cases, but cyst rupture is an uncommon complication of hepatic cysts. A 70-year-old man without trauma history was admitted to our hospital’s emergency department with severe abdominal pain. Urgent laparotomy and surgical excision of the cyst were performed, revealing a ruptured cyst approximately 10x15 cm in size over the left liver lobe and a rupture hole approximately 1.5 cm in size over the cystic wall. The postoperative period was uneventful, and the patient was discharged six days after the operation. Spontaneous rupture is an extremely rare complication of simple hepatic cysts. Treatment for symptomatic hepatic cysts includes percutaneous aspiration and surgery. Surgical intervention, especially laparotomy, was preferred in most cases.
单纯性肝囊肿通常无症状;大多数是偶然发现的,并发症,如破裂、出血、感染和梗阻性黄疸,是罕见的。囊内出血见于2-5%的病例,但囊肿破裂是肝囊肿的罕见并发症。一位无外伤史的70岁男性因严重腹痛入住我院急诊科。紧急开腹手术切除囊肿,发现左侧肝叶上有一个约10x15cm的破裂囊肿,囊壁上有一个约1.5 cm大小的破裂孔。术后顺利,患者于术后6天出院。自发性破裂是单纯性肝囊肿极为罕见的并发症。治疗症状性肝囊肿包括经皮穿刺和手术。手术干预,尤其是剖腹手术,在大多数情况下是首选的。
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引用次数: 0
Vaginal Reconstruction with Native Rectovestibular Fistula in an Infant with Vaginal Agenesis and Imperforate Anus 阴道发育不全伴肛门闭锁的婴儿阴道重建与直肠前庭瘘
Pub Date : 2020-01-01 DOI: 10.5336/caserep.2019-71355
A. Celayir, S. Moralıoğlu, O. Bosnalı, O. Pektaş
ABS TRACT Vaginal agenesis is a congenital anomaly which occurs as isolated developmental defect or as a part of complex anomalies. Vaginal anomalies associated with anorectal malformations are usually diagnosed and repaired in time of surgical correction of anorectal malformations during the infancy period. Herein a case with vaginal agenesis and recto-vestibular fistula, who underwent a neo-vaginal reconstruction with distal segment of fistula during the posterior sagittal anorectoplasty was presented. The use of recto-vestibular fistula as a neo-vagina in cases with vaginal agenesis combined imperforate anus seems to be a feasible and effective approach that has satisfactory anatomical and functional outcomes for vaginal reconstructions.
阴道发育不全是一种先天性异常,它是孤立的发育缺陷或复杂异常的一部分。阴道异常合并肛肠畸形通常在婴儿期肛肠畸形手术矫正时进行诊断和修复。本文报告一例阴道发育不全及直肠前庭瘘患者,在后路矢状肛门直肠成形术中接受了带远端瘘段的阴道重建。在阴道发育不全合并肛门闭锁的病例中,使用直肠前庭瘘作为新阴道似乎是一种可行和有效的阴道重建方法,具有令人满意的解剖和功能结果。
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引用次数: 1
Calcinosis Cutis Universalis in a Patient with Systemic Sclerosis 系统性硬化症患者的普遍皮肤钙质沉着症
Pub Date : 2020-01-01 DOI: 10.5336/caserep.2019-65627
N. Düzgün
ABS TRACT Systemic sclerosis (Scl) is a multisystemic autoimmune disorder that is characterized by immune dysregulation, vasculopathy, and overproduction of collagen leading to skin and internal organ fibrosis. Calcinosis is a well known manifestation of Scl, which occurs the deposition of calcium in the dermis and subcutaneous tissues with normal levels of serum calcium and phosphorus. However, calcinosis on extremities and trunk is unfrequently seen. Herein we present the case of a 44-year-old female patient with diffuse cutaneous systemic sclerosis who has calcinosis stiutated bilaterally at upper and lower extremities and trunk which is an unfrequent condition.
系统性硬化症(Scl)是一种多系统自身免疫性疾病,其特征是免疫失调、血管病变和胶原蛋白过度产生,导致皮肤和内脏纤维化。钙沉着症是Scl的一种众所周知的表现,它发生在血清钙和磷水平正常的真皮和皮下组织中钙沉积。然而,四肢和躯干的钙质沉着症并不常见。我们在此报告一位44岁的女性患者,她患有弥漫性皮肤系统性硬化症,在双侧的上肢、下肢和躯干有钙质沉着症,这是一种罕见的疾病。
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引用次数: 1
Coexistence of Ovarian Mucinous Cystadenoma and Gynandroblastoma: A Very Rare Case Report 卵巢粘液囊腺瘤与雌性母细胞瘤共存:一罕见病例报告
Pub Date : 2020-01-01 DOI: 10.5336/caserep.2020-77371
Süleyman Cemil Oğlak, E. Devecioğlu, M. Obut
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引用次数: 0
Management of Ameloblastoma with Different Imaging Modalities 不同成像方式对成釉细胞瘤的治疗
Pub Date : 2020-01-01 DOI: 10.5336/caserep.2020-74126
H. Kış, Aykağan Coşgunarslan, E. M. Canger, M. Etöz, K. Deniz
genic tumour. The most common occurrence sites are the mandibular molar and ramus regions. Etymologically, it is derived from the words “amel” which means enamel and “blastos” which means germ or bud. Ameloblastoma with aggressive potential shows local invasion and a high recurrence rate. The classification of ameloblastoma has changed in 2017. The classification of head and neck tumours according to the World Health Organization is shown in Table 1. While making this new classification, the World Health Organization has taken into account the fact that the “cystic” term confuses with the “unicystic”. Besides, the “ameloblastoma” pattern is easily recognizable and specific to conventional ameloblastoma, therefore “solid/multicystic” term has been removed from terminology.1 The exact aetiology has not been established, but some factors such as irritation after tooth extraction, tooth decay, trauma, inflammation, gene mutations, and nutritional disorders are considered. It arises more often in male and African origin people. Although it can be seen in 3 80-year-olds, the average age is 40 years. It is rarely seen before 20 years of age.2
基因的肿瘤。最常见的发生部位是下颌磨牙和支区。从词源学上讲,它是由“amel”(意为珐琅)和“blastos”(意为胚芽或芽)两个词组成的。成釉细胞瘤具有侵袭性,局部侵袭,复发率高。2017年成釉细胞瘤的分类发生了变化。表1列出了世界卫生组织对头颈部肿瘤的分类。在作出这一新的分类时,世界卫生组织考虑到"囊性"一词与"独囊性"一词容易混淆。此外,“成釉细胞瘤”的模式很容易识别,并且对传统的成釉细胞瘤具有特异性,因此“实性/多囊性”术语已从术语中删除确切的病因尚未确定,但一些因素,如拔牙后的刺激、蛀牙、创伤、炎症、基因突变和营养失调被考虑在内。它更常见于男性和非洲裔人群。虽然在80岁的老人中可以看到,但平均年龄是40岁。在20岁以前很少见到
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Türkiye Klinikleri Journal of Case Reports
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