Pub Date : 2022-04-30DOI: 10.47363/jccsr/2022(4)215
Mohamed Shafi Bin Mahboob Ali
Twiddler’s syndrome is a rare condition characterized by permanent pacemaker dysfunction due to patient’s own manipulation. It happens knowingly or subconsciously. Twiddler’s syndrome is diagnosed in the first year of implantation. The pacemaker failure is due to lead displacement and loss of ventricular pacing. In this case report we would like to present a case of Twiddler’s syndrome which was diagnosed ten days after pacemaker insertion.
{"title":"Twiddler’s Syndrome-A Case Report","authors":"Mohamed Shafi Bin Mahboob Ali","doi":"10.47363/jccsr/2022(4)215","DOIUrl":"https://doi.org/10.47363/jccsr/2022(4)215","url":null,"abstract":"Twiddler’s syndrome is a rare condition characterized by permanent pacemaker dysfunction due to patient’s own manipulation. It happens knowingly or subconsciously. Twiddler’s syndrome is diagnosed in the first year of implantation. The pacemaker failure is due to lead displacement and loss of ventricular pacing. In this case report we would like to present a case of Twiddler’s syndrome which was diagnosed ten days after pacemaker insertion.","PeriodicalId":274729,"journal":{"name":"Journal of Clinical Case Studies Reviews & Reports","volume":"265 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122932632","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 : 2022-04-30DOI: 10.47363/jccsr/2022(4)214
Anushi Shah, M. Fruscione
Background: Medical comorbidities augment surgical risk of liver transplantation. This is a report of immediate post-operative biventricular failure following liver transplant requiring venoarterial extracorporeal membrane oxygenation (VA-ECMO) and subsequent conversion to minimally invasive biventricular assist devices (BIVAD) for cardiac recovery and liver graft preservation. Case Report: 66-year-old male decompensated alcoholic cirrhotic with a pre-operative stress echocardiogram (ECHO) showing no significant valvular or coronary disease and a left ventricular ejection fraction (LVEF) of 65% underwent liver transplantation. Transesophageal echocardiogram at the conclusion of the case demonstrated a LVEF of 10% with biventricular dysfunction and severe mitral regurgitation requiring four pressors. VA-ECMO was initiated for temporary stabilization with subsequent transition to biventricular support using an Impella® 5.5 left ventricular device (VAD) via axillary artery graft and a Protek-Duo percutaneous right VAD via the right internal jugular vein, both placed peripherally through a minimally invasive approach. Serial echocardiograms showed recovery of myocardial function. BIVAD were removed on day 8 and day 13. Excellent liver function was maintained. Conclusion: This is the first report of minimally invasive BIVAD used for acute cardiogenic shock after liver transplantation. A multidisciplinary team approach to prompt mechanical support ensured preservation of liver graft while allowing for cardiac recovery.
{"title":"Biventricular Assist Devices for Acute Heart Failure After Orthotopic Liver Transplantation","authors":"Anushi Shah, M. Fruscione","doi":"10.47363/jccsr/2022(4)214","DOIUrl":"https://doi.org/10.47363/jccsr/2022(4)214","url":null,"abstract":"Background: Medical comorbidities augment surgical risk of liver transplantation. This is a report of immediate post-operative biventricular failure following liver transplant requiring venoarterial extracorporeal membrane oxygenation (VA-ECMO) and subsequent conversion to minimally invasive biventricular assist devices (BIVAD) for cardiac recovery and liver graft preservation. Case Report: 66-year-old male decompensated alcoholic cirrhotic with a pre-operative stress echocardiogram (ECHO) showing no significant valvular or coronary disease and a left ventricular ejection fraction (LVEF) of 65% underwent liver transplantation. Transesophageal echocardiogram at the conclusion of the case demonstrated a LVEF of 10% with biventricular dysfunction and severe mitral regurgitation requiring four pressors. VA-ECMO was initiated for temporary stabilization with subsequent transition to biventricular support using an Impella® 5.5 left ventricular device (VAD) via axillary artery graft and a Protek-Duo percutaneous right VAD via the right internal jugular vein, both placed peripherally through a minimally invasive approach. Serial echocardiograms showed recovery of myocardial function. BIVAD were removed on day 8 and day 13. Excellent liver function was maintained. Conclusion: This is the first report of minimally invasive BIVAD used for acute cardiogenic shock after liver transplantation. A multidisciplinary team approach to prompt mechanical support ensured preservation of liver graft while allowing for cardiac recovery.","PeriodicalId":274729,"journal":{"name":"Journal of Clinical Case Studies Reviews & Reports","volume":"115 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134160113","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 : 2022-04-30DOI: 10.47363/jccsr/2022(4)216
B. O
Tracheobronchomegaly or Mounier-Kuhn syndrome is a very rare condition characterized by dilatation of the trachea and main bronchi, bronchiectasis and recurrent respiratory tract infections. The causality of this syndrome is unclear and the clinical representation is variable. The diagnosis is mostly established on the basis of characteristic CT scan findings. We report the case of a 65-year-old female with a history of recurrent lower respiratory tract infections, that was not initially diagnosed by repeated chest radiographs, but was later identified by CT scan
{"title":"CT scan Diagnosis of Mounier-Kuhn Syndrome in A Patient with Recurrent Respiratory Infections: About A Rare Case Report","authors":"B. O","doi":"10.47363/jccsr/2022(4)216","DOIUrl":"https://doi.org/10.47363/jccsr/2022(4)216","url":null,"abstract":"Tracheobronchomegaly or Mounier-Kuhn syndrome is a very rare condition characterized by dilatation of the trachea and main bronchi, bronchiectasis and recurrent respiratory tract infections. The causality of this syndrome is unclear and the clinical representation is variable. The diagnosis is mostly established on the basis of characteristic CT scan findings. We report the case of a 65-year-old female with a history of recurrent lower respiratory tract infections, that was not initially diagnosed by repeated chest radiographs, but was later identified by CT scan","PeriodicalId":274729,"journal":{"name":"Journal of Clinical Case Studies Reviews & Reports","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127445107","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 : 2022-03-30DOI: 10.47363/jccsr/2022(4)208
Burkhonov Ab
The COVID-19 coronavirus pandemic, declared by the World Health Organization (WHO) on 11.03.2020, has stimulated the search for treatment and prevention of this disease in many countries around the world. The rapid phase of the development of the disease is the viral phase, when it is still possible to use antiviral drugs, for example, ivermectin or hydroxychlorakine, and the inflammatory phase, when the virus penetrates into the lower parts of the lungs and enters the circulatory system. This phase of the disease is fraught with complications, sometimes requiring the use of ventilation, and with an unfavorable combination of risk factors - and to death. In the literature devoted to the topic of COVID-19, the term “PostCOVID syndrome” appeared, which describes the defeat of the central and peripheral nervous system, thrombosis of the vessels of various organs, damage to the gastrointestinal tract and skin. We present a rarer complication, however, characteristic of the Republic of Uzbekistan. We will talk about aseptic necrosis of the joints and tubular bones (bone infarction).
{"title":"Aseptic Necrosis of the Joints, As A Complication of Post-COVID Syndrome (Clinical Case)","authors":"Burkhonov Ab","doi":"10.47363/jccsr/2022(4)208","DOIUrl":"https://doi.org/10.47363/jccsr/2022(4)208","url":null,"abstract":"The COVID-19 coronavirus pandemic, declared by the World Health Organization (WHO) on 11.03.2020, has stimulated the search for treatment and prevention of this disease in many countries around the world. The rapid phase of the development of the disease is the viral phase, when it is still possible to use antiviral drugs, for example, ivermectin or hydroxychlorakine, and the inflammatory phase, when the virus penetrates into the lower parts of the lungs and enters the circulatory system. This phase of the disease is fraught with complications, sometimes requiring the use of ventilation, and with an unfavorable combination of risk factors - and to death. In the literature devoted to the topic of COVID-19, the term “PostCOVID syndrome” appeared, which describes the defeat of the central and peripheral nervous system, thrombosis of the vessels of various organs, damage to the gastrointestinal tract and skin. We present a rarer complication, however, characteristic of the Republic of Uzbekistan. We will talk about aseptic necrosis of the joints and tubular bones (bone infarction).","PeriodicalId":274729,"journal":{"name":"Journal of Clinical Case Studies Reviews & Reports","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129743129","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 : 2022-01-30DOI: 10.47363/jccsr/2022(4)199
Medha A. Vyas
Intraventricular tumors present a diagnostic as well as surgical challenge to all the Neurosurgeons. Pigmented tumours in the Central nervous system are rare lesions and most commonly are meningeal melanocytic tumours or metastatic melanomas. Pigmented Ependymomas are much rarer and only 8 cases have been reported in the literature yet. We here present a case of 37-year-old female who had an unusual presentation with CSF Rhinorrhoea, on further evaluation she was found to have an intraventricular tumour. Post-operatively she was found to have a rare variety of Intraventricular tumour- Pigmented Ependymoma.
{"title":"Intraventricular Pigmented Ependymoma with CSF Rhinorrhoea: A Rare Case with Review of Literature","authors":"Medha A. Vyas","doi":"10.47363/jccsr/2022(4)199","DOIUrl":"https://doi.org/10.47363/jccsr/2022(4)199","url":null,"abstract":"Intraventricular tumors present a diagnostic as well as surgical challenge to all the Neurosurgeons. Pigmented tumours in the Central nervous system are rare lesions and most commonly are meningeal melanocytic tumours or metastatic melanomas. Pigmented Ependymomas are much rarer and only 8 cases have been reported in the literature yet. We here present a case of 37-year-old female who had an unusual presentation with CSF Rhinorrhoea, on further evaluation she was found to have an intraventricular tumour. Post-operatively she was found to have a rare variety of Intraventricular tumour- Pigmented Ependymoma.","PeriodicalId":274729,"journal":{"name":"Journal of Clinical Case Studies Reviews & Reports","volume":"186 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133039295","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 : 2022-01-30DOI: 10.47363/jccsr/2022(4)198
A. Chouhan
Objective: The goal of this paper is to provide a case of traumatic hyoid bone fracture as well as a literature review. Rationale: Traumatic hyoid bone fractures are uncommon; but, as martial arts become more popular, the incidence of traumatic hyoid bone fractures may rise. Clinical Characteristics: After getting a kick to the anterior neck, a thirteen-year-old taekwondo athlete fell. Following immediate first-aid treatment, the athlete complained of difficulty speaking and swallowing, as well as breathlessness. Over the hyoid bone, there was ecchymosis and soreness. Intervention and Result: Lateral radiographs indicated a hyoid fracture. The patient was given analgesics and told to rest at home. At four weeks after the injury, the athlete was cleared to return to sports. Conclusion: In the management of suspected bone fractures, ensuring airway integrity and screening for symptoms of laryngeal laceration are critical. It is strongly advised that you observe for 48-72 hours. (JCCA 2012; 56(4):269-274)
{"title":"Hyoid Bone also Known as Suicide Bone – A Case Report","authors":"A. Chouhan","doi":"10.47363/jccsr/2022(4)198","DOIUrl":"https://doi.org/10.47363/jccsr/2022(4)198","url":null,"abstract":"Objective: The goal of this paper is to provide a case of traumatic hyoid bone fracture as well as a literature review. Rationale: Traumatic hyoid bone fractures are uncommon; but, as martial arts become more popular, the incidence of traumatic hyoid bone fractures may rise. Clinical Characteristics: After getting a kick to the anterior neck, a thirteen-year-old taekwondo athlete fell. Following immediate first-aid treatment, the athlete complained of difficulty speaking and swallowing, as well as breathlessness. Over the hyoid bone, there was ecchymosis and soreness. Intervention and Result: Lateral radiographs indicated a hyoid fracture. The patient was given analgesics and told to rest at home. At four weeks after the injury, the athlete was cleared to return to sports. Conclusion: In the management of suspected bone fractures, ensuring airway integrity and screening for symptoms of laryngeal laceration are critical. It is strongly advised that you observe for 48-72 hours. (JCCA 2012; 56(4):269-274)","PeriodicalId":274729,"journal":{"name":"Journal of Clinical Case Studies Reviews & Reports","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124310776","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 : 2020-09-21DOI: 10.22541/au.160071249.98180325
S. Ramanan, S. Saxena, Baiju S. Dharan
Isolated congenital pulmonary valve regurgitation (IPVR) is very rare. Absent/ bicuspid/ dysplastic pulmonary valves are the common congenital causes of this condition. Here we present a rare cause of IPVR caused by absent single pulmonary cusp. A review of literature to establish timing and management of isolated pulmonary regurgitation is also attempted.
{"title":"ABSENT SINGLE PULMONARY CUSP CAUSING ISOLATED PULMONARY VALVAE REGURGITATION","authors":"S. Ramanan, S. Saxena, Baiju S. Dharan","doi":"10.22541/au.160071249.98180325","DOIUrl":"https://doi.org/10.22541/au.160071249.98180325","url":null,"abstract":"Isolated congenital pulmonary valve regurgitation (IPVR) is very rare. Absent/ bicuspid/ dysplastic pulmonary valves are the common congenital causes of this condition. Here we present a rare cause of IPVR caused by absent single pulmonary cusp. A review of literature to establish timing and management of isolated pulmonary regurgitation is also attempted.","PeriodicalId":274729,"journal":{"name":"Journal of Clinical Case Studies Reviews & Reports","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126623225","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 : 2020-02-28DOI: 10.47363/jccsr/2020(2)111
Shubhanshu Gaurav
{"title":"Angiodysplasia of Left Colon Extending to Anal Verge Landed Patient into Apr: A Rare Diagnosis","authors":"Shubhanshu Gaurav","doi":"10.47363/jccsr/2020(2)111","DOIUrl":"https://doi.org/10.47363/jccsr/2020(2)111","url":null,"abstract":"","PeriodicalId":274729,"journal":{"name":"Journal of Clinical Case Studies Reviews & Reports","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121712051","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 : 2020-02-28DOI: 10.47363/jccsr/2020(2)110
S. Kumari
{"title":"Safety of Onabotulinum- Toxin-A for Chronic Migraine in patients with Psoriasis of the scalp and Sturge Weber Syndrome: A case series and Literature Review","authors":"S. Kumari","doi":"10.47363/jccsr/2020(2)110","DOIUrl":"https://doi.org/10.47363/jccsr/2020(2)110","url":null,"abstract":"","PeriodicalId":274729,"journal":{"name":"Journal of Clinical Case Studies Reviews & Reports","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130195017","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 : 2020-02-28DOI: 10.47363/jccsr/2020(2)109
S. Imam
Background: Hydatid disease is an endemic parasitic disease in Mediterranean countries, the Middle East, Far East, South America, Australia, New Zealand, and East Africa. It is a zoonotic infection caused by Echinococcus granulosus, spread by carnivores (pets) with man acting as an accidental intermediate host. Hydatid cyst commonly affects liver followed by lung but rarely affects both organs. Here, we report a series of ten cases of Hydatid cyst, documented on ultrasonography with or without symptoms. Organs affected were liver, lungs, spleen and a rare presentation of inguinal cyst has also been reported. Aim and objectives: In the era of minimal invasive surgery, the aim was to evaluate safety and efficacy of laparoscopically managed hydatid cysts of liver, lung, spleen in our institutional experience. Methods: All the patients with the hydatid cyst who consented were then included in the study. Diagnosis was made after thorough clinical examination and radiological investigations. ELISA for anti- Echinococcus antibodies sshowed positive titres as well. Due to extensive involvement, patients were also started on medical treatment with albendazole continuing post-operatively for 4-6 weeks. Demographic data, operative time, intra-operative complications, duration of hospital stay and post op follow-up was done and recorded. Results: 10 patients underwent laparoscopic hydatid cyst draining with de-roofing and marsupilization of cyst, there were 6 females and 4 male patients with the mean age of 30 years. The average operative time was 45 minutes, no major complications were observed post operatively and mean hospital stay duration was 5 days. Conclusion: All the Cases showed significant improvement both clinically and radiographically upon laparoscopic man
{"title":"Laparoscopic Management of Hydatid Cyst: A Series of 10 Cases","authors":"S. Imam","doi":"10.47363/jccsr/2020(2)109","DOIUrl":"https://doi.org/10.47363/jccsr/2020(2)109","url":null,"abstract":"Background: Hydatid disease is an endemic parasitic disease in Mediterranean countries, the Middle East, Far East, South America, Australia, New Zealand, and East Africa. It is a zoonotic infection caused by Echinococcus granulosus, spread by carnivores (pets) with man acting as an accidental intermediate host. Hydatid cyst commonly affects liver followed by lung but rarely affects both organs. Here, we report a series of ten cases of Hydatid cyst, documented on ultrasonography with or without symptoms. Organs affected were liver, lungs, spleen and a rare presentation of inguinal cyst has also been reported. Aim and objectives: In the era of minimal invasive surgery, the aim was to evaluate safety and efficacy of laparoscopically managed hydatid cysts of liver, lung, spleen in our institutional experience. Methods: All the patients with the hydatid cyst who consented were then included in the study. Diagnosis was made after thorough clinical examination and radiological investigations. ELISA for anti- Echinococcus antibodies sshowed positive titres as well. Due to extensive involvement, patients were also started on medical treatment with albendazole continuing post-operatively for 4-6 weeks. Demographic data, operative time, intra-operative complications, duration of hospital stay and post op follow-up was done and recorded. Results: 10 patients underwent laparoscopic hydatid cyst draining with de-roofing and marsupilization of cyst, there were 6 females and 4 male patients with the mean age of 30 years. The average operative time was 45 minutes, no major complications were observed post operatively and mean hospital stay duration was 5 days. Conclusion: All the Cases showed significant improvement both clinically and radiographically upon laparoscopic man","PeriodicalId":274729,"journal":{"name":"Journal of Clinical Case Studies Reviews & Reports","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130847953","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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