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Proptosis due to Isolated Intra-orbital Meningocele-a case Report 孤立性眶内脑膜膨出致眼球突出1例报告
Pub Date : 2023-06-28 DOI: 10.18502/crcp.v8i1.13100
Mohammad Taher Rajabi, Abbas Mohammadi, S. Besharati
Congenital orbital wall defects are very rare bone abnormalities that can cause protrusion of intracranial contents into the orbit. The protrusion of the meninges, which encompasses cerebrospinal fluid (CSF), result in a condition known as the orbital meningocele, a rare cause of pulsatile proptosis. Here, we present a 4-year-old female with left eye proptosis referred to our clinic. On magnetic resonance imaging (MRI), a cystic structure was present. The patient underwent surgery for cyst removal. CSF leakage was noted during surgery. Computed tomography (CT) scan revealed a bony defect in the sphenoid greater wing and the resulting meningocele. Craniotomy surgery was performed to close and fill the defect
先天性眶壁缺陷是非常罕见的骨骼异常,可导致颅内内容物突出进入眼眶。脑膜突出,包括脑脊液(CSF),导致一种被称为眼眶脊膜膨出的疾病,这是一种罕见的搏动性突出的原因。在这里,我们介绍了一位4岁的女性左眼眼球突出症转诊到我们的诊所。在核磁共振成像(MRI)上,出现了一个囊性结构。病人接受了囊肿切除手术。术中发现脑脊液渗漏。计算机断层扫描(CT)显示蝶骨大翼骨缺损,并导致脑膜膨出。进行了颅骨切开术以闭合和填充缺损
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引用次数: 0
A Case of Antenatal Diagnosis of Ectopia Cordis with Cardiac Disease 心心异位合并心脏病的产前诊断1例
Pub Date : 2023-06-28 DOI: 10.18502/crcp.v8i1.13098
F. Rashidighader, M. Khorgami, E. Caruso, Farruggio Silvia, Reza Masihi
Ectopic cordis is a rare anomaly with incidence of 5.5 to 7.9 per one million. In this anomaly, fetal heart is displayed towards outside of the thoracic cavity partially or completely. We describe a case of antenatal diagnosis of Thoracic Ectopia Cordis (EC) with CongenitalHeartDisease (CHD) without any other extracardiac malformations. The mother was referred to our center at 18 weeks of gestation due to abnormal sonography. Fetal Echocardiographic examination showed isolated thoracic ectopia cordis with Double Outlet Right Ventricle (DORV), large inlet to outlet Ventricular Septal Defect (VSD), malposition of Aorta, Pulmonary Atresia with retrograde flow, narrow Pulmonary Artery (PA) and PA branches. Amniocentesis and sonography revealed no other anomaly or chromosomal derangement. Because the diagnosis of Ectopia cordis may be difficult in the fetal period due to multiple factors, meticulous attention should be paid for true diagnosis.
异位心脏病是一种罕见的异常,发病率为5.5-7.9‰。在这种异常情况下,胎儿心脏部分或全部显示在胸腔外。我们描述了一例产前诊断为胸部异位心脏病(EC)伴先天性心脏病(CHD)且无任何其他心外畸形的病例。这位母亲在怀孕18周时因超声检查异常被转诊到我们的中心。胎儿超声心动图检查显示孤立性胸外心脏伴右心室双出口(DORV)、室间隔缺损(VSD)、主动脉错位、肺动脉闭锁伴逆行、肺动脉狭窄和肺动脉分支狭窄。羊水穿刺和超声检查未发现其他异常或染色体紊乱。由于多种因素,胎儿期心脏异位症的诊断可能很困难,因此应仔细注意真正的诊断。
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引用次数: 0
Spontaneous Transformation of Intramural Myoma into Peduncle During Cesarean Section in a 33-year Woman: A Case Report 一例33岁女性剖宫产时壁内肌瘤自发转化为子宫颈的病例报告
Pub Date : 2023-06-28 DOI: 10.18502/crcp.v8i1.13096
Zahra Yazdi, Seyed Mohammad Hashem Montazeri
We report a 33 years multipara pregnant woman who presented with vaginal bleeding due to intramural myoma and preeclampsia. After cesarean section, the myoma changed to the peduncle type and entered the internal space from the inner thickness of the uterus. This infrequent phenomenon made it easier to operate and remove the myoma within a few hours after the cesarean section. Finally, the mother and baby were discharged from the hospital safely after a few days.
我们报告了一位33岁的经产妇,她因肌壁内肌瘤和先兆子痫而出现阴道出血。剖宫产后,肌瘤变为蒂型,从子宫内膜进入内腔。这种罕见的现象使手术更容易,并在剖宫产后的几个小时内去除肌瘤。几天后,母亲和婴儿终于安全出院。
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引用次数: 0
Kimura Disease: a Case Report in an Unlikely age group 木村病:一个不太可能年龄组的病例报告
Pub Date : 2023-06-28 DOI: 10.18502/crcp.v8i1.13099
Reena Patel, Aradhita Maheshwari, Vijaykumar Gawali
Kimura disease is a rare chronic inflammatory disorder of unknown etiology. The disease is primarily seen in young Asian males and is characterized by painless subcutaneous swelling. It is often accompanied by renal involvement, predominantly manifesting as nephrotic syndrome. We describe a case of Kimura disease in a 69-year-old Indian male, presenting with left postauricular swelling. Clinical and histopathological characteristics are described along with a brief review of the literature
木村病是一种罕见的病因不明的慢性炎症性疾病。这种疾病主要见于亚洲年轻男性,其特征是无痛性皮下肿胀。它通常伴有肾脏受累,主要表现为肾病综合征。我们描述了一例69岁的印度男性木村病,表现为左耳后肿胀。描述了临床和组织病理学特征,并简要回顾了文献
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引用次数: 0
Plasma Therapy for Medication-Related Osteonecrosis of the Jaws- a Case Report 血浆治疗颌骨药物相关性骨坏死1例报告
Pub Date : 2023-06-28 DOI: 10.18502/crcp.v8i1.13088
M. Sadrabad, E. Saberian
Medication-related osteonecrosis of the jaw (MRONJ) is a side effect of anti-bone resorption medications. Nowadays antiresorptive medications like bisphosphonate and monoclonal antibodies like denosumab that have been prescribed for bone disorders and metastatic cancer are becoming increasingly common. Although these medications are quite efficient at reducing bone resorption, they can develop osteomyelitis and jaw necrosis as a side effect. A 65-year-old woman was referred to the Oral Medicine Department of Semnan University of Medical Sciences with diffuse bilateral mandibular osteonecrosis, with a history of osteopetrosis and under-treatment of bisphosphonate. This complication started after tooth extraction and without any healing 5 years ago. After 3 sessions of plasma therapy, obvious improvement was seen. A proper medical history and a routine oral examination before treating with any invasive dental treatment are necessary to avoid any medication-related osteonecrosis of the jaw or mucosal abnormalities.
药物相关性颌骨骨坏死(MRONJ)是抗骨吸收药物的副作用。如今,抗骨吸收药物,如双膦酸盐和单克隆抗体,如denosumab,已被用于治疗骨疾病和转移性癌症,正变得越来越普遍。虽然这些药物在减少骨吸收方面相当有效,但它们的副作用可能会导致骨髓炎和颌骨坏死。一名65岁女性因弥漫性双侧下颌骨坏死被转诊至Semnan医科大学口腔医学系,有骨质疏松史,双膦酸盐治疗不足。这种并发症始于5年前拔牙后,没有任何愈合。血浆治疗3个疗程后,疗效明显改善。在进行任何侵入性牙科治疗之前,有必要进行适当的病史和常规口腔检查,以避免任何与药物相关的颌骨骨坏死或粘膜异常。
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引用次数: 0
Acute esophageal necrosis as a result of taking herbal Medicine 服用草药导致急性食道坏死
Pub Date : 2023-06-28 DOI: 10.18502/crcp.v8i1.13093
Narjes zarei Jalalabadi, Nasim Khajavirad, S. Parsa, Sahar Karimpour reyhan
Nowadays People use herbal medicines to try to maintain or improve their health but sometimes they cause side-effects and Some herbal drug may also interact with medication. We reported a 37 -year-old man who presented to the emergency department with sever watery diarrhea, vomiting, dysphagia, bicytopenia, renal failure and Acute esophageal necrosis, also known as black esophagus which is a rare syndrome characterized by a striking diffuse circumferential black appearance of the esophageal mucosa that universally affects the distal esophagus, 2-days after use of herbal drug named suranjan . Suranjan is a herbal formulation used to treat Rheumatoid arthritis
如今,人们使用草药来维持或改善健康,但有时会产生副作用,一些草药也可能与药物相互作用。我们报告了一名37岁的男子,他因严重的水样腹泻、呕吐、吞咽困难、双细胞减少症、肾功能衰竭和急性食管坏死(也称为黑食管)到急诊科就诊,黑食管是一种罕见的综合征,其特征是食管粘膜明显的弥漫性周向黑色外观,普遍影响远端食管,使用名为suranjan的草药2天后。Suranjan是一种用于治疗类风湿性关节炎的草药配方
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引用次数: 1
Right Lower Extremity Numbness- an Atypical Presentation of Acute Aortic Dissection 右下肢麻木——急性主动脉夹层的非典型表现
Pub Date : 2023-06-28 DOI: 10.18502/crcp.v8i1.13095
Z. Masoumi, Seyed Mojtaba Alavi, M. Sedaqat, M. Shahidi
Acute aortic dissection (AAD) is one of the most challenging and emergency conditions in the health care system. It`s associated with high mortality. A 55-yearold person was admitted to the emergency department due to numbness of his right leg. The patient had no complaints of chest pain on arrival. However, echocardiography revealed aortic dissection and computed tomography (CT) scan confirmed the diagnosis. The patient was immediately referred to Rajaei hospital for further specialized procedures. He went into the operating room directly and had a successful operation of aortic dissection repair. Rarely AAD has atypical manifestation and may have unusual clinical presentations. Thus, it could cause a delay in establishment of diagnosis of this emergent condition. The purpose of this report was to introduce a rare initial presentation of an atypical aortic dissection.
急性主动脉夹层(AAD)是医疗保健系统中最具挑战性和最紧急的情况之一。它与高死亡率有关。一位55岁的老人因右腿麻木而住进了急诊室。病人到达时没有胸痛的主诉。然而,超声心动图显示主动脉夹层,计算机断层扫描证实了诊断。患者立即被送往Rajaei医院接受进一步的专业治疗。他直接走进手术室,成功地进行了主动脉夹层修复手术。AAD很少有非典型表现,可能有不寻常的临床表现。因此,它可能会导致这种紧急情况的诊断延迟。本报告的目的是介绍一种罕见的非典型主动脉夹层的初步表现。
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引用次数: 0
Pulmonary Artery Aneurysm Dilemma in pregnancy: a Case Report 妊娠期肺动脉瘤的困境1例报告
Pub Date : 2023-06-28 DOI: 10.18502/crcp.v8i1.13089
Shadi Zamansaraei, Milad Nazari Sabet, Parvin Bahrami
Pulmonary Artery Aneurysm (PAA), defined as greater than 40 mm dilation of the main pulmonary artery wall, in female and above 43 mm in males is a rare and fatal defect. Since there is a high risk for rupture, especially in cases of symptomatic or severe dilatation, surgical intervention is suggested. There is no recommendation about therapeutic methods based on the diameter of the pulmonary aneurysm in pregnancy in the guidelines. In this rare and unique report, we described a 26-year-old pregnant woman with previous history of biologic pulmonary valve replacement referred to the joint clinic of heart disease and pregnancy at 15 weeks of pregnancy because transthoracic echocardiography showed an aneurysm of the main pulmonary artery (55mm). Due to pulmonary artery diameter and risk of dissection, we informed her about the risks and recommended therapeutic abortion, but she refused and, fortunately no complication occurred during close observation in pregnancy and few months later. There is no specific recommendation about therapeutic methods based on the diameter of the pulmonary aneurysm in pregnancy in the guidelines, but referring to the aortic aneurysm guidelines recommendation, pregnancy termination when PA diameter > 5.5 cm because of the higher risk of dissection. Other factors should be considered to determine the risk of dissection in pregnancy include; categorized PA aneurysms to high or low intravascular PA pressure, PA diameter growth rate, and causative mechanisms. Thus, if pregnancy occurs, decisions about each patient will vary depending on risk factors
肺动脉动脉瘤(PAA),定义为肺动脉主壁扩张大于40mm,在女性和男性超过43 mm是一种罕见且致命的缺陷。由于有很高的破裂风险,特别是在有症状或严重扩张的情况下,建议手术干预。指南中并没有针对妊娠期肺动脉瘤直径的治疗方法提出建议。在这个罕见而独特的报告中,我们描述了一位26岁的孕妇,她之前有过生物肺瓣膜置换术的病史,在怀孕15周时,由于经胸超声心动图显示肺动脉主动脉瘤(55mm),她被转诊到心脏病和妊娠联合诊所。考虑到肺动脉直径和剥离的风险,我们告知其风险并建议其进行治疗性流产,但她拒绝了,好在妊娠期及几个月后的密切观察没有发生并发症。指南中并没有具体推荐基于妊娠肺动脉动脉瘤直径的治疗方法,但参考了主动脉瘤指南的建议,当PA直径> 5.5 cm时因夹层风险较高终止妊娠。确定妊娠期夹层风险时应考虑的其他因素包括:根据血管内PA压力高或低、PA直径增长速度和病因机制对PA动脉瘤进行分类。因此,如果怀孕,每个病人的决定将根据危险因素而有所不同
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引用次数: 0
Post-Cardiac Injury Syndrome (Dressler Syndrome) Following Atrial Septal Defect (ASD) Repair: a Case Report 房间隔缺损(ASD)修复后心脏损伤综合征(Dressler综合征)一例报告
Pub Date : 2023-06-28 DOI: 10.18502/crcp.v8i1.13090
A. Mirabi, Reihane Tabaraii, M. Sedaqat, Saba Gaeini, M. Masoumi
Dressler syndrome is a type of secondary pericarditis that can be accompanied by pleural effusion or pericardial effusion resulting from injury of the pericardium or heart tissue. A 33-year-old male was admitted to the emergency department with pleuritic chest pain radiating to both shoulders and fever. Two months before the admission, the patient underwent traditional open-heart surgery with median sternotomy and pericardiectomy for atrial septal defect (ASD) closure. Blood tests showed elevated acute phase reactants (leukocytosis, high erythrocyte sedimentation rate, and C-reactive protein). Left-sided pleural effusion was revealed on chest CT scan. Diagnosis of Dressler syndrome was established. The patient’s pleuritic chest pain and shoulder pain improved clinically with a short course of colchicine. Although Dressler syndrome is rarely seen, it should be considered in the differential diagnosis of pleuritic chest pain. Special attention should be paid to Dressler’s syndrome because pericarditis can develop following cardiac surgery.
Dressler综合征是一种继发性心包炎,可伴有心包或心脏组织损伤引起的胸膜积液或心包积液。一名33岁男性因胸膜性胸痛辐射至双肩并发烧而被送入急诊科。入院前2个月,患者接受了传统的心内直视手术,胸骨正中切口和心包切开术治疗房间隔缺损(ASD)。血液检查显示急性期反应物升高(白细胞增多,红细胞沉降率高,c反应蛋白升高)。胸部CT显示左侧胸腔积液。建立Dressler综合征的诊断。经短疗程秋水仙碱治疗后,患者胸膜炎性胸痛及肩痛得到改善。尽管Dressler综合征罕见,但在胸膜炎性胸痛的鉴别诊断中应予以考虑。应特别注意德雷斯勒综合征,因为心包炎可在心脏手术后发生。
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引用次数: 0
Severe diabetic ketoacidosis and coronavirus 2019 (COVID19) infection led to diagnosis of Autoimmune Polyglandular Syndrome 严重的糖尿病酮症酸中毒和冠状病毒2019 (covid - 19)感染导致诊断为自身免疫性多腺综合征
Pub Date : 2023-06-28 DOI: 10.18502/crcp.v8i1.13092
Meraj Tavakoli, S. Rabizadeh, Sara Seifouri, A. Esteghamati, M. Nakhjavani
To this day, millions of people in the world have been diagnosed with corona virus 2019 (COVID-19). This disease cannot only lead to higher mortality rates among those with underlying Diabetes Mellitus (DM), but also may trigger DM in susceptible patients. Therefore, incidence of new-onset DM increased during the pandemic as a result; treatment of patients with diabetes and COVID-19 is important and needs further investigations. Here, we report a 27-year- old woman with past medical history of premature ovarian failure (POF) since14 years ago, who initially presented with severe diabetic ketoacidosis (DKA) which was triggered by COVID-19 and later through her lab results hypoparathyroidism was also detected. She was treated for DKA and COVID-19 Infection concomitantly, and she was also diagnosed with autoimmune polyglandular syndrome due to her multiple autoimmune endocrine organ involvements.
时至今日,世界上已有数百万人被确诊感染2019冠状病毒(新冠肺炎)。这种疾病不仅会导致潜在糖尿病患者的死亡率更高,而且可能引发易感患者的糖尿病。因此,新发糖尿病的发病率在疫情期间增加;糖尿病和新冠肺炎患者的治疗很重要,需要进一步研究。在此,我们报告了一名自14年前以来有卵巢早衰(POF)病史的27岁女性,她最初表现为严重的糖尿病酮酸中毒(DKA),这是由新冠肺炎引发的,后来通过她的实验室结果也检测到了甲状旁腺功能减退症。她同时接受了DKA和新冠肺炎感染的治疗,由于多个自身免疫内分泌器官受累,她还被诊断为自身免疫性多腺综合征。
{"title":"Severe diabetic ketoacidosis and coronavirus 2019 (COVID19) infection led to diagnosis of Autoimmune Polyglandular Syndrome","authors":"Meraj Tavakoli, S. Rabizadeh, Sara Seifouri, A. Esteghamati, M. Nakhjavani","doi":"10.18502/crcp.v8i1.13092","DOIUrl":"https://doi.org/10.18502/crcp.v8i1.13092","url":null,"abstract":"To this day, millions of people in the world have been diagnosed with corona virus 2019 (COVID-19). This disease cannot only lead to higher mortality rates among those with underlying Diabetes Mellitus (DM), but also may trigger DM in susceptible patients. Therefore, incidence of new-onset DM increased during the pandemic as a result; treatment of patients with diabetes and COVID-19 is important and needs further investigations. Here, we report a 27-year- old woman with past medical history of premature ovarian failure (POF) since14 years ago, who initially presented with severe diabetic ketoacidosis (DKA) which was triggered by COVID-19 and later through her lab results hypoparathyroidism was also detected. She was treated for DKA and COVID-19 Infection concomitantly, and she was also diagnosed with autoimmune polyglandular syndrome due to her multiple autoimmune endocrine organ involvements.","PeriodicalId":34254,"journal":{"name":"Case Reports in Clinical Practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48766372","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
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Case Reports in Clinical Practice
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