Pub Date : 2024-02-07DOI: 10.36347/sjmcr.2024.v12i02.011
C. Manjra, O. Nacir, Ibtissam Bounouar, M. E. Bouatmani, F. Lairani, A. A. Errami, S. Oubaha, Z. Samlani, K. Krati
Tuberculosis is a public health issue. Pulmonary form is the most common, and isolated ano-perineal involvement is very rare. We describe in this paper a case of an ano-perineal tuberculosis in a 26-year-old, who was admitted for a recurrent fistula and chronic perianal ulcerations. Many investigations were made, including Human Immunodeficiency Virus (HIV) and syphilis serologies, ileocolonoscopy, chest X-ray, and they all revealed no abnormalities. The Tuberculin intradermal reaction was positive with a 15 mm induration. Histopathological examination of perianal ulceration’s biopsies revealed epithelioid cell granuloma accompanied by Langhans multinucleated giant cells and enclosing caseating necrosis, which allowed us to diagnose an anoperineal tuberculosis. The patient was successfully treated by a 6-month regimen.
结核病是一个公共卫生问题。肺结核最为常见，而孤立的会阴部受累则非常罕见。本文描述了一例会阴部结核病例，患者 26 岁，因反复肛瘘和慢性肛周溃疡入院。患者接受了多项检查，包括人类免疫缺陷病毒（HIV）和梅毒血清学检查、回肠结肠镜检查和胸部 X 光检查，均未发现异常。结核菌素皮内反应呈阳性，有 15 毫米的压痕。肛周溃疡活检组织病理学检查显示，上皮样细胞肉芽肿伴有兰汉斯多核巨细胞和包膜酪质坏死，因此我们诊断为肛门结核。我们对患者进行了为期 6 个月的成功治疗。
{"title":"Unusual Presentation of Digestive Tuberculosis: About A Case Report","authors":"C. Manjra, O. Nacir, Ibtissam Bounouar, M. E. Bouatmani, F. Lairani, A. A. Errami, S. Oubaha, Z. Samlani, K. Krati","doi":"10.36347/sjmcr.2024.v12i02.011","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i02.011","url":null,"abstract":"Tuberculosis is a public health issue. Pulmonary form is the most common, and isolated ano-perineal involvement is very rare. We describe in this paper a case of an ano-perineal tuberculosis in a 26-year-old, who was admitted for a recurrent fistula and chronic perianal ulcerations. Many investigations were made, including Human Immunodeficiency Virus (HIV) and syphilis serologies, ileocolonoscopy, chest X-ray, and they all revealed no abnormalities. The Tuberculin intradermal reaction was positive with a 15 mm induration. Histopathological examination of perianal ulceration’s biopsies revealed epithelioid cell granuloma accompanied by Langhans multinucleated giant cells and enclosing caseating necrosis, which allowed us to diagnose an anoperineal tuberculosis. The patient was successfully treated by a 6-month regimen.","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139854831","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 : 2024-02-07DOI: 10.36347/sjmcr.2024.v12i02.011
C. Manjra, O. Nacir, Ibtissam Bounouar, M. E. Bouatmani, F. Lairani, A. A. Errami, S. Oubaha, Z. Samlani, K. Krati
Tuberculosis is a public health issue. Pulmonary form is the most common, and isolated ano-perineal involvement is very rare. We describe in this paper a case of an ano-perineal tuberculosis in a 26-year-old, who was admitted for a recurrent fistula and chronic perianal ulcerations. Many investigations were made, including Human Immunodeficiency Virus (HIV) and syphilis serologies, ileocolonoscopy, chest X-ray, and they all revealed no abnormalities. The Tuberculin intradermal reaction was positive with a 15 mm induration. Histopathological examination of perianal ulceration’s biopsies revealed epithelioid cell granuloma accompanied by Langhans multinucleated giant cells and enclosing caseating necrosis, which allowed us to diagnose an anoperineal tuberculosis. The patient was successfully treated by a 6-month regimen.
结核病是一个公共卫生问题。肺结核最为常见，而孤立的会阴部受累则非常罕见。本文描述了一例会阴部结核病例，患者 26 岁，因反复肛瘘和慢性肛周溃疡入院。患者接受了多项检查，包括人类免疫缺陷病毒（HIV）和梅毒血清学检查、回肠结肠镜检查和胸部 X 光检查，均未发现异常。结核菌素皮内反应呈阳性，有 15 毫米的压痕。肛周溃疡活检组织病理学检查显示，上皮样细胞肉芽肿伴有兰汉斯多核巨细胞和包膜酪质坏死，因此我们诊断为肛门结核。我们对患者进行了为期 6 个月的成功治疗。
{"title":"Unusual Presentation of Digestive Tuberculosis: About A Case Report","authors":"C. Manjra, O. Nacir, Ibtissam Bounouar, M. E. Bouatmani, F. Lairani, A. A. Errami, S. Oubaha, Z. Samlani, K. Krati","doi":"10.36347/sjmcr.2024.v12i02.011","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i02.011","url":null,"abstract":"Tuberculosis is a public health issue. Pulmonary form is the most common, and isolated ano-perineal involvement is very rare. We describe in this paper a case of an ano-perineal tuberculosis in a 26-year-old, who was admitted for a recurrent fistula and chronic perianal ulcerations. Many investigations were made, including Human Immunodeficiency Virus (HIV) and syphilis serologies, ileocolonoscopy, chest X-ray, and they all revealed no abnormalities. The Tuberculin intradermal reaction was positive with a 15 mm induration. Histopathological examination of perianal ulceration’s biopsies revealed epithelioid cell granuloma accompanied by Langhans multinucleated giant cells and enclosing caseating necrosis, which allowed us to diagnose an anoperineal tuberculosis. The patient was successfully treated by a 6-month regimen.","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139794759","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}
Burns are still a fairly frequent accident, affecting more children and women in our society. They generally lead to sometimes dramatic functional, aesthetic and psychological after-effects. Treatment in the acute phase, or at a later stage, conditions the patient's image. The neck, however, remains a high-risk area for the development of retractions, due to its anatomy. The skin is thin, the platysma directly subcutaneous, the hypodermis thin, and immobilization difficult. Once the flange has set in, it can be reconstructed using a variety of plastic and reconstructive surgery techniques, in conjunction with physiotherapy. However, the choice of treatment will depend on the quality and quantity of healthy skin tissue available in the neck. Skin grafting gives good results at a distance, when post-operative preventive measures are followed. Local plasty is a simple and effective solution for the treatment of simple localized bridges. Our work is a case study spread over a 2-year period from November 2021 to November 2023, which includes 2 cases of cervical sprains followed up in the plastic and reconstructive surgery and burns department of the Mohammed VI University Hospital in Tangier. Directed wound healing had been the initial treatment in both our patients, with good compliance in patient N2. Moderate and severe cervical sprains (according to Achauer's classification) were found in both our patients. In both patients, the flange had a functional impact, with limited neck extension and deformity of the cervico-chinese angle. Surgical treatment involved skin grafts in the 1st case, and local plasty in the second. Post-operative re-education remains a therapeutic pillar for obtaining satisfactory results.
{"title":"Post-Burn Cervical Retraction: 2 Cases and a Survey of the Literature","authors":"Dehhaze Adil, Bouazza Omar, Taybi Otmane, Tita Sara, Diher Issam, Labbaci Rim, Daghouri Nada- Imane, Barij Hamza, Echmili Mouad, Mai Aicha, Mahioui Mimoun, Tazi Hanae","doi":"10.36347/sjmcr.2024.v12i02.010","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i02.010","url":null,"abstract":"Burns are still a fairly frequent accident, affecting more children and women in our society. They generally lead to sometimes dramatic functional, aesthetic and psychological after-effects. Treatment in the acute phase, or at a later stage, conditions the patient's image. The neck, however, remains a high-risk area for the development of retractions, due to its anatomy. The skin is thin, the platysma directly subcutaneous, the hypodermis thin, and immobilization difficult. Once the flange has set in, it can be reconstructed using a variety of plastic and reconstructive surgery techniques, in conjunction with physiotherapy. However, the choice of treatment will depend on the quality and quantity of healthy skin tissue available in the neck. Skin grafting gives good results at a distance, when post-operative preventive measures are followed. Local plasty is a simple and effective solution for the treatment of simple localized bridges. Our work is a case study spread over a 2-year period from November 2021 to November 2023, which includes 2 cases of cervical sprains followed up in the plastic and reconstructive surgery and burns department of the Mohammed VI University Hospital in Tangier. Directed wound healing had been the initial treatment in both our patients, with good compliance in patient N2. Moderate and severe cervical sprains (according to Achauer's classification) were found in both our patients. In both patients, the flange had a functional impact, with limited neck extension and deformity of the cervico-chinese angle. Surgical treatment involved skin grafts in the 1st case, and local plasty in the second. Post-operative re-education remains a therapeutic pillar for obtaining satisfactory results.","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139798469","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}
Burns are still a fairly frequent accident, affecting more children and women in our society. They generally lead to sometimes dramatic functional, aesthetic and psychological after-effects. Treatment in the acute phase, or at a later stage, conditions the patient's image. The neck, however, remains a high-risk area for the development of retractions, due to its anatomy. The skin is thin, the platysma directly subcutaneous, the hypodermis thin, and immobilization difficult. Once the flange has set in, it can be reconstructed using a variety of plastic and reconstructive surgery techniques, in conjunction with physiotherapy. However, the choice of treatment will depend on the quality and quantity of healthy skin tissue available in the neck. Skin grafting gives good results at a distance, when post-operative preventive measures are followed. Local plasty is a simple and effective solution for the treatment of simple localized bridges. Our work is a case study spread over a 2-year period from November 2021 to November 2023, which includes 2 cases of cervical sprains followed up in the plastic and reconstructive surgery and burns department of the Mohammed VI University Hospital in Tangier. Directed wound healing had been the initial treatment in both our patients, with good compliance in patient N2. Moderate and severe cervical sprains (according to Achauer's classification) were found in both our patients. In both patients, the flange had a functional impact, with limited neck extension and deformity of the cervico-chinese angle. Surgical treatment involved skin grafts in the 1st case, and local plasty in the second. Post-operative re-education remains a therapeutic pillar for obtaining satisfactory results.
{"title":"Post-Burn Cervical Retraction: 2 Cases and a Survey of the Literature","authors":"Dehhaze Adil, Bouazza Omar, Taybi Otmane, Tita Sara, Diher Issam, Labbaci Rim, Daghouri Nada- Imane, Barij Hamza, Echmili Mouad, Mai Aicha, Mahioui Mimoun, Tazi Hanae","doi":"10.36347/sjmcr.2024.v12i02.010","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i02.010","url":null,"abstract":"Burns are still a fairly frequent accident, affecting more children and women in our society. They generally lead to sometimes dramatic functional, aesthetic and psychological after-effects. Treatment in the acute phase, or at a later stage, conditions the patient's image. The neck, however, remains a high-risk area for the development of retractions, due to its anatomy. The skin is thin, the platysma directly subcutaneous, the hypodermis thin, and immobilization difficult. Once the flange has set in, it can be reconstructed using a variety of plastic and reconstructive surgery techniques, in conjunction with physiotherapy. However, the choice of treatment will depend on the quality and quantity of healthy skin tissue available in the neck. Skin grafting gives good results at a distance, when post-operative preventive measures are followed. Local plasty is a simple and effective solution for the treatment of simple localized bridges. Our work is a case study spread over a 2-year period from November 2021 to November 2023, which includes 2 cases of cervical sprains followed up in the plastic and reconstructive surgery and burns department of the Mohammed VI University Hospital in Tangier. Directed wound healing had been the initial treatment in both our patients, with good compliance in patient N2. Moderate and severe cervical sprains (according to Achauer's classification) were found in both our patients. In both patients, the flange had a functional impact, with limited neck extension and deformity of the cervico-chinese angle. Surgical treatment involved skin grafts in the 1st case, and local plasty in the second. Post-operative re-education remains a therapeutic pillar for obtaining satisfactory results.","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139858251","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 : 2024-02-05DOI: 10.36347/sjmcr.2024.v12i02.009
H. Benjelloun, Z. Benmerzouq, K. Chaanoun, N. Zaghba, N. Yassine
Cocaine is one of the most widely used and trafficked illicit drugs in the world. Snorted or smoked cocaine can cause a variety of pulmonary complications ranging from bronchospasm to destruction of the alveolar-capillary membrane. We report the case of a 19 year old female patient, asthmatic since the age of 12 with non compliance to treatment, admitted for severe acute asthma associated with soft tissue emphysema, pneumomediastinum and right pneumothorax, secondary to her first consumption of snorted cocaine, requiring intubation and ventilation in intensive care with good radio-clinical evolution under symptomatic treatment.
{"title":"Severe Acute Asthma, Subcutaneous Emphysema, Pneumomediastinum and Pneumothorax Related to Cocaine: A Rare Clinical Case","authors":"H. Benjelloun, Z. Benmerzouq, K. Chaanoun, N. Zaghba, N. Yassine","doi":"10.36347/sjmcr.2024.v12i02.009","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i02.009","url":null,"abstract":"Cocaine is one of the most widely used and trafficked illicit drugs in the world. Snorted or smoked cocaine can cause a variety of pulmonary complications ranging from bronchospasm to destruction of the alveolar-capillary membrane. We report the case of a 19 year old female patient, asthmatic since the age of 12 with non compliance to treatment, admitted for severe acute asthma associated with soft tissue emphysema, pneumomediastinum and right pneumothorax, secondary to her first consumption of snorted cocaine, requiring intubation and ventilation in intensive care with good radio-clinical evolution under symptomatic treatment.","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139803042","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 : 2024-02-05DOI: 10.36347/sjmcr.2024.v12i02.009
H. Benjelloun, Z. Benmerzouq, K. Chaanoun, N. Zaghba, N. Yassine
Cocaine is one of the most widely used and trafficked illicit drugs in the world. Snorted or smoked cocaine can cause a variety of pulmonary complications ranging from bronchospasm to destruction of the alveolar-capillary membrane. We report the case of a 19 year old female patient, asthmatic since the age of 12 with non compliance to treatment, admitted for severe acute asthma associated with soft tissue emphysema, pneumomediastinum and right pneumothorax, secondary to her first consumption of snorted cocaine, requiring intubation and ventilation in intensive care with good radio-clinical evolution under symptomatic treatment.
{"title":"Severe Acute Asthma, Subcutaneous Emphysema, Pneumomediastinum and Pneumothorax Related to Cocaine: A Rare Clinical Case","authors":"H. Benjelloun, Z. Benmerzouq, K. Chaanoun, N. Zaghba, N. Yassine","doi":"10.36347/sjmcr.2024.v12i02.009","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i02.009","url":null,"abstract":"Cocaine is one of the most widely used and trafficked illicit drugs in the world. Snorted or smoked cocaine can cause a variety of pulmonary complications ranging from bronchospasm to destruction of the alveolar-capillary membrane. We report the case of a 19 year old female patient, asthmatic since the age of 12 with non compliance to treatment, admitted for severe acute asthma associated with soft tissue emphysema, pneumomediastinum and right pneumothorax, secondary to her first consumption of snorted cocaine, requiring intubation and ventilation in intensive care with good radio-clinical evolution under symptomatic treatment.","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139862673","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 : 2024-02-02DOI: 10.36347/sjmcr.2024.v12i02.006
Y. Boukhlifi, Anouar Ghazzaly, Mohammed Tetou, Larbi Hamedoun, Karim Blelhaj, M. Mrabti, Abdessamad Elbahri, N. Louardi, Mohammed Alami, Ahmed Ameur
The placement of urethral stents is a commonly performed procedure in urology, typically without complications. However, as illustrated in the present case, major complications can arise. It is crucial to be vigilant about the risk of intravascular or intracardiac malpositioning of the ureteral device, especially when there is an unfavorable evolution or the presence of hematuria. We present the case of a 68-year-old patient undergoing treatment for locally advanced cervical cancer with concomitant radiotherapy and chemotherapy. In the course of her follow-up, the patient developed obstructive renal failure due to extrinsic compression of the ureters. Despite attempts with JJ stent placement, emergency renal drainage became necessary, leading to bilateral nephrostomy. In order to alleviate the patient from nephrostomy tubes and enhance her quality of life, bilateral direct cutaneous ureterostomy was performed, with Single-J probes placed in both ureters. However, during the 4th tube change, conducted without scopic control, the patient experienced thoracic and low back pain at 8 days post-operatively. The CT scan revealed that the left Single-J probe bypassed the renal pelvis without penetrating it. Instead, it ascended the IVC, entering the right atrium, and subsequently reached the right ventricle, accompanied by left pyelocaliectasis. The resolution of the issue was achieved through the implementation of a multidisciplinary approach, engaging the expertise of both urologists and vascular surgeons. The removal procedure involved extracting the distal end of the catheter using a ureteroscope, with simultaneous collaboration from the vascular surgery team. The vascular surgeons performed femoral access and phlebography both during and after catheter removal to mitigate the risk of potential bleeding from the inferior vena cava (IVC). Abdominal access for laparotomy was prepared in anticipation of potential bleeding." The patient underwent placement of a left Single-
{"title":"Displacement of a Ureteral Single J Stent into the Heart: A Case Report and Literature Review","authors":"Y. Boukhlifi, Anouar Ghazzaly, Mohammed Tetou, Larbi Hamedoun, Karim Blelhaj, M. Mrabti, Abdessamad Elbahri, N. Louardi, Mohammed Alami, Ahmed Ameur","doi":"10.36347/sjmcr.2024.v12i02.006","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i02.006","url":null,"abstract":"The placement of urethral stents is a commonly performed procedure in urology, typically without complications. However, as illustrated in the present case, major complications can arise. It is crucial to be vigilant about the risk of intravascular or intracardiac malpositioning of the ureteral device, especially when there is an unfavorable evolution or the presence of hematuria. We present the case of a 68-year-old patient undergoing treatment for locally advanced cervical cancer with concomitant radiotherapy and chemotherapy. In the course of her follow-up, the patient developed obstructive renal failure due to extrinsic compression of the ureters. Despite attempts with JJ stent placement, emergency renal drainage became necessary, leading to bilateral nephrostomy. In order to alleviate the patient from nephrostomy tubes and enhance her quality of life, bilateral direct cutaneous ureterostomy was performed, with Single-J probes placed in both ureters. However, during the 4th tube change, conducted without scopic control, the patient experienced thoracic and low back pain at 8 days post-operatively. The CT scan revealed that the left Single-J probe bypassed the renal pelvis without penetrating it. Instead, it ascended the IVC, entering the right atrium, and subsequently reached the right ventricle, accompanied by left pyelocaliectasis. The resolution of the issue was achieved through the implementation of a multidisciplinary approach, engaging the expertise of both urologists and vascular surgeons. The removal procedure involved extracting the distal end of the catheter using a ureteroscope, with simultaneous collaboration from the vascular surgery team. The vascular surgeons performed femoral access and phlebography both during and after catheter removal to mitigate the risk of potential bleeding from the inferior vena cava (IVC). Abdominal access for laparotomy was prepared in anticipation of potential bleeding.\" The patient underwent placement of a left Single-","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139871802","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 : 2024-02-02DOI: 10.36347/sjmcr.2024.v12i02.005
Radia Benyahia, Kamel Hail, Maouzi Chahira, Lounes Benghanem, Salah Eddine. Bendib
Axillary breast is a subject that is poorly studied in the medical literature. We report the case of a 41-year-old woman who consulted for a painful right axillary mass, increasing in volume during menstrual cycles. The clinical examination revealed a 3 cm diameter axillary swelling, mobile, soft, without inflammatory signs or discharge. The mammography showed a dense and homogeneous area in the right axillary region, corresponding to an ectopic mammary glandular parenchyma. The ultrasound confirmed the presence of an axillary fibroglandular component, without focal anomaly or adenopathy. The diagnosis of accessory axillary breast was retained. This case illustrates the interest of imaging for the diagnosis and assessment of the accessory axillary breast, a rare anomaly but potentially at risk of neoplastic degeneration.
腋窝乳腺是医学文献中研究较少的一个主题。我们报告了一例 41 岁女性的病例，她因右侧腋窝肿块疼痛就诊，肿块在月经周期时体积增大。临床检查发现一个直径 3 厘米的腋窝肿物，可移动，质地柔软，无炎症体征或分泌物。乳房 X 光检查显示，右侧腋窝区域有一个致密均匀的区域，与异位的乳腺腺实质相对应。超声波检查证实存在腋窝纤维腺体成分，无局灶性异常或腺病。腋窝附属乳腺的诊断得以保留。该病例说明了影像学对诊断和评估附属腋窝乳腺的重要性，这是一种罕见的异常，但可能存在肿瘤变性的风险。
{"title":"Breast Imaging of Axillary Supernumerary Breast: About a Clinical Case","authors":"Radia Benyahia, Kamel Hail, Maouzi Chahira, Lounes Benghanem, Salah Eddine. Bendib","doi":"10.36347/sjmcr.2024.v12i02.005","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i02.005","url":null,"abstract":"Axillary breast is a subject that is poorly studied in the medical literature. We report the case of a 41-year-old woman who consulted for a painful right axillary mass, increasing in volume during menstrual cycles. The clinical examination revealed a 3 cm diameter axillary swelling, mobile, soft, without inflammatory signs or discharge. The mammography showed a dense and homogeneous area in the right axillary region, corresponding to an ectopic mammary glandular parenchyma. The ultrasound confirmed the presence of an axillary fibroglandular component, without focal anomaly or adenopathy. The diagnosis of accessory axillary breast was retained. This case illustrates the interest of imaging for the diagnosis and assessment of the accessory axillary breast, a rare anomaly but potentially at risk of neoplastic degeneration.","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139808910","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 : 2024-02-02DOI: 10.36347/sjmcr.2024.v12i02.005
Radia Benyahia, Kamel Hail, Maouzi Chahira, Lounes Benghanem, Salah Eddine. Bendib
Axillary breast is a subject that is poorly studied in the medical literature. We report the case of a 41-year-old woman who consulted for a painful right axillary mass, increasing in volume during menstrual cycles. The clinical examination revealed a 3 cm diameter axillary swelling, mobile, soft, without inflammatory signs or discharge. The mammography showed a dense and homogeneous area in the right axillary region, corresponding to an ectopic mammary glandular parenchyma. The ultrasound confirmed the presence of an axillary fibroglandular component, without focal anomaly or adenopathy. The diagnosis of accessory axillary breast was retained. This case illustrates the interest of imaging for the diagnosis and assessment of the accessory axillary breast, a rare anomaly but potentially at risk of neoplastic degeneration.
腋窝乳腺是医学文献中研究较少的一个主题。我们报告了一例 41 岁女性的病例，她因右侧腋窝肿块疼痛就诊，肿块在月经周期时体积增大。临床检查发现一个直径 3 厘米的腋窝肿物，可移动，质地柔软，无炎症体征或分泌物。乳房 X 光检查显示，右侧腋窝区域有一个致密均匀的区域，与异位的乳腺腺实质相对应。超声波检查证实存在腋窝纤维腺体成分，无局灶性异常或腺病。腋窝附属乳腺的诊断得以保留。该病例说明了影像学对诊断和评估附属腋窝乳腺的重要性，这是一种罕见的异常，但可能存在肿瘤变性的风险。
{"title":"Breast Imaging of Axillary Supernumerary Breast: About a Clinical Case","authors":"Radia Benyahia, Kamel Hail, Maouzi Chahira, Lounes Benghanem, Salah Eddine. Bendib","doi":"10.36347/sjmcr.2024.v12i02.005","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i02.005","url":null,"abstract":"Axillary breast is a subject that is poorly studied in the medical literature. We report the case of a 41-year-old woman who consulted for a painful right axillary mass, increasing in volume during menstrual cycles. The clinical examination revealed a 3 cm diameter axillary swelling, mobile, soft, without inflammatory signs or discharge. The mammography showed a dense and homogeneous area in the right axillary region, corresponding to an ectopic mammary glandular parenchyma. The ultrasound confirmed the presence of an axillary fibroglandular component, without focal anomaly or adenopathy. The diagnosis of accessory axillary breast was retained. This case illustrates the interest of imaging for the diagnosis and assessment of the accessory axillary breast, a rare anomaly but potentially at risk of neoplastic degeneration.","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139868764","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 : 2024-02-02DOI: 10.36347/sjmcr.2024.v12i02.006
Y. Boukhlifi, Anouar Ghazzaly, Mohammed Tetou, Larbi Hamedoun, Karim Blelhaj, M. Mrabti, Abdessamad Elbahri, N. Louardi, Mohammed Alami, Ahmed Ameur
The placement of urethral stents is a commonly performed procedure in urology, typically without complications. However, as illustrated in the present case, major complications can arise. It is crucial to be vigilant about the risk of intravascular or intracardiac malpositioning of the ureteral device, especially when there is an unfavorable evolution or the presence of hematuria. We present the case of a 68-year-old patient undergoing treatment for locally advanced cervical cancer with concomitant radiotherapy and chemotherapy. In the course of her follow-up, the patient developed obstructive renal failure due to extrinsic compression of the ureters. Despite attempts with JJ stent placement, emergency renal drainage became necessary, leading to bilateral nephrostomy. In order to alleviate the patient from nephrostomy tubes and enhance her quality of life, bilateral direct cutaneous ureterostomy was performed, with Single-J probes placed in both ureters. However, during the 4th tube change, conducted without scopic control, the patient experienced thoracic and low back pain at 8 days post-operatively. The CT scan revealed that the left Single-J probe bypassed the renal pelvis without penetrating it. Instead, it ascended the IVC, entering the right atrium, and subsequently reached the right ventricle, accompanied by left pyelocaliectasis. The resolution of the issue was achieved through the implementation of a multidisciplinary approach, engaging the expertise of both urologists and vascular surgeons. The removal procedure involved extracting the distal end of the catheter using a ureteroscope, with simultaneous collaboration from the vascular surgery team. The vascular surgeons performed femoral access and phlebography both during and after catheter removal to mitigate the risk of potential bleeding from the inferior vena cava (IVC). Abdominal access for laparotomy was prepared in anticipation of potential bleeding." The patient underwent placement of a left Single-
{"title":"Displacement of a Ureteral Single J Stent into the Heart: A Case Report and Literature Review","authors":"Y. Boukhlifi, Anouar Ghazzaly, Mohammed Tetou, Larbi Hamedoun, Karim Blelhaj, M. Mrabti, Abdessamad Elbahri, N. Louardi, Mohammed Alami, Ahmed Ameur","doi":"10.36347/sjmcr.2024.v12i02.006","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i02.006","url":null,"abstract":"The placement of urethral stents is a commonly performed procedure in urology, typically without complications. However, as illustrated in the present case, major complications can arise. It is crucial to be vigilant about the risk of intravascular or intracardiac malpositioning of the ureteral device, especially when there is an unfavorable evolution or the presence of hematuria. We present the case of a 68-year-old patient undergoing treatment for locally advanced cervical cancer with concomitant radiotherapy and chemotherapy. In the course of her follow-up, the patient developed obstructive renal failure due to extrinsic compression of the ureters. Despite attempts with JJ stent placement, emergency renal drainage became necessary, leading to bilateral nephrostomy. In order to alleviate the patient from nephrostomy tubes and enhance her quality of life, bilateral direct cutaneous ureterostomy was performed, with Single-J probes placed in both ureters. However, during the 4th tube change, conducted without scopic control, the patient experienced thoracic and low back pain at 8 days post-operatively. The CT scan revealed that the left Single-J probe bypassed the renal pelvis without penetrating it. Instead, it ascended the IVC, entering the right atrium, and subsequently reached the right ventricle, accompanied by left pyelocaliectasis. The resolution of the issue was achieved through the implementation of a multidisciplinary approach, engaging the expertise of both urologists and vascular surgeons. The removal procedure involved extracting the distal end of the catheter using a ureteroscope, with simultaneous collaboration from the vascular surgery team. The vascular surgeons performed femoral access and phlebography both during and after catheter removal to mitigate the risk of potential bleeding from the inferior vena cava (IVC). Abdominal access for laparotomy was prepared in anticipation of potential bleeding.\" The patient underwent placement of a left Single-","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139811606","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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