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Lower GI Bleeding and Left Colon Blue Rubber Blebs: Rare Case Report 下消化道出血及左结肠蓝色橡胶泡:罕见病例报告
Pub Date : 2022-01-01 DOI: 10.26502/acmcr.96550560
Fahad Al-Lhedan, A. Kurdi
A middle-aged male who is known to have acne vulgaris on oral treatment complaining of hematochezia containing blood clots for few weeks. The patient underwent colonoscopy displaying several left colon blue rubber blebs and here we are presenting this rare case.
一名中年男性,已知患有寻常性痤疮,正在口服治疗,他抱怨几周内出现含血凝块的便血。患者接受结肠镜检查显示几个左结肠蓝色橡胶泡,在这里我们呈现这个罕见的病例。
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引用次数: 0
Knowledge, Attitude and Perceptions towards COVID-19 Vaccination among South Indian (Telangana) Population - A Cross Sectional Study 南印度(特伦甘纳邦)人口对COVID-19疫苗接种的知识、态度和看法——一项横断面研究
Pub Date : 2022-01-01 DOI: 10.26502/acmcr.96550485
Srimanth Kumar Barigela, Rajesh Kumar Galimudi, Shivani Kadarla, Durga Neeharika Rani, Pardha P. Reddy, Madhavi Jangala, Sunita G Kumar
Knowledge, Attitude and Perceptions towards COVID-19
对COVID-19的知识、态度和看法
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引用次数: 0
Patient with Carcinoid Syndrome and Severe Cardiac Disease with Both Tricuspid an Pulmonary Lesions 伴有三尖瓣和肺部病变的类癌综合征和严重心脏病患者
Pub Date : 2022-01-01 DOI: 10.26502/acmcr.96550518
I. Nițu, I. Burcea, Daniela Greere, A. Croitoru, C. Poiană
Introduction: Carcinoid Heart Disease (CHD) is a rare cardiac manifestation occurring in patients with advanced Neuroendocrine Tumours (NET) and the carcinoid syndrome, usually involving the right-sided heart valves and eventually leading to right heart failure. The additional burden of cardiac dysfunction heralds a steep decline in quality of life and survival, the prompt recognition of this disease being therefore of the utmost importance. Case summary: We present the case of a 57 year old female patient diagnosed in 2016 with carcinoid tumor of the proxymal ileum (Grade 2 NET ki 67 8%) and liver metastasis. She underwent surgery with both tumor and secondary determinations resection, followed by chemotherapy in the same year. The patient comes to our clinic in February 2019, complaining in the last 5 months of abdominal pain associated with flushing of the face, simetric peripheral edema, progressive limitation in effort, appearance of dyspnea on moderate exertion and dry caugh. The transthoracic echocardiography detected severe dilation of the right chambers, systolic dysfunction of the right ventricle, tricuspid disease with severe regurgitation and mild stenosis.
类癌性心脏病(CHD)是一种罕见的心脏表现,发生在晚期神经内分泌肿瘤(NET)和类癌综合征患者中,通常累及右侧心脏瓣膜,最终导致右侧心力衰竭。心功能障碍的额外负担预示着生活质量和生存率的急剧下降,因此及时认识到这种疾病是至关重要的。病例总结:我们报告一名57岁女性患者,于2016年诊断为回肠近端类癌(2级NET发生率为67.8%)并肝转移。她在同一年接受了肿瘤和继发性肿瘤切除手术,随后进行了化疗。患者于2019年2月来我诊所就诊,主诉近5个月腹痛伴面部潮红、周围水肿、进行性用力受限、适度用力时出现呼吸困难、干咳。经胸超声心动图发现右心室严重扩张,右心室收缩功能障碍,三尖瓣疾病伴严重反流和轻度狭窄。
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引用次数: 0
Laparoscopic Cholecystectomy for a giant Gallstone 腹腔镜胆囊切除术治疗巨大胆结石
Pub Date : 2022-01-01 DOI: 10.26502/acmcr.96550447
Irfan Jan Khan, Murad Alahmad, Fahad Aurif, Najeeb Hussain Mir
Introduction: Cholelithiasis is very common, but giant gallstones gallstones bigger than 5 cm in diameter, are very rare. It is very challenging to remove them laparoscopically, especially in emergency situations. Case Report: A 69-year-old female complained of right upper abdominal pain with vomiting for 1 day. Abdominal ultrasound indicated acute cholecystitis and a single, extremely large gallstone (9cm). Emergency laparoscopic cholecystectomy was performed successfully. Discussion: Gallstone over 5 cm in diameter is very rare. Laparoscopic Cholecystectomy (LC) is very difficult for these cases, especially in the emergency situations. Laparoscopic cholecystectomy can, however, be safely performed in experienced hands. To the best of our knowledge, this is one of the biggest gallstones managed laparoscopically. Conclusion: Although the presence of giant gallstones poses technical challenges, laparoscopic cholecystectomy can be safely performed in the experienced hands. However, if the anatomy cannot be delineated clearly, open surgery remains the safe option. Arch Clin Med Case Rep 2022; 6 (1): 40-44 DOI: 10.26502/acmcr.96550447 Archives of Clinical and Medical Case Reports 41
导语:胆石症很常见,但巨大的胆结石直径大于5厘米的胆结石非常罕见。在腹腔镜下切除它们是非常具有挑战性的,尤其是在紧急情况下。病例报告:一名69岁女性,主诉右上腹部疼痛伴呕吐1天。腹部超声提示急性胆囊炎和单个特大胆结石(9cm)。急诊腹腔镜胆囊切除术成功。讨论:胆结石直径超过5厘米是非常罕见的。腹腔镜胆囊切除术(LC)是非常困难的,特别是在紧急情况下。然而,腹腔镜胆囊切除术可以安全地在有经验的人手中进行。据我们所知,这是腹腔镜下最大的胆结石之一。结论:虽然巨大胆结石的存在带来了技术上的挑战,但在经验丰富的人手中,腹腔镜胆囊切除术是可以安全进行的。然而,如果解剖结构不能清晰地描绘,开放手术仍然是安全的选择。Arch clinin Med Case Rep 2022;6 (1): 40-44 DOI: 10.26502/acmcr.96550447临床和医学病例报告档案
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引用次数: 1
Jejunum Hemolymphangioma Presenting as Chronic Anemia: A Case Report 空肠淋巴血管瘤表现为慢性贫血1例
Pub Date : 2022-01-01 DOI: 10.26502/acmcr.96550448
Jiao Liu, Meng Zhang, Yesheng Li, Yi Chen, Yong-Han Hong, Yangqing Huang
Presenting Chronic Anemia: A Case Report. Abstract Background: Hemolymphangioma is a rare disease with congenital malformation of both vascular and lymphatic vessels characterized by cystic dilation. It mostly occurs in cutaneous localizations like head, neck during childhood. Only few cases of hemolymphangioma occur in the small intestine, pancreas, esophagus have been reported. Hemolymphangioma is usually asymptomatic symptoms can be chronic anemia due to gastrointestinal bleeding. They constitute an unusual manifestation and there is a low incidence of this type of tumor. Case Presentation: We report the case of a 42-year-old male, with a 7- month history of chronic anemia requiring blood transfusion. Hemoglobin and Hematocrit count were low, therefore further examinations were required to rule out bleeding sources or other causes of anemia. Double balloon enteroscopy showed a 20×20 mm lesion taking up 30% of the circumference in the proximal jejunum, with raised whitish edges, the center with a vascular appearance, and bleeding spots. Histological sections of the lesion revealed in the lamina propria and submucosal layer of the jejunum several markedly dilated thin-walled lymphatic spaces lined with single layers of flat endothelial cells. The final pathologic diagnosis was submucosal hemolymphangioma. Histological examination confirmed the diagnosis of submucosal hemolymphangioma. Conclusion: The clinical symptoms of hemolymphangioma range from abdominal pain, anemia due to chronic blood loss in gastrointestinal tract, and obstruction to perforation. This case makes the point that hemolymphangioma should be concerned in the differential diagnosis of chronic anemia and other tumors in abdominal cavity with multiple diagnostic methods to confirm the presence of the condition.
慢性贫血1例报告。摘要背景:血淋巴管瘤是一种罕见的先天性血管和淋巴管畸形,以囊性扩张为特征。它主要发生在皮肤部位,如头部,颈部在儿童时期。在小肠、胰腺、食道发生的血淋巴管瘤病例很少。血淋巴管瘤通常无症状,症状可为慢性贫血所致的胃肠道出血。它们是一种不寻常的表现,这种类型的肿瘤发病率很低。病例介绍:我们报告一位42岁男性,有7个月的慢性贫血史,需要输血。血红蛋白和红细胞压积计数低,因此需要进一步检查以排除出血来源或其他贫血原因。双球囊肠镜检查显示,空肠近端有一个20×20 mm的病变,病变面积约占周长的30%,边缘呈白色凸起,中心呈血管状,伴有出血点。病变的组织学切片显示空肠固有层和粘膜下层有几个明显扩张的薄壁淋巴腔,内衬单层扁平内皮细胞。最终病理诊断为粘膜下淋巴血管瘤。组织学检查证实为黏膜下淋巴血管瘤。结论:血淋巴管瘤的临床症状包括腹痛、胃肠道慢性失血引起的贫血、梗阻至穿孔。本病例提示,慢性贫血与腹腔其他肿瘤的鉴别诊断应关注血淋巴管瘤,并采用多种诊断方法确认其存在。
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引用次数: 0
Urgent Appendectomy Performed Along with Hematopoietic Cell Transplantation (HCT) for a Patient with Severe Aplastic Anaemia – A Case Report 紧急阑尾切除术联合造血细胞移植治疗严重再生障碍性贫血1例报告
Pub Date : 2022-01-01 DOI: 10.26502/acmcr.96550481
Sondus Alsharidah, S. Ousia, E. Abdelhafez, B. Antoun, Dala AlShemmeri, Hassan M Khalil, M. Askar
Urgent Appendectomy Performed Along with Hematopoietic Cell Transplantation (HCT) for a Patient with Severe Aplastic Anaemia – A Case Report. Abstract A 14-year-old male was waiting for hematopoietic cell transplantation for severe aplastic anaemia. The night prior to the transplant he unexpectedly developed acute appendicitis. A couple of hours earlier to the emergency laparoscopic appendectomy, he had peripheral blood stem cell (PBSC) transplant with no complications.
紧急阑尾切除术联合造血细胞移植治疗严重再生障碍性贫血1例报告。一名14岁男性因严重再生障碍性贫血等待造血细胞移植。在移植手术的前一天晚上,他意外地患上了急性阑尾炎。在紧急腹腔镜阑尾切除术前几个小时,他做了外周血干细胞移植,没有并发症。
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引用次数: 0
Implications of High Levels of Activin B in Human Keloid: A Case Report 高水平激活素B在人类瘢痕疙瘩中的意义:一例报告
Pub Date : 2022-01-01 DOI: 10.26502/acmcr.96550523
Seungmin Ham, Craig B. Harrison, P. Temple‐Smith, G. Southwick
Affiliation: #Authors equally contributed to this work as last authors 1Department of Obstetrics and Gynaecology, Monash University, Melbourne, Victoria, 3168, Australia 2Department of Physiology, Monash University, Melbourne, Victoria, 3168, Australia 3Hudson Institute of Medical Research, Melbourne, Victoria, 3168, Australia 4Melbourne Institute of Plastic Surgery, Malvern, Victoria 3144, Australia
隶属关系:#作者与最后一位作者对这项工作的贡献相同1澳大利亚维多利亚州墨尔本莫纳什大学妇产科学系2澳大利亚维多利亚州墨尔本莫纳什大学生理学系3澳大利亚维多利亚州墨尔本哈德逊医学研究所3168墨尔本墨尔本墨尔本整形外科研究所3144维多利亚州莫尔文
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引用次数: 0
Subacute Constrictive Pericarditis after mRNA Covid-19 Vaccination mRNA - covid疫苗接种后的亚急性缩窄性心包炎
Pub Date : 2022-01-01 DOI: 10.26502/acmcr.96550465
I. Hysi, O. Rebet, B. Vaquette, O. Fabre
Relation between mRNA Covid-19 vaccine and acute pericarditis has been advocated. However, we have with no further information about the mid-term evolution of this complication. Here we present the possibility of a rapid evolution towards a constrictive pericarditis. Physicians should know this possibility and closely follow-up these patients.
mRNA - Covid-19疫苗与急性心包炎的关系已被提出。然而,我们没有关于这一并发症中期演变的进一步信息。在这里,我们提出了向缩窄性心包炎快速发展的可能性。医生应该了解这种可能性并密切跟踪这些患者。
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引用次数: 2
Using Cognitive Event-Related Potentials in the Management of Alcohol Use Disorder: Towards an Individual Approach 在酒精使用障碍的管理中使用认知事件相关电位:个体方法
Pub Date : 2022-01-01 DOI: 10.26502/acmcr.96550561
Anaïs Ingels, Lauriane Fabry, C. Hanak, Florence Hanard, H. Kajosch, C. Kornreich, S. Campanella
,
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引用次数: 0
Atypical Presentation of a Large Aortopulmonary Window in a Very Low Weight and Preterm Born Infant 极低体重早产儿主动脉肺窗大的不典型表现
Pub Date : 2022-01-01 DOI: 10.26502/acmcr.96550486
Katja Schumacher, Sabine Meier, M. Borger, M. Kostelka, M. Vollroth
of a Large Aortopulmonary Window in a Very Low Weight and Preterm Born Infant. 370-373. Abstract Background Aortopulmonary window represents 0.2-0.3% of all congenital cardiac malformations. Usually, aortopulmonary window results in left-to-right shunt. Thus, progressive pulmonary hypertension and its consequences are associated with this anomaly. Commonly, it is located in the ascending aorta. Case Presentation We are describing a premature low-birth-weight infant who was diagnosed with large aortopulmonary window between the pulmonary artery bifurcation and the ascending aorta extending to the aortic arch. Surgery was successfully performed at the age of 4 weeks due to progressive congestive heart failure. This report highlights the importance of early surgical repair in patients with complex aortopulmonary window configuration.
极低体重早产儿大主动脉肺窗的研究。370-373。主动脉肺窗占所有先天性心脏畸形的0.2-0.3%。通常,主动脉肺窗导致左向右分流。因此,进行性肺动脉高压及其后果与这种异常有关。通常,它位于升主动脉。我们报告了一个早产的低出生体重婴儿,他被诊断为肺动脉分叉和升主动脉延伸到主动脉弓之间的大主动脉肺窗。由于进行性充血性心力衰竭,手术在4周大时成功进行。本报告强调了早期手术修复复杂主动脉肺窗结构患者的重要性。
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引用次数: 0
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Archives of clinical and medical case reports
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