Pub Date : 2018-10-11DOI: 10.4172/2165-7920.10001176
J. Al-Qahtani, Ali Sm, A. Qabbani, M. Yousif, M. Khattabi, Khan Mb, Z. Aftab
Background: Meckle’s Diverticulum (MD) is a remnant of vitello intestinal duct found in approximately 2-4% of normal population and is usually located on the anti-mesenteric border of terminal ileum. Its variant, the mesenteric type is even rarer, with only a few cases reported in literature.Case: We describe a case of inflamed mesenteric MD that presented with clinical findings of acute appendicitis, but, upon exploration, was diagnosed as inflamed mesenteric MD, that was removed, and the patient recovered without any complications and went home in good condition. We also review all the mesenteric MD cases reported in the literature since 1941.Conclusion: MD is a rare operative finding, but knowledge of its rare variant must be kept in mind as the signs and symptoms closely resemble acute appendicitis.
{"title":"Rare Variant of Meckel’s Diverticulum on the Mesenteric Border Complicated by Perforation: Case Report and Literature Review","authors":"J. Al-Qahtani, Ali Sm, A. Qabbani, M. Yousif, M. Khattabi, Khan Mb, Z. Aftab","doi":"10.4172/2165-7920.10001176","DOIUrl":"https://doi.org/10.4172/2165-7920.10001176","url":null,"abstract":"Background: Meckle’s Diverticulum (MD) is a remnant of vitello intestinal duct found in approximately 2-4% of normal population and is usually located on the anti-mesenteric border of terminal ileum. Its variant, the mesenteric type is even rarer, with only a few cases reported in literature.Case: We describe a case of inflamed mesenteric MD that presented with clinical findings of acute appendicitis, but, upon exploration, was diagnosed as inflamed mesenteric MD, that was removed, and the patient recovered without any complications and went home in good condition. We also review all the mesenteric MD cases reported in the literature since 1941.Conclusion: MD is a rare operative finding, but knowledge of its rare variant must be kept in mind as the signs and symptoms closely resemble acute appendicitis.","PeriodicalId":73664,"journal":{"name":"Journal of clinical case reports","volume":"130 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2165-7920.10001176","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41280269","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 : 2018-09-28DOI: 10.4172/2165-7920-C1-018
pSiavash Azarbanip
{"title":"Return to previous activities and quality of life in patients with femoral intertrochanteric fracture surgery","authors":"pSiavash Azarbanip","doi":"10.4172/2165-7920-C1-018","DOIUrl":"https://doi.org/10.4172/2165-7920-C1-018","url":null,"abstract":"","PeriodicalId":73664,"journal":{"name":"Journal of clinical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70752369","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 : 2018-09-28DOI: 10.4172/2165-7920-C1-017
pCristina Rossip
T he purpose was to study the bone mineral density (BMD), vertebral pain (VP) and physical performance indices (PPI) in women of older age groups with vertebral fractures (VF) depending on their localization. Materials & Methods: 139 women aged 50-89 years old were examined and divided into 2 groups: I – patients without any history of osteoporotic fractures (WF), II – women with VF at the thoracic and/or lumbar spine. Subsequently, patients of the second group were divided into subgroups depending on the localization of VF (at thoracic (TF), lumbar spine (LF) or combined fractures (CF)). The assessment of the severity of VP was performed using a 11-component numerical rating scale, the physical capabilities - using static and dynamic functional tests (Thomayer, Schober tests, chest excursion, lateral trunk lean, 3-, 4-, 15-meter tests, "stand up from the chair" etc.), BMD was detected using DXA. Findings: It was found that BMD indices in women with VF were significantly lower than controls (without any previous fractures) regardless of their localization. Most of the VP indices at thoracic spine in women with TF and CF were significantly higher compared to controls, in contrast to patients with LF. It was shown that for women with TF results of breath holding and 15-meter tests were significantly worse compared with control, whereas in persons with LF results of Schober index, lateral trunk lean, hand grip strength and test "stand up from the chair" were worse. In patients with CF most of PPI
{"title":"Postnatal outcomes following prenatal diagnosis of placental mosaicism: Case reports from literature","authors":"pCristina Rossip","doi":"10.4172/2165-7920-C1-017","DOIUrl":"https://doi.org/10.4172/2165-7920-C1-017","url":null,"abstract":"T he purpose was to study the bone mineral density (BMD), vertebral pain (VP) and physical performance indices (PPI) in women of older age groups with vertebral fractures (VF) depending on their localization. Materials & Methods: 139 women aged 50-89 years old were examined and divided into 2 groups: I – patients without any history of osteoporotic fractures (WF), II – women with VF at the thoracic and/or lumbar spine. Subsequently, patients of the second group were divided into subgroups depending on the localization of VF (at thoracic (TF), lumbar spine (LF) or combined fractures (CF)). The assessment of the severity of VP was performed using a 11-component numerical rating scale, the physical capabilities - using static and dynamic functional tests (Thomayer, Schober tests, chest excursion, lateral trunk lean, 3-, 4-, 15-meter tests, \"stand up from the chair\" etc.), BMD was detected using DXA. Findings: It was found that BMD indices in women with VF were significantly lower than controls (without any previous fractures) regardless of their localization. Most of the VP indices at thoracic spine in women with TF and CF were significantly higher compared to controls, in contrast to patients with LF. It was shown that for women with TF results of breath holding and 15-meter tests were significantly worse compared with control, whereas in persons with LF results of Schober index, lateral trunk lean, hand grip strength and test \"stand up from the chair\" were worse. In patients with CF most of PPI","PeriodicalId":73664,"journal":{"name":"Journal of clinical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70752316","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 : 2018-08-30DOI: 10.4172/2165-7920.10001161
Chung-Kuan W, Ping-Hsiu W, Hung-Chih L
Hepatocellular carcinoma (HCC) is an aggressive tumor, and sorafenib is the only proven drug for treating advanced HCC with limited survival outcome. We present a case of severe right lower chest pain in a 54-year-old man. A computed tomography (CT) scan revealed liver cirrhosis and multiple HCCs with inferior vena cava invasion, regional nodal and right adrenal metastases, and hemoperitoneum. His hepatitis B virus (HBV) deoxyribonucleic acid (DNA) level and alpha-fetoprotein (AFP) remained high even after transcutaneous arterial catheter embolization for ruptured HCCs. He received combination therapy of entecavir, sorafenib, nivolumab, cisplatin, and PG2 injection. The follow-up positron emission tomography-CT confirmed no tumor in the liver, and alpha-fetoprotein and HBV DNA titers showed a promising decrease. This novel combination had encouraging therapeutic effects for advanced HCCs, which decreased viral replication without side effects.
{"title":"Impressive Response of Advanced Hepatocellular Carcinoma to Cisplatin Combined with Sorafenib, Nivolumab, and PG2 Immunomodulatory Injection: A Case Report","authors":"Chung-Kuan W, Ping-Hsiu W, Hung-Chih L","doi":"10.4172/2165-7920.10001161","DOIUrl":"https://doi.org/10.4172/2165-7920.10001161","url":null,"abstract":"Hepatocellular carcinoma (HCC) is an aggressive tumor, and sorafenib is the only proven drug for treating advanced HCC with limited survival outcome. We present a case of severe right lower chest pain in a 54-year-old man. A computed tomography (CT) scan revealed liver cirrhosis and multiple HCCs with inferior vena cava invasion, regional nodal and right adrenal metastases, and hemoperitoneum. His hepatitis B virus (HBV) deoxyribonucleic acid (DNA) level and alpha-fetoprotein (AFP) remained high even after transcutaneous arterial catheter embolization for ruptured HCCs. He received combination therapy of entecavir, sorafenib, nivolumab, cisplatin, and PG2 injection. The follow-up positron emission tomography-CT confirmed no tumor in the liver, and alpha-fetoprotein and HBV DNA titers showed a promising decrease. This novel combination had encouraging therapeutic effects for advanced HCCs, which decreased viral replication without side effects.","PeriodicalId":73664,"journal":{"name":"Journal of clinical case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2165-7920.10001161","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44279995","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 : 2018-08-30DOI: 10.4172/2165-7920.10001160
B. Ramly
A 6-year-old girl presented with symptoms of diabetes insipidus with no neurological abnormalities. Presence of erythematous, dried, plaque like lesions on her scalp had guided the clinicians/paediatricians to liase with different sub-specialities which included dermatologists, pathologists, haematologists, endocrinologists, oncologists, and radiologists. The diagnosis of Langerhans cell histiocytosis (LCH) was rendered and confirmed by positive immunostaining for anti CD1a and/or anti S-100 protein antibodies. Other work up were done for the patient to detect any organs involved and either LCH infiltrates the liver, lungs, spleen or hematopoietic system. The patient was then treated with chemotherapy as according to LCH-IV protocol group 1 initial treatment for multisystem Langerhans Cell Histiocytosis. She responded very well to the therapy and is still under follow up. In this case, we will also be discussing about the importance of genetics of Langerhans Cell Histiocytosis.
{"title":"The Loose Cannon! - Cutaneous Manifestation of Langerhans Cell Histiocytosis","authors":"B. Ramly","doi":"10.4172/2165-7920.10001160","DOIUrl":"https://doi.org/10.4172/2165-7920.10001160","url":null,"abstract":"A 6-year-old girl presented with symptoms of diabetes insipidus with no neurological abnormalities. Presence of erythematous, dried, plaque like lesions on her scalp had guided the clinicians/paediatricians to liase with different sub-specialities which included dermatologists, pathologists, haematologists, endocrinologists, oncologists, and radiologists. The diagnosis of Langerhans cell histiocytosis (LCH) was rendered and confirmed by positive immunostaining for anti CD1a and/or anti S-100 protein antibodies. Other work up were done for the patient to detect any organs involved and either LCH infiltrates the liver, lungs, spleen or hematopoietic system. The patient was then treated with chemotherapy as according to LCH-IV protocol group 1 initial treatment for multisystem Langerhans Cell Histiocytosis. She responded very well to the therapy and is still under follow up. In this case, we will also be discussing about the importance of genetics of Langerhans Cell Histiocytosis.","PeriodicalId":73664,"journal":{"name":"Journal of clinical case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2165-7920.10001160","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43147841","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 : 2018-08-24DOI: 10.26420/austinjclincaserep.2018.1134
Kabuye A
{"title":"A Case of Nicotine vs. Psychosis","authors":"Kabuye A","doi":"10.26420/austinjclincaserep.2018.1134","DOIUrl":"https://doi.org/10.26420/austinjclincaserep.2018.1134","url":null,"abstract":"","PeriodicalId":73664,"journal":{"name":"Journal of clinical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69278042","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 : 2018-08-24DOI: 10.4172/2165-7920.10001159
S. Paolino, M. Pendolino, E. Alessandri, M. Cutolo, C. Pizzorni
Paget’s disease of the bone (PDB) is a focal metabolic bone disorder generally asymptomatic which is characterized by excessive bone resorption followed by increased bone formation. The diagnosis of PDB requires a high index of suspicion, any condition characterized by sclerosis of bone, like metastasis from solid tumors, need to be excluded. We reported two cases of incidental diagnosis of this PDB in oncologic patients. The bone disorder, in these circumstances, is a challenge for timely radiographic diagnosis and histopathologic confirmation.
{"title":"Paget’s Disease of the Bone Mimicking Metastasis: Two Case Reports","authors":"S. Paolino, M. Pendolino, E. Alessandri, M. Cutolo, C. Pizzorni","doi":"10.4172/2165-7920.10001159","DOIUrl":"https://doi.org/10.4172/2165-7920.10001159","url":null,"abstract":"Paget’s disease of the bone (PDB) is a focal metabolic bone disorder generally asymptomatic which is characterized by excessive bone resorption followed by increased bone formation. The diagnosis of PDB requires a high index of suspicion, any condition characterized by sclerosis of bone, like metastasis from solid tumors, need to be excluded. We reported two cases of incidental diagnosis of this PDB in oncologic patients. The bone disorder, in these circumstances, is a challenge for timely radiographic diagnosis and histopathologic confirmation.","PeriodicalId":73664,"journal":{"name":"Journal of clinical case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2165-7920.10001159","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42054578","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 : 2018-08-21DOI: 10.4172/2165-7920.10001158
X. He, Y. Li, K. Zhang, T. Hua
Recurrent haemarthrosis is a relatively rare complication of total knee arthroplasty, and only a few cases have been reported; hence, it is hard to determine comprehensive diagnosis and treatment guidelines. We report a case of haemarthrosis in 50-year-old male patient 14 months postoperatively. Investigations (ultrasound, aspiration, and arthroscopy) and managements (non-surgical, arthroscopy and open exploration) were performed, and the clinical effects of these interventions were analyzed separately. Clinical evidence indicates that the cause of this case was rupture of a pseudoaneurysm of the medial superior genicular artery. A brief review is involved in discussion part.
{"title":"Recurrent Haemarthrosis after Total Knee Arthroplasty: Investigation and Management","authors":"X. He, Y. Li, K. Zhang, T. Hua","doi":"10.4172/2165-7920.10001158","DOIUrl":"https://doi.org/10.4172/2165-7920.10001158","url":null,"abstract":"Recurrent haemarthrosis is a relatively rare complication of total knee arthroplasty, and only a few cases have been reported; hence, it is hard to determine comprehensive diagnosis and treatment guidelines. We report a case of haemarthrosis in 50-year-old male patient 14 months postoperatively. Investigations (ultrasound, aspiration, and arthroscopy) and managements (non-surgical, arthroscopy and open exploration) were performed, and the clinical effects of these interventions were analyzed separately. Clinical evidence indicates that the cause of this case was rupture of a pseudoaneurysm of the medial superior genicular artery. A brief review is involved in discussion part.","PeriodicalId":73664,"journal":{"name":"Journal of clinical case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44760435","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 : 2018-06-30DOI: 10.26420/austinjclincaserep.2019.1133
Felemban A
{"title":"Laparoscopic Removal of Left Non-Communicated Horn and Left Salpingectomy","authors":"Felemban A","doi":"10.26420/austinjclincaserep.2019.1133","DOIUrl":"https://doi.org/10.26420/austinjclincaserep.2019.1133","url":null,"abstract":"","PeriodicalId":73664,"journal":{"name":"Journal of clinical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69278128","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 : 2018-06-21DOI: 10.26420/austinjclincaserep.2018.1131
S. C
{"title":"Outflow Obstruction in Takotsubo Cardiomyopathy","authors":"S. C","doi":"10.26420/austinjclincaserep.2018.1131","DOIUrl":"https://doi.org/10.26420/austinjclincaserep.2018.1131","url":null,"abstract":"","PeriodicalId":73664,"journal":{"name":"Journal of clinical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69277985","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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