MOJ clinical & medical case reports最新文献

英文中文

Epiploic appendagitis, a infrequent cause of abdominal pain 网膜阑尾炎，一种罕见的腹痛原因

MOJ clinical & medical case reports

Pub Date : 2023-09-11 DOI: 10.15406/mojcr.2023.13.00440

Cristian Sandoval Arragada, Mariel Letelier Reyes

引用次数: 0

Overflow diarrhea and acute kidney injury as a presentation of fecal impaction that led to obstructive uropathy 溢泻和急性肾损伤作为粪便嵌塞的表现，导致梗阻性尿病

MOJ clinical & medical case reports

Pub Date : 2021-01-01 DOI: 10.15406/MOJCR.2021.11.00385

Dhara Dave

Fecal impaction is a known complication of chronic constipation and is particularly bothersome in the elderly population. Common complications of fecal impaction include hemorrhoids, megacolon, overflow diarrhea, and obstructive uropathy among others. Many case reports have been reported with fecal impaction and obstructive uropathy though none have reported overflow diarrhea as a presentation. In this case report, we present an elderly male who came in with overflow diarrhea and acute kidney injury that resulted from fecal impaction that caused obstructive uropathy. He was managed with catharsis and early recognition of the condition led to a good outcome. Recognition and management of fecal impaction can be challenging especially in patients who present with diarrhea. We, therefore, outline and discuss the importance of recognition of overflow diarrhea as a complication of fecal impaction and the management of such patients.

粪便嵌塞是慢性便秘的一种已知并发症，在老年人中尤其令人烦恼。大便嵌塞的常见并发症包括痔疮、巨结肠、溢流性腹泻和梗阻性尿路病变等。许多病例报告已经报道了粪便嵌塞和梗阻性尿路病变，但没有报道溢泻作为表现。在这个病例报告中，我们报告了一位老年男性，他因溢泻和急性肾损伤而入院，这是由粪便嵌塞引起的梗阻性尿路病变。他接受了宣泄治疗，及早发现病情，结果很好。识别和管理粪便嵌塞可能具有挑战性，特别是在腹泻患者中。因此，我们概述并讨论了将溢血性腹泻视为粪便嵌塞并发症的重要性，以及对此类患者的管理。

引用次数: 0

Diagnostic challenges in gastric adenocarcinoma: a case report 胃腺癌的诊断挑战:1例报告

MOJ clinical & medical case reports

Pub Date : 2021-01-01 DOI: 10.15406/mojcr.2021.11.00390

Trudy Hong

Occam’s razor dictates that the simplest diagnosis is usually the correct one. In ascites of unknown origin, the top differentials must include cirrhosis, malignancy and cardiac failure. Investigations such as ascitic fluid cytology and computed tomography can help identify the underlying pathology, however, these investigations do not have perfect specificity and sensitivity. Thus, “normal” investigations cannot be used to completely dismiss important differentials. In a middle-aged patient with no evidence of cirrhosis or cardiac failure, Occam’s razor suggests that a surgeon thoroughly consider and definitively exclude an occult malignancy prior to removing it from the list of differentials.

奥卡姆剃刀法则表明，最简单的诊断通常是正确的。来源不明的腹水，首要的鉴别必须包括肝硬化、恶性肿瘤和心力衰竭。腹水细胞学和计算机断层扫描等检查可以帮助确定潜在的病理，然而，这些检查没有完美的特异性和敏感性。因此，“正常的”调查不能用来完全忽略重要的差异。对于没有肝硬化或心力衰竭证据的中年患者，奥卡姆剃刀建议外科医生在将其从鉴别列表中删除之前，彻底考虑并明确排除隐匿性恶性肿瘤。

引用次数: 0

Inebriated liver causing mesangial turmoil 醉酒的肝脏引起系膜混乱

MOJ clinical & medical case reports

Pub Date : 2021-01-01 DOI: 10.15406/mojcr.2021.11.00370

L. Caraballo

IgA nephropathy is the most common primary glomerular disease worldwide, diagnosed 10% of renal biopsies in the United States, up to 20% in Europe and approximately 40% in Asia, the latter being the leading cause of ESRD in Asia. Multiple studies have shown the relationship between cirrhosis and the development of glomerular lesions leading IgA deposition in the mesangium causing IgAN. Here we present an unusual case of a 64-year-old female presenting with IgA nephropathy induced by liver cirrhosis.

IgA肾病是世界范围内最常见的原发性肾小球疾病，在美国诊断为肾活检的10%，在欧洲高达20%，在亚洲约为40%，后者是亚洲ESRD的主要原因。多项研究表明肝硬化与肾小球病变导致系膜IgA沉积引起IgAN之间的关系。我们在此报告一例罕见的64岁女性，以肝硬化引起的IgA肾病为临床表现。

引用次数: 0

A case of a young patient diagnosed with the Hippel-Lindau disease c.571 C>G mutation (Croatian form) and multiple paragangliomas after developing ischemic stroke 571年诊断为希佩尔-林道病的年轻病人一例C >g突变(克罗埃西亚型)和多发性副神经节瘤

MOJ clinical & medical case reports

Pub Date : 2021-01-01 DOI: 10.15406/MOJCR.2021.11.00373

K. Blažina

Correlation between and ischemic stroke is very common and not at least unusual. I present the case of a young patient who was first diagnosed with secondary erythrocytosis and after he developed an ischemic stroke more detailed diagnosis was made. He was then diagnosed with VHL c.571 C>G mutation (Croatian type). This case shows us the importance of scrutinizing cases, especially in very young patients.

缺血性脑卒中之间的相关性是非常普遍的，至少不是不寻常的。我提出的情况下，一个年轻的病人谁是第一次诊断为继发性红细胞增多症，并在他发展为缺血性中风更详细的诊断作出。随后他被诊断为VHL c.571C>G突变(克罗地亚型)。这个病例向我们展示了仔细检查病例的重要性，特别是对非常年轻的患者。

引用次数: 0

Thyroid storm after thyroidectomy? think "functional metastatic thyroid cancer" 甲状腺切除术后甲状腺风暴?想想“功能性转移性甲状腺癌”

MOJ clinical & medical case reports

Pub Date : 2021-01-01 DOI: 10.15406/mojcr.2021.11.00399

Mohammed Hamdi

引用次数: 0

Surgical management of rare benign tumors of the sternum. 罕见胸骨良性肿瘤的外科治疗。

MOJ clinical & medical case reports

Pub Date : 2021-01-01 Epub Date: 2021-06-24 DOI: 10.15406/mojcr.2021.11.00389

Andrei I Gritsiuta, Alexander Bracken, Patrick Downs, Jorge Lara-Gutierrez, Karisa Beebe, Alexei A Pechetov, Roman V Petrov

Primary benign tumors of the sternum are an exceedingly rare entity. Surgical techniques regarding intervention for these lesions are not clearly defined in the literature given their scarcity. Operative techniques include en-bloc resection of the tumor, and this has proven to be successful in preventing local recurrence despite benign nature of the lesion. Given the often extensive defect created by the excision, reconstruction is frequently necessary; depending on the size of the defect, either autologous bone grafting or the use of synthetic materials may be indicated. This study serves to present two cases of rare primary benign tumors of the sternum, giant cell tumors and osteoma spongiosum and to summarize the available literature. We present a review of the literature of 17sternal giant cell tumor cases reported so far including our patient and unique case of osteoma spongiosum of the sternum, that discusses their surgical management, as well as reconstructive techniques that provided an excellent clinical result and a lack of recurrence on long term follow-up.

原发性胸骨良性肿瘤是一种极为罕见的肿瘤。由于这些病变的缺乏，在文献中没有明确定义干预的外科技术。手术技术包括肿瘤整体切除，尽管病变是良性的，但这已被证明可以成功地防止局部复发。考虑到切除造成的广泛缺陷，重建是经常必要的;根据缺损的大小，可能需要自体骨移植或使用合成材料。本文报告两例罕见的胸骨原发性良性肿瘤:巨细胞瘤和海绵状骨瘤，并对现有文献进行总结。我们回顾了17例胸骨巨细胞瘤病例的文献，包括我们的患者和独特的胸骨海绵状骨瘤病例，讨论了他们的外科治疗，以及重建技术，这些技术提供了良好的临床效果，并且在长期随访中没有复发。

{"title":"Surgical management of rare benign tumors of the sternum.","authors":"Andrei I Gritsiuta, Alexander Bracken, Patrick Downs, Jorge Lara-Gutierrez, Karisa Beebe, Alexei A Pechetov, Roman V Petrov","doi":"10.15406/mojcr.2021.11.00389","DOIUrl":"https://doi.org/10.15406/mojcr.2021.11.00389","url":null,"abstract":"<p><p>Primary benign tumors of the sternum are an exceedingly rare entity. Surgical techniques regarding intervention for these lesions are not clearly defined in the literature given their scarcity. Operative techniques include en-bloc resection of the tumor, and this has proven to be successful in preventing local recurrence despite benign nature of the lesion. Given the often extensive defect created by the excision, reconstruction is frequently necessary; depending on the size of the defect, either autologous bone grafting or the use of synthetic materials may be indicated. This study serves to present two cases of rare primary benign tumors of the sternum, giant cell tumors and osteoma spongiosum and to summarize the available literature. We present a review of the literature of 17sternal giant cell tumor cases reported so far including our patient and unique case of osteoma spongiosum of the sternum, that discusses their surgical management, as well as reconstructive techniques that provided an excellent clinical result and a lack of recurrence on long term follow-up.</p>","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":"11 3","pages":"88-94"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8360399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39314073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Atypical presentation of immune thrombocytopenia (ITP) with multiple somatic complaints without bleeding manifestations 免疫性血小板减少症(ITP)的非典型表现，伴有多种躯体症状，无出血表现

MOJ clinical & medical case reports

Pub Date : 2021-01-01 DOI: 10.15406/MOJCR.2021.11.00379

Bhavna Gupta

Immune Thrombocytopenia (ITP) is a hematologic disorder characterized by immune mediated destruction of platelets leading to isolated thrombocytopenia. It presents as sudden onset of acute self-limiting episodes of bleeds which are usually minor but may present with intracranial hemorrhage. ITP is a clinical diagnosis of exclusion. No confirmatory diagnostic tests are available. Management depends on severity of bleeding rather than platelet counts. Here is a case report of a 16 years old female patient presenting with multiple somatic complaints and no history of bleeding manifestations with isolated thrombocytopenia and hematologic malignancy ruled out.

免疫性血小板减少症(ITP)是一种血液学疾病，其特征是免疫介导的血小板破坏导致孤立性血小板减少。它表现为突然发作的急性自限性出血，通常是轻微的，但可能表现为颅内出血。ITP是一种排除性临床诊断。没有可用的确诊性诊断测试。治疗取决于出血的严重程度而不是血小板计数。这里是一个16岁的女性患者，表现为多重躯体疾病，没有出血史，排除了孤立的血小板减少症和血液恶性肿瘤。

引用次数: 1

Vulval aggressive angiomyxoma – a rare entity 外阴侵袭性血管粘液瘤-一种罕见的实体

MOJ clinical & medical case reports

Pub Date : 2021-01-01 DOI: 10.15406/mojcr.2021.11.00391

Jayakar Thomas

Aggressive Angiomyxoma is a very rare, distinctive, locally invasive soft tissue tumour, that occurs most commonly in the perineum, pelvis, vulva and vagina. It is seen mostly in women of reproductive age group. It has a tendency for recurrence locally, treatment being surgical excision. We hereby describe a case of 38-year-old patient with a pedunculated growth on the right labium majora.

侵袭性血管粘液瘤是一种非常罕见的、独特的、局部浸润的软组织肿瘤，最常见于会阴、骨盆、外阴和阴道。多见于育龄妇女。它有局部复发的倾向，治疗是手术切除。我们在此描述一例38岁的患者，右大唇有带蒂生长。

引用次数: 0

Kaposi's sarcoma a series of cases and review of the literature 卡波西氏肉瘤的一系列病例及文献复习

MOJ clinical & medical case reports

Pub Date : 2021-01-01 DOI: 10.15406/mojcr.2021.11.00392

M. Báez

Introduction: Kaposi's sarcoma is a neoplasm associated with the Human Immunodeficiency Virus (HIV) - AIDS especially in advanced stages, in Quintana Roo HIV-AIDS ranks first in the country. Methodology: A series of 22 cases with diagnosis confirmed by biopsy attended by the oncology service of HGR No. 17 is presented. Results: They were classified as low risk (4); three of them with complete response. High risk (18); fifteen accepted chemotherapy. Nine (60%) received liposomal doxorubicin and six (40%) paclitaxel; of these, four had a complete response, one partial response, six with stable disease and five with disease progression that required a second line. The presence of adverse effects associated with chemotherapy treatment was documented in six patients classified as high risk (40%). Conclusions: Clinical interventions with therapeutic trials are necessary, since the available evidence dates from periods of more than 10 years ago. HIV patients require continuous monitoring and clinical trials to improve the therapeutic options available to treat one of the most common oncological diseases in this population such as Kaposi's Sarcoma.

卡波西肉瘤是一种与人类免疫缺陷病毒(HIV) -艾滋病相关的肿瘤，特别是在晚期，在金塔纳罗奥州HIV-艾滋病在全国排名第一。方法:报告在HGR No. 17肿瘤科就诊的22例经活检确诊的病例。结果:低危(4例);其中3人反应完全。高风险(18);15人接受了化疗。9例(60%)接受阿霉素脂质体治疗，6例(40%)接受紫杉醇治疗;其中，4人完全缓解，1人部分缓解，6人病情稳定，5人病情进展需要二线治疗。6例(40%)患者记录了与化疗相关的不良反应。结论:临床干预治疗试验是必要的，因为现有的证据可以追溯到10多年前。艾滋病毒患者需要持续监测和临床试验，以改善治疗这一人群中最常见的肿瘤疾病之一(如卡波西肉瘤)的治疗方案。

引用次数: 0

下一页尾页

类型

全部化学•材料生命科学医学物理工程技术环境•农林材料科学地球科学法学管理学化学环境科学与生态学计算机科学教育学经济学农林科学人文科学生物学数学物理与天体物理心理学综合性期刊其他工业工程理学历史学农学文学信息工程

数据库

全部 ACS Publications Elsevier ieeexplore Springer The Royal Society of Chemistry Wiley

期刊

MOJ clinical & medical case reports

全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.

﹀