Pub Date : 2022-01-01DOI: 10.4236/crcm.2022.118045
Alejandro Jiménez-Sastré, Reynaldo Ramírez-Chacón, Miguel Ángel Miranda-Del Olmo, Humberto Azuara-Forcelledo, Fernando Enrique Mayans-Canabal, J. M. Granados-Villalpando, C. Guzmán-Priego
Pseudoaneurisms are arterial wounds that affect all layers of an artery; although very rare they are mostly lethal and most of them are iatrogenic. Herein, we present two different cases of hepatic artery pseudoaneurysms de-rived from previous surgeries which were assessed by computed tomography angiographies and consequent conservative endovascular approaches with arteriographies, posterior cannulations and the placement of Amplatzer Vascular Plug 4 (AVP 4) systems in order to treat the pseudoaneurysm. Computed control tomographies were conducted showing no later complications. The purpose of this article is to demonstrate the importance and current clinical applications of AVP in the field of interventional radiology.
{"title":"Endovascular Emergency Management of Hepatic Pseudoaneurism with Vascular Plug 4 System with Sacrifice of the Aneurism Nutrient Artery (Report of 2 Cases)","authors":"Alejandro Jiménez-Sastré, Reynaldo Ramírez-Chacón, Miguel Ángel Miranda-Del Olmo, Humberto Azuara-Forcelledo, Fernando Enrique Mayans-Canabal, J. M. Granados-Villalpando, C. Guzmán-Priego","doi":"10.4236/crcm.2022.118045","DOIUrl":"https://doi.org/10.4236/crcm.2022.118045","url":null,"abstract":"Pseudoaneurisms are arterial wounds that affect all layers of an artery; although very rare they are mostly lethal and most of them are iatrogenic. Herein, we present two different cases of hepatic artery pseudoaneurysms de-rived from previous surgeries which were assessed by computed tomography angiographies and consequent conservative endovascular approaches with arteriographies, posterior cannulations and the placement of Amplatzer Vascular Plug 4 (AVP 4) systems in order to treat the pseudoaneurysm. Computed control tomographies were conducted showing no later complications. The purpose of this article is to demonstrate the importance and current clinical applications of AVP in the field of interventional radiology.","PeriodicalId":9618,"journal":{"name":"Case Reports in Clinical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87923633","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 : 2022-01-01DOI: 10.4236/crcm.2022.113010
D. Criṣan, Andreea Ardelean, M. Coman, L. Stoicescu, I. Rusu, N. al Hajjar, T. Pop, S. Criṣan, C. Bodolea, L. Avram
{"title":"Primary Small Bowel Melanoma or Small Bowel Metastasis with Vanishing Primary Cutaneous Lesion","authors":"D. Criṣan, Andreea Ardelean, M. Coman, L. Stoicescu, I. Rusu, N. al Hajjar, T. Pop, S. Criṣan, C. Bodolea, L. Avram","doi":"10.4236/crcm.2022.113010","DOIUrl":"https://doi.org/10.4236/crcm.2022.113010","url":null,"abstract":"","PeriodicalId":9618,"journal":{"name":"Case Reports in Clinical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90914224","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 : 2022-01-01DOI: 10.4236/crcm.2022.119050
Farid Khan, Wajih Ali, Muhammad Imtiaz, U. Ullah
Lady Windermere Syndrome is an uncommon pulmonary disease characte-ristically observed in elderly white females with chronic cough suppression and dyspnea. It is classically associated with Mycobacterium avium complex (MAC) species. An 84-year-old female was evaluated for longstanding non-productive cough and intermittent dyspnea. A chest computed tomography scan revealed densities in the right upper lobe and scattered nodular-cystic bronchiectasis. Biopsy was negative for malignancy; however, bronchioalveolar lavage studies showed presence of MAC. Patient was treated with a 12-month course of azithromycin, rifampin and ethambutol resulting in resolution of her symptoms.
{"title":"Lady Windermere Syndrome: An Interesting Clinical and Radiological Presentation","authors":"Farid Khan, Wajih Ali, Muhammad Imtiaz, U. Ullah","doi":"10.4236/crcm.2022.119050","DOIUrl":"https://doi.org/10.4236/crcm.2022.119050","url":null,"abstract":"Lady Windermere Syndrome is an uncommon pulmonary disease characte-ristically observed in elderly white females with chronic cough suppression and dyspnea. It is classically associated with Mycobacterium avium complex (MAC) species. An 84-year-old female was evaluated for longstanding non-productive cough and intermittent dyspnea. A chest computed tomography scan revealed densities in the right upper lobe and scattered nodular-cystic bronchiectasis. Biopsy was negative for malignancy; however, bronchioalveolar lavage studies showed presence of MAC. Patient was treated with a 12-month course of azithromycin, rifampin and ethambutol resulting in resolution of her symptoms.","PeriodicalId":9618,"journal":{"name":"Case Reports in Clinical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83315495","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 : 2022-01-01DOI: 10.4236/crcm.2022.115023
Deanna Ingrassia Miano, Gilbert Xue, E. White, Faisal Ridha Al-Timimi
{"title":"Localized Administration of Tissue Plasminogen Activator through the Ophthalmic Artery in the Setting of Central Retinal Artery Occlusion","authors":"Deanna Ingrassia Miano, Gilbert Xue, E. White, Faisal Ridha Al-Timimi","doi":"10.4236/crcm.2022.115023","DOIUrl":"https://doi.org/10.4236/crcm.2022.115023","url":null,"abstract":"","PeriodicalId":9618,"journal":{"name":"Case Reports in Clinical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74996377","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 : 2022-01-01DOI: 10.4236/crcm.2022.1110059
K. Kamenarova, S. Cherninkova, K. Mihova, Rosen Georgiev, Yana Nikolaeva, R. Kaneva
{"title":"Identification of Novel Nonsense <i>RPGR</i> Variant Causing Mild X-Linked Cone-Rod Dystrophy and Myopia","authors":"K. Kamenarova, S. Cherninkova, K. Mihova, Rosen Georgiev, Yana Nikolaeva, R. Kaneva","doi":"10.4236/crcm.2022.1110059","DOIUrl":"https://doi.org/10.4236/crcm.2022.1110059","url":null,"abstract":"","PeriodicalId":9618,"journal":{"name":"Case Reports in Clinical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73608165","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 : 2022-01-01DOI: 10.4236/crcm.2022.118043
Johri Kaoutar, Rafik Amine, Boukind Elhassan
{"title":"Surgical Treatment of Complex Axillary Scare Contractures: One Case Report","authors":"Johri Kaoutar, Rafik Amine, Boukind Elhassan","doi":"10.4236/crcm.2022.118043","DOIUrl":"https://doi.org/10.4236/crcm.2022.118043","url":null,"abstract":"","PeriodicalId":9618,"journal":{"name":"Case Reports in Clinical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74085548","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 : 2022-01-01DOI: 10.4236/crcm.2022.118046
Peter Capainolo, Ronald Chase
SARS-CoV-2, a novel coronavirus that causes the human disease COVID-19, was determined to be the cause of a cluster of pneumonia cases in Wuhan, China which began in December 2019 [1]. The first case in the United States reportedly occurred on 20 January 2020 in Washington state in a patient with a history of travel to Wuhan [2]. We report an earlier case of COVID-19 in Queens, New York in November 2019. While it is not perfectly clear from the initial November 2019 emergency department case presentation, if the patient had influenza alone, COVID-19 alone, or combined influenza and COVID-19 infection, presenting lung lesions and constitutional symptoms, later fol-low-up antibody and immune cell analyses, and the possibility of false-positive RIDT, do strongly suggest initial COVID-19 infection (with or without initial influenza infection). This clinical paper becomes important, because it may describe the earliest now-reported COVID-19 case in the United States, and because emergency department and post-emergency department treatments contributed to a successful patient outcome.
{"title":"An Early Clinical Case of COVID-19 in New York","authors":"Peter Capainolo, Ronald Chase","doi":"10.4236/crcm.2022.118046","DOIUrl":"https://doi.org/10.4236/crcm.2022.118046","url":null,"abstract":"SARS-CoV-2, a novel coronavirus that causes the human disease COVID-19, was determined to be the cause of a cluster of pneumonia cases in Wuhan, China which began in December 2019 [1]. The first case in the United States reportedly occurred on 20 January 2020 in Washington state in a patient with a history of travel to Wuhan [2]. We report an earlier case of COVID-19 in Queens, New York in November 2019. While it is not perfectly clear from the initial November 2019 emergency department case presentation, if the patient had influenza alone, COVID-19 alone, or combined influenza and COVID-19 infection, presenting lung lesions and constitutional symptoms, later fol-low-up antibody and immune cell analyses, and the possibility of false-positive RIDT, do strongly suggest initial COVID-19 infection (with or without initial influenza infection). This clinical paper becomes important, because it may describe the earliest now-reported COVID-19 case in the United States, and because emergency department and post-emergency department treatments contributed to a successful patient outcome.","PeriodicalId":9618,"journal":{"name":"Case Reports in Clinical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83653084","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 : 2022-01-01DOI: 10.4236/crcm.2022.115022
P. M. Porto de Melo, Rute A. P. Costa
Background: The condition known as polyneuropathy causes peripheral nerve disability, and is characterized by symmetrical distal numbness and pa-resthesia, often accompanied by pain and weakness. With the advancement of the pandemic in Brazil and in the world, the need for therapies as well as prophylaxis became the main focus in disease control as the viral vector plat-form vaccine AstraZeneca. Some effects were observed over the period of ap-plication. Case Summary: A male patient, 63 years old, previously vaccinated for COVID-19, developed active infection by the virus and in his convales-cent period presented intense weakness, with prejudice to his daily activities, including personal hygiene ones. Conclusion: The patient made a complete recovery after combination therapy with testosterone derivates, ivermectin, corticosteroids, and vitamins, besides rehabilitation.
{"title":"Case Report: Successful Post-COVID Severe Peripheral Polyneuropathy Treatment Post AZD1222 ChAdOx1 SARS-CoV-2 Vaccination","authors":"P. M. Porto de Melo, Rute A. P. Costa","doi":"10.4236/crcm.2022.115022","DOIUrl":"https://doi.org/10.4236/crcm.2022.115022","url":null,"abstract":"Background: The condition known as polyneuropathy causes peripheral nerve disability, and is characterized by symmetrical distal numbness and pa-resthesia, often accompanied by pain and weakness. With the advancement of the pandemic in Brazil and in the world, the need for therapies as well as prophylaxis became the main focus in disease control as the viral vector plat-form vaccine AstraZeneca. Some effects were observed over the period of ap-plication. Case Summary: A male patient, 63 years old, previously vaccinated for COVID-19, developed active infection by the virus and in his convales-cent period presented intense weakness, with prejudice to his daily activities, including personal hygiene ones. Conclusion: The patient made a complete recovery after combination therapy with testosterone derivates, ivermectin, corticosteroids, and vitamins, besides rehabilitation.","PeriodicalId":9618,"journal":{"name":"Case Reports in Clinical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75683706","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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