Medical Reports最新文献_第10页

Unravelling the sodium hypochlorite accident with comprehended treatment protocol: A case report 用通俗易懂的治疗方案揭开次氯酸钠事故的神秘面纱：病例报告

Medical Reports Pub Date : 2024-06-07 DOI: 10.1016/j.hmedic.2024.100077

Aakash Gupta , Tarun Kumar Singh

引用次数: 0

Placenta increta at 13 weeks of gestation masquerading as molar pregnancy: A case report 妊娠 13 周时的增大胎盘伪装成臼状妊娠：病例报告

Medical Reports Pub Date : 2024-06-07 DOI: 10.1016/j.hmedic.2024.100078

Nadia Khurshid, Alia Masood, Zubda Aiman, Arzoo Rahim, Fatima Amjad

{"title":"Placenta increta at 13 weeks of gestation masquerading as molar pregnancy: A case report","authors":"Nadia Khurshid, Alia Masood, Zubda Aiman, Arzoo Rahim, Fatima Amjad","doi":"10.1016/j.hmedic.2024.100078","DOIUrl":"https://doi.org/10.1016/j.hmedic.2024.100078","url":null,"abstract":"<div><p>Placenta increta is an uncommon yet clinically significant complication that can result in maternal morbidity and mortality. It is primarily seen during the third trimester. There have been very few reports of it being discovered in the first trimester of pregnancy. However, the presentation was even more unique in our patient who was initially diagnosed with molar pregnancy via pelvic sonogram.</p></div><div><h3>Case presentation</h3><p>A 30-year-old G4P3, with three previous C-sections, presented with per vaginal bleeding at 13 weeks and 4 days of gestation. Pelvic sonogram suggested molar pregnancy, which led to a suction and curettage. During the planned procedure, severe uncontrolled hemorrhage ultimately resulted in a total abdominal hysterectomy. Subsequent histopathology revealed placenta increta with less than 50 % invasion of villi and trophoblasts into the myometrium, thus giving us our final diagnosis.</p></div><div><h3>Conclusion</h3><p>This case showcases how placenta increta can be found as early as first trimester- rare though it may be. This unique condition, which could result in major morbidity, should be among the differential diagnoses when unexpectedly profuse hemorrhage is encountered in a woman with previous C-section scar.</p></div>","PeriodicalId":100908,"journal":{"name":"Medical Reports","volume":"6 ","pages":"Article 100078"},"PeriodicalIF":0.0,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949918624000433/pdfft?md5=4650cd0f3753c09427ccee3304b7fafd&pid=1-s2.0-S2949918624000433-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141315004","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: 0

Idiopathic AA amyloidosis presenting with gastrointestinal manifestations mimicking inflammatory bowel disease: A case report 特发性 AA 淀粉样变性伴有模仿炎症性肠病的胃肠道表现：病例报告

Medical Reports Pub Date : 2024-06-07 DOI: 10.1016/j.hmedic.2024.100075

Rami Sabouni , Toulin Al-Atassi , Khaled Ibrahim , Badie Alkouri

{"title":"Idiopathic AA amyloidosis presenting with gastrointestinal manifestations mimicking inflammatory bowel disease: A case report","authors":"Rami Sabouni , Toulin Al-Atassi , Khaled Ibrahim , Badie Alkouri","doi":"10.1016/j.hmedic.2024.100075","DOIUrl":"10.1016/j.hmedic.2024.100075","url":null,"abstract":"<div><h3>Background</h3><p>The classification of amyloidosis is determined by the type of defected protein. Amyloidosis type AA is induced by chronic inflammatory processes, such as long-standing infections or inflammations. However, it is seldom caused by inflammatory bowel disease (IBD). Gastrointestinal (GI) involvement in AA amyloidosis typically lacks specific symptoms, with most cases remaining subclinical. Furthermore, colonoscopy findings such as mucosal fragility and ulcerations can be easily mistaken for ulcerative colitis (UC). We present a case of AA amyloidosis in which GI symptoms closely resembled those of UC.</p></div><div><h3>Case presentation</h3><p>A 33-year-old male was admitted with symptoms of diarrhea, headache, blurry vision, and weight loss. He had been diagnosed with amyloidosis one month prior. The renal biopsy revealed secondary AA amyloidosis. However, two weeks after admission, the patient developed severe bloody diarrhea, and a colonoscopy revealed an ulcerated and fragile mucosa consistent with ulcerative colitis (UC). The patient received treatment for a UC flare-up as well as for infectious colitis, which led to a temporary improvement. Nevertheless, histopathological examination ruled out IBD and confirmed the presence of AA amyloidosis. Furthermore, a follow-up biopsy after two months revealed the absence of UC-related features.</p></div><div><h3>Conclusions</h3><p>GI amyloidosis can manifest as severe and potentially life-threatening colitis, clinically mimicking features of IBD, both during physical examination and endoscopy. However, histopathological analysis plays a crucial role in the diagnosis. Moreover, an early diagnosis can lead to improved outcomes, enhancing the quality of life for amyloidosis patients by effectively managing the associated diarrhea.</p></div>","PeriodicalId":100908,"journal":{"name":"Medical Reports","volume":"6 ","pages":"Article 100075"},"PeriodicalIF":0.0,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949918624000408/pdfft?md5=102374accb8227827497e0615d43aab9&pid=1-s2.0-S2949918624000408-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141398557","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: 0

Prostatic sarcoidosis mimicking malignancy: A report of rare case with review of literature 模仿恶性肿瘤的前列腺肉样瘤病：罕见病例报告及文献综述

Medical Reports Pub Date : 2024-06-07 DOI: 10.1016/j.hmedic.2024.100076

Hemlata Jangir , Sanjay Sriram , Chandan J. Das , Amlesh Seth , Seema Kaushal

引用次数: 0

Hepatic Portal Venous Gas Associated with Ischemic Colitis: A Case Report 缺血性结肠炎伴发肝门静脉积气：病例报告

Medical Reports Pub Date : 2024-06-01 DOI: 10.1016/j.hmedic.2024.100079

Qianqian Zhou, Lian Lin, Hong Zhang

引用次数: 0

Sedative-hypnotic withdrawal syndrome treated with phenobarbital: A case report 用苯巴比妥治疗镇静催眠药戒断综合征：病例报告

Medical Reports Pub Date : 2024-06-01 DOI: 10.1016/j.hmedic.2024.100070

Moayad Alfayoumi , Dore C. Ananthegowda , Asmaa E. Mohamed , Abdulqadir J. Nashwan

{"title":"Sedative-hypnotic withdrawal syndrome treated with phenobarbital: A case report","authors":"Moayad Alfayoumi , Dore C. Ananthegowda , Asmaa E. Mohamed , Abdulqadir J. Nashwan","doi":"10.1016/j.hmedic.2024.100070","DOIUrl":"10.1016/j.hmedic.2024.100070","url":null,"abstract":"<div><h3>Background</h3><p>Sedative/hypnotic withdrawal syndrome remains challenging in intensive care units, particularly after prolonged exposure. The sparse literature on this subject makes managing these cases an ongoing challenge. This case report explores phenobarbital's potential as an alternative treatment for sedative-hypnotic withdrawal syndrome, especially when traditional adjunctive treatments prove ineffective.</p></div><div><h3>Case presentation</h3><p>We describe a case of a 26-year-old female admitted with Tuberculous meningitis, who, due to extended sedation, exhibited signs of sedative/hypnotic withdrawal. Phenobarbital was introduced after the patient resisted typical weaning protocols, and her response was closely monitored. Phenobarbital highlighted a rapid onset of action and effective management of withdrawal symptoms. It facilitated the successful weaning of sedation within a short time frame, allowing the patient to transition from ICU without additional sedative treatments.</p></div><div><h3>Conclusion</h3><p>Phenobarbital is a promising alternative in managing sedative/hypnotic withdrawal syndrome, especially in patients who do not respond to standard treatment protocols. However, its usage warrants careful monitoring due to potential side effects. More extensive studies are needed to validate these findings.</p></div>","PeriodicalId":100908,"journal":{"name":"Medical Reports","volume":"5 ","pages":"Article 100070"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949918624000354/pdfft?md5=1114fc719289dc41e0e74735c59ab337&pid=1-s2.0-S2949918624000354-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141230082","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: 0

Tuberculous pyomyositis in acute leukaemia – A diagnostic quandary 急性白血病中的结核性脓毒血症--诊断难题

Medical Reports Pub Date : 2024-06-01 DOI: 10.1016/j.hmedic.2024.100073

Sreedhar Jayakrishnan Cherulil, Sreelesh KP, Anuja MS

引用次数: 0

Unsupervised self-treatment of methamphetamine abuse leading to gastric perforation in the emergency department: The role of uncontrolled NSAID consumption 急诊科在无人监督的情况下自行处理甲基苯丙胺滥用导致的胃穿孔：无节制服用非甾体抗炎药的作用

Medical Reports Pub Date : 2024-05-29 DOI: 10.1016/j.hmedic.2024.100071

Sarper Yilmaz , Yunus Emre Erdoğan , Muhammet Zahit Tursun , Ali Cankut Tatliparmak , Rohat Ak

{"title":"Unsupervised self-treatment of methamphetamine abuse leading to gastric perforation in the emergency department: The role of uncontrolled NSAID consumption","authors":"Sarper Yilmaz , Yunus Emre Erdoğan , Muhammet Zahit Tursun , Ali Cankut Tatliparmak , Rohat Ak","doi":"10.1016/j.hmedic.2024.100071","DOIUrl":"https://doi.org/10.1016/j.hmedic.2024.100071","url":null,"abstract":"<div><p>This case report aims to investigate the complications arising from unsupervised self-treatment of methamphetamine addiction and the subsequent role of nonsteroidal anti-inflammatory drugs (NSAIDs) in contributing to severe gastrointestinal damage. The objective is to enhance awareness among emergency physicians regarding the intricacies and challenges inherent in managing patients engaged in self-managed addiction treatment processes. A 35-year-old male, attempting self-directed methamphetamine cessation, presented to the ED with abdominal pain, fatigue, and recurrent ED visits. The patient's reliance on NSAIDs for withdrawal symptoms inadvertently led to severe gastric perforation, requiring emergency surgical intervention. Current literature lacks specific guidelines for managing methamphetamine-related gastrointestinal injuries, often resulting in NSAID administration for symptomatic relief. This case highlights the need for tailored protocols in emergency settings, as methamphetamine-induced intestinal damage may amplify NSAID-related complications. Recent studies indicate that methamphetamine exposure compromises the intestinal mucosal barrier, exacerbating the risk of NSAID-induced damage. Pro-inflammatory cytokines play a role in mucosal damage, and methamphetamine's sympathomimetic effects further contribute to gastrointestinal motility disturbances. Emergency physicians should be alert to the challenges of managing methamphetamine users who attempt unattended withdrawal. Balancing patient confidentiality with recognizing methamphetamine's impact on the gastrointestinal system is crucial, especially when considering NSAID administration. This case report underscores the importance of heightened awareness am.</p></div>","PeriodicalId":100908,"journal":{"name":"Medical Reports","volume":"6 ","pages":"Article 100071"},"PeriodicalIF":0.0,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949918624000366/pdfft?md5=3b92f36dafe6fe281f3c30e10c71ddbc&pid=1-s2.0-S2949918624000366-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141239823","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: 0

Serial diffusion-weighted, voxel-based morphometry MRI, and 123I-IMP SPECT in V180I genetic Creutzfeldt–Jakob disease before symptom onset V180I 遗传性克雅氏病患者症状出现前的连续弥散加权磁共振成像、基于体素的形态计量磁共振成像和 123I-IMP SPECT

Medical Reports Pub Date : 2024-05-29 DOI: 10.1016/j.hmedic.2024.100072

Masakazu Ozawa , Keisuke Shibata , Keiko Toyoda , Tomomichi Kitagawa , Masako Ikeda , Renpei Sengoku

{"title":"Serial diffusion-weighted, voxel-based morphometry MRI, and 123I-IMP SPECT in V180I genetic Creutzfeldt–Jakob disease before symptom onset","authors":"Masakazu Ozawa , Keisuke Shibata , Keiko Toyoda , Tomomichi Kitagawa , Masako Ikeda , Renpei Sengoku","doi":"10.1016/j.hmedic.2024.100072","DOIUrl":"https://doi.org/10.1016/j.hmedic.2024.100072","url":null,"abstract":"<div><p>An 84-year-old genetic Creutzfeldt–Jakob disease with V180I mutation in the prion protein gene (V180I gCJD) woman presented with rapid progressive dementia. Six months before symptom onset, diffusion-weighted imaging (DWI) and T2-weighted imaging (T2WI) were normal; however, voxel-based morphometry (VBM) evidenced volume loss of the right temporal pole and hippocampus. Two months after symptom onset, brain imaging revealed cortical DWI hyperintensities with swelling on T2WI, and hypoperfusion on <sup>123</sup>I-IMP single photon emission computed tomography in the right dominant bilateral temporal lobes, and right front-parietal lobes, striatum, and parahippocampus. The VBM loss had spread across the right temporal lobe and hippocampus. Considering spongiform changes and neuron loss, these imagings were useful for understanding the neuropathological mechanisms of V180I gCJD.</p></div>","PeriodicalId":100908,"journal":{"name":"Medical Reports","volume":"6 ","pages":"Article 100072"},"PeriodicalIF":0.0,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949918624000378/pdfft?md5=1f0d07eae006b5cd69d8893f1231dd5c&pid=1-s2.0-S2949918624000378-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141239824","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: 0

Multimodality imaging of myofibroblastoma of male breast with histopathological correlation: A case report 男性乳腺肌纤维母细胞瘤的多模式成像与组织病理学相关性：病例报告

Medical Reports Pub Date : 2024-05-29 DOI: 10.1016/j.hmedic.2024.100074

Anitha Mandava , Sneha Yarlagadda , Suseela Kodandapani , Kamala Sannapareddy , Shruthi Kadari , Veeraiah Koppula

引用次数: 0