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Total hip arthroplasty as a single procedure for subtrochanteric femur fracture with concurrent hip osteoarthritis: A case report 股骨转子下骨折并发髋关节骨性关节炎的全髋关节置换术：病例报告

Medical Reports Pub Date : 2024-11-14 DOI: 10.1016/j.hmedic.2024.100131

Adam Maestas , Parsa Charkhchi , Farbod Malek

{"title":"Total hip arthroplasty as a single procedure for subtrochanteric femur fracture with concurrent hip osteoarthritis: A case report","authors":"Adam Maestas , Parsa Charkhchi , Farbod Malek","doi":"10.1016/j.hmedic.2024.100131","DOIUrl":"10.1016/j.hmedic.2024.100131","url":null,"abstract":"<div><div>Femoral subtrochanteric (ST) fractures have a bimodal age distribution and often the result of high-energy trauma in young patients and minor trauma in elderly patients. Intramedullary nailing (IMN) has been the mainstay for repair and is favorable over fixed angle plating due to greater stability and decreased complications. Many elderly patients with femoral fractures also suffer from other general bone-related comorbidities such as osteoarthritis (OA). Traditionally, concurrent ST femur fractures and severe hip osteoarthritis have been treated separately, but there is growing evidence supporting the use of total hip arthroplasty (THA) as a viable treatment choice. Here the case of a 71-year-old female with a right femoral ST spiral fracture and advanced hip OA is presented. The patient was treated for her fracture and hip OA simultaneously through a THA with a long stem prosthesis and FiberTape cerclage wires. The patient followed up in good condition and was able to ambulate with the assistance of a walker then transitioned to a cane. It is proposed that patients with ST femur fractures and hip OA would significantly benefit from THA as a single procedure, and its consideration is recommended in future cases with similar presentations.</div></div>","PeriodicalId":100908,"journal":{"name":"Medical Reports","volume":"8 ","pages":"Article 100131"},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142703752","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

A hidden duodenal neuroendocrine tumor: A case report 隐匿性十二指肠神经内分泌肿瘤：病例报告

Medical Reports Pub Date : 2024-11-13 DOI: 10.1016/j.hmedic.2024.100135

Karam Karam , Alaa Taha , Melissa Kyriakos Saad , Khaled Soukarieh , Rafca Challita , Joseph Amara , Elias Fiani , Elias Saikaly

引用次数: 0

Hemorrhagic pre-Descemet’s membrane detachment after nonpenetrating deep sclerectomy 非穿透性深层巩膜切除术后的出血性前脱落

Medical Reports Pub Date : 2024-11-13 DOI: 10.1016/j.hmedic.2024.100136

Anna Soldevila , Marina García , Halima Berrada Zizzi , Francisco Ruíz Tolosa

{"title":"Hemorrhagic pre-Descemet’s membrane detachment after nonpenetrating deep sclerectomy","authors":"Anna Soldevila , Marina García , Halima Berrada Zizzi , Francisco Ruíz Tolosa","doi":"10.1016/j.hmedic.2024.100136","DOIUrl":"10.1016/j.hmedic.2024.100136","url":null,"abstract":"<div><h3>Introduction</h3><div>Hemorrhagic Descemet’s membrane (DM) detachment is a rare complication after glaucoma surgery. Related to nonpenetrating deep sclerectomy (NPDS), it is postulated to be caused due to blood reflux from the Schlemm’s canal or from a hemorrhage originated under the scleral flap. Different therapeutic approaches are described: from observation to Nd:YAG laser, ab interno membranotomy or evacuation through corneal incision. This condition might compromise the patient’s visual acuity so the treatment must be done early.</div></div><div><h3>Case report</h3><div>A 69-year-old black male underwent a phacoemulsification and a NPDS without incidents. In the early postoperative period, an hemorrhagic pre- Descemet detachment associated to an hemorrhagic bleb and an uncontrolled intraocular pressure (IOP) were observed. A Nd:YAG laser endothelial puncture and a suturolysis were performed without an optimal IOP control. After 10 days, an anterior chamber lavage combined with a needling achieved a complete transparent cornea and a controlled IOP without topical treatment.</div></div><div><h3>Discussion</h3><div>The pathophysiology of the presented case could be explained by an hemorrhage originated from vessels under the scleral flap due to an elevated intrableb pressure that favored the dissection of the weakest connected site, the DM. A Nd:YAG laser puncture was capital to avoid corneal staining and to lower the pressure from the filtration bleb (FB). Nevertheless, IOP was not controlled because of hypema and fibrosis of the trabeculo-descemetic membrane. After anterior chamber lavage and a needling with piercing of the TDM the IOP normalized and the FB was functional again.</div><div>The treatment in a hemorrhagic pre-Descemet detachment is personalized and it is very important to understand the pathophysiology to approach it properly.</div></div>","PeriodicalId":100908,"journal":{"name":"Medical Reports","volume":"8 ","pages":"Article 100136"},"PeriodicalIF":0.0,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142703750","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

Gallbladder glandular proliferation mimicking an adenocarcinoma – A case report 胆囊腺增生模拟腺癌--病例报告

Medical Reports Pub Date : 2024-11-12 DOI: 10.1016/j.hmedic.2024.100132

Tiziana Salviato , Stefania Caramaschi , Giuseppe Esposito , Volkan Adsay

{"title":"Gallbladder glandular proliferation mimicking an adenocarcinoma – A case report","authors":"Tiziana Salviato , Stefania Caramaschi , Giuseppe Esposito , Volkan Adsay","doi":"10.1016/j.hmedic.2024.100132","DOIUrl":"10.1016/j.hmedic.2024.100132","url":null,"abstract":"<div><div>This case report presents a 39-year-old woman with a history of abdominal discomfort, gastroesophageal reflux disease, and previous biliary colic. Radiological investigations suggested a suspicious infundibular lesion in the gallbladder, prompting further examinations including magnetic resonance cholangiopancreatography, endoscopic retrograde cholangiopancreatography, and PET/CT scan. Despite inconclusive findings, the patient underwent robot-assisted cholecystectomy, revealing a fistula between the gallbladder infundibulum, and the common bile duct. Histological examination revealed a complex conglomerate of non-neoplastic processes, including gastric heterotopia, pseudo-pyloric glandular proliferation, and traumatic neuroma-like neural proliferation within the gallbladder wall. Discussion highlights the developmental anomalies and reactive mechanisms potentially underlying these findings, suggesting a connection between gastric heterotopia, glandular proliferation, and neural proliferation. The presence of three different 'pathological entities' in the same case represents the uniqueness of our case report, and the type of growth that sometimes appears to simulate an infiltration is an important element to consider as its misdiagnosis could lead to erroneous considerations and incorrect treatment.</div></div>","PeriodicalId":100908,"journal":{"name":"Medical Reports","volume":"8 ","pages":"Article 100132"},"PeriodicalIF":0.0,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142703751","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

Maintenance Electroconvulsive Therapy (ECT) for the management of bipolar disorder in pregnancy and the post-partum period: A case report 维持性电休克疗法（ECT）用于治疗妊娠期和产后双相情感障碍：病例报告

Medical Reports Pub Date : 2024-11-04 DOI: 10.1016/j.hmedic.2024.100128

Matthew Batliner , Rebecca Frost , Marnie Welch , Julia Knight

{"title":"Maintenance Electroconvulsive Therapy (ECT) for the management of bipolar disorder in pregnancy and the post-partum period: A case report","authors":"Matthew Batliner , Rebecca Frost , Marnie Welch , Julia Knight","doi":"10.1016/j.hmedic.2024.100128","DOIUrl":"10.1016/j.hmedic.2024.100128","url":null,"abstract":"<div><div>The management of bipolar disorder during pregnancy and in the post-partum period can often be a challenge for psychiatrists. Psychiatrists and patients must consider both the elevated risks of break-through mood episodes during pregnancy and the post-partum period as well as the potential side effects associated with ongoing pharmacotherapy. Electroconvulsive therapy (ECT) may offer an alternative to pharmacotherapy during pregnancy, though there is very limited information on the use of ECT as a monotherapy or maintenance treatment during pregnancy and in the post-partum period. We present a case of 32 year old woman with bipolar disorder who received maintenance ECT without adjunctive mood stabilizing medications throughout her pregnancy, per patient preference. ECT was found to provide adequate mood stabilization with no adverse effects noted throughout the pregnancy. During the post-partum period which coincided with a brief hiatus of ECTs, the patient experienced a manic episode which resulted in hospitalization, an acute ECT course, and re-initiation of mood stabilizing medications. This case provides a framework for considering the role of ECT as a maintenance option for pregnant patients and emphasizes the need for further information on protocols for ECT treatment in the post-partum period.</div></div>","PeriodicalId":100908,"journal":{"name":"Medical Reports","volume":"8 ","pages":"Article 100128"},"PeriodicalIF":0.0,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142593611","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

Oral manifestations as the first sign of Granulomatosis with polyangiitis – A case report 作为多血管炎肉芽肿病首发症状的口腔表现--病例报告

Medical Reports Pub Date : 2024-11-03 DOI: 10.1016/j.hmedic.2024.100129

Yousra Akhlef , Ulrik Ørsø Andersen , Preben Homøe

引用次数: 0

Deciphering a potential causality between autoimmune atrophic gastritis and Crohn’s disease: A report of two cases 解读自身免疫性萎缩性胃炎与克罗恩病之间的潜在因果关系：两个病例的报告

Medical Reports Pub Date : 2024-11-03 DOI: 10.1016/j.hmedic.2024.100130

Karam Karam , Houssein Chebbo , Sarah Saleh , Elias Fiani

引用次数: 0

US medical education landscape: Now and beyond 美国医学教育格局：现在和未来

Medical Reports Pub Date : 2024-10-30 DOI: 10.1016/j.hmedic.2024.100127

Farzana Hoque

引用次数: 0

Recurrent cerebral venous thrombosis in a child due to Factor V Leiden mutation leading to activated protein C resistance: A case report 因子 V Leiden 突变导致活化蛋白 C 抗性，导致一名儿童反复出现脑静脉血栓：病例报告

Medical Reports Pub Date : 2024-10-28 DOI: 10.1016/j.hmedic.2024.100126

S. El Gazzane , G. Jaabouti , S. Aminou , N. El Hafidi , A. Masrar , H. Andour , L. Chat , C. Mahraoui , S. Benchekroun

{"title":"Recurrent cerebral venous thrombosis in a child due to Factor V Leiden mutation leading to activated protein C resistance: A case report","authors":"S. El Gazzane , G. Jaabouti , S. Aminou , N. El Hafidi , A. Masrar , H. Andour , L. Chat , C. Mahraoui , S. Benchekroun","doi":"10.1016/j.hmedic.2024.100126","DOIUrl":"10.1016/j.hmedic.2024.100126","url":null,"abstract":"<div><h3>Background</h3><div>Because of the Factor V Leiden Mutation, activated protein C resistance is the most common hereditary condition predisposing individuals to venous thrombosis in infancy and childhood. The prevalence of this mutation varies among ethnic groups and geographical regions. Laboratory tests for thrombophilic markers, including Activated Protein C Resistance (APCR) and Factor V Leiden, are essential for diagnosis. While genetic tests are essential for confirming the diagnosis, determining homozygous or heterozygous status, and assessing recurrence risk, coagulation methods often use APCR detection as the primary screening approach.</div></div><div><h3>Case presentation</h3><div>We describe a 10-year-old North African male patient with recurrent thrombosis of the right internal jugular vein who was found to have protein C resistance. Further genetic testing revealed that the patient is heterozygous for the Factor V Leiden mutation.</div></div><div><h3>Conclusions</h3><div>This case highlights the importance of considering the Factor V Leiden mutation in pediatric patients presenting with recurrent venous thrombosis. Early detection and accurate diagnosis are critical for effective management and prevention of future thrombotic events.</div></div>","PeriodicalId":100908,"journal":{"name":"Medical Reports","volume":"8 ","pages":"Article 100126"},"PeriodicalIF":0.0,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142561013","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

Intestinal lymphangiectasia secondary to chronic midgut volvulus: A rare childhood presentation case report 继发于慢性中肠下垂的肠淋巴管扩张症：罕见的儿童病例报告

Medical Reports Pub Date : 2024-10-28 DOI: 10.1016/j.hmedic.2024.100125

Jasmin Martin , Narayanan Venkatasubramani , Nancy McGreal

引用次数: 0