Clinical Case Reports最新文献

{"title":"Correction to \"Previously Unrecognized Tracheobronchopathia Osteochondroplastica Diagnosed Following Unexpected Difficult Tracheal Intubation During Robotic Surgery: A Case Report and Literature Overview\".","authors":"","doi":"10.1002/ccr3.73702","DOIUrl":"https://doi.org/10.1002/ccr3.73702","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1002/ccr3.73504.].</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"14 10","pages":"e73702"},"PeriodicalIF":0.6,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13655367/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179654","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}

{"title":"External Iliac Arteriovenous Fistula Caused by Stab Wound.","authors":"Takayuki Kai, Ryusuke Katsuki, Dai Oishi, Takayuki Irahara, Masanobu Tsuda, Eizo Watanabe","doi":"10.1002/ccr3.73691","DOIUrl":"https://doi.org/10.1002/ccr3.73691","url":null,"abstract":"<p><p>Major abdominal arteriovenous fistula (AVF), including external iliac vessels, is a rare condition. If untreated long term, AVFs may cause venous hypertension and heart failure. We report the case of a 47-year-old man who stabbed his left lower abdomen. His vital signs were stable. Computed tomography revealed hemoperitoneum and a left external iliac AVF. Prior to laparotomy, endovascular repair of AVF was performed. Subsequent laparotomy was performed, and omental injury and a small bowel injury were repaired. Exploration of the retroperitoneal hematoma showed no bleeding from the external iliac vessels. The patient was discharged on day 6. In the management of retroperitoneal hematoma after penetrating trauma, laparotomy has been recommended. Among hemodynamically stable patients with stab wounds and traumatic external iliac AVF, endovascular intervention may be considered prior to laparotomy. Further investigations are required to reveal the long-term safety and durability of a covered stent for traumatic AVFs.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"14 10","pages":"e73691"},"PeriodicalIF":0.6,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13653228/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149165205","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}

{"title":"Disseminated Blastomycosis With Pulmonary, Cutaneous, and Splenic Involvement in a Construction Worker: A Case Report.","authors":"Toan N Vu, Nilay Kumar","doi":"10.1002/ccr3.73710","DOIUrl":"https://doi.org/10.1002/ccr3.73710","url":null,"abstract":"<p><p>Blastomycosis is a systemic fungal infection that is caused by <i>Blastomyces dermatitidis</i> or <i>Blastomyces gilchristii</i>. Although the lungs are the primary site of infection, blastomycosis can disseminate to the skin, bones, genitourinary system, and, rarely, visceral organs such as the spleen. Occupational exposure to soil and decaying matter, particularly in construction workers, increases the risk of blastomycosis infection. A 40-year-old male presented with a progressively enlarging right facial lesion, which initially appeared as a small papule. The lesion had gradually increased in size and pain over several months and failed to respond to antibiotics. Notable symptoms include generalized fatigue, low mood, intermittent morning headaches, confusion, poor appetite with weight loss, intermittent night sweats, and joint pain. The diagnostic workup included imaging findings of an exophytic skin lesion arising from the right cheek, pulmonary micronodules and consolidation, and splenic changes. Serum <i>Blastomyces</i> antigen testing was positive, fungal culture of tissue from the facial lesion grew <i>Blastomyces dermatitidis</i>, and histopathologic examination demonstrated granulomatous inflammation with broad-based budding yeast within the dermis, supporting the diagnosis of disseminated blastomycosis. Liposomal amphotericin B induction therapy was initiated, and the facial lesion improved. The patient was discharged home with a transition to oral itraconazole. This report presents a case of disseminated blastomycosis involving the lungs, skin, and spleen in an immunocompetent individual. High index of suspicion and recognition of cutaneous lesions in the context of occupational and environmental risk factors for blastomycosis enable early diagnosis and treatment.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"14 10","pages":"e73710"},"PeriodicalIF":0.6,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13653322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149164985","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}

{"title":"Proximal Tracheal Mucoepidermoid Carcinoma Complicated by Early Anastomotic Stenosis-A Case Report.","authors":"Shivanjali Pandya, Gani Nuredini, Jahangir Ahmed, Khalid Ghufoor","doi":"10.1002/ccr3.73721","DOIUrl":"https://doi.org/10.1002/ccr3.73721","url":null,"abstract":"<p><p>Proximal tracheal mucoepidermoid carcinoma may remain occult despite prolonged upper-airway symptoms and normal flexible nasoendoscopy. Stridor following tracheal resection should prompt assessment of the anastomosis, as early postoperative stenosis caused by A-frame deformity and granulation tissue may be successfully managed with combined laser therapy, balloon dilatation, and intralesional corticosteroid injection.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"14 10","pages":"e73721"},"PeriodicalIF":0.6,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13653319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149165464","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}

{"title":"Burkitt Lymphoma Presenting as Renal Failure: Learning From Diagnostic Pitfalls in Pediatrics.","authors":"Anne Boldt, Khanh Mai, Adriana Dhawan, Lucie M Turcotte, Robin Williams, Aarti Kamat","doi":"10.1002/ccr3.73725","DOIUrl":"https://doi.org/10.1002/ccr3.73725","url":null,"abstract":"<p><p>This case highlights that pediatric Burkitt lymphoma may present without classic systemic manifestations, instead presenting as acute renal failure secondary to peritoneal lymphomatosis. Prompt recognition of rapid progression, hyperuricemia, and obstructive uropathy, especially with initially normal blood counts, is essential to minimize diagnostic delay and prevent increased morbidity and mortality.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"14 10","pages":"e73725"},"PeriodicalIF":0.6,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13653230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149164107","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}

{"title":"Suspected Mesenteric Malperfusion in Acute Type A Aortic Dissection During Pregnancy: A Case Report and Review of Reperfusion-First Strategies.","authors":"Tam Le, Steven Chok, Khuram Khan","doi":"10.1002/ccr3.73703","DOIUrl":"https://doi.org/10.1002/ccr3.73703","url":null,"abstract":"<p><p>Aortic dissection during pregnancy is rare but potentially catastrophic. Acute Type A aortic dissection generally requires urgent surgical repair. When visceral malperfusion is present, however, the optimal sequence of interventions may be complex, particularly when pregnancy and recent cesarean delivery increase operative risk. Endovascular reperfusion followed by delayed aortic repair has been proposed in selected patients, although evidence supporting this strategy in pregnancy remains limited. A 37-year-old woman at 31 weeks' gestation presented with chest and back pain. Initial CT pulmonary angiography (CTPA) performed for suspected pulmonary embolism excluded pulmonary embolism but demonstrated marked aortic root dilatation measuring 6.7 × 5.4 cm. Before definitive aortic imaging could be obtained, she developed acute respiratory deterioration and fetal distress, prompting emergency cesarean delivery under general anesthesia. Postoperatively, transthoracic echocardiography demonstrated severe aortic root and ascending aortic dilatation, severe aortic regurgitation, reduced left ventricular ejection fraction, and a dissection flap consistent with Type A aortic dissection. Because of concern for catastrophic hemorrhage associated with cardiopulmonary bypass and hypothermic circulatory arrest shortly after cesarean delivery, definitive aortic repair was deferred for approximately 24 h while the patient underwent medical optimization. During this interval, she developed progressive metabolic acidosis and worsening renal function, raising clinical concern for visceral malperfusion. Dedicated abdominal vascular imaging was not obtained, and therefore the presence, distribution, and mechanism of mesenteric malperfusion could not be anatomically confirmed before surgery. At subsequent operative exploration, extensive small- and large-bowel necrosis and markedly hypoperfused adnexal tissue were identified, precluding definitive aortic repair. The patient subsequently died after transition to comfort-focused care. In an analysis from the International Registry of Acute Aortic Dissection, mesenteric malperfusion was associated with higher in-hospital mortality than dissection without malperfusion. This case highlights the diagnostic and management challenges of acute Type A aortic dissection during pregnancy. In a pregnant patient presenting with chest or back pain and marked aortic root dilatation on PE-protocol imaging, acute aortic syndrome should prompt urgent evaluation of the entire aorta. Progressive metabolic acidosis, renal dysfunction, or unexplained clinical deterioration should raise concern for visceral ischemia. Although reperfusion-first strategies have been described in selected patients with aortic dissection and mesenteric malperfusion, their applicability in pregnancy remains uncertain and depends on defined vascular anatomy and the mechanism of malperfusion.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"14 10","pages":"e73703"},"PeriodicalIF":0.6,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13653136/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149164309","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}

{"title":"Branchial Cleft Cyst With Coexisting Tuberculous Lymphadenitis in an Elderly Patient: A Diagnostic Challenge.","authors":"Aakash Khatiwada, Rahul Mahato, Bishesh Kattel, Prajita Baral, Priyanshu Karn, Rekarna Bartaula","doi":"10.1002/ccr3.73713","DOIUrl":"https://doi.org/10.1002/ccr3.73713","url":null,"abstract":"<p><p>Cystic lateral neck masses in elderly patients require careful evaluation as clinical and cytological findings may be misleading. Histopathology remains essential for definitive diagnosis, and the uncommon coexistence of congenital lesions with tuberculous lymphadenitis should be considered in endemic regions.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"14 10","pages":"e73713"},"PeriodicalIF":0.6,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13653138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149172117","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}

{"title":"Symptomatic Calcaneal Intraosseous Lipoma Mimicking Refractory Heel Pain: A Case Report and Review of the Literature.","authors":"Ayham Qatza, Hadi Alabdullah, Moayad Mosleh, Omar Zakkour, Ali Youssef","doi":"10.1002/ccr3.73719","DOIUrl":"https://doi.org/10.1002/ccr3.73719","url":null,"abstract":"<p><p>Intraosseous lipomas (IOLs) are rare benign primary bone tumors, most commonly affecting the calcaneus. Although often asymptomatic, IOLs may present with persistent heel pain mimicking plantar fasciitis. Accurate diagnosis depends on characteristic radiological features, whereas the management strategy remains debated between conservative and surgical approaches. A 52-year-old construction worker with 4 months of activity-related left heel pain presented with calcaneal tenderness and no systemic inflammatory signs. Radiographs and computed tomography demonstrated a well-defined calcaneal lesion with central calcification, consistent with IOLs. Surgical treatment included curettage, evacuation of lipid contents, and autologous iliac-crest bone grafting. Postoperative recovery was uncomplicated with stable neurovascular status and adequate pain control. The patient resumed unrestricted ambulation at 2 months postoperatively. At 6 months follow-up, he reported complete resolution of pain and had resumed normal weight-bearing activities without limp or functional limitation. IOLs should be included in the differential diagnosis of refractory heel pain. Surgical curettage combined with autologous bone grafting produces excellent functional outcomes and immediate structural support, preventing pathological fractures in active patients.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"14 10","pages":"e73719"},"PeriodicalIF":0.6,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13653146/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149165260","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}

{"title":"Therapeutic Effects of Electroacupuncture on Partial-Thickness Supraspinatus Tear: Clinical Case Report.","authors":"Gholamreza Hajvalie, Ismail Ebrahimi Takamjani, Javad Sarrafzadeh, Hossein Saremi, Mohammad Reza Asadi","doi":"10.1002/ccr3.73685","DOIUrl":"https://doi.org/10.1002/ccr3.73685","url":null,"abstract":"<p><p>This case report describes clinical and imaging improvement in a patient with a partial-thickness supraspinatus tear following electroacupuncture combined with home exercise. These findings are hypothesis-generating only and should not be generalized. Randomized controlled trials are required to determine efficacy, safety, and potential clinical applicability.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"14 10","pages":"e73685"},"PeriodicalIF":0.6,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13650922/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149165241","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}

{"title":"Ileoileocolic Type Intussusception With Double Enhanced Layer Sign in a Pediatric Patient: A Case Report.","authors":"Naoya Sakamoto, Yuuki Take, Yuri Nemoto, Kentaro Ono, Yasunari Tanaka, Kouji Masumoto","doi":"10.1002/ccr3.73707","DOIUrl":"10.1002/ccr3.73707","url":null,"abstract":"<p><p>Ileoileocolic intussusception can present without classic ultrasonographic target signs. A hyperattenuated inner bowel wall creating a \"double-enhanced layer\" on contrast-enhanced computed tomography (CT) may mimic viable bowel despite transmural necrosis and represents a diagnostic pitfall requiring early surgical intervention.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"14 10","pages":"e73707"},"PeriodicalIF":0.6,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13648017/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149134832","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}