Jugal Hiren Bhatt, Ujjwal P. Dutta, Nency Kagathara, Irfan Nagori, Srijana Neupane
{"title":"Subacute Epiploic Appendagitis Masquerading as Left-Sided Abdominal Pain in an Elderly Female: A Rare Case Report","authors":"Jugal Hiren Bhatt, Ujjwal P. Dutta, Nency Kagathara, Irfan Nagori, Srijana Neupane","doi":"10.1002/ccr3.70167","DOIUrl":"10.1002/ccr3.70167","url":null,"abstract":"<p>Subacute epiploic appendagitis (SEA) is a rare inflammatory condition involving the epiploic appendages of the colon. It often presents with nonspecific abdominal symptoms and can mimic various gastrointestinal disorders, leading to diagnostic challenges. Here, we present a case of a 74-year-old female who initially presented with left-sided abdominal pain and incomplete stool emptying, raising suspicion for other conditions such as cathartic colon. However, imaging studies revealed characteristic findings suggestive of SEA, highlighting the importance of considering this rare entity in the differential diagnosis of abdominal pain.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 2","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11785467/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143078688","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}
Zhaojiao Li, Jun Li, Lingchun Liu, Jiajie Chen, Xueye Mao, Jing Yang, Shu Yang, Haixia Li, Shan Li, Qiang Meng
{"title":"A Case Report of Anti-GD3 Antibody Positive Incomplete Miller-Fisher Syndrome With Pyramidal Tract Symptoms","authors":"Zhaojiao Li, Jun Li, Lingchun Liu, Jiajie Chen, Xueye Mao, Jing Yang, Shu Yang, Haixia Li, Shan Li, Qiang Meng","doi":"10.1002/ccr3.70144","DOIUrl":"10.1002/ccr3.70144","url":null,"abstract":"<p>Incomplete Miller-Fisher syndrome (MFS) is a rare autoimmune disorder affecting the nervous system. In contrast to classical MFS, its clinical manifestations are often atypical and may be characterized by the absence of certain features, such as extraocular muscle paralysis and the loss of tendon reflexes. The presence of anti-GD3 antibodies is infrequently observed in these patients. This case report describes a patient diagnosed with incomplete MFS who exhibited positive anti-GD3 antibody results and presented with pyramidal tract signs. This suggests that anti-GD3 antibodies may play a role in the pathogenesis of some atypical forms of MFS, warranting attention in clinical practice.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 2","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11785465/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143078626","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":"Ameloblastic Fibroma of the Mandible Presenting as a Dentinoid Formation in an 8-Year-Old Child: A Case Report","authors":"Priyambada Karna, Varun Rastogi, Dilasha Dhungel, Sandhya Chaurasia","doi":"10.1002/ccr3.70169","DOIUrl":"10.1002/ccr3.70169","url":null,"abstract":"<p>Ameloblastic fibroma is an uncommon, benign, mixed odontogenic tumor characterized by the presence of both epithelial and mesenchymal components, without the formation of hard tissue. It constitutes approximately 1.5%–4.5% of all odontogenic tumors and predominantly affects the posterior mandible. Most cases are observed in individuals under 22 years of age, with a slight predilection for males. The initial presentation typically involves a painless, slow-growing mass, often discovered incidentally during routine radiographic examinations. This lesion carries a risk of recurrence and potential for malignant transformation. We present a case of an 8-year-old female child who presented with a painless swelling in the right posterior mandibular region for 6 months, which was histologically characterized by dentinoid formation.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 2","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11785464/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143078627","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}
Vasileios Lamprou, John Murphy, Andrea Ardizzone, Niall G. Campbell
{"title":"Implantable Cardioverter Defibrillator Generator Replacement and Breast Implant Revision—A Combined Case","authors":"Vasileios Lamprou, John Murphy, Andrea Ardizzone, Niall G. Campbell","doi":"10.1002/ccr3.70132","DOIUrl":"10.1002/ccr3.70132","url":null,"abstract":"<p>Physicians are increasingly likely to encounter patients with both cardiac implantable electronic devices (CIED) and breast implants in situ. Our case indicates the importance of appropriate planning and multidisciplinary input for CIED procedures in patients with breast implants or vice versa. When planning the procedure, the aesthetic outcome needs to be considered.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 2","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11785470/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143078679","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":"Primary Epithelioid Hemangioendothelioma of the Spine: A First in Africa. A Case Report and Literature Review","authors":"Bakang Abiot Kgaodi, Jed Saul Lazarus, Brendon Price, Stefan Kruger, Crispin Thompson","doi":"10.1002/ccr3.70165","DOIUrl":"10.1002/ccr3.70165","url":null,"abstract":"<p>Primary Epithelioid hemangioendothelioma of the spine is an ultra-rare malignant vascular neoplasm with no pathognomonic clinical features and as such requires a high index of suspicion and a multi-disciplinary and multimodality treatment approach.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 2","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11785469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143078682","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":"Intussusception and Internal Hernia After Roux-en-Y Gastric Bypass Surgery in a Woman With Twin Pregnancy: A Case Report","authors":"Morteza Sanei Taheri, Ali Pirsalehi, Meisam Refaei, Azadeh Jafari Ashtiani, Omid Ebrahimi, Maede Mohammadian, Ahmadali Davar, Elahe Sadati","doi":"10.1002/ccr3.70149","DOIUrl":"10.1002/ccr3.70149","url":null,"abstract":"<p>Severe obesity is a global concern now, and bariatric surgery has been proven to be the best solution. Most candidates are women of reproductive age; therefore, an increasing number of pregnant women with the history of gastric bypass is noticed. A 33-year-old woman at 23 weeks' gestation with a twin pregnancy, with a history of bariatric surgery 2 years prior her pregnancy, presented to our hospital with small bowel necrosis due to internal hernia and intussusception, we proceeded to laparotomy and resection of the necrotic segment of the bowel. The patient underwent cesarean section on the 35 weeks of her pregnancy due to preterm labor and intra uterine growth retardation of the fetuses. Since the gravid uterus increases the intraabdominal pressure, the complications of bariatric surgery such as intussusception or internal hernia may occur even more frequently during pregnancy. Although computed tomography scan or ultrasound could assist clinicians for early diagnosis of complications, negative findings could not rule out small bowel obstruction; therefore, in a pregnant woman with persisting abdominal pain, obstipation, and vomiting, exploratory laparotomy or laparoscopy is mandatory. Pregnant women with a history of Roux-en-Y gastric bypass surgery (RYGB) should be considered high-risk obstetric, and symptoms like ongoing abdominal pain, and vomiting should be taken as alarm sign for small bowel obstruction. Computed tomography (CT) scan is the modality of choice for detecting the small bowel obstruction, and is mandatory, taking into consideration the considerable harms to the fetus.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 2","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11785466/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143078681","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":"Bifocal metachronous dermato fibrosarcoma protuberans in children: A case report","authors":"Wajdi Arfa, Leila Bouhajja, Mohamed Ghammem, Mohamed Amri, Faten Farah, Zied Jlalia, Mourad Jenzri","doi":"10.1002/ccr3.9497","DOIUrl":"10.1002/ccr3.9497","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Key Clinical Message</h3>\u0000 \u0000 <p>Dermato fibrosarcoma protuberans presents challenges in diagnosis and treatment, especially in children. Awareness of its aggressive local recurrence and its potential for multifocal presentation is crucial. Wide surgical resection with adequate margins remains the basis of management, in association with regular follow-up of affected patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 \u0000 <p>Dermatofibrosarcoma protuberans (DFSP) is a rare, locally aggressive cutaneous sarcoma, particularly uncommon in children. We report the case of a 13-year-old boy who initially presented with a firm mass on the left foot, later diagnosed as DFSP following histological and immunohistochemical analysis. The tumor was surgically excised with a wide margin, and a skin graft was used for coverage. Despite an initial favorable outcome, a new DFSP lesion developed at the proximal left thigh 1 year later, requiring further wide surgical excision and coverage with a tensor fascia lata flap. Both sites remained free of recurrence at one-year follow-up. This case underscores the importance of long-term vigilance in managing DFSP due to the potential risk of recurrence and multifocal involvement.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 2","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11785463/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143078628","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":"Rare case of metronidazole-induced encephalopathy in a multiple transplant recipient: Clinical and radiological insights","authors":"Mahmoud Draidi, Ibtesam Abdullah, Shahem Abbarh, Jouhar Kolleri, Bisher Sawaf, Yaseen Alastal","doi":"10.1002/ccr3.9544","DOIUrl":"10.1002/ccr3.9544","url":null,"abstract":"<p>Metronidazole-induced encephalopathy (MIE) is a rare but reversible condition that can present with nonspecific neurological symptoms, making early recognition and diagnosis challenging. Magnetic resonance imaging (MRI) is crucial in identifying typical brain lesions associated with MIE. Prompt discontinuation of metronidazole typically results in symptom resolution and improvement in MRI findings.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 2","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11785462/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143078684","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}
Jaber H. Jaradat, Wadi Walid I, Aram F. Obeidat, Raghad Amro, Abdulqadir J. Nashwan
{"title":"Unveiling the Enigma: Idiopathic Digital Infarction—A Case Report and Literature Review","authors":"Jaber H. Jaradat, Wadi Walid I, Aram F. Obeidat, Raghad Amro, Abdulqadir J. Nashwan","doi":"10.1002/ccr3.70107","DOIUrl":"10.1002/ccr3.70107","url":null,"abstract":"<p>Idiopathic digital infarction (IDI), a rare subset of digital infarction, is characterized by ischemic changes in the absence of identifiable underlying etiology. We present the first documented case of IDI in a 47-year-old female with insignificant medical history. Clinical evaluation revealed bluish discoloration of the left lateral three fingers. Negative findings on autoimmune serologies, echocardiogram, and coagulation profiles excluded common causes, such as vasculitis, cardiac embolism, and hypercoagulable states. Imaging studies demonstrated ischemic changes in the left cerebellar hemisphere and proximal left subclavian artery, which supported the diagnosis of acute infarction. The patient was managed conservatively and was discharged. This case underscores the diagnostic complexities of IDI and highlights the importance of thorough evaluation and management.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 2","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11782845/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143078690","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}
Gagandeep Kaur, Shanley Banaag, Lee Hong, Charisma Mylavarapu, Yuri Kim, John Garrett, Emily Nagler
{"title":"Bloodless Management of Severe Refractory ITP and Acute Hemorrhage in a Jehovah's Witness Patient","authors":"Gagandeep Kaur, Shanley Banaag, Lee Hong, Charisma Mylavarapu, Yuri Kim, John Garrett, Emily Nagler","doi":"10.1002/ccr3.70102","DOIUrl":"10.1002/ccr3.70102","url":null,"abstract":"<p>In patients with severe refractory immune thrombocytopenia (ITP), especially those unable to receive blood transfusions due to religious beliefs, alternative non-cytotoxic therapies are important to avoid worsening cytopenias. Immunomodulatory agents such as mycophenolate mofetil and daratumumab should be used alongside traditional therapies including steroids, IVIG and rituximab.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 2","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11780247/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064200","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}