Clinical Case Reports最新文献_第9页

Branchial Cleft Cyst With Coexisting Tuberculous Lymphadenitis in an Elderly Patient: A Diagnostic Challenge. 鳃裂囊肿合并结核性淋巴结炎的老年患者：一个诊断挑战。

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Clinical Case Reports Pub Date : 2026-10-09 eCollection Date: 2026-10-01 DOI: 10.1002/ccr3.73713

Aakash Khatiwada, Rahul Mahato, Bishesh Kattel, Prajita Baral, Priyanshu Karn, Rekarna Bartaula

引用次数: 0

Symptomatic Calcaneal Intraosseous Lipoma Mimicking Refractory Heel Pain: A Case Report and Review of the Literature. 症状性跟骨内脂肪瘤模拟难治性足跟痛：1例报告及文献复习。

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Clinical Case Reports Pub Date : 2026-10-09 eCollection Date: 2026-10-01 DOI: 10.1002/ccr3.73719

Ayham Qatza, Hadi Alabdullah, Moayad Mosleh, Omar Zakkour, Ali Youssef

{"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":"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.","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}

引用次数: 0

Therapeutic Effects of Electroacupuncture on Partial-Thickness Supraspinatus Tear: Clinical Case Report. 电针治疗冈上肌部分厚度撕裂的临床疗效。

IF 0.6

Clinical Case Reports Pub Date : 2026-10-09 eCollection Date: 2026-10-01 DOI: 10.1002/ccr3.73685

Gholamreza Hajvalie, Ismail Ebrahimi Takamjani, Javad Sarrafzadeh, Hossein Saremi, Mohammad Reza Asadi

引用次数: 0

Ileoileocolic Type Intussusception With Double Enhanced Layer Sign in a Pediatric Patient: A Case Report. 小儿回肠-回肠-结肠型肠套叠伴双强化层征1例。

IF 0.6

Clinical Case Reports Pub Date : 2026-10-08 eCollection Date: 2026-10-01 DOI: 10.1002/ccr3.73707

Naoya Sakamoto, Yuuki Take, Yuri Nemoto, Kentaro Ono, Yasunari Tanaka, Kouji Masumoto

引用次数: 0

Effects of Cumulative 100 km Gait Training Using Lower-Limb Orthoses in a Patient With Severe Hemiplegia and Limited Independent Ambulation Potential: Case Report. 使用下肢矫形器进行累计100公里步态训练对严重偏瘫患者独立行走能力受限的影响：病例报告。

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Clinical Case Reports Pub Date : 2026-10-08 eCollection Date: 2026-10-01 DOI: 10.1002/ccr3.73694

Hideki Arai, Baku Hosokawa, Masahiro Nagai, Satoru Matsumoto

引用次数: 0

Beyond the Oropharynx: TTMV-HPV DNA Detection in a p16-Positive Hypopharyngeal Squamous Cell Carcinoma. 口咽部以外：在p16阳性下咽鳞状细胞癌中TTMV-HPV DNA检测。

IF 0.6

Clinical Case Reports Pub Date : 2026-10-08 eCollection Date: 2026-10-01 DOI: 10.1002/ccr3.73670

Jacob Beiriger, Brayden Seliger, Silvia Soule, Hilary C McCrary, Richard B Cannon

引用次数: 0

Post-Dengue Deep Vein Thrombosis Complicated by Pulmonary Embolism: A Case Report. 登革后深静脉血栓形成并发肺栓塞1例。

IF 0.6

Clinical Case Reports Pub Date : 2026-10-08 eCollection Date: 2026-10-01 DOI: 10.1002/ccr3.73642

Sarah Nisar, Hamza Mushtaq, Muhammad Haris Khan, Fatima Sajjad, Abdullah Afridi, Noor E Fatima, Kamil Ahmad Kamil

{"title":"Post-Dengue Deep Vein Thrombosis Complicated by Pulmonary Embolism: A Case Report.","authors":"Sarah Nisar, Hamza Mushtaq, Muhammad Haris Khan, Fatima Sajjad, Abdullah Afridi, Noor E Fatima, Kamil Ahmad Kamil","doi":"10.1002/ccr3.73642","DOIUrl":"10.1002/ccr3.73642","url":null,"abstract":"Dengue fever is commonly associated with bleeding complications, particularly in patients with thrombocytopenia. However, thrombotic events, such as venous thromboembolism, are rare and under-recognized manifestations, particularly during the recovery phase, posing diagnostic and therapeutic challenges. We report the case of a 25-year-old previously healthy male who presented with high-grade fever, myalgia, and headache and was diagnosed with dengue fever based on positive NS1 antigen testing. Dengue infection was confirmed by a positive NS1 antigen test performed on Day 3 of illness, consistent with early acute dengue infection. The diagnosis was further supported by the patient's clinical presentation, including high-grade fever, myalgia, and headache in the appropriate epidemiological context of a dengue-endemic region. During the recovery phase of the illness, he developed painful swelling of the right lower limb and progressive dyspnea. Investigations revealed markedly elevated D-dimer levels, right lower limb deep vein thrombosis on Doppler ultrasound, and bilateral pulmonary emboli with right ventricular strain on CT pulmonary angiography images. Although dengue-associated thrombosis has been reported in the setting of thrombocytopenia, as described by Ghatak et al., the present case demonstrates that thrombotic complications may also occur despite preserved platelet counts, highlighting the potential contribution of endothelial dysfunction and inflammatory activation. This case highlights the paradoxical coexistence of thrombosis and bleeding risk in dengue fever. To avoid potentially fatal thromboembolic complications in patients with dengue, early diagnosis, prompt anticoagulation, and a high index of suspicion are crucial.","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"14 10","pages":"e73642"},"PeriodicalIF":0.6,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13648022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149134939","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

Successful Breast-Conserving Surgery Following Dose-Modified Neoadjuvant Chemoimmunotherapy in an 86-Year-Old Patient With Locally Advanced Triple-Negative Breast Cancer: A Case Report. 86岁局部晚期三阴性乳腺癌患者行剂量改良新辅助化疗免疫治疗后保乳手术成功一例。

IF 0.6

Clinical Case Reports Pub Date : 2026-10-06 eCollection Date: 2026-10-01 DOI: 10.1002/ccr3.73697

Kimiyasu Yoneyama, Motohito Nakagawa, Asuka Hara

{"title":"Successful Breast-Conserving Surgery Following Dose-Modified Neoadjuvant Chemoimmunotherapy in an 86-Year-Old Patient With Locally Advanced Triple-Negative Breast Cancer: A Case Report.","authors":"Kimiyasu Yoneyama, Motohito Nakagawa, Asuka Hara","doi":"10.1002/ccr3.73697","DOIUrl":"10.1002/ccr3.73697","url":null,"abstract":"Patients aged ≥ 80 years with breast cancer are underrepresented in clinical trials, resulting in limited evidence regarding optimal treatment strategies, particularly for triple-negative breast cancer (TNBC). We report the case of an 86-year-old woman with locally advanced PD-L1-positive TNBC who presented with a painful 10-cm breast mass with skin invasion, clinically suspected axillary lymph node involvement, and subsequent tumor bleeding. Because of her preserved functional status, intact cognitive function, absence of significant comorbidities, and strong motivation for treatment, dose-modified neoadjuvant chemoimmunotherapy with pembrolizumab, paclitaxel, and carboplatin was administered. The tumor showed a marked response, and after four cycles complete clinical remission was achieved. Breast-conserving surgery with axillary lymph node dissection was subsequently performed, and pathological examination demonstrated a complete pathological response. The patient remains disease-free 15 months after surgery. This case highlights the importance of careful patient selection and individualized treatment planning when considering curative-intent multimodality treatment in very elderly patients with locally advanced TNBC.","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"14 10","pages":"e73697"},"PeriodicalIF":0.6,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13643055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149126887","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

Refractory Pericardial Effusion Secondary to Central Hypothyroidism due to Empty Sella Syndrome: A Rare Case Report 空蝶鞍综合征继发于中枢性甲状腺功能减退症的难治性心包积液1例报告。

IF 0.6

Clinical Case Reports Pub Date : 2026-10-06 DOI: 10.1002/ccr3.73399

Bishal Mandal, Prativa Subedi, Bishal Kumar Yadav, Bipin Pandey, Bishwa Raj Adhikari, Saurav Jha, Milan Gaihre

引用次数: 0

Seizure Like Activity During Permanent Pacemaker Implantation: A Case of Suspected Venous Air Embolism With Acute Hypoxia. 永久性起搏器植入期间癫痫样活动：一例疑似静脉空气栓塞伴急性缺氧。

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Clinical Case Reports Pub Date : 2026-10-06 eCollection Date: 2026-10-01 DOI: 10.1002/ccr3.73689

Sanjida Ansari, Murari Dhungana

引用次数: 0