Clinical Case Reports最新文献_第9页

Asymptomatic Uterine Rupture in a Pregnancy Following B-Lynch Suture Application in a Previous Delivery: A Case Report B-Lynch缝线应用于先前分娩后妊娠无症状子宫破裂：1例报告。

IF 0.6

Clinical Case Reports Pub Date : 2025-09-29 DOI: 10.1002/ccr3.71053

Kareem Omran, Gyia Mathew, Maha Shahin, Osama Omran

{"title":"Asymptomatic Uterine Rupture in a Pregnancy Following B-Lynch Suture Application in a Previous Delivery: A Case Report","authors":"Kareem Omran, Gyia Mathew, Maha Shahin, Osama Omran","doi":"10.1002/ccr3.71053","DOIUrl":"10.1002/ccr3.71053","url":null,"abstract":"The B-Lynch suture, designed to control severe postpartum hemorrhage by compressing the uterus, is effective in reducing maternal mortality rates. However, it can lead to complications such as infection and uterine necrosis. This report presents a rare case of asymptomatic uterine rupture in a subsequent pregnancy following a B-Lynch suture. A woman in her mid-30s, gravida 3, para 2, presented at 32 weeks gestation in labor and underwent a repeat caesarean section. During delivery and visualization of the uterus, a 3-cm uterine rent was incidentally discovered near the site of the previous B-Lynch suture at the posterior aspect of the uterus. On review of prior medical reports provided by the patient, it was noted that the B-Lynch procedure was previously performed using Polydioxanone sutures rather than traditional absorbable sutures and was deemed a potential contributor to this presentation. This case emphasizes the importance of appropriate suture materials and techniques when performing a B-Lynch suture and presents a less commonly known potential long-term effect and complication. Further, obstetricians should be wary in subsequent pregnancies of the potential for uterine rents and aim to carefully visualize the previous suture site intraoperatively, regardless of symptomatology.","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 10","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12479215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205935","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

Pulmonary Hydatid Cyst Mimicking Both Tuberculous Cavity and Aspergilloma: A Diagnostic Challenge in an Endemic Region 模拟结核腔和曲菌瘤的肺包虫病：一个地方性地区的诊断挑战。

IF 0.6

Clinical Case Reports Pub Date : 2025-09-29 DOI: 10.1002/ccr3.71026

Mohammad Alaa Aldakak, Aows Ahmad, Raneem Ahmad, Bassel Ibrahim, Yehia Taifour

{"title":"Pulmonary Hydatid Cyst Mimicking Both Tuberculous Cavity and Aspergilloma: A Diagnostic Challenge in an Endemic Region","authors":"Mohammad Alaa Aldakak, Aows Ahmad, Raneem Ahmad, Bassel Ibrahim, Yehia Taifour","doi":"10.1002/ccr3.71026","DOIUrl":"10.1002/ccr3.71026","url":null,"abstract":"Cystic echinococcosis (CE), caused by Echinococcus granulosus, is a zoonotic disease endemic in many pastoral regions. Pulmonary involvement, although less common than hepatic, may present with nonspecific respiratory symptoms and mimic other pathologies such as tuberculosis, posing a diagnostic challenge. We report a case of a 17-year-old Arab female from an endemic area who presented with cough, hemoptysis, fever, and general malaise. Chest imaging revealed a cavitary lesion in the upper lobe, raising suspicion of pulmonary tuberculosis or fungal infection. Laboratory findings showed leukocytosis and elevated inflammatory markers. Bronchoscopy and microbiological workup were negative for TB and fungi, though Klebsiella was cultured. Despite initial improvement with antibiotics, the definitive diagnosis was established intraoperatively after surgical resection revealed a complicated hydatid cyst. Postoperative culture identified Pseudomonas, and histopathology confirmed hydatid disease. This case highlights the diagnostic difficulty of pulmonary CE, particularly when imaging mimics tuberculosis. The upper lobe location and cavitary appearance contributed to initial misdirection. A lack of response to empirical therapy should prompt reconsideration of differential diagnoses, especially in endemic regions. Pulmonary hydatid cysts may present atypically and resemble more prevalent conditions like tuberculosis. Clinical vigilance, especially in endemic areas, is critical for timely diagnosis and appropriate management.","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 10","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12480439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205945","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

Reactive Balance Control Following Selective Dorsal Rhizotomy in Child With Diplegic Cerebral Palsy 选择性背神经根切断术治疗儿童双瘫性脑瘫的反应性平衡控制。

IF 0.6

Clinical Case Reports Pub Date : 2025-09-28 DOI: 10.1002/ccr3.70975

Debra Depto-Hoffman, Ligia Y. Mochida, Guilherme M. Cesar

{"title":"Reactive Balance Control Following Selective Dorsal Rhizotomy in Child With Diplegic Cerebral Palsy","authors":"Debra Depto-Hoffman, Ligia Y. Mochida, Guilherme M. Cesar","doi":"10.1002/ccr3.70975","DOIUrl":"10.1002/ccr3.70975","url":null,"abstract":"Cerebral palsy (CP) is the most common motor disability in early childhood characterized by impaired selective motor control. Children with CP often exhibit delayed and disorganized muscle activation in response to external perturbations, resulting in a high incidence of falls and decreased participation in activities compared with their peers. We examined changes in reactive balance control post-selective dorsal rhizotomy (SDR) in a child with CP in which the major goal of this surgery is to reduce lower extremity spasticity. A 7-year-old girl with spastic diplegic CP (Gross Motor Function Classification System II) participated. Along with clinical evaluations, we employed computerized dynamic posturography to quantify changes in reactive balance control post-SDR, including the Motor Control Test and the Adaptation Test to simulate unexpected perturbations and assess the child's reactive balance control. Post-surgery evaluations indicated improved symmetry in lower extremity weight bearing, particularly in response to forward perturbations. No falls were observed post-surgery in conditions that previously caused imbalance. However, the latency response times to perturbations were longer than in typically developing peers, and the child's force to overcome induced sway was larger than her peers. Although SDR effectively decreased spasticity in our participant, it did not address other factors like soft tissue contractures, muscle weakness, and fixed biomechanical alignment constraints that contributed to balance issues in CP. To our knowledge, this is the first work that demonstrates such limitations post-SDR. The limited tools available to clinicians to assess reactive balance control in children with CP highlight the need for more effective measurements. This case report sheds light on the importance of targeted clinical approaches to enhance reactive balance control post-SDR.","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 10","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12476966/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145198474","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

Accidentally Extruded Calcium Hydroxide Into a Cystic Lesion Associated With an Adjacent Tooth—A Case Report 不小心将氢氧化钙挤进邻近牙齿的囊性病变- 1例报告。

IF 0.6

Clinical Case Reports Pub Date : 2025-09-28 DOI: 10.1002/ccr3.70762

Emmanuel Mazinis, Nikolaos Tsanidis, Vasilios Thomaidis

引用次数: 0

Unusual Presentation of Cervical Tear With Prolapse After Vaginal Delivery 阴道分娩后宫颈撕裂脱垂的不寻常表现。

IF 0.6

Clinical Case Reports Pub Date : 2025-09-28 DOI: 10.1002/ccr3.71095

John Lugata, Bariki Mchome

引用次数: 0

Long-Term Complications of Neglected Double-J Stent With Renal and Bladder Stone Formation: A Case Report From Sudan 被忽视的双j型支架合并肾膀胱结石的长期并发症：苏丹1例报告。

IF 0.6

Clinical Case Reports Pub Date : 2025-09-28 DOI: 10.1002/ccr3.70995

Abubaker Yassin, Osama Mohamed

{"title":"Long-Term Complications of Neglected Double-J Stent With Renal and Bladder Stone Formation: A Case Report From Sudan","authors":"Abubaker Yassin, Osama Mohamed","doi":"10.1002/ccr3.70995","DOIUrl":"10.1002/ccr3.70995","url":null,"abstract":"Double-J (DJ) stents are commonly used to maintain ureteral patency after procedures like ureteral stone removal. Ideally, they should be replaced or removed within 6 to 12 weeks to avoid complications such as encrustation and stone formation. However, prolonged retention can lead to severe outcomes. This case report discusses a patient with a neglected DJ stent, which resulted in both renal and bladder stones. A 35-year-old Sudanese woman presented with right loin pain and dysuria. She had a DJ stent inserted 4 years ago after ureteroscopy for ureteral stone removal but did not follow up due to insufficient knowledge about the stent. Imaging revealed renal and bladder stones with significant encrustation. Transurethral cystolitholapaxy was performed successfully for the bladder stone. However, attempts to remove the DJ stent endoscopically were unsuccessful due to a large renal pelvic stone attached to the stent. The patient underwent pyelolithotomy to remove the stone together with the retained DJ. One month later, she had no complications and returned to normal activities. The lack of follow-up and understanding of the DJ stent led to complications. Extended stent retention increases the risk of encrustation and stone formation. Treatment often involves a multiple operations, including pyelolithotomy and endoscopic procedures, especially in resource-limited settings. This case highlights the need for comprehensive patient education, timely stent removal, and regular follow-up to prevent devastating complications from neglected DJ stents. It also emphasizes the importance of tailored treatment strategies in resource-constrained environments.","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 10","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12477056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145198531","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

Multiple Biventricular Intracardiac Thrombi—An Unusual Finding in Peripartum Cardiomyopathy: A Case Report 心内双室多发血栓——围生期心肌病的一种罕见发现。

IF 0.6

Clinical Case Reports Pub Date : 2025-09-28 DOI: 10.1002/ccr3.71014

Gidion Edwin, Yohana Mbishi, Baraka Alphonce, John Meda

{"title":"Multiple Biventricular Intracardiac Thrombi—An Unusual Finding in Peripartum Cardiomyopathy: A Case Report","authors":"Gidion Edwin, Yohana Mbishi, Baraka Alphonce, John Meda","doi":"10.1002/ccr3.71014","DOIUrl":"10.1002/ccr3.71014","url":null,"abstract":"Peripartum cardiomyopathy (PPCM) is a rare form of heart failure occurring during late pregnancy or within 5 months postpartum, its etiology remaining elusive. While typically characterized by left ventricular dysfunction, it may present with intracardiac thrombi, raising the risk of systemic embolization. Here, we report an unusual case of PPCM featuring biventricular intracardiac thrombi, highlighting the importance of a thorough investigation for potential underlying causes. This is a case of a black African, multiparous woman aged 44 years with an unremarkable past medical history, who presented with symptoms suggestive of acute heart failure 5 months after her last delivery. A 2D Transthoracic Echocardiography showed multiple biventricular intracardiac thrombi, a rare complication of PPCM without a systemic embolic event. Further, laboratory tests for evidence of a hypercoagulable state came out negative. Treatment involved a combination of acute heart failure and anticoagulation followed by optimal medical therapy for chronic heart failure, resulting in improved symptoms for heart failure, cardiac function, and significant thrombi resolution after 8 weeks. Multiple biventricular intracardiac thrombi are an uncommon finding in PPCM, underscoring the importance of vigilant diagnosis and timely management. Although the management of PPCM remains challenging due to limited evidence, an individualized approach to heart failure therapy and anticoagulation can lead to meaningful clinical improvement and favorable outcomes.","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 10","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12476956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145198551","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

Untreated Choroidal Melanoma With Obvious Exudation 未治疗的脉络膜黑色素瘤伴明显渗出。

IF 0.6

Clinical Case Reports Pub Date : 2025-09-28 DOI: 10.1002/ccr3.71056

Xintong Lin, Jiang Qian, Kang Xue

引用次数: 0

A Case of Squamous Cell Carcinoma Arising From an Intraductal Papilloma of the Breast 乳腺导管内乳头状瘤引起的鳞状细胞癌1例。

IF 0.6

Clinical Case Reports Pub Date : 2025-09-28 DOI: 10.1002/ccr3.71068

Kanako Nishiyama, Kumiko Okujima, Yosuke Mizuno

引用次数: 0

Managing Triple Cesarean Scar Pregnancy: A Case Report Highlighting Surgical and Medical Interventions 处理三次剖宫产疤痕妊娠：一例报告强调手术和医疗干预。

IF 0.6

Clinical Case Reports Pub Date : 2025-09-28 DOI: 10.1002/ccr3.71054

Aida Najafian, Soghra Fallahi, Maral Arbabzadeh Boroujeni, Seyede Irandokht Nohi, Mahdieh Modarresi

{"title":"Managing Triple Cesarean Scar Pregnancy: A Case Report Highlighting Surgical and Medical Interventions","authors":"Aida Najafian, Soghra Fallahi, Maral Arbabzadeh Boroujeni, Seyede Irandokht Nohi, Mahdieh Modarresi","doi":"10.1002/ccr3.71054","DOIUrl":"10.1002/ccr3.71054","url":null,"abstract":"This case report presents a 37-year-old woman with a history of three previous cesarean sections, who was diagnosed with a cesarean scar pregnancy involving three separate gestational sacs. The management included a combination of surgical intervention via hysteroscopy and medical treatments such as lidocaine injections and methotrexate administration. Close monitoring of beta-hCG levels and ultrasound examinations played a crucial role in tracking the patient's progress and confirming the successful resolution of the pregnancy. The patient's recovery and the normalization of beta-hCG levels post-treatment highlight the importance of timely intervention and comprehensive follow-up care in managing cesarean scar pregnancies. This case report underscores the importance of individualized treatment strategies and patient-centered care in achieving optimal outcomes for individuals affected by this condition. The objectives are to highlight the diagnostic challenges, discuss the management approach, and emphasize the importance of personalized care in cesarean scar pregnancies. The report also seeks to enhance understanding of this rare but potentially life-threatening condition, emphasizing the necessity for prompt diagnosis and tailored treatment strategies.","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 10","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12476955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145198491","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