Clinical Medicine Insights. Case Reports最新文献

{"title":"Congenital Pulmonary Airway Malformation With Pectus Carinatum: A Novel Case Report.","authors":"Klein Dantis, Shubham Kabra, Deepinder Kaur","doi":"10.1177/11795476261462785","DOIUrl":"https://doi.org/10.1177/11795476261462785","url":null,"abstract":"<p><strong>Introduction: </strong>Congenital pulmonary airway malformation (CPAM) is a spectrum of cystic lung lesions caused by abnormal fetal airway development. It presents diagnostic and therapeutic challenges due to variable manifestations and potential complications. Surgical management aims to balance complete lesion removal with lung function preservation. This report highlights a rare case of CPAM coexisting with pectus carinatum, emphasizing individualized surgical planning.</p><p><strong>Case presentation: </strong>An 11-year-old boy, prenatally diagnosed with right lung CPAM, was asymptomatic until imaging revealed a large (10 × 8.7 × 9 cm), multiseptated cystic lesion in the right lower lobe consistent with Stocker-type I CPAM. Physical examination showed symmetric pectus carinatum (PC) without cardiopulmonary compromise. Pulmonary function tests indicated mild restrictive lung disease. The patient underwent right posterolateral thoracotomy with wedge resection of basal lung segments, preserving lung parenchyma. Histopathology confirmed CPAM. Postoperative recovery was uneventful, with no recurrence or complications during 44 weeks of follow-up. The PC showed favorable response to the orthotic treatment.</p><p><strong>Conclusion: </strong>Wedge resection is a safe, effective alternative to lobectomy in selected older children with localized CPAM. Long-term follow-up with pulmonary function tests and imaging is essential. The rare association of CPAM with PC expands related anomalies and emphasizes the need for individualized, multidisciplinary management.</p>","PeriodicalId":10357,"journal":{"name":"Clinical Medicine Insights. Case Reports","volume":"19 ","pages":"11795476261462785"},"PeriodicalIF":0.6,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13469773/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148758738","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":"Adult-Onset Still's Disease Presenting With Persistent Hyperpigmented Scaling Rash in a Young Ethiopian Woman: A Case Report From a Resource-Limited Setting.","authors":"Tsegaab Mesele, Abigael Abiy Mesfin, Mikiyas G Teferi, Kebron Wossen Aweke, Samuel Dereje Bedada, Ermiyas Abera Urgesa, Tizita Shimelis Dagne","doi":"10.1177/11795476261479481","DOIUrl":"10.1177/11795476261479481","url":null,"abstract":"<p><strong>Background: </strong>Adult-onset Still's disease (AOSD) is a rare systemic autoinflammatory disorder characterized by high-spiking fever, arthritis, rash, and systemic inflammation. Because there is no single diagnostic test, diagnosis relies on compatible clinical features, fulfillment of classification criteria, and exclusion of infectious, malignant, and autoimmune conditions. Atypical cutaneous manifestations may further delay recognition, particularly in resource-limited settings.</p><p><strong>Case presentation: </strong>We report the case of a 22-year-old Ethiopian woman who presented with a five-month history of inflammatory polyarthritis, daily spiking fever, sore throat, and a persistent hyperpigmented scaling rash rather than the classic evanescent salmon-colored eruption. Laboratory evaluation demonstrated marked neutrophilic leukocytosis, elevated inflammatory markers, abnormal liver enzymes, and hyperferritinemia (1,675 μg/L). Echocardiography revealed mitral valvulitis with mild pericardial effusion. Infectious, autoimmune, and rheumatologic conditions, including acute rheumatic fever, rheumatoid arthritis, systemic lupus erythematosus, viral hepatitis, HIV infection, and other competing diagnoses, were excluded through clinical assessment and laboratory investigations. The patient fulfilled the Yamaguchi classification criteria for AOSD, while markedly elevated serum ferritin provided supportive evidence for the diagnosis. She was treated with intravenous pulse methylprednisolone followed by oral prednisolone and methotrexate, resulting in rapid resolution of fever, marked improvement in joint symptoms, fading of the skin lesions, and complete resolution of the pericardial effusion at one-month follow-up.</p><p><strong>Conclusion: </strong>This case highlights the diagnostic challenges of AOSD when atypical dermatologic manifestations occur, particularly in resource-limited settings where infectious diseases are frequently prioritized in the differential diagnosis. Persistent hyperpigmented scaling lesions should not exclude consideration of AOSD when accompanied by characteristic systemic features. Although elevated serum ferritin is not diagnostic, it can provide valuable supportive evidence when interpreted alongside clinical findings and after exclusion of alternative diagnoses.</p>","PeriodicalId":10357,"journal":{"name":"Clinical Medicine Insights. Case Reports","volume":"19 ","pages":"11795476261479481"},"PeriodicalIF":0.6,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13462624/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148721663","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":"\"From Cholestasis to Interface Hepatitis: A Rare Case of Primary Sclerosing Cholangitis-Autoimmune Hepatitis Overlap in a 20-Year-Old Male\".","authors":"M Hassaan Shah, Aeman Daud Sethi, Muhammad Osama, Samar Hasnain, Rahat Shah, Irfan Khan, Aamir Khan, Pawan Kumar Thada","doi":"10.1177/11795476261470617","DOIUrl":"10.1177/11795476261470617","url":null,"abstract":"<p><strong>Introduction: </strong>Overlap syndrome refers to the coexistence of more than one immune-mediated liver disease in a single patient. Primary sclerosing cholangitis-autoimmune hepatitis (PSC-AIH) overlap is a rare but clinically important entity, as delayed recognition may lead to progressive liver injury, cirrhosis, and liver failure. Differentiating this condition from isolated PSC or AIH remains challenging due to overlapping clinical, biochemical, and radiological features.</p><p><strong>Case presentation: </strong>A 20-year-old male presented with progressive jaundice, pruritus, acholic stools, and dark urine for one month. Laboratory evaluation revealed marked cholestasis with significantly elevated alkaline phosphatase and transaminases, hyperbilirubinemia, and coagulopathy, while viral and metabolic causes were excluded. Magnetic resonance cholangiopancreatography demonstrated characteristic intrahepatic biliary duct irregularities consistent with primary sclerosing cholangitis. However, disproportionately elevated alanine aminotransferase and serum immunoglobulin G levels prompted further evaluation. Liver biopsy revealed features of both diseases, including interface hepatitis with chronic portal inflammation and plasma cell infiltration, along with bile duct injury, ductopenia, and onion-skin fibrosis. Based on histology and diagnostic scoring, a diagnosis of PSC-AIH overlap syndrome was established. The patient was treated with ursodeoxycholic acid, corticosteroids, and azathioprine, resulting in marked clinical and biochemical improvement on follow-up.</p><p><strong>Conclusion: </strong>This case highlights the importance of considering PSC-AIH overlap syndrome in young patients with cholestatic liver disease and unexpectedly elevated transaminases or immunoglobulin G levels. Early recognition and combined immunosuppressive and supportive therapy can lead to favorable outcomes and may prevent irreversible liver damage.</p>","PeriodicalId":10357,"journal":{"name":"Clinical Medicine Insights. Case Reports","volume":"19 ","pages":"11795476261470617"},"PeriodicalIF":0.6,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13451767/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148697165","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":"When SVT is Not Benign: Troponin Elevation Revealing Coronary Vasospasm, A Case Report.","authors":"Elias El Murr, Antonio Al Hazzouri, Katherine Atallah, Philippe Attieh, Maroun Braidy, Adel Daas, Nabil El Murr","doi":"10.1177/11795476261475035","DOIUrl":"10.1177/11795476261475035","url":null,"abstract":"<p><strong>Background: </strong>Troponin elevation is frequently observed in patients presenting with supraventricular tachycardia (SVT) and is commonly attributed to transient demand ischemia. However, its clinical significance remains uncertain, and alternative mechanisms such as coronary vasospasm may be underrecognized.</p><p><strong>Case presentation: </strong>We report the case of a 77-year-old male presenting with a first episode of SVT, successfully terminated with adenosine. Adenosine successfully restored sinus rhythm with partial regression of the ischemic ST-segment changes. Initial high-sensitivity troponin was elevated but demonstrated a significant rise on the following day, accompanied by new T-wave inversions in the lateral leads. Given the dynamic electrocardiographic changes and biomarker progression, coronary angiography was performed, revealing coronary vasospasm of the left anterior descending artery without obstructive coronary disease. The spasm resolved with intracoronary nitroglycerin administration, suggesting the diagnosis of coronary vasospasm.</p><p><strong>Conclusion: </strong>Coronary vasospasm should be considered in patients with SVT and evolving troponin elevation, particularly when accompanied by dynamic electrocardiographic changes. Recognition of this mechanism is essential, as it has important diagnostic and therapeutic implications and requires a tailored management approach.</p>","PeriodicalId":10357,"journal":{"name":"Clinical Medicine Insights. Case Reports","volume":"19 ","pages":"11795476261475035"},"PeriodicalIF":0.6,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13451753/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148697215","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":"Damage Control Surgery for Ileosigmoid Knotting With Massive Bowel Necrosis: A Case Report.","authors":"Dereje G Andargie, Niyonkuru Ainé Ernest, Selamawit Z Tadesse, Biniam E Zelelew, Maniriho Belancille, Biruk T Mengistie","doi":"10.1177/11795476261477533","DOIUrl":"10.1177/11795476261477533","url":null,"abstract":"<p><strong>Introduction: </strong>Ileosigmoid knotting (ISK) is a rare, life-threatening form of closed-loop bowel obstruction predominantly reported in volvulus-endemic regions, characterized by rapid progression to gangrene and high mortality. This report details a severe case managed with a specialized two-stage approach.</p><p><strong>Case presentation: </strong>A 62-year-old man presented with a 36-hour history of severe crampy abdominal pain, bilious vomiting, and obstipation. Physical examination revealed a distended, tender abdomen, with vitals demonstrating shock. Laboratory results showed a left shift on the complete blood count. Abdominal X-ray suggested obstruction.</p><p><strong>Management and outcome: </strong>Emergent exploratory damage control laparotomy revealed gangrene of the sigmoid colon and nearly the entire small bowel, sparing only 70 cm of the proximal jejunum and 10 cm of the distal ileum. Rapid resection without immediate restoration of continuity was completed within 30 minutes due to intraoperative shock. Temporary abdominal closure was achieved using a Bogota bag. Definitive care with jejunoileal end-to-end anastomosis and an end colostomy was completed in a second-look procedure 12 hours later, after adequate resuscitation. The patient was successfully transferred to an intensive care unit for specialized care.</p><p><strong>Conclusion: </strong>This case underscores the utility of damage control surgery in managing complicated compound volvulus with hemodynamic instability and massive necrosis. Early clinical awareness is essential to prevent extensive gangrene, reduce mortality, and optimize survival in resource-constrained settings.</p>","PeriodicalId":10357,"journal":{"name":"Clinical Medicine Insights. Case Reports","volume":"19 ","pages":"11795476261477533"},"PeriodicalIF":0.6,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13443230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148683800","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":"Adenovirus-Associated Rhabdomyolysis Presenting With Gastrointestinal Symptoms and Preserved Renal Function in an Immunocompetent Young Adult: A Case Report.","authors":"Joseph Makhlouf, Philippe Attieh, Ibtihaj Saad, Alvar Akil, Jessy Fadel, Karam Karam, Elias Fiani","doi":"10.1177/11795476261476228","DOIUrl":"10.1177/11795476261476228","url":null,"abstract":"<p><strong>Introduction: </strong>Rhabdomyolysis is characterized by skeletal muscle breakdown resulting in the release of intracellular contents into the circulation. Although trauma, medications, and metabolic disorders are common causes, viral infections are increasingly recognized as potential triggers.</p><p><strong>Case presentation: </strong>A 26-year-old previously healthy male presented with a 2-day history of abdominal pain, diarrhea, vomiting, bilateral thigh pain, and dark urine. Laboratory evaluation demonstrated severe rhabdomyolysis with a peak creatine phosphokinase (CK) level of 25,036 U/L, elevated aminotransferases, and preserved renal function. A stool gastrointestinal multiplex polymerase chain reaction (PCR) panel was positive for adenovirus and did not identify other enteric pathogens. Alternative etiologies, including significant recent exertion, medication-related muscle injury, toxin exposure, autoimmune myopathy, and inherited metabolic disorders, were considered but were not supported by the clinical history or disease course. The patient was treated with early intravenous isotonic fluid 1L every 6 hours and experienced progressive biochemical and clinical improvement without developing acute kidney injury.</p><p><strong>Discussion: </strong>Adenovirus-associated rhabdomyolysis is an uncommon but increasingly recognized clinical entity in adults. The pathogenesis may involve direct viral muscle injury, immune-mediated inflammation, and contributory factors such as dehydration associated with gastrointestinal illness. Although adenovirus was considered the most likely precipitating factor in this case, a definitive causal relationship cannot be established.</p><p><strong>Conclusion: </strong>This case highlights probable adenovirus-associated rhabdomyolysis in an immunocompetent young adult presenting predominantly with gastrointestinal symptoms and preserved renal function despite marked creatine kinase elevation. Early recognition, careful evaluation of alternative etiologies, and prompt supportive management are important for preventing complications and achieving favorable outcomes.</p>","PeriodicalId":10357,"journal":{"name":"Clinical Medicine Insights. Case Reports","volume":"19 ","pages":"11795476261476228"},"PeriodicalIF":0.6,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148673164","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":"Feasibility of a Catheter-Assisted Endotracheal Intubation Technique in a Patient With Restricted Cervical Mobility: A Case Report.","authors":"Mohammadtaghi Khodadadi, Azar Arabkhazaie, Fatemeh Pouladkhay","doi":"10.1177/11795476261475945","DOIUrl":"10.1177/11795476261475945","url":null,"abstract":"<p><p>Securing the airway in patients with restricted cervical mobility is challenging because cervical movement should be minimized during tracheal intubation. We report the technical feasibility of a catheter-assisted modification of a standard endotracheal tube in a 45-year-old woman undergoing cervical spine surgery. A sterile flexible epidural catheter was passed through the tube lumen and redirected along its external surface. During direct laryngoscopy, gentle traction on the externalized catheter produced controlled anterior deflection of the tube tip, facilitating alignment with the laryngeal inlet. Tracheal intubation was successfully achieved on the first attempt without alternative airway devices. No device-related complications occurred during intubation, and postoperative follow-up showed only mild transient sore throat, with no other airway-related complications. This case demonstrates the technical feasibility of this catheter-assisted approach as a potential adjunct in selected patients. However, a single case cannot establish safety, comparative effectiveness, or generalizability, and further studies are required.</p>","PeriodicalId":10357,"journal":{"name":"Clinical Medicine Insights. Case Reports","volume":"19 ","pages":"11795476261475945"},"PeriodicalIF":0.6,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434087/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148673104","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":"Duodenal Strongyloidiasis Mimicking Inflammatory Bowel Disease: A Case Report of a 52-Year-Old Immunocompetent Woman.","authors":"Hasti Asdaghi Jahromi, Alireza Davoodi, Alireza Hosseini","doi":"10.1177/11795476261474993","DOIUrl":"10.1177/11795476261474993","url":null,"abstract":"<p><strong>Background: </strong>Strongyloides stercoralis is an intestinal nematode with a unique autoinfective life cycle that enables decades-long persistence in the human host. Its gastrointestinal manifestations may resemble inflammatory bowel disease (IBD), creating a clinically important diagnostic pitfall. Misdiagnosis is particularly hazardous because corticosteroids or other immunosuppressive therapies may precipitate Strongyloides hyperinfection syndrome or disseminated disease.</p><p><strong>Case presentation: </strong>We report a 52-year-old immunocompetent woman from northern Iran who presented with a 20-day history of persistent watery inflammatory diarrhea, severe hypokalemia (2.4 mEq/L), leukocytosis, and thrombocytosis. Serial stool examinations for ova and parasites were repeatedly negative for larvae; however, fecal leukocytes and erythrocytes, together with erosive duodenopathy, initially raised concern for IBD. Duodenal biopsy established the diagnosis by demonstrating marked eosinophilic infiltration of the lamina propria, reaching 45-50 eosinophils per high-power field, and rhabditiform larvae within the mucosal crypts. The larvae showed morphologic features supporting Strongyloides stercoralis, including a short buccal cavity/canal and a characteristic rhabditiform esophagus. Molecular testing, serology, and independent expert parasitologist confirmation were not performed, which represents a diagnostic limitation. The patient was treated with oral ivermectin plus adjunctive albendazole. The addition of albendazole was an individualized, non-standard clinical decision rather than a routine evidence-based recommendation. Her symptoms improved rapidly, and she remained asymptomatic at one-month follow-up.</p><p><strong>Conclusion: </strong>This case emphasizes the clinical and histopathological overlap between duodenal strongyloidiasis and IBD, particularly when stool parasitology is unrevealing. The novelty of this report lies primarily in its didactic value for clinicians in endemic regions: Strongyloides should remain in the differential diagnosis of IBD-like presentations with unexplained eosinophilic mucosal inflammation before immunosuppressive therapy is considered.</p>","PeriodicalId":10357,"journal":{"name":"Clinical Medicine Insights. Case Reports","volume":"19 ","pages":"11795476261474993"},"PeriodicalIF":0.6,"publicationDate":"2026-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434871/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148673135","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":"Portal Vein Invasion Secondary to Hepatic Hydatid Disease: A Rare Case Report.","authors":"Souhaila Akir, Karam Karam, Rachid Laroussi, Sanaa Berrag, Tarik Adioui, Mouna Tamzaourte","doi":"10.1177/11795476261475038","DOIUrl":"10.1177/11795476261475038","url":null,"abstract":"<p><strong>Background: </strong>Hydatid cyst disease is a zoonotic parasitic infection caused by <i>Echinococcus</i> species and remains endemic in many regions worldwide, particularly in North Africa and the Mediterranean basin. The liver is the most commonly affected organ due to portal dissemination of the parasite. Although hepatic hydatid cysts are frequently encountered, vascular complications are uncommon, and portal vein invasion represents an exceptionally rare manifestation. This complication may lead to portal vein thrombosis, cavernous transformation, portal hypertension, and potentially life-threatening complications including anaphylaxis.</p><p><strong>Case presentation: </strong>We report the case of a 56-year-old male with a prior history of surgery for hepatic hydatid disease who presented with portal vein invasion mimicking portal vein thrombosis. Imaging studies revealed a hydatid cyst located in segment IV of the liver associated with portal venous obstruction and cavernomatous transformation. Color Doppler ultrasonography demonstrated absence of blood flow within the portal vein and collateral venous circulation consistent with portal cavernoma. Contrast-enhanced computed tomography clearly demonstrated communication between the multiloculated hydatid cyst and the portal vein, with multiple daughter vesicles extending from the portal trunk to the segmental portal branches causing vascular occlusion. Despite evidence of intraportal rupture, the patient did not develop anaphylactic shock or systemic allergic manifestations.</p><p><strong>Discussion: </strong>Portal involvement in hepatic echinococcosis may occur through extrinsic compression, inflammatory invasion of the vascular wall, or direct rupture of the cyst into the portal circulation. Although all echinococcus larvae initially pass through the portal venous system, portal vein invasion remains exceedingly rare, likely due to the high pressure within the portal circulation. Chronic portal obstruction may result in extrahepatic portal vein obstruction, portal hypertension, and cavernous transformation. Radiologic imaging, particularly contrast-enhanced computed tomography, plays a crucial role in differentiating portal hydatid disease from conventional portal vein thrombosis by demonstrating intravascular daughter cysts and direct cysto-portal communication. Surgical management remains the treatment of choice and should address both the hydatid cyst and complications related to portal hypertension.</p><p><strong>Conclusion: </strong>Portal vein invasion by hydatid cysts is a rare but serious complication of hepatic echinococcosis that may mimic portal vein thrombosis. Recognition of this entity is essential, particularly in endemic regions and in patients with previous hydatid surgery, in order to optimize diagnosis and management. Early identification through advanced imaging modalities may help prevent severe complications and improve clinical outcomes.</p>","PeriodicalId":10357,"journal":{"name":"Clinical Medicine Insights. Case Reports","volume":"19 ","pages":"11795476261475038"},"PeriodicalIF":0.6,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13424513/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148653151","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":"Sensorimotor Rehabilitation Using Viscoelastic Material for Upper Limb Recovery after Stroke: A Case Report.","authors":"Inês Agostinho, Ana Temudo, Sérgio Bacelo, Vítor Oliveira, Rafael Bernardes, Luís Sousa","doi":"10.1177/11795476261471923","DOIUrl":"10.1177/11795476261471923","url":null,"abstract":"<p><p>Upper limb impairment after stroke is a major contributor to functional dependence and reduced quality of life. Although sensorimotor rehabilitation strategies are recommended to promote motor recovery, evidence regarding the therapeutic use of viscoelastic materials remains limited. This case report describes the outcomes of a rehabilitation nursing intervention using a viscoelastic product in a 56-year-old man with multifocal ischemic stroke and left upper limb impairment. The patient completed a 21-day rehabilitation nursing program comprising eight sessions that combined conventional upper limb rehabilitation exercises with sensorimotor stimulation using a viscoelastic product. Functional outcomes were assessed using the Medical Research Council Scale, the Barthel Index, and the Functional Independence Measure. Muscle strength improved from grades 1-3 to grades 4-5 on the Medical Research Council Scale. Functional recovery included improvements in dynamic balance, gait performance, and independence in activities of daily living, with the Barthel Index increasing from 75 (moderate dependence) to 95 (mild dependence). No follow-up data beyond hospital discharge were available to evaluate the long-term maintenance of these functional gains. This case suggests that incorporating a viscoelastic product into a rehabilitation nursing program is feasible and may contribute to improvements in upper limb motor performance and functional independence following stroke. Further prospective studies with larger samples and longer follow-up are warranted.</p>","PeriodicalId":10357,"journal":{"name":"Clinical Medicine Insights. Case Reports","volume":"19 ","pages":"11795476261471923"},"PeriodicalIF":0.6,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13396553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148583804","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}