International Journal of Case Reports and Images最新文献

{"title":"A case report of fibromatosis resulting in small bowel obstruction","authors":"Danielle Humphries, Teo Fritzke, Felipe Pacheco1, Shravani Sripathi, Daniela Marcano, Akram Alashari","doi":"10.5348/101462z01dh2024cr","DOIUrl":"https://doi.org/10.5348/101462z01dh2024cr","url":null,"abstract":"\u0000 Introduction: Fibromatosis, also known as desmoid tumors, is a benign tumor that is found in patients with a history of familial adenomatous polyposis (FAP) syndrome. Although, sporadic fibromatosis is more common than this classic association.\u0000\u0000 Case Report: This case report describes a 75-year-old woman who was healthy and had no history of familial adenomatous polyposis (FAP). She presented with acute abdominal pain caused by a small bowel obstruction. Computed tomography (CT) imaging demonstrated a solid mass measuring 5 × 5 cm in the left mid-abdomen or the pelvis causing a proximal small bowel obstruction. The patient then underwent an exploratory laparotomy, during which a 45-cm segment of the jejunum, along with associated mesentery and lymph nodes, was resected due to a large mass and extensive adhesions. A primary small bowel anastomosis was performed subsequently. Macroscopic and microscopic pathology evaluations revealed a homogenous mass consistent with fibromatosis, indicating a benign tumor originating from the mesentery. This is an uncommon presentation of small bowel obstruction in an otherwise healthy female patient without a history of FAP.\u0000\u0000 Conclusion: As this case shows, spontaneous fibromatosis can present aggressively and require emergency surgical intervention.\u0000","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"1 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141921203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neuroimaging findings: Head CT scan and MRI in multiple cerebral infarctions mimicking cerebral abscesses: A case report and literature review","authors":"Muhammad Yunus Amran, Muhammad Fajrin Hidayah","doi":"10.5348/101465z01ma2024cr","DOIUrl":"https://doi.org/10.5348/101465z01ma2024cr","url":null,"abstract":"\u0000 Introduction: A stroke is defined by the American Heart Association (AHA) and the American Stroke Association (ASA) as the sudden onset of neurological deficits lasting over 24 hours or resulting in death, without an apparent cause other than of vascular origin and one of the leading causes of death in developed countries. Acute stroke is diagnosed based on clinical characteristics and radiographic imaging. Acute ischemic stroke and acute intracranial infection can be difficult to distinguish.\u0000\u0000 Case Report: A 37-year-old male patient presented with a 5-day history of impaired verbal responsiveness. Additionally, he reported a 5-month history of right-sided hemiparesis accompanied by headaches, with a noted exacerbation of symptoms over the past two weeks. The patient had uncontrolled hypertension. He had no history of diabetes or cardiovascular disease. He was admitted to the hospital with a blood pressure of 150/80 mmHg. On physical examination, the patient was found to be compos mentis. Motor assessment revealed reduced movement in the right extremities, with muscle strength rated at 4/5, increased muscle tone, and hyperreflexia (3+) in the right extremities. The Babinski reflex was positive on the right side. Sensory evaluation was inconclusive. The computed tomography scan (CT-scan) image without contrast showed bilateral cerebral abscesses; however, magnetic resonance imaging (MRI) of the head without contrast revealed a chronic infarction in the right temporal area and multiple subacute infarctions in the left temporoparietal area. Cerebral digital subtraction angiography (C-DSA) revealed a complete occlusion of the M1 segment of the left middle cerebral artery (MCA). The therapeutic intervention for these patients included the administration of piracetam, aspirin (aspilet), clopidogrel, atorvastatin, and amlodipine. The patients were administered piracetam, aspilet, clopidogrel, atorvastatin, and amlodipine.\u0000\u0000 Conclusion: Patients with cerebral infarction may develop clinical and radiological characteristics that are similar to those of a cerebral abscess. Cerebral abscesses may cause abrupt focal “stroke-like\" symptoms, and MRI may show brain lesions with limited diffusion and little contrast enhancement, mimicking an acute infarction.\u0000","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"15 25","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141927641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A rare case of lung adenocarcinoma with metastases to the breasts bilaterally","authors":"Saurabh Dubey, Maysoon T Hussain, Mohamad Akil, Nasir Gondal","doi":"10.5348/101459z01sd2024cr","DOIUrl":"https://doi.org/10.5348/101459z01sd2024cr","url":null,"abstract":"\u0000 We present a case of a 65-year-old female with a history of stage IV adenocarcinoma of the lung that metastasized to the bilateral breasts. The breasts are a rare metastatic site for lung adenocarcinoma, with metastases to the breasts bilaterally being further unique. Our patient was diagnosed with stage IV adenocarcinoma of the lung with EGFR exon 20 insertion with metastases to the bone and skin four years prior to presentation, and she underwent a left lower lobotomy and multiple failed therapies. Biopsy of her breast masses revealed TTF (lung marker) positive GATA binding protein 3, GCDFP15, and mammaglobin (breast markers) negative metastatic moderately differentiated adenocarcinoma. Next-generation sequencing studies revealed exon 20 mutation, for which there are few effective targeted therapies. She was considered for therapy with amivantamab but ultimately never received therapy due to multiple hospitalizations, and passed away due to septic shock, likely from empyema versus ESBL E. coli urinary tract infection.\u0000","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":" 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141829111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Utilization of triple phase nuclear medicine bone scan for diagnosis of extradigital glomus tumors","authors":"Jay Fiechter, Matthew Noyes","doi":"10.5348/101454z01jf2024cr","DOIUrl":"https://doi.org/10.5348/101454z01jf2024cr","url":null,"abstract":"\u0000 Introduction: Presentations of glomus tumors in atypical areas have been documented and often lack the classic symptoms typically associated with glomus tumors. Diagnosis of extradigital glomus tumors is difficult and often comes after years of misdiagnosis.\u0000\u0000 Case Report: We present the case of an 82-year-old male with an extradigital glomus tumor at the tip of the olecranon. Gold standard magnetic resonance imaging (MRI) was negative and 3-phase nuclear medicine scan identified uptake near the olecranon process. Glomus tumor diagnosis was confirmed after pathology results. At two weeks post-op, the patient reported complete resolution of the pain. At the final follow-up, the patient had returned to all functional activities without pain and his strength was symmetric to the contralateral side.\u0000\u0000 Conclusion: This case demonstrates the importance of clinical suspicion in the workup and diagnosis of an atypical extradigital glomus tumor and how nuclear medicine scans can provide additional information in the presence of negative MRI.\u0000","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141339275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Malignant pilar cyst in a young woman: Case report and literature review","authors":"Ali Ibrahim Ali Hegy, Amina Ibrahim El-yakub, Yaser Taha Sidahmed","doi":"10.5348/101453z01ah2024cr","DOIUrl":"https://doi.org/10.5348/101453z01ah2024cr","url":null,"abstract":"\u0000 The patient was a young, 30-year-old woman presenting with a long standing painless scalp lesion with six month history of recent increase in size with associated pain. Clinically the swelling had benign features, therefore excisional biopsy was done. However histology revealed malignant pilar cyst.\u0000","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"90 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141352758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cutis verticis gyrata: Clinical image","authors":"Ana Paula Santos de Assis, Izabela Schneidewind, Maria Laura Fernandes Cordeiro, A. M. da Silva Catharino","doi":"10.5348/101450z01aa2024ci","DOIUrl":"https://doi.org/10.5348/101450z01aa2024ci","url":null,"abstract":"<jats:p>\u0000\t\t\t\t \t No Abstract\u0000\t\t\t \t</jats:p>","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141265540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Metopism: An anatomical variant that the physician should take into account","authors":"Yamili Morales Vega, Adelina Rojas-Granados, Esteban Arellano-Rivera, Aurelia Martínez-Díazaa, Octavio Lescas Méndez, Manuel Angeles-Castellanos","doi":"10.5348/101451z01my2024cr","DOIUrl":"https://doi.org/10.5348/101451z01my2024cr","url":null,"abstract":"\u0000 Introduction: During childhood these sutures close, forming the characteristic sutures of the skull, one of these is the frontal suture, which joins the two frontal bones perfectly, simulating a single frontal bone. However, this suture can persist into adulthood, giving an anatomical variant known as metopism.\u0000\u0000 Case Report: A 19-year-old Mexican male presented with high-energy trauma related to a traffic accident while riding a motorcycle without wearing a safety helmet. A simple skull computed tomography (CT) was considered due to moderate risk factors for traumatic brain injury (TBI), based on the Master’s classification, progressive headache, presence of hematoma, facial injuries. When performing the simple skull tomography, persistence of the metopic suture was observed.\u0000\u0000 Conclusion: Metopism has generally been reported as a postmortem finding in population studies aimed at its search. This report has special attention because it was identified as a differential diagnosis of a skull fracture following a traumatic brain injury. The important finding that differentiates metopic suture from a fracture is the presence of serrated and sclerotic edges. A persistent metopic suture can be easily diagnosed by an anteriorposterior radiograph.\u0000","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":" 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140997763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Masquerading parasites: A case study on pulmonary echinococcosis mimicking lung cancer and bronchogenic cyst","authors":"Mustafa Abulhaija, Derek Jacobs, Dallas Dominguez, Ashraf Abulhaija, Jacqueline Wesolow, John N Greene","doi":"10.5348/101452z01ma2024cr","DOIUrl":"https://doi.org/10.5348/101452z01ma2024cr","url":null,"abstract":"\u0000 Introduction: Pulmonary echinococcosis, caused by the larval stage of Echinococcus granuloses, presents significant diagnostic challenges, often mimicking more common thoracic pathologies, such as lung cancer and bronchogenic cysts. This report underscores the importance of considering echinococcosis in differential diagnoses for lung lesions.\u0000\u0000 Case Report: We discuss the case of a 24-year-old male, initially suspected to have an intrapulmonary bronchogenic cyst, later diagnosed with pulmonary echinococcosis. The diagnosis was established through a combination of radiological findings, surgical intervention, and pathological examination, highlighting the complexities involved in correctly identifying this parasitic infection.\u0000\u0000 Conclusion: This case illustrates the critical need for heightened awareness and a comprehensive diagnostic approach to pulmonary echinococcosis, particularly in endemic areas. It emphasizes the role of detailed imaging and consideration of echinococcosis in the differential diagnosis of cystic lung lesions to prevent misdiagnosis and ensure appropriate treatment.\u0000","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141008051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Late emergency cervical cerclage placement in a patient with early recurrent pregnancy loss and bicorporeal uterus: A case report","authors":"Asher Bashiri, Asaf Zaga, Amit Salinger Shpringer, Avishag Abecassis","doi":"10.5348/101449z01ab2024cr","DOIUrl":"https://doi.org/10.5348/101449z01ab2024cr","url":null,"abstract":"\u0000 Introduction: Uterine Müllerian anomalies are relatively common among the population, affecting approximately 4% of women, and can lead to various pregnancy-related pathologies. Cervical cerclage, a surgical procedure involving the placement of a stitch around the cervix, has been recognized as an optional treatment to mitigate the risk factors associated with these anomalies.\u0000\u0000 Case Report: A 33-year-old woman with a bicorporeal uterus and a history of early recurrent pregnancy loss, who was diagnosed with a cervical os shortening during her second anatomy screening at 22+3 weeks gestation. A cervical cerclage was performed to prevent preterm delivery, and subsequently. An elective cesarean section was conducted at 37+0 weeks of gestation, resulting in the birth of a healthy baby boy.\u0000\u0000 Conclusion: Although the literature about the effectiveness of cervical cerclage in pregnant women with Müllerian anomalies is limited, this case highlights its potential as an effective treatment option.\u0000","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"3 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140654054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A case of inguinal hernia with partial bladder herniation","authors":"Nzi Jacques Philippe Niamien, Sarah Macek, Nicole Ireland, Yong Yoon","doi":"10.5348/101448z01nf2024cr","DOIUrl":"https://doi.org/10.5348/101448z01nf2024cr","url":null,"abstract":"\u0000 Introduction: Inguinal hernia repairs are commonly performed, and recurrence remains one of the well-known complications. In rare cases, intra-abdominal organs can become entrapped in the hernia sac, risking incarceration and subsequent strangulation if not managed promptly.\u0000\u0000 Case Report: A 78-year-old male previously underwent bilateral inguinal hernia repair presented to the hospital with acute onset abdominal distension with associated nausea and emesis. He had noticed a progressively enlarging bulge in his left groin with fluctuating abdominal pain. Prior to his presentation, he had been struggling with incomplete voiding and frequent micturition managed unsuccessfully with tamsulosin. On examination, the patient’s abdomen was soft and non-tender, but visibly distended with a large incarcerated recurrent left inguinal hernia. The patient was admitted and subsequently underwent computed tomography (CT) abdomen and pelvis examination, which demonstrated mild distension of small bowel loops and an inguinal hernia with an encased segment of urinary bladder. The patient was managed conservatively and scheduled for an outpatient open hernia repair. Intraoperatively, multiple hernia sacs comprised of bladder were visualized extending into the suprapubic region. Each hernia sac was carefully opened and reduced without damage to the urinary bladder. Postoperatively, he recovered without complications and had complete symptom resolution.\u0000\u0000 Conclusion: This case illustrates a rare complication of a common procedure that holds significant morbidity if not managed promptly. Identification of urinary bladder involvement is essential to reduce the risk of iatrogenic bladder damage during surgical repair of an inguinal hernia and to ensure complete symptom resolution for the patient.\u0000","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":" 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140685480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}