{"title":"An unusual presentation of small bowel volvulus: A case report","authors":"Ghassan Almaimani","doi":"10.5348/101438z01ar2024cr","DOIUrl":"https://doi.org/10.5348/101438z01ar2024cr","url":null,"abstract":"\u0000 Introduction: Small bowel volvulus (SBV) is a surgical emergency that requires prompt diagnosis and treatment. Although sudden onset acute abdominal pain is the most common presenting symptom, the clinical presentation of SBV can be misleading. Early diagnosis and treatment are therefore crucial for a good outcome.\u0000\u0000 Case Report: A 49-year-old woman presented with a 5-hour history of nausea as her only symptom. Six hours after admission, she developed multiple episodes of vomiting, but without abdominal pain. An urgent CT of the abdomen revealed a pathognomonic “whirl” pattern highly suggestive of SBV, and emergency laparoscopy revealed ileal volvulus without any identifiable pathoetiological factors. She underwent simple devolvulation and made a rapid recovery without recurrence at 12 months.\u0000\u0000 Conclusion: This case highlights that the preoperative clinical diagnosis of small bowel volvulus can be challenging, emphasizing the importance of preoperative imaging and maintaining a high index of suspicion to avoid missing this important diagnosis. A laparoscopic approach can be used successfully to treat SBV.\u0000","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"69 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139840419","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}
M. Orsini, Marcos RG de Freitas, Paulo Cezar Vieira, C. H. Melo Reis, Gabriela Vieira, A. M. da Silva Catharino
{"title":"Glioblastoma multiforme mimicking frontotemporal dementia: A case report","authors":"M. Orsini, Marcos RG de Freitas, Paulo Cezar Vieira, C. H. Melo Reis, Gabriela Vieira, A. M. da Silva Catharino","doi":"10.5348/101436z01mo2024cr","DOIUrl":"https://doi.org/10.5348/101436z01mo2024cr","url":null,"abstract":"\u0000 Glioblastoma (GBM) is the most common and aggressive primary brain tumor in adults. In this case a 57-year-old male patient had cognitive decline, visual dysfunction, and memory loss. He is not able to interact during the medical consultation. The brain Magnetic Resonance Imaging (MRI) showed an infiltrative and expansive lesion compressing the third ventricle and extending to midbrain to the left. The anatomopathological report concluded the diagnosis of Grade IV glioblastoma and the patient will undergo to surgical intervention.\u0000","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"218 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140482032","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}
Rayhana Charif Saibari, H. Hafiani, Amrani Chaimae, Anas Idrissi, Amal Rami
{"title":"Intra-abdominal fibromatosis following laparoscopic surgery for sigmoid colon cancer: A case report","authors":"Rayhana Charif Saibari, H. Hafiani, Amrani Chaimae, Anas Idrissi, Amal Rami","doi":"10.5348/101435z01rs2024cr","DOIUrl":"https://doi.org/10.5348/101435z01rs2024cr","url":null,"abstract":"\u0000 Introduction: Desmoid tumors, also known as aggressive fibromatosis, are rare, benign, non-inflammatory, and fibroblastic tumors. Characterized by their locally aggressive behavior and the potential for recurrence, these tumors do not metastasize. Intra-abdominal desmoid tumors comprise 8% of all desmoid tumors.\u0000\u0000 Case Report: This paper presents a case of a 50-year-old male, highlighting the diagnostic challenge posed by the incidental discovery of an intra-abdominal mesenteric mass in a patient previously treated for stage I sigmoid colon cancer by laparoscopic proctocolectomy. Multidisciplinary consensus favored surgical intervention, successfully revealing and removing a benign desmoid-type fibromatosis. The occurrence of intra-abdominal desmoid tumors after laparoscopic surgery for colorectal cancer is exceptionally rare, underscoring the unique nature of this case.\u0000\u0000 Conclusion: During post-operative follow-up for colon cancer, the discovery of an intra-abdominal mass is often initially regarded as a sign of cancer recurrence and metastasis. Radiologists and oncologists may not immediately consider alternative causes. The incidentally discovered desmoid-type fibromatosis emphasizes the necessity for vigilant monitoring and consideration of diverse pathologies during follow-up, especially in low-risk scenarios.\u0000","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"7 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139525396","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}
Kyosuke Goda, Tomoo Miyake, Tatsuki Sato, Yamato Tada, Yoshihiro Nakashima, Koji Yoshida
{"title":"Diagnosis of pancreatic head cancer with prominent fatty change in the pancreatic body using 3 Tesla-enhanced magnetic resonance imaging: A case report","authors":"Kyosuke Goda, Tomoo Miyake, Tatsuki Sato, Yamato Tada, Yoshihiro Nakashima, Koji Yoshida","doi":"10.5348/101432z01kg2023cr","DOIUrl":"https://doi.org/10.5348/101432z01kg2023cr","url":null,"abstract":"Introduction: Pancreatic cancer is the seventh leading cause of cancer-related deaths worldwide, and early diagnosis is necessary to obtain a favorable postoperative prognosis. Contrast-enhanced computed tomography is generally recommended when pancreatic cancer is suspected. Herein, we present a case in which contrast-enhanced magnetic resonance imaging was used to detect pancreatic cancer, while contrast-enhanced computed tomography and endoscopic ultrasonography were unable to reveal possible pancreatic cancer. Case Report: We present a case of a man in his 70s whose diabetes had worsened, and the main pancreatic duct was dilated, with suspicion of pancreatic cancer. Contrast-enhanced computed tomography did not reveal a tumor that indicated possible pancreatic cancer, and endoscopic ultrasonography exhibited similar findings. Therefore, 3 Tesla-enhanced magnetic resonance imaging was performed to make an image diagnosis of pancreatic cancer. Conclusion: In lesions exhibiting invasive growth accompanied by prominent fatty change in the pancreatic body, obtaining the contrast effect of adipose tissue by contrast computed tomography is difficult. In addition, an association between prominent fatty change in the pancreatic body and pancreatic cancer has been reported. Therefore, we performed 3 Tesla-enhanced magnetic resonance imaging examination, which tends to yield favorable tissue contrast on adipose tissue images.","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"31 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139172619","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}
Shayan Azizi, Christopher Costa, Christian E Rosado, Grace Bomann, Jake V Luong, Matthew Jones
{"title":"Recurrent priapism as the presenting sign of undiagnosed multiple myeloma: A case report","authors":"Shayan Azizi, Christopher Costa, Christian E Rosado, Grace Bomann, Jake V Luong, Matthew Jones","doi":"10.5348/101431z01cr2023cr","DOIUrl":"https://doi.org/10.5348/101431z01cr2023cr","url":null,"abstract":"\u0000 Introduction: Priapism is a urological emergency which poses a high risk of long-term sexual dysfunction for patients if left untreated. Although the majority of priapism cases are secondary to sexual enhancement medications, there are many underlying medical disorders that may lead to unexplained and recurrent cases of priapism.\u0000\u0000 Case Report: We present the case of a 53-year-old male with schizoaffective disorder and chronic lower back pain on no medications who presented multiple times to various emergency departments for recurrent priapism requiring aspiration. Ultimately, the patient presented to the emergency department after a fall, and labs revealed hypercalcemia, with serum protein electrophoresis and bone marrow biopsy confirming multiple myeloma.\u0000\u0000 Conclusion: Multiple myeloma continues to be a rare underlying etiology of recurrent priapism. This case represents the importance of performing a thorough investigation in patients with recurrent priapism for hematologic and oncologic disorders, despite there being no other insidious symptoms or signs.\u0000","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"56 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138967724","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 successfully rehabilitated post-mucormycosis maxillary defect with guided quad-zygomatic implants: A case report","authors":"Akash Chakravarthy, Dinesh Sharma, Geyasri Vinnakota, Racheeta Ramanujam, Sulagna Chakrabarti, Deepika Reddy","doi":"10.5348/101429z01ac2023cr","DOIUrl":"https://doi.org/10.5348/101429z01ac2023cr","url":null,"abstract":"Introduction: Mucormycosis infection has received occasional attention because of the low number of cases in comparison with other frequent infections. With the emergence of the SARS-CoV-2 disease, the incidence of fungal infections like mucormycosis has increased. In mucormycosis, after surgical debridement, the defects that result are different from other maxillary defects. In terms of functional and aesthetic rehabilitation there are several treatment options for patients with maxillectomy defects. Amidst all, zygomatic implants are more favorable and viable solution for the above-mentioned defects. Since there is a scarcity in literature on the use of zygomatic implants in such cases, we presented a case report using the utmost advantage of these implants in rehabilitation of maxillary defects. Case Report: In the present case report, a 38-year-old male patient presented with an absence of the maxillary alveolar bone and anterior nasal spine and minimal presence of hard palate. Such type of maxillary defect following mucormycosis was managed with quad zygomatic implants with computer-guided approach. Conclusion: Thus, the author concluded through this case report that a severe maxillectomy defects can be managed well with the zygomatic implants. In the present article, the author preferred to perform under guide in order to avoid errors while placement of implants. Hence, proper diagnosis with definitive surgical approach can help in achieving precise treatment outcome and establishing patient’s self-esteem.","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139228548","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}
Ugoeze Otome, Christian Castillo, Astrid Soto-Ruiz, Rebecca Megchelsen
{"title":"Hemi-diaphragmatic paralysis","authors":"Ugoeze Otome, Christian Castillo, Astrid Soto-Ruiz, Rebecca Megchelsen","doi":"10.5348/101428z01uo2023cr","DOIUrl":"https://doi.org/10.5348/101428z01uo2023cr","url":null,"abstract":"Introduction: Diaphragmatic paralysis (DP) involving the phrenic nerve is related to brachial plexus injury in 80–90% of the cases. Other causes include iatrogenic procedure involving the cardiopulmonary area. It causes respiratory distress which can be severe requiring prolonged need for respiratory support. Recovery can be spontaneous, typically by the first 6–12 months of life though some infants may require surgical intervention if no improvement in DP is noted by 1–2 months of life in the setting of compromised quality of life. Case Report: We present a preterm infant, 31 completed weeks of gestational age, birth weight 1440 g born via emergency C-section due to preterm labor in breech presentation. During delivery, the patient suffered a left brachial plexus injury with phrenic nerve involvement. He developed respiratory distress requiring endotracheal intubation and mechanical ventilation. His clinical course involved multiple failed extubation attempts. Chest X-ray (CXR) and chest fluoroscopy confirmed the diagnosis of left hemi-diaphragmatic paralysis. The patient had a prolonged respiratory support course but was finally weaned to room air by three months of age. Conclusion: Preterm infants can sustain perinatal brachial plexus injury like term or near-term infants in the setting of a traumatic birth irrespective of birth weight. The time and indications for conservative (non-surgical) versus surgical intervention remains debatable. Each case should be tailored to the child’s severity of injury and quality of life and growth. Clinical recovery can occur even with considerable persistence weakness on radiography or chest ultrasound.","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"61 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139252112","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}
Duaa Knaj, M. Georgeos, Ghanem Ahmad, Rana Issa, Ali Afif
{"title":"Squamous cell carcinoma arising in the background of an epidermoid cyst: A case report from Syria","authors":"Duaa Knaj, M. Georgeos, Ghanem Ahmad, Rana Issa, Ali Afif","doi":"10.5348/101427z01dk2023cr","DOIUrl":"https://doi.org/10.5348/101427z01dk2023cr","url":null,"abstract":"Introduction: Malignant transformation of epidermoid cysts is rare, it accounts for 1% of all diagnosed cysts. Transformation into squamous cell carcinoma and basal cell carcinoma can occur. Clinical examination, radiological examination, and pathological confirmation are necessary for diagnosis and the treatment of choice is usually surgical excision. Case Report: A 57-year-old Syrian female patient presented to our hospital with a huge mass on the back. Computed tomography revealed a subcutaneous huge mass 25.0 × 20.0 × 9.0 cm extended from cervical vertebrae level into upper lumbar vertebrae. Surgery with the intent of wide and complete excision was performed but it was difficult to obtain complete excision of tumor because of extension into the deep muscles. The diagnosis was made by histopathologic examination. It was a malignant transformation into squamous cell carcinoma arising from the epidermoid cyst. The patient received radiotherapy after surgery because of incomplete excision of tumor. Conclusion: This case shows an unusual presentation of a huge epidermoid cyst on the back with transformation into malignancy. We aimed to highlight the importance of early diagnosis and treatment of these cysts.","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"1 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139263176","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":"Involvement of cranial nerve V (trigeminal nerve) in multiple sclerosis","authors":"K. Chaudhary, Sepehr Zekavaty, Kathleen Xu, Sunny Mahesh, Atul Eppurath, Ritu Bordia","doi":"10.5348/101426z01kc2023ci","DOIUrl":"https://doi.org/10.5348/101426z01kc2023ci","url":null,"abstract":"<jats:p> No Abstract </jats:p>","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139262778","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}
Thierry Mpengani, Aliocha N Nkodila, Gabriel Lema, Mireille Ngale, Lydie Kainda, Charles Mbala, Richard N Matanda, Jérôme G Sokolo
{"title":"Exteriorized acute ethmoiditis in a rural child: A case report","authors":"Thierry Mpengani, Aliocha N Nkodila, Gabriel Lema, Mireille Ngale, Lydie Kainda, Charles Mbala, Richard N Matanda, Jérôme G Sokolo","doi":"10.5348/101424z01tm2023cr","DOIUrl":"https://doi.org/10.5348/101424z01tm2023cr","url":null,"abstract":"Introduction: Acute ethmoiditis (AE) in children mainly concerns the ethmoid sinus. It is often diagnosed after its externalization. It is a serious infection, whose ocular and endocranial complications can jeopardize the visual and vital functional prognosis. The treatment is essentially medical based on the combination of antibiotics. Case Report: Description of a case of ethmoiditis in a 3-year-old child consulting for eyelid edema that progressed within five days. The general condition was altered by a fever of 38.5°C, with an unwell appearance and left eyelid edema with a tendency to reduction of the eyelid fissure was noted. The ear, nose, throat (ENT) examination showed left perinasal swelling affecting the nasal pyramid, the zygomatic arch, and the left periorbital region. The left nasal cavity was of reduced caliber with the presence of mucopurulent secretions through the ipsilateral nostril orifice. Acute externalized ethmoiditis was made as a clinical diagnosis. The clinical evolution was good under antibiotic therapy for 15 days with parenteral ceftriaxone which will be relayed by amoxi-clavulanic ac orally on the seventh day; parenteral metronidazole with a PO relay on the fifth day; parenteral dexamethasone and paracetamol for five days; argyrol nasally for seven days. Conclusion: Acute ethmoiditis remains an infantile pathology with multiple neighborhood and remote complications, including periorbital and endocranial cellulitis involving vital and visual prognosis.","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"7 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134992009","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}