International Journal of Case Reports and Images最新文献

{"title":"Spinal meningeal melanocytoma with direct bone metastasis: A case report and literature review","authors":"Toshiaki Inomo, Masahiro Aoyama, Ryuya Maejima, Masahito Hara","doi":"10.5348/101415z01ti2023cr","DOIUrl":"https://doi.org/10.5348/101415z01ti2023cr","url":null,"abstract":"Meningeal melanocytoma is a rare benign tumor of the central nervous system. An intradural extramedullary tumor at C2 was accidentally discovered in a 58-year-old woman six years ago. The lesion was well-circumscribed mass on computed tomography and magnetic resonance imaging. We predicted the tumor to be a meningioma. We performed tumor resection because its gradual growth compressed the spinal cord. Intraoperatively, the tumor was dark brown and the nearby dura matter and the lamina had a pigmented lesion suggesting direct invasion. After gross total removal, the tumor was diagnosed as meningeal melanocytoma by pathological examination. Meningeal melanocytoma with direct bone metastasis are rare. We present this case with reference to previous literature.","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"100 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135696370","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":"Giant myxoid liposarcoma of the gluteal region: Resection and buttock reconstruction","authors":"Amit Agarwal, Tarun Kumar","doi":"10.5348/101413z01ag2023cr","DOIUrl":"https://doi.org/10.5348/101413z01ag2023cr","url":null,"abstract":"Introduction: Soft tissue sarcoma in adult is a rare disease and it needs an interdisciplinary team management. Liposarcoma has mesenchymal origin and arises in the fatty tissue. Multiple histologic subtypes of liposarcoma are recognized, including myxoid liposarcoma. In two-third of the cases, this tumor occurs in the muscle while often demonstrating a misleading benign appearance. Myxoid liposarcoma occurs predominantly in the deep soft tissues of the extremities and has the ability of metastasis to a wide range of soft tissue. Surgery is the main therapeutic modality in treatment of soft tissue sarcoma. Case Report: Presenting an exceptional case of a 50-year-old woman with history of painless large swelling of size 28×21×13 cm in left gluteal region since one year with rapid progression over three months. It was diagnosed as low grade myxoid liposarcoma of the left buttock. This is the largest reported case of myxoid liposarcoma of extremities in Asia found in literature. The patient was treated with complete excision of tumor with gluteus maximum muscle. Gluteus minimus flap was elevated to cover the exposed sciatic nerve and buttock recontouring was done as single procedure for aesthetically favorable results followed by post-operative radiotherapy and necessary follow-ups. Conclusion: Buttock contouring done post-resection as single procedure is more acceptable by the patient and has got superior aesthetic results.","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135243636","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":"Laryngeal abscess formation secondary to utilization of nasogastric tube in oral cancer patient: A case report","authors":"Kentar Nishi, Manabu Yamada, Takeshi Karube, Shunsuke Ochiai, Seiji Asoda, Kenichiro Suga","doi":"10.5348/101412z01kn2023cr","DOIUrl":"https://doi.org/10.5348/101412z01kn2023cr","url":null,"abstract":"Introduction: Although laryngeal abscess is a rare disease in this day when antibiotics and vaccines are widely available, it can be fatal in terms of choking risk due to airway narrowing and thus requires an immediate diagnosis and treatment, including airway management. Even in the field of oral surgery, where nasogastric tubes are often used for nutritional management, there have been no reports of laryngeal abscesses. Case Report: One month after right maxillary gingival carcinoma surgery, a 72-year-old man had hoarseness and a fever following nasogastric tube replacement, and blood tests showed a marked increase in inflammatory levels. The patient started chemotherapy with SBT/ABPC (12 g/day). Contrast-enhanced magnetic resonance imaging showed a low-density area with a rim enhancement effect from the left laryngeal surface of the epiglottis to the left supraglottis, which had caused airway narrowing, leading to a diagnosis of laryngeal abscess. Considering the risk of airway obstruction, a tracheostomy was performed under general anesthesia. On day 16, contrast-enhanced computed tomography showed a reduction in the lesion size. On day 36, antibiotic chemotherapy was terminated. At 10 months after surgery, lung metastasis developed without local or cervical recurrence, and chemotherapy was off-label due to his worsening renal function. Therefore, the best supportive care policy was selected. The patient’s general condition gradually deteriorated, and he died 11 months after the surgery. Conclusion: There are very few reports related to nasogastric tubes, so it is necessary to keep the disease concept of laryngeal abscess in mind, especially in the field of oral surgery, where nasogastric tubes are often used for nutritional management.","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135387332","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 supraclavicular mass with skin macules «café-au-lait»: Neurofibromatosis 1","authors":"Romeo Thierry Yehouenou Tessi, Chaimae Lahlou, Soufiane Rostoum, Siham El Haddad, Nazik Allali, Latifa Chat","doi":"10.5348/101411z01rt2023cr","DOIUrl":"https://doi.org/10.5348/101411z01rt2023cr","url":null,"abstract":"Neurofibromatosis type 1 is a genetic disorder representing one of the most common forms of Von Recklinghausen’s disease. The neurofibromatoses are a group of heterogeneous, yet distinct, autosomal-dominant inherited neurogenetic disorders that include neurofibromatosis type 1 (NF1), neurofibromatosis type 2 (NF2), and schwannomatosis. It is characterized by a large clinical polymorphism with the development of «café-au-lait» skin spots, benign tumors affecting the skin, peripheral nerves, optic pathway, and can involve the brain, bones, and vessels. We report the case of an 8-year-old child with neurofibromatosis type 1 diagnosis confirmed with clinical presentation and histological examination. He was referred for multidisciplinary management. There are clear diagnostic criteria according to a consensus (two or more criteria for diagnosis). The diagnosis is foremost clinical; the role of imaging is threefold: firstly, to confirm the diagnosis, secondly, to delineate extent of disease, and thirdly, suggests the type of the tumors in the affected patient. It helps to manage complications and follow-up. Histological examination confirms the diagnosis.","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136152946","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":"Association of psoriatic arthritis and temporomandibular joint ankylosis","authors":"Pradeep Devadoss, Aastha Moza, S Rajaram","doi":"10.5348/101410z01pd2023cr","DOIUrl":"https://doi.org/10.5348/101410z01pd2023cr","url":null,"abstract":"Introduction: Psoriasis is a chronic autoinflammatory skin disease affecting 2–3% of global population, of whom 30% are known to have psoriatic arthritis. Psoriatic arthritis is a systemic disease involving the dermatosis along with inflammatory joint involvement. The association of psoriatic arthritis (PsA) and its clinical and radiological manifestations with the temporomandibular joint have been limited. Case Report: This case report aims to showcase the involvement of the temporomandibular joint with a long standing systemic psoriatic arthritis. Impaired quality of life is the primary concern which this case report attempts to highlight by enumerating the association of psoriatic arthritis with accurate diagnosis of temporomandibular joint ankylosis. Conclusion: The ambiguity in the nature of presentation of PsA can account for its lack of recognition when affecting the temporomandibular joint. A consistent preoperative evaluation and diagnostic approach toward the affected joint shall improve the patient’s quality of life.","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134911918","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 refractory urinary fistula after partial nephrectomy treated with additional partial nephrectomy for suspected isolated calix","authors":"A. Katagiri","doi":"10.5348/101408z01ak2023cr","DOIUrl":"https://doi.org/10.5348/101408z01ak2023cr","url":null,"abstract":"\u0000 Introduction: Urinary fistula is the major complication after partial nephrectomy and is occasionally refractory to conservative treatments.\u0000\u0000 Case Report: A 66-year-old man with renal cell carcinoma was treated with partial nephrectomy. Diagnosis of urinary fistula was triggered by drainage of perirenal abscess after surgery. Being refractory to ureteral stenting, a dilated ventral upper calix was detected in the subsequent fistulography, whereas the calix or its connection with the renal pelvis was not demonstrated in excretion phase of enhanced computed tomography. Considering the possibility of isolated calix due to infundibular injury besides the fistula communicating with the renal pelvis, we performed additional partial nephrectomy for the upper pole kidney and immediately closed the collecting system. The drain could be removed thereafter.\u0000\u0000 Conclusion: We report the first case of refractory urinary fistula after partial nephrectomy treated with additional partial nephrectomy.\u0000","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78021381","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":"Ectopic thyroid cancer with a normal thyroid gland","authors":"M. Khawaja, M. Omar, Ali Sa'd, O. Hamarneh","doi":"10.5348/101374z01mk2023cr","DOIUrl":"https://doi.org/10.5348/101374z01mk2023cr","url":null,"abstract":"\u0000 Introduction: Ectopic thyroid tissue may appear in any location along the trajectory of the thyroglossal duct from the foramen cecum to the mediastinum, as either a lingual thyroid or a thyroglossal duct cyst. In rare cases, aberrant migration of the gland can result in lateral ectopic thyroid tissue. As for native thyroid gland, ectopic tissues are subject to malignant transformation.\u0000\u0000 Case Report: A 40-year-old female patient presented with a right-sided neck swelling. She had a history of treated Hodgkin’s lymphoma at the age of 16 years. She has hypothyroidism and on thyroxine and is known to have benign small thyroid nodules for the last 7 years. The neck swelling was suspicious for papillary thyroid carcinoma upon cytological examination. She underwent surgery (total thyroidectomy with central and right lateral selective neck dissection) that confirmed the presence of papillary thyroid cancer in the neck but the thyroid gland was devoid of any cancer. The patient had post-operative radioiodine ablation. She is free of any recurrence or residual disease after one-year post-treatment.\u0000\u0000 Conclusion: This case highlights the unusual presentation of thyroid carcinoma arising within an ectopic thyroid tissue in an otherwise cancer-free thyroid gland. The management of this case followed the standard treatment of metastatic thyroid cancer; however, it raises the question of whether these rare cases should receive de-escalation of standard management.\u0000","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87891299","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":"Erythema multiforme: A case report with oral manifestations","authors":"D. Kitakawa, Gabriela Máximo, Maria Clara Ferreira Coelho, Felipe da Silva Peralta, D. Kitakawa, Luis Felipe das Chagas e Silva de Carvalh","doi":"10.5348/101328z01gm2022cr","DOIUrl":"https://doi.org/10.5348/101328z01gm2022cr","url":null,"abstract":"Introduction: Erythema multiforme (EM) is an acute, immune-mediated mucocutaneous disease, which may be related to herpes simplex virus, use of certain medications, autoimmune disease, radiation, immunization, pregnancy, period, and food additives or chemicals. It is a condition that occurs predominantly in young adults, with a slight female preponderance and no predilection. Clinically, EM presents erosive and erythematous plaques, affecting mainly the lips and oral mucosa, called target lesions, which may progress to vesiculobullous lesions. The aim of this study is to report a case shown as a positive response to treatment. Case Report: This is a case of EM in a 50-year-old female patient with a persistent ulcer on the lower lip. The clinical presentation showed an ulcerated lesion that extended through the right labial vermilion, semi-mucosa and jugal mucosa, in addition to painful symptoms. Although the diagnostic hypothesis of EM, an incisional biopsy was performed, that confirmed the clinical diagnosis of EM. As treatment, topical use of 0.05% clobetasol propionate for 15 days was prescribed on the lesion. The patient returned in seven days with significant improvement of the site. It was decided to do only the follow-up and not to intervene with systemic corticosteroid therapy. The patient is followed up for 15 months without recurrence of the lesion. The histopathological analysis of this type of lesion is essential for the diagnosis of the lesion. In this way, we can rule out differential diagnoses, especially pemphigus vulgaris and in children, hands, feet, and mouths disease. In this work, it was observed how important the histopathological analysis is necessary in more complex cases, because in this way the therapeutic approach was effective. Conclusion: The present case report represents how important the histopathological analysis is necessary in more complex cases to conclude the diagnosis, therefore is possible conduce the best choose of treatment for patient.","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81408869","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 piece of orthodontic archwire in the buccal mucosa","authors":"Takuma Watanabe, A. Yamazaki, S. Fukuhara, S. Yamanaka, K. Nakao","doi":"10.5348/101407z01tw2023cr","DOIUrl":"https://doi.org/10.5348/101407z01tw2023cr","url":null,"abstract":"\u0000 Introduction: Oral and maxillofacial surgeons often encounter foreign bodies, but they rarely find orthodontic appliances embedded in the soft tissue.\u0000\u0000 Case Report: Herein, a woman in her twenties was lacerated in the right buccal mucosa when the orthodontist cut the distal end of an archwire with end-cutting pliers. Although she was asymptomatic after healing, she reported discomfort where the wound had existed. Computed tomography images showed a high-density area beneath the right buccal mucosa, and she was referred to our department. We diagnosed an archwire fragment embedded in the buccal mucosa and successfully removed it using computed tomography images and without additional use of fluoroscopy or a navigation system.\u0000\u0000 Conclusion: Orthodontists should carefully consider other penetrative risks of orthodontic appliances. Oral and maxillofacial surgeons are often required to resolve these accidental events based on an adequate understanding of the clinical situation\u0000","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"90 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77802176","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":"Congenital epulis in a female newborn","authors":"M. Khawaja, Adel Asfour, Adel Asfour","doi":"10.5348/101406z01mk2023cr","DOIUrl":"https://doi.org/10.5348/101406z01mk2023cr","url":null,"abstract":"\u0000 Introduction: Congenital epulis, also known as Neumann’s tumor, is a benign soft-tissue lesion with an unclear cause. Congenital epulis manifests as a pink lump with a smooth surface in the mucosa of the maxillary or mandibular alveolar ridges. The lesion is more common in women and occurs more commonly in the maxillary alveolus than in the mandibular alveolus. Multiple theories have been proposed regarding the causes of congenital epulis; however, the etiology is still ambiguous.\u0000\u0000 Case Report: A 1-day-old female neonate was delivered via normal spontaneous vaginal delivery and referred to our hospital as an oral mass for surgical evaluation and intervention. It was discovered on a detailed prenatal ultrasound. Postnatal brain magnetic resonance imaging (MRI) was performed, the mass was characterized, laser excision was performed, and a histopathological examination confirmed the diagnosis. The patient underwent postoperative follow-up and was normal.\u0000\u0000 Conclusion: Congenital epulis is a rare, neonatal, congenital, and benign tumor. It requires removal by either surgical resection or laser excision owing to problems in feeding and respiration. Clinicians should always perform routine oral examinations for all newborns for the early diagnosis of this gingival tumor before it interferes with oral function.\u0000","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"54 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82239036","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}