Amanda Vieira Moreira, Fábio Augusto d’Alegria Tuza, Paulo Henrique De Moura, A. M. da Silva Catharino, Adalgiza Mafra Moreno
{"title":"Assessment of cardiovascular risk, heart rate variability, and functionality in the late postoperative period of bariatric surgery submitted to whole-body vibration exercise: A case report","authors":"Amanda Vieira Moreira, Fábio Augusto d’Alegria Tuza, Paulo Henrique De Moura, A. M. da Silva Catharino, Adalgiza Mafra Moreno","doi":"10.5348/101393z01am2023cr","DOIUrl":"https://doi.org/10.5348/101393z01am2023cr","url":null,"abstract":"\u0000 Currently, a high prevalence of risk factors for cardiovascular diseases, such as obesity, sedentary lifestyle, and poor diet, has been observed among young people. Obesity is a public health problem that directly impacts the economy. In this case study, the authors are using data from a survey of a late postoperative bariatric surgery patient. Male patient, 23 years old, obese since childhood, 186 kg [body mass index (BMI) 61], sedentary, without other comorbidities. He denies smoking. On 10/30/2019, he underwent Y gastroplasty (Gastric Bypass) with a reduction of approximately 90% of the stomach. On 09/13/2021, he started an intervention protocol through whole-body vibration (WBV). Cardiovascular risk, heart rate variability, functionality, and quality of life were evaluated in the acute phase and in the chronic phase. The training was conducted through 10 interventions with exercises on the vibrating platform. Functionality was assessed through the tests: “Timed up and Go,” Sit/Stand, 6-minute Walk Test, and handgrip strength. A 7.1% gain in functional capacity was observed, with a 37.5% reduction in perceived exertion. In addition, there was a 39% gain in handgrip strength and a reduction in the execution time in the functional capacity tests. Heart rate variability after interventions showed that WBV can reduce cardiovascular risk. In conclusion, the exercise program allowed the reduction of body weight and body mass index and impacted the alteration of body composition and functionality, resulting in a reduction in cardiovascular risk.\u0000","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"107 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80775999","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}
Mohamad Hatem Albarghouth, Robin Bothmann, A. Hamza
{"title":"Rare urinary bladder carcinomas: Clinic’s own case series","authors":"Mohamad Hatem Albarghouth, Robin Bothmann, A. Hamza","doi":"10.5348/101394z01ma2023cs","DOIUrl":"https://doi.org/10.5348/101394z01ma2023cs","url":null,"abstract":"\u0000 Introduction: To date, the scientific reports dealing with the rare urinary bladder carcinomas are few, and this is clear by searching the literature review in the German medical journals. These reports are fewer than required to conclude a therapeutic regime. In addition, there is a clear lack of randomized trials concerning these rare disease.\u0000\u0000 Case Series: In this case series, nine cases of rare bladder carcinomas were examined over one year. The aim is to give attention to the importance of conducting prospective, multicenter, randomized studies with long-term follow-up to define therapeutic regimens for these rare carcinomas.\u0000\u0000 Conclusion: The German guidelines lack therapy guidelines that concern with rare carcinomas of the urinary bladder. The insufficient data necessitate further investigations to be continued in order to optimize treatment options. A possible solution would be a central urological registry that is accessible for all national and international practicing urologists.\u0000","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89675350","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}
B. Akpunonu, Jeannine Hummell, Akpunonu Akpunonu, Chiamaka Mbaso, Brian E Tasma, H. Elsamaloty
{"title":"Bilateral accessory (aberrant) renal arteries associated with uncontrolled hypertension—Role of renin-angiotensin-aldosterone antagonist drugs for treatment goal: A case report","authors":"B. Akpunonu, Jeannine Hummell, Akpunonu Akpunonu, Chiamaka Mbaso, Brian E Tasma, H. Elsamaloty","doi":"10.5348/101289z01ba2022cr","DOIUrl":"https://doi.org/10.5348/101289z01ba2022cr","url":null,"abstract":"Please view the PDF to see the formatted meeting abstract. \u0000 ","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"119 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79535149","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":"4D flow MRI as a preoperative assessment tool for patients undergoing lobectomy for partial anomalous pulmonary venous return","authors":"Takashi Yamashita, Takahiro Mochizuki","doi":"10.5348/101392z01ty2023cr","DOIUrl":"https://doi.org/10.5348/101392z01ty2023cr","url":null,"abstract":"\u0000 Introduction: Partial anomalous pulmonary venous return is a congenital malformation. The abnormal pulmonary to systemic blood flow ratio may affect general anesthesia. Therefore, it is important to figure out pulmonary to systemic blood flow ratio before surgery.\u0000\u0000 Case Report: A 62-year-old man was referred to our hospital. Close examination of a patient suspected with right upper lobe lung cancer revealed partial anomalous pulmonary venous return in the same lobe. Generally, if partial anomalous pulmonary venous return is present in the lung lobe to be resected, surgery can be performed as planned. However, we performed 4D flow magnetic resonance imaging (MRI) to evaluate pulmonary to systemic blood flow ratio for safer anesthesia and surgery. His pulmonary to systemic blood flow ratio was 1.04, which seemed safe for general anesthesia and surgery. Right upper lobectomy was performed, and the patient was discharged on postoperative day 7 without any circulatory complications.\u0000\u0000 Conclusion: We found that 4D flow MRI contributed to a safe perioperative management and it must be meaningful for partial anomalous pulmonary venous return in the other lobe.\u0000","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"195 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79817571","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}
Poonam Bajaj, A. Contractor, Shivangi Salian, S. Gala
{"title":"Improvement of locomotor function in individuals with chronic spinal cord injury with antigravity treadmill: A case report","authors":"Poonam Bajaj, A. Contractor, Shivangi Salian, S. Gala","doi":"10.5348/101391z01pb2023cs","DOIUrl":"https://doi.org/10.5348/101391z01pb2023cs","url":null,"abstract":"\u0000 Introduction: Access to safe and effective weight bearing exercise for spinal cord injury patients is a challenge. The objective of this case report is to highlight the potential use of an antigravity treadmill for improvement in locomotor function (gait speed and endurance) in two individuals with lower thoracic level, chronic, incomplete spinal cord injury (iSCI).\u0000\u0000 Case Series: Two young male patients, with lower thoracic level chronic iSCI underwent gait training in an anti-gravity treadmill. The 6 Minute Walk Test (6MWT) and 10 Meter Walk Test (10MWT) were used as outcome measures of the pre- and post-anti-gravity treadmill training period. Both participants showed improvement in the minimal clinically important difference in the 10MWT and the 6MWT. However only one of them met the minimal detectable change criteria for chronic iSCI. Our results are indicative but not conclusive of improvement in gait speed and endurance in chronic iSCI. \u0000\u0000 Conclusion: This case series demonstrates the potential use of the anti-gravity treadmill in improvement of locomotor performance in terms of gait speed and endurance in addition to providing a fall safe exercise environment for exercise benefitting individuals with iSCI.\u0000","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91363094","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":"Sporadic small intestinal hamartomatous polyp: Causative element for obscure gastrointestinal bleeding and iron deficiency anemia: A case report","authors":"A. Issa","doi":"10.5348/101389z01ai2023cr","DOIUrl":"https://doi.org/10.5348/101389z01ai2023cr","url":null,"abstract":"\u0000 The term “obscure gastrointestinal bleeding” (OGIB) refers to gastrointestinal (GI) bleeding that is persistent or recurring and that cannot be distinguished by upper or lower GI endoscopy as a standard diagnostic procedure. There is a rare clinical disorder known as hamartomatous polyp (HP) which is characterized by a tumor-like development made up of mature cells and normal tissue that is distributed or numbered abnormally. The Peutz–Jeghers syndrome, juvenile polyposis syndrome (JPS), and phosphatase and tensin homologue deleted on chromosome 10 (PTEN) hamartoma tumor syndromes are the collection of genetic illnesses. In this case report, a 59-year-old man reported with sporadic hamartomatous jejunal polyp and unusual signs of recurrent gastrointestinal bleeding manifested by melena. The patient was diagnosed with capsule endoscopy and the treatment to the patient was given. So, it is recommended to go through careful endoscopic examination followed by endoscopic removal of polyps to reduce the risk of complications such as bleeding, degeneration, and the risk of surgery.\u0000","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73696552","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}
Xueyi Bian, Kentaroh Yamamoto, Mami Yamamoto, F. Yamamoto, Kenichi Ogawa
{"title":"Dangers associated with replacement of a percutaneous endoscopic gastrostomy tube: Report of a case of skewering of the stomach into the jejunum like a bridge","authors":"Xueyi Bian, Kentaroh Yamamoto, Mami Yamamoto, F. Yamamoto, Kenichi Ogawa","doi":"10.5348/101390z01xb2023cr","DOIUrl":"https://doi.org/10.5348/101390z01xb2023cr","url":null,"abstract":"\u0000 Introduction: Percutaneous endoscopic gastrostomy (PEG) is a relatively safe and effective method of providing nutrition to patients with neurologic deficits or proximal gastrointestinal disorders. Dislodgement, dysfunction, and infection are the reported complications associated with placement of a PEG tube. On the other hand, tract disruption and external displacement are the reported complications associated with replacement of a PEG tube. In all the external displacement cases following replacement of the PEG tube, the PEG tubes were displaced into the abdominal cavity. This is the first report of displacement of the PEG tube into the jejunum by accidental skewering of the tube through the stomach during its replacement.\u0000\u0000 Case Report: An 85-year-old woman presented to our hospital complaining of erosive dermatitis around the PEG tube. Two weeks prior to her present complaints, the PEG tube had been changed, following which she developed erosive dermatitis around the PEG tube. Abdominal computed tomography (CT) and gastroendoscopy revealed that the PEG tube had gone through the anterior wall to the posterior wall of the stomach, like a “bridge,” and skewered out of the stomach. A new PEG tube was positioned in the stomach and the tract to the jejunum was treated conservatively.\u0000\u0000 Conclusion: Although complications associated with replacement of the PEG tube are rare, replacement should be performed under gastroendoscopy to avoid these complications.\u0000","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86718592","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}
Caique Andrade Santos, Rafael Sponchiado Cavallieri, Fabiano Vieira Vilhena, M. R. Ragghianti Zangrando
{"title":"Adjuvant use of Phtalox in sport lip injury treatment","authors":"Caique Andrade Santos, Rafael Sponchiado Cavallieri, Fabiano Vieira Vilhena, M. R. Ragghianti Zangrando","doi":"10.5348/101388z01cs2023ci","DOIUrl":"https://doi.org/10.5348/101388z01cs2023ci","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":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86209395","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 vesical calculus associated with staghorn calculus","authors":"","doi":"10.5348/101387z01is2023cr","DOIUrl":"https://doi.org/10.5348/101387z01is2023cr","url":null,"abstract":"\u0000 Introduction: Large vesical calculi are rare conditions in urology due to the advancement of image exams in the last decade. Urinary bladder stones represent 5% of all urinary tract calculi and large calculi are defined as weighing more than 100 grams.\u0000\u0000 Case Report: We report the case of a 56-year-old man with large vesical calculus measuring 17 × 13 × 16 cm (weight of 2730 g) in association with renal exclusion due to staghorn calculus in the right kidney and bilateral uretero-hydronephrosis due to bladder obstruction.\u0000\u0000 Conclusion: Computed tomography stands as the exam of choice to diagnose and delimit any urinary calculi. Open surgery is preferred for large vesical stones and bladder outlet obstruction must be investigated, especially in men to exclude prostate increase.\u0000","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"84 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77648156","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}
A. M. da Silva Catharino, Daniel Antunes Pereira, Arthur Bomfim Amaral, Bruno Povoleri Marano, Marco Orsin, A. M. da Silva Catharino
{"title":"The Maisonneuve fracture with medial and posterior malleolar fractures: A case report","authors":"A. M. da Silva Catharino, Daniel Antunes Pereira, Arthur Bomfim Amaral, Bruno Povoleri Marano, Marco Orsin, A. M. da Silva Catharino","doi":"10.5348/101385z01jg2023cr","DOIUrl":"https://doi.org/10.5348/101385z01jg2023cr","url":null,"abstract":"\u0000 Introduction: Maisonneuve’s fracture is named after the French surgeon who first described it in 1840. This injury is rare and is characterized by a combination of a fracture of the ipsilateral fibula and an injury to the medial structures of the ankle, and there may also be a rupture of the syndesmosis, tibiofibular and deltoid ligament, followed by rupture of the anteroinferior tibiofibular ligament and rupture of the interosseous ligament and interosseous membrane.\u0000\u0000 Case Report: A 70-year-old female patient reported pain in the right lower limb. Clinical examination, after excluding possible fractures associated with age group, revealed hematoma on the ankle, edema on the topography of the right lateral malleolus and on the lateral aspect of the right knee. Radiographs revealed lateral subluxation of the right ankle, increased medial free space associated with fracture of the medial malleolus, fracture of the posterior malleolus, and proximal fracture of the ipsilateral fibula. The patient was admitted for urgent orthopedic surgery. Lateral access distal to the fibula was used in the distal fibulotibial joint, anatomical reduction of the ankle with reduction forceps and placement of a 3.5 mm third-barrel plate and two 3.5 mm cortical screws with sizes of 50 and 45 mm under fluoroscopy.\u0000\u0000 Conclusion: A Maisonneuve fracture is an orthopedic emergency that needs to be identified quickly because it usually requires surgery. Surgery must be well planned and requires an adequate postoperative period to rehabilitate the patient to avoid sequelae such as early osteoarthrosis and chronic pain.\u0000","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76566365","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}