{"title":"Primary Umbilical Endometriosis (Villar's Nodule): A Case Report.","authors":"Ghulam Yahia Baset, Soma Katawazai","doi":"10.2147/IMCRJ.S500922","DOIUrl":"10.2147/IMCRJ.S500922","url":null,"abstract":"<p><p>Primary umbilical endometriosis is a rare condition in which there is endometrial glands and stroma in the umbilicus. Primary umbilical endometriosis is also called villar's nodule. This condition is a diagnostic challenge, the pathophysiology of the disease is not well defined and should be considered in all other pathologies of the umbilicus. Surgery is the treatment of choice. Here we present a case of villar's nodule in a 33-years-old multiparous woman that was successfully treated with surgery.</p>","PeriodicalId":14337,"journal":{"name":"International Medical Case Reports Journal","volume":"17 ","pages":"1021-1023"},"PeriodicalIF":0.7,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11646424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828593","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}
Eman R E Almatar, Sondus Alsharidah, Maha Bourusly, Rania Lotfi Ahmed, Mariam Ahmed Alabdulhadi
{"title":"Guillain-Barre Syndrome with Acute Lymphoblastic Leukemia: Case Report.","authors":"Eman R E Almatar, Sondus Alsharidah, Maha Bourusly, Rania Lotfi Ahmed, Mariam Ahmed Alabdulhadi","doi":"10.2147/IMCRJ.S496062","DOIUrl":"10.2147/IMCRJ.S496062","url":null,"abstract":"<p><p>Guillain-Barré syndrome (GBS) is a rare complication in children with acute lymphoblastic leukemia (ALL). This case report explores the presentation and management of GBS in a 16-year-old male with a history of ALL, who developed GBS during maintenance therapy. The patient exhibited progressive symmetrical weakness, sensory loss, and autonomic dysfunction. Diagnostic workup, including nerve conduction studies and lumbar puncture, confirmed the diagnosis of GBS. Differentiating GBS from vincristine-induced neuropathy, a common challenge in this population, was crucial for appropriate management. The patient responded well to intravenous immunoglobulin and supportive care. This case highlights the importance of considering GBS in the differential diagnosis of neurological complications in children with ALL and emphasizes the need for prompt diagnosis and treatment.</p>","PeriodicalId":14337,"journal":{"name":"International Medical Case Reports Journal","volume":"17 ","pages":"1013-1018"},"PeriodicalIF":0.7,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523356","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":"Case Report: Implantable Collamer Lens for Keratoconus with Splinter Cataract.","authors":"Danya Aldahan, Sara AlHilali","doi":"10.2147/IMCRJ.S502174","DOIUrl":"10.2147/IMCRJ.S502174","url":null,"abstract":"<p><strong>Background: </strong>Implantable collamer lens (ICL) could be an effective and safe treatment option for patient with keratoconus. The presence of cataract is considered a relative contraindication to the use of ICL. In this case report, we describe the outcomes of ICL implantation in an eye with keratoconus and splinter cortical cataract sparing the visual axis.</p><p><strong>Case report: </strong>Thirty-six-year-old female patient diagnosed with keratoconus was followed in the outpatient department and sought to be independent of glasses in the right eye. Upon examination she was found to have bilateral splinter cortical cataract not involving the visual axis. She had the best spectacle corrected visual acuity of 20/30; she underwent uneventful implantation of ICL in the right eye with an uncorrected visual acuity of 20/30 post-operatively with no progression of the cataract during the follow-up period.</p><p><strong>Conclusion: </strong>The patient achieved a stable uncorrected visual acuity of 20/30 with no cataract progression after 18 months. Splinter cataract remains stable over time, thus it should not be considered as a contraindication for the implantation of ICL in patients with keratoconus.</p>","PeriodicalId":14337,"journal":{"name":"International Medical Case Reports Journal","volume":"17 ","pages":"1009-1011"},"PeriodicalIF":0.7,"publicationDate":"2024-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11636243/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142818079","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":"Juvenile Xanthogranuloma Involving the Left Femur: A Case Report and Literature Review.","authors":"Xiangying Wang, Xiaodan Geng, Hui Zhang, Yun Liu, Zixuan Liu, Changsheng Yang","doi":"10.2147/IMCRJ.S475662","DOIUrl":"10.2147/IMCRJ.S475662","url":null,"abstract":"<p><strong>Background: </strong>Juvenile xanthogranuloma is a rare condition, and femoral involvement is even rarer. We report a case of juvenile xanthogranuloma affecting the femur. To the best of our knowledge, this is the first reported case of femoral juvenile xanthogranuloma in China.</p><p><strong>Case presentation: </strong>A 19-year-old boy began experiencing swelling in various parts of his body at the age of 1 year, followed by pain in his left hip. Preoperative pathology and imaging indicated juvenile xanthogranuloma of the left femur, leading to surgical intervention. Postoperatively, the patient experienced significant relief from left hip discomfort.</p><p><strong>Conclusion: </strong>Surgery can be an effective treatment for juvenile xanthogranuloma involving the femur.</p>","PeriodicalId":14337,"journal":{"name":"International Medical Case Reports Journal","volume":"17 ","pages":"1003-1007"},"PeriodicalIF":0.7,"publicationDate":"2024-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11633303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142813025","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":"Clinical Remission After Therapeutic Apheresis in a Patient Suffering from Long Term Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS): A Case Report.","authors":"Harald Burgard","doi":"10.2147/IMCRJ.S476044","DOIUrl":"10.2147/IMCRJ.S476044","url":null,"abstract":"<p><p>Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) is a debilitating multifactorial illness characterized by profound fatigue persisting for more than six months, post-exertional malaise, cognitive impairments, and a range of systemic symptoms. Until now, no accepted causal treatment regimens have been available; therapeutic options include different approaches, such as alleviation of symptoms and promotion of energy conservation. In this study, we report the case of a 49-year-old female presented to our center suffering from ME/CFS for more than 15 years, characterised by a strong energy loss and neurological and systemic symptoms; previous therapies remained unsuccessful. Therefore, we decided to perform double-filtration apheresis. After comprehensive laboratory evaluation, including investigation of persistent viral infections, the patient was treated eight times with double-filtration apheresis within a period of 2 years, which resulted in a remarkable sustained clinical remission and significant improvement in her quality of life. Therefore, we conclude that double-filtration apheresis could be an effective therapeutic tool for the treatment of ME/CFS.</p>","PeriodicalId":14337,"journal":{"name":"International Medical Case Reports Journal","volume":"17 ","pages":"997-1002"},"PeriodicalIF":0.7,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11629661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806943","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}
Cecilia Putri Tedyanto, Sianty Dewi, Fransiscus Iman Santoso, Maria Aloysia Praldinya Ere, Kevan Ryvanto Oeylex
{"title":"A Rare Case Report of a Congenital Imperforate Hymen Causing Obstructive Uropathy and Constipation in an 11-Year-Old Girl.","authors":"Cecilia Putri Tedyanto, Sianty Dewi, Fransiscus Iman Santoso, Maria Aloysia Praldinya Ere, Kevan Ryvanto Oeylex","doi":"10.2147/IMCRJ.S494697","DOIUrl":"https://doi.org/10.2147/IMCRJ.S494697","url":null,"abstract":"<p><p>Imperforate hymen is a rare congenital anomaly that can cause mild to severe complications, which leads to an increase in morbidity rates. The incidence is 1:1000, and there was often a delay in diagnosis since the symptoms were not specific until it caused several complications in other organ systems. We reported a case of obstructive uropathy and constipation in an 11-year-old girl who presented with huge hematocolpos due to imperforate hymen. The main symptom was severe lower abdominal pain with a visual analogue scale of 8. This case shows the significance of a physical examination in diagnosing, increasing efficiency in terms of time and cost, and supporting an earlier diagnosis. A corrective hymenectomy, blood drainage, and hymenoplasty were performed as the definitive management. The patient was able to urinate and defecate within seven hours after surgery. The patient also had her period three weeks after surgery.</p>","PeriodicalId":14337,"journal":{"name":"International Medical Case Reports Journal","volume":"17 ","pages":"985-989"},"PeriodicalIF":0.7,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11610395/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142768789","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}
Mohamed Farah Osman Hidig, Mohamed Osman Omar Jeele, Bakar Ali Adam, Hassan Muhumed Mohamed, Mohamed Omar Hassan
{"title":"Thyroid-Associated Optic Neuropathy: A Case Report of Optic Neuritis Due to Autoimmune Hypothyroidism.","authors":"Mohamed Farah Osman Hidig, Mohamed Osman Omar Jeele, Bakar Ali Adam, Hassan Muhumed Mohamed, Mohamed Omar Hassan","doi":"10.2147/IMCRJ.S493262","DOIUrl":"https://doi.org/10.2147/IMCRJ.S493262","url":null,"abstract":"<p><strong>Introduction: </strong>Optic neuritis is an uncommon complication of autoimmune hypothyroidism, which is often referred to as thyroid-associated optic neuropathy (TAON).</p><p><strong>Case report: </strong>The case features a 22-year-old Somali woman who had no previous medical conditions. She had sudden vision loss, mainly in her right eye. This was accompanied by joint discomfort, muscular weakness, headaches, and weariness. The clinical examination showed complete absence of light perception in the right eye and there was a relative afferent pupillary deficit, and the thyroid function tests indicated severe hypothyroidism with significantly high levels of thyroid-stimulating hormone (TSH) and low levels of free Triiodothyronine (T3) and Thyroxine (T4). The diagnosis of autoimmune hypothyroidism was confirmed by the presence of positive anti-thyroid peroxidase (anti-TPO) and anti-thyroglobulin antibodies. Treatment was promptly initiated with high-dose corticosteroids (methylprednisolone) and levothyroxine replacement medication. Subsequently, her field of vision and visual acuity, when corrected with the best possible lenses, showed a considerable improvement. Further assessments demonstrated the restoration of normal thyroid function and the complete remission of symptoms related to ocular neuritis, with no further instances of recurrence.</p><p><strong>Conclusion: </strong>The present case emphasizes the crucial need of promptly identifying and handling TAON in order to achieve positive visual results. This highlights the need of taking into account autoimmune hypothyroidism as a potential cause of ocular neuritis. Additional study is necessary to clarify the exact pathophysiological pathways that link autoimmune hypothyroidism to inflammation of the optic nerve, as well as to investigate the most effective therapy strategies.</p>","PeriodicalId":14337,"journal":{"name":"International Medical Case Reports Journal","volume":"17 ","pages":"991-995"},"PeriodicalIF":0.7,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11608536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142768790","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":"Application of the Fifth-Generation Cardiac Contractility Modulation Device in a Patient with Chronic Heart Failure: A Case Report.","authors":"Cui Xie, Yang Xiang, You Wu, Youen Zhang","doi":"10.2147/IMCRJ.S490329","DOIUrl":"10.2147/IMCRJ.S490329","url":null,"abstract":"<p><p>We present a patient of a 46-year-old female patient was admitted to our hospital due to chest tightness and shortness of breath that lasted for over a month. Echocardiography revealed left-ventricle diameter (anteroposterior) of 54 mm, electrocardiogram showed sinus bradycardia, and QRS duration of 90 ms. The patient experienced no chest tightness or shortness of breath, and there was a marked improvement in exercise tolerance and quality of life after cardiac contractility modulation implantation.</p>","PeriodicalId":14337,"journal":{"name":"International Medical Case Reports Journal","volume":"17 ","pages":"981-984"},"PeriodicalIF":0.7,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11586450/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142716173","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}
Faisal Abdi Osoble Osman, Ibrahim Mohamed Hirsi, Shuayb Moallim Ali Jama, Abdirisak Abdikarin Ahmed, Abdisalam Abdullahi Yusuf, Mohamed Osman Dahir
{"title":"Bilateral Orbital Cellulitis Causing Septic Pulmonary Embolism and Subsequent Bilateral Pneumothorax: A Rare Case Report.","authors":"Faisal Abdi Osoble Osman, Ibrahim Mohamed Hirsi, Shuayb Moallim Ali Jama, Abdirisak Abdikarin Ahmed, Abdisalam Abdullahi Yusuf, Mohamed Osman Dahir","doi":"10.2147/IMCRJ.S473955","DOIUrl":"10.2147/IMCRJ.S473955","url":null,"abstract":"<p><strong>Introduction: </strong>Septic pulmonary embolism is a serious and rare complication of orbital cellulitis. Orbital infection usually arises from adjacent soft tissue or hematogenous infections.</p><p><strong>Case: </strong>A 2-year-old girl presented with high-grade fever, cough, and bilateral eyelid swelling for 5 days preceded by edema and a perinasal facial skin furuncle. Examination revealed bilateral axial proptosis and orbital and thoracic CT bilateral orbital cellulitis, septic pulmonary embolism, and bilateral pneumothorax.</p><p><strong>Discussion: </strong>A rare but potentially fatal complication of periorbital cellulitis is septic embolism, which carries a high rate of morbidity and mortality. The infections that cause orbital cellulitis can be transmitted to the orbit through dehiscence of the bone wall or through venous drainage. This can lead to septicemia and subsequent serious complications, including septic pulmonary embolism, Cavernous sinus thrombosis, meningitis, and cerebral ischemia. Advanced and timely imaging is crucial to diagnose both orbital cellulitis and its thoracal complications.</p><p><strong>Conclusion: </strong>Early diagnosis of orbital cellulitis, timely investigations of its extracranial complications, and multidisciplinary involvement in patient management are crucial to prevent or treat complications such as septic pulmonary embolism and may improve patient prognosis.</p>","PeriodicalId":14337,"journal":{"name":"International Medical Case Reports Journal","volume":"17 ","pages":"977-980"},"PeriodicalIF":0.7,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11586477/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142716152","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":"Cardioneuroablation for the Treatment of Vasovagal Syncope Induced by Chili Pepper Stimulation: A Case Report.","authors":"Rui Huang, Qingning Huang, Yuhua Lei","doi":"10.2147/IMCRJ.S478492","DOIUrl":"10.2147/IMCRJ.S478492","url":null,"abstract":"<p><p>A 60-year-old woman was admitted to the hospital with \"repeated loss of consciousness for 20 years.\" An electrocardiogram performed revealed sinus rhythm, and echocardiography, head/chest CTs, and a laboratory examination yielded no significant abnormalities. Besides, there were no positive results from the head-up tilt test. The subsequent decrease in heart rate and blood pressure following the ingestion of chili pepper indicated a potential case of vasovagal syncope(VVS) with cardioinhibition. Following cardioneuroablation, there was an observed increase in heart rate compared to pre-procedure levels. Furthermore, no recurrence of similar symptoms was reported during the one-year follow-up period.</p>","PeriodicalId":14337,"journal":{"name":"International Medical Case Reports Journal","volume":"17 ","pages":"971-975"},"PeriodicalIF":0.7,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11583770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142710090","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}