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Schwannoma of the Appendix Mimicking a Metastatic Breast Cancer 模仿转移性乳腺癌的阑尾许旺瘤
Sultan Qaboos University Medical Journal Pub Date : 2024-06-13 DOI: 10.18295/squmj.6.2024.041
Z. Al-ishaq, Alonood Al-Sulaimani, Badriya Al-Qassabi, Fathiya AlRahbi, Khalid Al Baimani, Jawa Z. Muhammad, A. Aljarrah
{"title":"Schwannoma of the Appendix Mimicking a Metastatic Breast Cancer","authors":"Z. Al-ishaq, Alonood Al-Sulaimani, Badriya Al-Qassabi, Fathiya AlRahbi, Khalid Al Baimani, Jawa Z. Muhammad, A. Aljarrah","doi":"10.18295/squmj.6.2024.041","DOIUrl":"https://doi.org/10.18295/squmj.6.2024.041","url":null,"abstract":"Metastatic breast cancer (MBC) represents 5-10% of newly diagnosed breast cancer cases, referred to as de novo stage IV MBC. Distinguishing a distant lesion in breast cancer patients can be challenging. Therefore, obtaining a histopathological confirmation of a metastasis is advisable, as a suspicious metastatic lesion may turn out to be benign or exhibit different immunohistochemistry compared to the primary site. In this case, we describe a woman undergoing staging scans for newly diagnosed breast cancer, where radiological findings suggested appendix metastasis. However, subsequent laparoscopic appendicectomy revealed an appendicular schwannoma, confirmed through immunohistochemistry. The patient then received curative-intent breast cancer treatment. With the increasing use of advanced staging scans in breast cancer, clinicians should thoroughly investigate and confirm metastatic disease, especially in uncommon metastatic sites, before initiating treatment. \u0000Keywords: Schwannoma, metastasis, breast cancer, appendix.","PeriodicalId":22083,"journal":{"name":"Sultan Qaboos University Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141348182","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}
引用次数: 0
Prevalence, clinico-laboratory features and outcome of paediatric scrub typhus cases in a tertiary care centre in Eastern India 印度东部一家三级护理中心儿科恙虫病病例的发病率、临床实验室特征和治疗结果
Sultan Qaboos University Medical Journal Pub Date : 2024-06-13 DOI: 10.18295/squmj.6.2024.032
R. Murmu, Gobinda Mondal, Koushik Biswas, Ashok K Bala
{"title":"Prevalence, clinico-laboratory features and outcome of paediatric scrub typhus cases in a tertiary care centre in Eastern India","authors":"R. Murmu, Gobinda Mondal, Koushik Biswas, Ashok K Bala","doi":"10.18295/squmj.6.2024.032","DOIUrl":"https://doi.org/10.18295/squmj.6.2024.032","url":null,"abstract":"Objective: Scrub typhus is the most common rickettsial disease in India, caused by Orientia tsutsugamushi, and transmitted by chigger mites. Previously reported in South India, but the resurgence of cases is currently reported in Eastern India. This study aimed to estimate the prevalence and describe the clinico-laboratory profile of scrub typhus in paediatric patients (1-12 years old) in Eastern India. Methods: A prospective observational study was conducted from January to December 2019 in a paediatric tertiary care centre in Kolkata. All acute undifferentiated febrile illness cases (1-12 years) were tested for scrub typhus serology by ELISA. Demographic details, clinical features, laboratory findings, complications and treatment outcomes of scrub typhus patients were extracted in Microsoft Excel spreadsheet and further analysed. Results: The prevalence of scrub typhus among acute febrile illness patients was 4.5 %. The mean age of patients was 5.22 years and the majority (64.2 %) had a fever for the last 7-14 days. Gastrointestinal symptoms like vomiting (43.3 %) and pain abdominal (32.8 %) were frequently seen. Major clinical signs were hepatomegaly (41.8 %) and splenomegaly (31.3 %). Complication was observed in 74.6 %, with thrombocytopenia (40.3 %) and meningoencephalitis (29.9 %) being more frequent. The case fatality rate was 1.5 %. Conclusions: Classical eschar was absent in three-fourth of our patients, hence we advocate laboratory scrub typhus testing for all suspected cases in endemic region. Thrombocytopenia and meningoencephalitis were prominent complications in our study. Prompt treatment with doxycycline and/or azithromycin could prevent complications and reduce mortality. \u0000Keywords: Hospital Stay; Hospitalization, patient discharge; General Internal Medicine","PeriodicalId":22083,"journal":{"name":"Sultan Qaboos University Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141349442","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}
引用次数: 0
Congenital Blood Cyst of a Child: A case report and review of literature. 儿童先天性血囊肿
Sultan Qaboos University Medical Journal Pub Date : 2024-05-01 Epub Date: 2024-05-27 DOI: 10.18295/squmj.5.2023.037
Rachid Kaddoura, Issam El Rassi, Zainab Al Awadi, Mohamed Kasem
{"title":"Congenital Blood Cyst of a Child: A case report and review of literature.","authors":"Rachid Kaddoura, Issam El Rassi, Zainab Al Awadi, Mohamed Kasem","doi":"10.18295/squmj.5.2023.037","DOIUrl":"10.18295/squmj.5.2023.037","url":null,"abstract":"<p><p>Blood-filled cysts of the heart valves are frequently reported at postpartum autopsies of infants. They are seen as round nodules mostly in the paediatric age group in infants less than 2 months of age and disappear spontaneously within 6 months of life. We report a unique case of an 11-month-old girl who presented at a tertiary healthcare hospital in 2022 with a blood-filled cyst on the posterior leaflet of the pulmonary valve that was successfully treated. This case report highlights the characteristics and course of a paediatric patient with blood-filled cysts. Further studies are yet needed to better understand the diagnostic approaches to blood-filled cysts as well as treatment modalities to fill the gap in clinical settings.</p>","PeriodicalId":22083,"journal":{"name":"Sultan Qaboos University Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11139362/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46290835","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}
引用次数: 0
Peri-ictal Water Drinking in an Omani Patient with Bilateral Mesial Temporal Sclerosis. 阿曼双侧内侧颞叶硬化患者围周饮水
Sultan Qaboos University Medical Journal Pub Date : 2024-05-01 Epub Date: 2024-05-27 DOI: 10.18295/squmj.5.2023.038
Younis Al-Mufargi, Haifa Alabri, Arunodaya Gujjar
{"title":"Peri-ictal Water Drinking in an Omani Patient with Bilateral Mesial Temporal Sclerosis.","authors":"Younis Al-Mufargi, Haifa Alabri, Arunodaya Gujjar","doi":"10.18295/squmj.5.2023.038","DOIUrl":"10.18295/squmj.5.2023.038","url":null,"abstract":"<p><p>Peri-ictal water drinking (PIWD) is a rare vegetative manifestation of temporal lobe epilepsy without a definite lateralisation value. We report a case of PIWD in a 22-year-old Omani male patient with post-concussion syndrome and epilepsy presented to a tertiary care hospital in Muscat, Oman, in 2021 for evaluation of paroxysmal events. His behaviour of PIWD was misinterpreted by his family until characterised in the epilepsy-monitoring unit as a manifestation of epilepsy that was treated medically. To the best of the authors' knowledge, this is the second reported case in the region.</p>","PeriodicalId":22083,"journal":{"name":"Sultan Qaboos University Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11139365/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41788985","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}
引用次数: 0
Efficacy of Ropivacaine for Sub-Arachnoid Block in Patients with Recent History of Scorpion Sting: A case series. 罗哌卡因用于蛛网膜下腔阻滞治疗近期有蝎毒刺史患者的疗效
Sultan Qaboos University Medical Journal Pub Date : 2024-05-01 Epub Date: 2024-05-27 DOI: 10.18295/squmj.7.2023.046
Saurabh Trivedi, Hemendra Bhardwaj, Tapan K Sahoo, Seema Gupta
{"title":"Efficacy of Ropivacaine for Sub-Arachnoid Block in Patients with Recent History of Scorpion Sting: A case series.","authors":"Saurabh Trivedi, Hemendra Bhardwaj, Tapan K Sahoo, Seema Gupta","doi":"10.18295/squmj.7.2023.046","DOIUrl":"10.18295/squmj.7.2023.046","url":null,"abstract":"<p><p>Failure of sub-arachnoid block (SAB), due to resistance to bupivacaine after a recent scorpion sting can lead to multiple block attempts and subsequent conversion to general anaesthesia. We report this case series of 10 patients with successful SAB with newly launched 0.75% hyperbaric ropivacaine, in patients with recent scorpion sting. Thus, intrathecal hyperbaric ropivacaine may be considered as the local anaesthetic agent of choice in patients with scorpion sting to prevent failure of SAB.</p>","PeriodicalId":22083,"journal":{"name":"Sultan Qaboos University Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11139357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47418307","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}
引用次数: 0
Ramsay Hunt Syndrome Associated with Varicella-Zoster Virus Encephalitis in a Child. Ramsay-Hunt综合征并发儿童水痘带状疱疹病毒性脑炎
Sultan Qaboos University Medical Journal Pub Date : 2024-02-01 Epub Date: 2022-11-22 DOI: 10.18295/squmj.3.2023.020
Eman Y Ahmed, Hatem Al Rawahi, Fatema Al Amrani, Laila Al Masaoudi, Laila Al Yazidi
{"title":"Ramsay Hunt Syndrome Associated with Varicella-Zoster Virus Encephalitis in a Child.","authors":"Eman Y Ahmed, Hatem Al Rawahi, Fatema Al Amrani, Laila Al Masaoudi, Laila Al Yazidi","doi":"10.18295/squmj.3.2023.020","DOIUrl":"10.18295/squmj.3.2023.020","url":null,"abstract":"<p><p>Ramsay Hunt syndrome (RHS) is a triad of peri-auricular pain, ipsilateral facial nerve palsy and vesicular rash around the ear pinna. It is caused by reactivation of varicella-zoster virus (VZV) that lies dormant in the geniculate ganglia. It can be complicated by VZV encephalitis rarely. We report the case of an 8-year-old previously healthy boy who presented to a tertiary care hospital in Muscat, Oman in 2021 with fever, progressive left ear pain, vesicular rash around his ear pinna and left-sided facial nerve palsy. His course was complicated by VZV encephalitis where he was managed with intravenous (IV) acyclovir and IV corticosteroids. He improved significantly and was asymptomatic with a normal neurology examination at the 6-months follow-up.</p>","PeriodicalId":22083,"journal":{"name":"Sultan Qaboos University Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10906755/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43921637","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}
引用次数: 0
Protracted Chemical Peritonitis Following Laparoscopy for Dermoid Cyst: A management dilemma. 腹腔镜治疗乙状囊肿后的顽固性化学性腹膜炎
Sultan Qaboos University Medical Journal Pub Date : 2024-02-01 Epub Date: 2024-02-28 DOI: 10.18295/squmj.3.2023.019
Miriam G Fenn, Sreedharan V Koliyadan, Lovina Machado, Shahila Sheik, Nihal Al Riyami
{"title":"Protracted Chemical Peritonitis Following Laparoscopy for Dermoid Cyst: A management dilemma.","authors":"Miriam G Fenn, Sreedharan V Koliyadan, Lovina Machado, Shahila Sheik, Nihal Al Riyami","doi":"10.18295/squmj.3.2023.019","DOIUrl":"10.18295/squmj.3.2023.019","url":null,"abstract":"<p><p>Dermoid cysts are common benign ovarian tumours arising from totipotent germ cells. We report a rare case of chemical peritonitis and prolonged fever following laparoscopic salpingo-oophorectomy for torsion of a large ovarian dermoid and discuss the management of this patient with prolonged hospital stay, antibiotics and anti-inflammatory use, repeated drainage of the collection as well as re-laparotomy. The occurrence of this rare condition can be extremely distressing for the patient and treating surgeon alike, as the recommendations for management are limited. The management of chemical peritonitis may require one or more surgical procedures along with prolonged anti-inflammatory therapy.</p>","PeriodicalId":22083,"journal":{"name":"Sultan Qaboos University Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10906760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45287606","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}
引用次数: 0
Successful Treatment of a Case of Crescentic Glomerulonephritis in a Patient with Primary Peritoneal Carcinoma: A case report. 1例原发性腹膜癌患者新月体肾小球肾炎的成功治疗
Sultan Qaboos University Medical Journal Pub Date : 2024-02-01 Epub Date: 2022-09-11 DOI: 10.18295/squmj.1.2023.013
Aref Zribi, Amro Nagy, Marwa Al Riyami, Ikram A Burney
{"title":"Successful Treatment of a Case of Crescentic Glomerulonephritis in a Patient with Primary Peritoneal Carcinoma: A case report.","authors":"Aref Zribi, Amro Nagy, Marwa Al Riyami, Ikram A Burney","doi":"10.18295/squmj.1.2023.013","DOIUrl":"10.18295/squmj.1.2023.013","url":null,"abstract":"<p><p>Crescentic glomerulonephritis has been associated with several solid tumour malignancies. Only a few cases of nephropathy have been reported in association with tubo-ovarian/peritoneal malignancies. We report a 55-year-old female patient who presented to a tertiary care centre, Muscat, Oman, in 2022. She developed combined immune complex-mediated glomerulonephritis and pauci-immune necrotising crescentic vasculitis simultaneously with the diagnosis of tubo-ovarian/peritoneal cancer. The baseline estimated glomerular filtration rate (eGFR) was 13 mL/min. The patient received two doses of rituximab and three doses of pulse corticosteroids, leading to significant improvement in renal function and the disappearance of her proteinuria. The eGFR improved to >60mL/min; her proteinuria gradually resolved after 10 weeks of treatment. She was then given a combination chemotherapy treatment for tubo-ovarian/peritoneal cancer leading to a normalisation of her CA-125 after three months of therapy.</p>","PeriodicalId":22083,"journal":{"name":"Sultan Qaboos University Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10906771/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48459947","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}
引用次数: 0
A Need for Daycare Unit for Sickle Cell Disease Patients in Oman. 阿曼需要为镰状细胞病患者建立日托中心。
Sultan Qaboos University Medical Journal Pub Date : 2024-02-01 Epub Date: 2024-02-28 DOI: 10.18295/squmj.2.2024.010
Wafa K Al-Majarfi
{"title":"A Need for Daycare Unit for Sickle Cell Disease Patients in Oman.","authors":"Wafa K Al-Majarfi","doi":"10.18295/squmj.2.2024.010","DOIUrl":"10.18295/squmj.2.2024.010","url":null,"abstract":"","PeriodicalId":22083,"journal":{"name":"Sultan Qaboos University Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10906766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140022648","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}
引用次数: 0
Primary Cutaneous Gamma/Delta T-cell Lymphoma Simulating Lupus Erythematosus Panniculitis: What do we know about this aggressive mimicker? 原发性皮肤γ/δT细胞淋巴瘤模拟红斑狼疮泛发性炎：我们对这种侵袭性模拟者了解多少？
Sultan Qaboos University Medical Journal Pub Date : 2024-02-01 Epub Date: 2024-02-28 DOI: 10.18295/squmj.2.2024.012
Francisco J D Torre-Gomar, Javier Gimeno-Castillo, Amaia Sagasta-Lacalle, Itziar Arrue-Michelena
{"title":"Primary Cutaneous Gamma/Delta T-cell Lymphoma Simulating Lupus Erythematosus Panniculitis: What do we know about this aggressive mimicker?","authors":"Francisco J D Torre-Gomar, Javier Gimeno-Castillo, Amaia Sagasta-Lacalle, Itziar Arrue-Michelena","doi":"10.18295/squmj.2.2024.012","DOIUrl":"10.18295/squmj.2.2024.012","url":null,"abstract":"","PeriodicalId":22083,"journal":{"name":"Sultan Qaboos University Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10906768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140022650","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}
引用次数: 0
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