The Southeast Asian Journal of Case Report and Review最新文献

{"title":"A case report: Anaesthetic management of a patient with sub acute intestinal obstruction with chilaiditi syndrome coming for surgery","authors":"Ashok Kumar Balasubramanian","doi":"10.18231/j.sajcrr.2023.015","DOIUrl":"https://doi.org/10.18231/j.sajcrr.2023.015","url":null,"abstract":"Chilaiditi syndrome is associated with hepatodiaphragmatic interposition of the colon and the small intestines. The radiological finding of colonic interposition between the liver and diaphragm is called chilaiditi sign. This is a rare anomaly incidentally seen on chest or abdominal radiographs. We present a case report of a 52 year old male who got admitted with complaints of abdominal distension and occasional pain after food intake for 5 months duration. The pain was dull aching and not radiating. He gave history of weight loss of about 10 kg over 5 months. His mother had similar complaints of dull aching abdominal pain of which she died. X ray chest showed gross dilatation of descending and transverse colon causing mediastinal shift to right. The CT chest showed emphysematous bullae on the left lobe. The working diagnosis of Chilaiditi syndrome was made. The patient came for surgery with subacute intestional obstruction. Here, in this case report we discuss the anaesthetic management.","PeriodicalId":331773,"journal":{"name":"The Southeast Asian Journal of Case Report and Review","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135162846","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":"Ileum neuroendocrine tumor: Case report and literature review","authors":"Sunil Vitthalrao Jagtap, Shubham Sunil Jagtap, Pranjal Shah, Devika Borade, Nidhi Goswami","doi":"10.18231/j.sajcrr.2023.006","DOIUrl":"https://doi.org/10.18231/j.sajcrr.2023.006","url":null,"abstract":"Ileal neuroendocrine tumors are rare primary epithelial neoplasm arising from enterochromaffin cells. A 65-year-old male presented with complaints of recurrent abdominal pain of 1 year duration. The pain was more aggravated in last 7 days associated with vomiting, loss of appetite and diarrhea. On radioimaging ultrasonography finding impression of small bowel mass lesion suggestive of ileac carcinoid tumor with ischemic bowel disease was given. Computerized tomograph abdomen pelvis showed a well-defined hypodense, round, hetergenous, enhancing mass measuring 2.6x1.6x1.2 cm., showing arterial enhancement in mesentery in close relation to ileum and metastatic lymph node mass- indicating likeness of neuroendocrine tumor. The surgical resection of ileum with mass and enlarged mesenteric nodes were done. On gross examination ileum specimen on cut open showed multiple, irregular mucosal thickenings with foci of ulceration. The submocosa showed single, circumscribed, round tumor measuring 3 x 2.5x1.5 cm. Cut section of tumor was yellowish, tan, well circumscribed and solid. The mesenteric lymph nodes were enlarged. The microscopic examination ileum showed a tumor composed of uniform, round cells having to oval nuclei with salt and pepper chromatin. Tumor cells were arranged in trabecular, nests, ribbons and in areas pseudo glandular pattern. Increased mitotic activity was noted (4/10 high power field). Mesenteric lymph nodes were involved by tumor. On histopathology reported as Well-differentiated neuroendocrine tumors (NET), G2, intermediate grade of ileum. The immunohistochemical stain were positive for synaptophysin, chromogranin A. The Ki-67 expression was <1%. Herewith we are presenting rare case of well-differentiated neuroendocrine tumor NET, G2, intermediate grade of ileum for its clinical, radio imaging ,pathological features and management.","PeriodicalId":331773,"journal":{"name":"The Southeast Asian Journal of Case Report and Review","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135140592","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":"Palatal perforation due to disseminated histoplasmosis as the first presentation of HIV-AIDS","authors":"Archana Lakshmanan, None Radhika M, Jithesh Balan, None Rajesh K.R","doi":"10.18231/j.sajcrr.2023.010","DOIUrl":"https://doi.org/10.18231/j.sajcrr.2023.010","url":null,"abstract":"Histoplasmosis is a systemic fungal infection caused by H. capsulatum usually in immunocompromised individuals such as those with HIV-AIDS. Though oral manifestations are rare, they could be the only and initial manifestation of HIV-AIDS. We report the case of a 23-year-old female who presented with oral ulcer and palatal perforation and detected to be suffering from disseminated histoplasmosis. She also turned out to be HIV positive. Her CD4+ count was undetectable. She responded well to intravenous liposomal Amphotericin B, oral itraconazole and antiretroviral therapy. To the best of our knowledge, histoplasmosis presenting as palatal perforation as the first manifestation of HIV-AIDS has not been reported from South India previously. A high index of suspicion is needed in such cases of exaggerated oral lesions even in states like Kerala to avoid delay in diagnosis and therapy.","PeriodicalId":331773,"journal":{"name":"The Southeast Asian Journal of Case Report and Review","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135140683","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":"Impact of COVID-19 containment measures on children with cancer in Indonesia","authors":"Ibrahim El Salih, Pudjo Hagung Widjajanto, Sri Sutrisni, Iris Hoogland, Gertjan Kaspers, Saskia Mostert","doi":"10.18231/j.sajcrr.2023.008","DOIUrl":"https://doi.org/10.18231/j.sajcrr.2023.008","url":null,"abstract":"Containment measures to limit COVID-19 spreading profoundly impact children around the globe, especially in low- and middle-income countries such as Indonesia. The aim of this case series study is to uncover the impact that COVID-19 measures have on Indonesian children with cancer and their families. A case series study was conducted in July 2021. Investigators identified three children diagnosed with cancer at an Indonesian referral hospital and studied their medical records. Caretakers were interviewed inside the hospital by an independent interviewer using a semi-structured questionnaire. This study presents three children with cancer and their families. Access to proper healthcare was hindered during COVID-19 pandemic due to mobility restrictions, medical staff shortage, limited chemotherapy and blood products availability, postponed medical procedures, and delayed or modified treatment administration. Financial hardships resulted because caretakers lost their jobs due to lockdowns and medication costs were no longer fully covered by health-insurance. Children and their relatives suffered from mental health issues. Anxiety, depression, stress and loneliness were caused by the fear of receiving suboptimal cancer treatment, serious concerns about financial difficulties, and restricted social interactions. All families believed that COVID-19 measures worsened their children’s survival chances. COVID-19 measures adversely impact children with cancer and their families in Indonesia, and most likely in other low- and middle-income countries as well. Disruptions in timely and adequate childhood cancer treatment administration may importantly deteriorate survival chances. Governments and policymakers should take these indirect effects into account to protect vulnerable children and their families.","PeriodicalId":331773,"journal":{"name":"The Southeast Asian Journal of Case Report and Review","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135140590","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":"Unusually large number of gall stones removed through laparoscopic cholecystectomy from a single patient- A case report","authors":"Aradhita Maheshwari, Bimal Shah","doi":"10.18231/j.sajcrr.2023.007","DOIUrl":"https://doi.org/10.18231/j.sajcrr.2023.007","url":null,"abstract":"Gallstone disease is characterized by the formation of calculi in the gall bladder or the biliary tract. It may be asymptomatic or present as biliary colic or with complicated disease. Laparoscopic cholecystectomy is the mainstay of treatment for symptomatic gall stones. We describe a case of Gallstone disease in a 43-year-old female, where over seven thousand stones were removed through a Laparoscopic procedure.","PeriodicalId":331773,"journal":{"name":"The Southeast Asian Journal of Case Report and Review","volume":"188 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135140681","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":"Manual jet ventilation to rescue a patient with pinhole tracheal stenosis: A case report","authors":"Soumi Pathak, Mamta Dubey, Nitesh Goel","doi":"10.18231/j.sajcrr.2023.009","DOIUrl":"https://doi.org/10.18231/j.sajcrr.2023.009","url":null,"abstract":"Airway management of patients with tracheal stenosis is highly challenging and even establishing a surgical airway may be difficult in these patients. A 24 year old female developed pinhole tracheal restenosis after undergoing tracheal web resection and reconstruction. After other modes of ventilation had failed, we used the Manual jet ventilator endotracheal tube assembly as a rescue device and performed intermittent low-frequency jet ventilation until a definitive surgical airway could be established. : Central airway obstruction in severe tracheal stenosis can cause life-threatening hypoxia. Jet ventilation through the pin hole opening buys some time for the surgeon to secure the airway.","PeriodicalId":331773,"journal":{"name":"The Southeast Asian Journal of Case Report and Review","volume":"23 5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135140587","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":"Assessment of Maximal Expiratory Pressure Among Adults Against Reference Standard Value","authors":"J. Patel","doi":"10.15373/22778179/JAN2013/68","DOIUrl":"https://doi.org/10.15373/22778179/JAN2013/68","url":null,"abstract":"The present study was cross-sectional in design and carried out in Indian adults. The aim of this study was to assess the MEP (maximal expiratory pressure) and compare with reference standard value. The MEP is part of pulmonary function test and its give idea about expiratory muscle strength, which will be helpful in clinical physiology. The clinical mercury sphygmomanometer was used to measure Maximal Expiratory Pressure, comparisons was made with reference value. The results shows that observed MEP was significantly lower than reference value and also shows gender based variation. So, at the end of study we can conclude that results of this study might be due to variation of body physique, ethnicity and technique. For future development we recommend that MEP value should be revised as par Indian standard and it should be implement in routine pulmonary function testing. Assessment of Maximal Expiratory Pressure in Adult Against Reference Standard Value Introduction: The Maximum Expiratory Pressure (MEP) measures the expiratory pressure in respiratory system which has been used as indicators of respiratory muscle strength in adults and in children (Tomalak, Pogorzelski, & Prusak, 2002). The MEP is part of respiratory efficiency test as pulmonary function test and it is simple, convenient and non-invasive indices of respiratory muscle strength. It’s give idea about expiratory muscle strength which is helpful in physiological and clinical evaluation of respiratory muscle strength. The values of this parameter as reported in the various studies vary considerably because of wide age range of subjects, different types of instruments used to make the measurements (Smyth, Chapman, & Rebuck, 1984), and the possible differences in the method used for making the measurements also due to ethnicity and race of subjects. As previous study shows variation in MEP, basis on this the Present study was carried out in Indian adults and compare with reference standard value. Aims and Objectives: 1. To assess the maximal expiratory pressure in apparently healthy adults and compare it with reference standard value 2. To compare the maximal expiratory pressure in male and female. Materials and Method: The present study is Cross-sectional in design; was carried out in 59 apparently healthy Indian adult subjects (mean age 18.06 ± 0.31 year). Clinical mercury sphygmomanometer was used to measure Maximal Expiratory Pressure. The Single best reading out of three was taken for measurement of MEP as observed value and it compare with predicted reference standard value. The observed value of MEP is also compare with LLN (lower limit of normal). Reference standard value and LLN value of MEP in adults, were pressure in cmH2o and age in years (Evans & Whitelaw, 2009), as reference and LLN value in cmH2o for analysis it converted in mmhg; • Male MEP Reference value; 174 – (0.83 age) • Male MEP LLN value; 117 – (0.83 age) • Female MEP Reference value; 131 – (0.86 age) • Female MEP ","PeriodicalId":331773,"journal":{"name":"The Southeast Asian Journal of Case Report and Review","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132068578","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":"Learning Habits Evaluation Of First M.B.B.S Students","authors":"P. A. Patel, C. Shah, Shailesh M. Patel, J. Diwan, H. Mehta","doi":"10.5455/IJMSPH.2012.1.81-86","DOIUrl":"https://doi.org/10.5455/IJMSPH.2012.1.81-86","url":null,"abstract":"Background: The learning habit of a learner is the way he handles new information and experiences, and determines its outcomes. Various types of learning habits are adopted by students, including visual (V; learning from graphs, charts, and flow diagrams), auditory (A; learning from speech), read-write(R; learning from reading and writing), and kinesthetic (K; learning from touch, hearing, smell, taste, and sight).Understanding their preferred learning habits as visual, auditory, read-write or kinesthetic learners will help to improve the teaching methods adopted. Facilitators and supporters themselves may need guidance and training in how to identify feedback and adapt learning to individual's habits. \u0000 \u0000Objective: To assess different learning habits of medical students and hence provide student oriented education, producing efficient doctors. \u0000 \u0000Materials and Methods: This study was performed at Department of physiology in Govt. Medical College, Bhavnagar in March 2011.Eighty four (84) medical students of first MBBS were participated in the study. By using the English version of the visual, auditory, reading or writing, kinesthetic (VARK) questionnaire, we measured the difference in learning habits of First year medical students. \u0000 \u0000Results: In Unimodal learning habit highest preference was given to auditory mode (48.57%), then to Kinesthetic (28.57%) & then to read (14.29%) & visual (8.57%). Among Multimodal learning habit students (n=44), 64.29% students preferred bimodal, 2.38% students preferred trimodal and 33.33% students preferred quadrimodal learning habit. \u0000 \u0000Conclusion: Knowing that students have different preferred learning modes, will help medical instructors in our faculty develop appropriate learning approaches and explore opportunities so that they will be able to make the educational experience more productive. The results will help faculty to develop appropriate learning approaches and explore opportunities, so that they will able to make the educational experience more productive.","PeriodicalId":331773,"journal":{"name":"The Southeast Asian Journal of Case Report and Review","volume":"107 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133950544","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}