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Esophageal-Pleural Fistula: the Cause or Effect of Recurrent Pneumonia? 食管胸膜瘘:复发性肺炎的原因或影响?
Case Reports in Clinical Practice Pub Date : 2023-02-06 DOI: 10.18502/crcp.v7i5.11865
H. Asadzadeh Aghdaei, A. Sadeghi, G. Nouri, N. Salarieh, Pardis Ketabi Moghadam
{"title":"Esophageal-Pleural Fistula: the Cause or Effect of Recurrent Pneumonia?","authors":"H. Asadzadeh Aghdaei, A. Sadeghi, G. Nouri, N. Salarieh, Pardis Ketabi Moghadam","doi":"10.18502/crcp.v7i5.11865","DOIUrl":"https://doi.org/10.18502/crcp.v7i5.11865","url":null,"abstract":"Esophageal-pleural (E-P) fistula is introduced to be an uncommon clinical finding maybe due to non-specific clinical pointers and vague radiologic clues. In this regard, the main drivers are esophageal traumatization, endoscopic dilation, irradiation and corrosive agent ingestion as well as major underlying esophageal diseases like carcinomas and tuberculosis. The presented case is a 51-year-old man with medical record of recurrent pneumonias resulted in right lobectomy who admitted to the medical institution with a significant empyema leading to chest tube insertion. It should be noted that the presence of food particles in the chest bottle in addition to the history of previous surgery raised suspicion of a post-surgical E-P fistula formation. Attempts were made to find fistula tract and insert an esophageal stent bypassing the fistula opening. However, investigations argued against E-P fistula as an ensuing event after surgery and arose the question that whether E-P fistula would be the cause or effect of pneumonia in the presented case?","PeriodicalId":34254,"journal":{"name":"Case Reports in Clinical Practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48566511","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
Distal Vaginal Atresia Combined with Unicornoate Uterus: A Case Report 阴道远端闭锁合并独角子宫1例
Case Reports in Clinical Practice Pub Date : 2023-02-06 DOI: 10.18502/crcp.v7i5.11864
F. Mallah, F. Rajabzadeh, Malahat Ebrahimpour
{"title":"Distal Vaginal Atresia Combined with Unicornoate Uterus: A Case Report","authors":"F. Mallah, F. Rajabzadeh, Malahat Ebrahimpour","doi":"10.18502/crcp.v7i5.11864","DOIUrl":"https://doi.org/10.18502/crcp.v7i5.11864","url":null,"abstract":"Congenital absence of the vagina with variable uterine development known as Mullerian agenesis. We presented the case of a patient with distal vagina agenesis with presence of proximal vagina and functioning unicornoate uterus. A 13-year-old patient was referred to pelvic floor service due to primary amenorrhea and pelvic pain. She was diagnosed with the distal vaginal agenesis, functional unicornoate uterus and the ectopic right kidney. Rectoabdominal examination revealed segmental vaginal agenesis and a likely atretic cervix with a huge abdominopelvic mass of about 10 cm in size. On exploratory laparotomy, the bladder was completely dilated and the right kidney was ectopic and both kidneys had moderate hydronephrosis. On the left, a unicorn uterus containing blood and clot, and on the right, a non-functional rudimentary horn with a normal fallopian tube was seen. A neovagina was created by dissection of the space between the urethra hyatus and rectum in laparatomy. It is important to note that the patient may initially present with urinary symptoms and renal signs. Therefore, in the symptoms of urinary tract obstruction, mullerian anomalies should be considered.","PeriodicalId":34254,"journal":{"name":"Case Reports in Clinical Practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43660950","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
Successful Pregnancy in A Patient with Fontan Surgery: A Case Report Fontan手术成功妊娠1例报告
Case Reports in Clinical Practice Pub Date : 2023-02-06 DOI: 10.18502/crcp.v7i5.11867
Shadi Zamansaraei, Milad Nazari Sabet, Parvin Bahrami
{"title":"Successful Pregnancy in A Patient with Fontan Surgery: A Case Report","authors":"Shadi Zamansaraei, Milad Nazari Sabet, Parvin Bahrami","doi":"10.18502/crcp.v7i5.11867","DOIUrl":"https://doi.org/10.18502/crcp.v7i5.11867","url":null,"abstract":"The Fontan operation is a palliative procedure for patients with several forms of congenital heart disease unsuitable for biventricular circulation, especially tricuspid valve atresia. In this procedure, the vena cava flow is directed to the pulmonary arteries bypassing the ventricle. Pregnant patients with Fontan surgery in their post-surgical history have more maternal risks. We should counsel patients with saturations <85%, depressed ventricular function, refractory arrhythmia, or protein-losing enteropathy against pregnancy (mWHO; IV). In this study, we review a pregnant case that has successful pregnancy and Fontan palliation and lv systolic heart failure (LVEF: 35%) in her past medical history.","PeriodicalId":34254,"journal":{"name":"Case Reports in Clinical Practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48171320","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
Why the Lung Doesn’t Expand After Chest Tube Insertion?: Learning from Errors 为什么胸腔插管后肺部不扩张？：从错误中学习
Case Reports in Clinical Practice Pub Date : 2023-02-06 DOI: 10.18502/crcp.v7i5.11870
P. Hafezimoghadam, Aydin Mohammadvalipoor, Nazanin Alaei Faradonbeh
{"title":"Why the Lung Doesn’t Expand After Chest Tube Insertion?: Learning from Errors","authors":"P. Hafezimoghadam, Aydin Mohammadvalipoor, Nazanin Alaei Faradonbeh","doi":"10.18502/crcp.v7i5.11870","DOIUrl":"https://doi.org/10.18502/crcp.v7i5.11870","url":null,"abstract":"Chest tube insertion is one of the common and critical procedures in emergency room. The most common tool for chest tube position confirmation is chest x-ray. The aim of this case report is to explain one of pitfalls of this tool in confirmation of chest tube position. The patient was a 36-year-old man who had been transferred to ED by EMS due to blunt chest trauma in a motor vehicle collision. After detecting pneumothorax in chest CT scan, chest tube has been inserted and chest x ray has been done for chest tube`s place confirmation. X-ray ascertains that the tube is in the right place but lung does not expand and dyspnea does not improve completely. In chest CT scan which will be done after 2 days, it reveals that chest tube was in subcutaneous tissue. Although chest x-ray is a useful modality to confirm chest tube placement, chest tube function can define important information and imaging should be interpreted beside clinical coarse. It should be noted that in the case of current report, the physical examination is used.","PeriodicalId":34254,"journal":{"name":"Case Reports in Clinical Practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48419822","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
Isolated Painful Oculomotor Nerve Palsy as a Rare Complication of the Sinopharm COVID-19 Vaccine: A Case Report and Review of the Literature 孤立性疼痛性动眼神经麻痹作为国药新冠肺炎疫苗的罕见并发症:1例报告及文献复习
Case Reports in Clinical Practice Pub Date : 2023-02-06 DOI: 10.18502/crcp.v7i5.11869
Sepideh Paybast, A. Moghadasi
{"title":"Isolated Painful Oculomotor Nerve Palsy as a Rare Complication of the Sinopharm COVID-19 Vaccine: A Case Report and Review of the Literature","authors":"Sepideh Paybast, A. Moghadasi","doi":"10.18502/crcp.v7i5.11869","DOIUrl":"https://doi.org/10.18502/crcp.v7i5.11869","url":null,"abstract":"There are limited reports of oculomotor nerve palsy following vaccination. Herein, we aimed to report a case of acute oculomotor nerve palsy following the first dose of the Sinopharm vaccine. A 17-year-old woman presented with a history of acute painful diplopia and right ptosis within a week after receiving the first dosage of the Sinopharm vaccine. The neurological examination was compatible with acute right third nerve palsy sparing pupils. All the para-clinical tests were unremarkable. With a diagnosis of possible oculomotor nerve palsy as an adverse event of the COVID-19 vaccine, she was treated with steroids leading to a significant recovery. We reported the first case of acute oculomotor nerve palsy associated with the Sinopharm vaccine. However, our findings dose not conclude a causal association between oculomotor nerve palsy and COVID-19 vaccination.","PeriodicalId":34254,"journal":{"name":"Case Reports in Clinical Practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48724781","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: 1
A Bull’s Head Sign in SAPHO SAPHO的牛头标志
Case Reports in Clinical Practice Pub Date : 2023-02-06 DOI: 10.18502/crcp.v7i5.11860
F. Ulutaş, F. Ufuk, Aslı Bozdemir, V. Çobankara
{"title":"A Bull’s Head Sign in SAPHO","authors":"F. Ulutaş, F. Ufuk, Aslı Bozdemir, V. Çobankara","doi":"10.18502/crcp.v7i5.11860","DOIUrl":"https://doi.org/10.18502/crcp.v7i5.11860","url":null,"abstract":"A syndrome of synovitis, acne, pustulosis, hyperostosis and osteitis (SAPHO) is a rare autoimmune disease. It occurs in genetically predisposed individuals by immune activation triggered by possible infectious agents. A 60-year-old man was presented with musculoskeletal and cutaneous manifestations. After exclusion of differential diagnoses, he was diagnosed with SAPHO and successfully treated with adalimumab. He had a typical image defined as a bull’s head sign in bone scintigraphy with 99mTcmethylene diphosphonate. Positron emission tomography also revealed increased inflammatory activity in related anterior chest joints and soft tissue. We want to emphasize diagnostic radiological images in patients with SAPHO to increase the awareness of clinicians.","PeriodicalId":34254,"journal":{"name":"Case Reports in Clinical Practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47898442","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
Holms Heart in a Fetus with Maternal Anticonvulsant Drug Exposure: A Case Report 母体抗惊厥药物暴露胎儿的Holms心脏：一例报告
Case Reports in Clinical Practice Pub Date : 2023-02-06 DOI: 10.18502/crcp.v7i5.11858
A. Golbabaei, M. Naemi, Maasoumeh Saleh
{"title":"Holms Heart in a Fetus with Maternal Anticonvulsant Drug Exposure: A Case Report","authors":"A. Golbabaei, M. Naemi, Maasoumeh Saleh","doi":"10.18502/crcp.v7i5.11858","DOIUrl":"https://doi.org/10.18502/crcp.v7i5.11858","url":null,"abstract":"Double inlet left ventricle (DILV) is a rare congenital cardiac malformation that is defined as an anomaly with univentricular atrioventricular (AV) connection, and single ventricular morphology. This variation can be associated with the inlet and outlet cardiac abnormalities. In the current report, we present a case of Holms heart, as a rare variant of double-inlet left ventricle.","PeriodicalId":34254,"journal":{"name":"Case Reports in Clinical Practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47988398","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
A Rare Case with Dissection of Pulmonary and Aorta in Aortopulmonary Window 肺动脉窗肺主动脉夹层1例
Case Reports in Clinical Practice Pub Date : 2023-01-02 DOI: 10.18502/crcp.v7i4.11599
A. Amin, Mozhgan Parsaee, Homa Ghaderian, Fatemeh Zohrian, A. Mohamadifar
{"title":"A Rare Case with Dissection of Pulmonary and Aorta in Aortopulmonary Window","authors":"A. Amin, Mozhgan Parsaee, Homa Ghaderian, Fatemeh Zohrian, A. Mohamadifar","doi":"10.18502/crcp.v7i4.11599","DOIUrl":"https://doi.org/10.18502/crcp.v7i4.11599","url":null,"abstract":"Aortopulmonary window is a rare congenital anomaly which is commonly associated with other lesions such as patent ductus arteriosus, interrupted aortic arch, Atrial Septal Defect (ASD), and Ventricular Septal Defect (VSD). Aortic aneurysm and dissection have not been reported as an associated anomaly in AP window. A 44 -year-old male, with inoperable AortoPulmonary Window (AP window) and Eisenmenger syndrome presented to our Emergency Department with back pain and shortness of breath. Transthoracic echocardiography and aortic CT angiography depicted aneurysmal dilatation of ascending aorta with a dissection flap which was extended to main pulmonary artery. Any intervention was very high risk, due to the risk of imminent RV failure. The patient was hemodynamically stable and the symptoms seemed to be chronic, so we decided to manage him medically. AP window is a rare congenital anomaly which is commonly associated with other anomalies. In this report, we represent a rare case of AP window and Eisenmenger syndrome with aortic aneurysm and dissecting flap in ascending aorta and pulmonary artery who was managed medically.","PeriodicalId":34254,"journal":{"name":"Case Reports in Clinical Practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42344687","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
Cysticercosis of Sternocleidomastoid Muscle Presenting as Neck Swelling – A Case Report 以颈部肿胀为表现的胸锁乳突肌囊尾蚴病一例报告
Case Reports in Clinical Practice Pub Date : 2023-01-02 DOI: 10.18502/crcp.v7i4.11592
Nesva Pilaparambil Hamza, S. Sureshkumar, A. A. Francis
{"title":"Cysticercosis of Sternocleidomastoid Muscle Presenting as Neck Swelling – A Case Report","authors":"Nesva Pilaparambil Hamza, S. Sureshkumar, A. A. Francis","doi":"10.18502/crcp.v7i4.11592","DOIUrl":"https://doi.org/10.18502/crcp.v7i4.11592","url":null,"abstract":"Cysticercosis is an infection caused by Taenia Solium whose larval stage (cysticerci) can affect various human tissues. In this study, we present the case of a 32-year-old male who presented with a neck swelling of 2 months duration. High resolution ultrasonography of neck showed features suggestive of cysticercosis of sternocleidomastoid muscle. He was managed conservatively with oral albendazole 400 mg twice daily for 4 weeks. Review of the patient after 4 weeks showed complete resolution of the swelling and a repetitive ultrasonography did not show any evidence of cysticercosis. Although a rare entity and isolated cysticercosis of skeletal muscle should come into consideration among the differential diagnoses of head and neck swellings.","PeriodicalId":34254,"journal":{"name":"Case Reports in Clinical Practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46786434","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
Metastatic Renal Cell Carcinoma to Duodenum and Pancreas 10 Years After Nephrectomy: A Case Report 肾切除术后10年肾细胞癌转移至十二指肠及胰腺1例
Case Reports in Clinical Practice Pub Date : 2023-01-02 DOI: 10.18502/crcp.v7i4.11598
Mahsa Akbari Oryani, Azade Zare, Mohsen Soltani Sabi, Mohammad Taghi Mashhadi-Rajabi
{"title":"Metastatic Renal Cell Carcinoma to Duodenum and Pancreas 10 Years After Nephrectomy: A Case Report","authors":"Mahsa Akbari Oryani, Azade Zare, Mohsen Soltani Sabi, Mohammad Taghi Mashhadi-Rajabi","doi":"10.18502/crcp.v7i4.11598","DOIUrl":"https://doi.org/10.18502/crcp.v7i4.11598","url":null,"abstract":"Renal cell carcinoma (RCC) accounts for 2-3% of the malignant tumors in adult patients. The most common sites of metastasis are the lung, bone, liver and brain respectively. Unusual metastatic sites require attention during follow-up of renal cell carcinoma. The duodenum and pancreas are uncommon sites for metastasis from renal cell carcinoma. We describe here a 62-year-old man with metastastic renal cell carcinoma to the duodenum and pancreas. The patient presented with melena and bowel obstruction, 10 years after nephrectomy for renal cell carcinoma, then with initial diagnosis of ampula vater adenocarcinoma undergo an exploratory laparotomy and a mass was found in duodenum, vater ampulla and pancreas, then pancreaticoduodenectomy was performed. histopathological examination of mass showed a metastatic renal cell carcinoma with sarcomatoid component. In conclusion, patients after radical nephrectomy due to renal cell carcinoma require long-term systematic monitoring. Gastrointestinal metastasis from Renal cell carcinoma should be considered in nephrectomized patients with gastrointestinal symptoms.","PeriodicalId":34254,"journal":{"name":"Case Reports in Clinical Practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48671752","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
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