American Journal of Case Reports最新文献_第10页

Rhabdomyolysis of Infectious Etiology with Creatine Kinase Above One Million: A Case Report.

IF 1

American Journal of Case Reports Pub Date : 2025-01-31 DOI: 10.12659/AJCR.946364

Marshall Weber, William Goss, Colton Hoffer, Joseph Ogunsulire, Ferdinand Schafer

{"title":"Rhabdomyolysis of Infectious Etiology with Creatine Kinase Above One Million: A Case Report.","authors":"Marshall Weber, William Goss, Colton Hoffer, Joseph Ogunsulire, Ferdinand Schafer","doi":"10.12659/AJCR.946364","DOIUrl":"10.12659/AJCR.946364","url":null,"abstract":"BACKGROUND Rhabdomyolysis occurs commonly in hospitalized patients due to many etiologies. It is characterized by elevated creatine kinase, weakness, and myalgias, with severe forms causing electrolyte imbalances. However, many of these patients have a mild disease course with no symptoms. Those with more severe disease often have associated acute kidney injury. When acute kidney injury occurs solely due to rhabdomyolysis, it is unlikely to cause the patient to require renal replacement therapy. Regardless of how common this disease is, little research has been done to determine prognosticating factors for renal recovery in the patients who do require renal replacement therapy. CASE REPORT We present the case a young patient who developed severe kidney damage from rhabdomyolysis, requiring renal replacement, and who had renal recovery in a relatively short time. Our patient's maximum creatine kinase was 1 353 105 IU/L. Yet regardless of this severe elevation, his kidneys showed full recovery in under 3 weeks. CONCLUSIONS We present a case of a patient with rhabdomyolysis and CK above one million. In our literature review, we found that exertion and genetic defects were found to cause CK elevations above one hundred thousand, but infection is perhaps the most common cause of such extreme elevations. Regardless of how high CK is, there are no consistent factors reported in the literature correlating with degree of and rate of renal recovery in these patients.","PeriodicalId":39064,"journal":{"name":"American Journal of Case Reports","volume":"26 ","pages":"e946364"},"PeriodicalIF":1.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11791690/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068553","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

Cerebral Air Embolism Risks in TAVR Procedures: Insights from a 75-Year-Old Patient Case.

IF 1

American Journal of Case Reports Pub Date : 2025-01-30 DOI: 10.12659/AJCR.946254

Anudeep Surendranath, Tanu Garg, Syed Omar Kazmi, Eric Bershad

{"title":"Cerebral Air Embolism Risks in TAVR Procedures: Insights from a 75-Year-Old Patient Case.","authors":"Anudeep Surendranath, Tanu Garg, Syed Omar Kazmi, Eric Bershad","doi":"10.12659/AJCR.946254","DOIUrl":"10.12659/AJCR.946254","url":null,"abstract":"BACKGROUND Transcatheter aortic valve replacement (TAVR) is a minimally invasive procedure increasingly used to treat severe aortic stenosis, especially in elderly patients and those with significant comorbidities who are at high risk for surgical intervention. While TAVR is generally safe and effective, rare complications can occur, including cerebral air embolism, which can result in acute neurological deficits. This report presents the case of a 75-year-old man who developed a cerebral air embolism following TAVR. CASE REPORT A 75-year-old man with severe aortic stenosis and comorbidities, including atrial fibrillation, prior stroke, diabetes mellitus, and coronary artery disease, underwent transfemoral TAVR. After the procedure, he experienced sudden neurological symptoms, including left-sided visual field loss, facial droop, and limb weakness. Neurological evaluation revealed an NIHSS score of 10, with dysarthria and right gaze preference. Imaging studies identified an air embolism in the right posterior cerebral artery, resulting in an infarction in the posterior cerebral artery territory. Supportive care was provided, and the patient was later transferred to a rehabilitation service for further recovery. CONCLUSIONS Cerebral air embolism is a rare but potentially serious complication of TAVR. Prompt recognition, the use of advanced imaging techniques, and appropriate management are critical in minimizing neurological damage and improving clinical outcomes. This case highlights the importance of procedural vigilance, strict adherence to air-purging protocols, meticulous device handling, and increased awareness among clinicians performing TAVR. Awareness of such rare but significant complications is essential to ensure optimal patient safety.","PeriodicalId":39064,"journal":{"name":"American Journal of Case Reports","volume":"26 ","pages":"e946254"},"PeriodicalIF":1.0,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11791689/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068552","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

Impact of Lupus Anticoagulant on INR Using Recombinant Prothrombin Time Reagent.

IF 1

American Journal of Case Reports Pub Date : 2025-01-29 DOI: 10.12659/AJCR.945579

Fatmawati Kamal, Halimatun Radziah Othman

{"title":"Impact of Lupus Anticoagulant on INR Using Recombinant Prothrombin Time Reagent.","authors":"Fatmawati Kamal, Halimatun Radziah Othman","doi":"10.12659/AJCR.945579","DOIUrl":"10.12659/AJCR.945579","url":null,"abstract":"BACKGROUND Lupus anticoagulants (LA) can interfere with routine coagulation tests such as the activated partial thromboplastin time (aPTT) and prothrombin time (PT). The international normalized ratio (INR) is derived from PT and is used to monitor warfarin therapy. A positive LA result is one of the laboratory criteria of the 2023 ACR/EULAR antiphospholipid syndrome (APS) classification criteria. We report a case in which LA interfered with INR measurement in an APS patient. CASE REPORT Our patient was a 45-year-old man who had experienced multiple episodes of thromboembolism. His INR was consistently high, despite not being on any anticoagulant. Our laboratory used a recombinant PT reagent, Siemens Healthineers Dade® Innovin® on a fully automated coagulometer, the Sysmex CS-2500. PT measurements were repeated using 2 different analyzers, the Sysmex CA-104 and Werfen ACL Top 550 CTS. The PT results were 40.5 s (reference range (RR): 9.3-10.8 s) and 56 s, using Sysmex CS2500 and CS104, respectively. However, the PT was 13.4 s (RI: 10.3-12.7 s) using Werfen ACL Top 550 CTS. We retested the sample using Thromborel® S, a tissue-derived PT reagent, and PT was found to be within the reference range. The patient tested positive for LA, anti-cardiolipin, and anti-beta2 glycoprotein I antibodies. CONCLUSIONS LA can falsely prolong the PT when a recombinant PT reagent is used. When we retested the plasma using a tissue-derived PT reagent - Thromborel® S - PT was within normal limits. Thus, it is important to acknowledge that LA can react differently with different PT reagents.","PeriodicalId":39064,"journal":{"name":"American Journal of Case Reports","volume":"26 ","pages":"e945579"},"PeriodicalIF":1.0,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11791687/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060804","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

Severe Neonatal Asphyxia Associated with Ureaplasma urealyticum Infection: A Case Report. 新生儿重度窒息与尿解支原体感染有关：病例报告。

IF 1

American Journal of Case Reports Pub Date : 2025-01-28 DOI: 10.12659/AJCR.946249

Dandan Wang, Weiwei Fan, Tingting Yan, Tianming Yuan, Xuchen Zhou

{"title":"Severe Neonatal Asphyxia Associated with Ureaplasma urealyticum Infection: A Case Report.","authors":"Dandan Wang, Weiwei Fan, Tingting Yan, Tianming Yuan, Xuchen Zhou","doi":"10.12659/AJCR.946249","DOIUrl":"10.12659/AJCR.946249","url":null,"abstract":"BACKGROUND Ureaplasma urealyticum (UU) is a common microorganism that has been associated with a variety of obstetric and neonatal complications, such as infertility, stillbirth, histologic chorioamnionitis, neonatal sepsis, respiratory infections, and central nervous system infections. However, it is rare for it to cause severe neonatal asphyxia. This rarity is the focus of our case report, which aims to highlight the potential severity of UU infections in newborns. CASE REPORT A male neonate was delivered vaginally at 40+5 weeks of gestation, with a history of premature rupture of membranes at 7 hours and low amniotic fluid volume. After birth, he had no spontaneous breathing at birth, with cyanosis around the mouth and extremities and flaccid limbs. The Apgar score was a low 3, indicating severe asphyxia. Immediate medical interventions were undertaken, including cardiopulmonary resuscitation, tracheal intubation, and airway clearing. Despite these efforts, the newborn required transfer to our hospital with the assistance of an invasive ventilator. Upon admission, UU DNA was detected in the sputum at 3.25×10⁴ copies/mL. He received erythromycin for infection, mechanical ventilation, milrinone combined with sildenafil to reduce pulmonary arterial hypertension, and glycerol fructose to reduce intracranial pressure. Although these treatments successfully controlled the infection, the infant suffered significant neurological damage. Tragically, the family decided to cease treatment, and the neonate died at 12 days of age. CONCLUSIONS Ureaplasma urealyticum infection can cause severe neonatal asphyxia. We report the present case to raise awareness about the importance of early detection and intervention for UU in pregnant women to improve maternal and neonatal outcomes.","PeriodicalId":39064,"journal":{"name":"American Journal of Case Reports","volume":"26 ","pages":"e946249"},"PeriodicalIF":1.0,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11784995/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053758","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

Acute Extensor Pollicis Longus Tendon Injury Associated with a Distal Radius Fracture: A Case Report.

IF 1

American Journal of Case Reports Pub Date : 2025-01-27 DOI: 10.12659/AJCR.946399

Kenjiro Kawamura, Kiyohito Naito, Yasuhiro Yamamoto, So Kawakita, Takamaru Suzuki, Norizumi Imazu, Muneaki Ishijima

{"title":"Acute Extensor Pollicis Longus Tendon Injury Associated with a Distal Radius Fracture: A Case Report.","authors":"Kenjiro Kawamura, Kiyohito Naito, Yasuhiro Yamamoto, So Kawakita, Takamaru Suzuki, Norizumi Imazu, Muneaki Ishijima","doi":"10.12659/AJCR.946399","DOIUrl":"10.12659/AJCR.946399","url":null,"abstract":"BACKGROUND Extensor pollicis longus (EPL) tendon rupture is a potential complication following distal radius fracture, typically occurring several weeks after injury. Herein, we present a rare case of acute extensor pollicis longus tendon rupture associated with a distal radius fracture. CASE REPORT A 35-year-old woman visited our hospital with a distal radius fracture. At the time of examination, the thumb could be moved, although there was pain in the wrist. Computed tomography (CT) revealed a fracture line extending to the ulnar side of Lister's tubercle. During volar locking plate fixation, visual confirmation of the EPL tendon injury was conducted. According to the intraoperative finding, the EPL tendon was 70% ruptured and elongated, and the extension mechanism of the thumb was disrupted. Based on these findings, direct suture of the EPL tendon, including elongation of the ruptured tendon, was performed. One year after surgery, the EPL tendon excursion was smooth, with no limitations in thumb mobility, and the patient had returned to work. CONCLUSIONS This case highlights the importance of recognizing that EPL tendon injury can occur in conjunction with distal radius fractures. The risk of the EPL tendon injury is particularly high when the fracture line extends to the ulnar side of Lister's tubercle, which serves as the EPL tendon floor. When an EPL tendon injury is suspected based on preoperative examination and fracture type, it is important to obtain adequate informed consent and to prepare for potential EPL tendon reconstruction before surgery.","PeriodicalId":39064,"journal":{"name":"American Journal of Case Reports","volume":"26 ","pages":"e946399"},"PeriodicalIF":1.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11784997/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048149","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

Neonatal Familiar Cleidocranial Dysplasia: A Case Report.

IF 1

American Journal of Case Reports Pub Date : 2025-01-26 DOI: 10.12659/AJCR.946322

Shimeng Zhao, Tongtong Wang, Haipeng Yang, Riyan Huang

{"title":"Neonatal Familiar Cleidocranial Dysplasia: A Case Report.","authors":"Shimeng Zhao, Tongtong Wang, Haipeng Yang, Riyan Huang","doi":"10.12659/AJCR.946322","DOIUrl":"10.12659/AJCR.946322","url":null,"abstract":"BACKGROUND Cleidocranial dysplasia (CCD) is a rare (1: 1 000 000) autosomal dominant congenital skeletal dysplasia characterized by widely patent calvarial sutures, clavicular hypoplasia, supernumerary teeth, and short stature. Only a minority of the cases are diagnosed early after birth. We present another case of proven CCD presenting with typical neonatal phenotype to promote awareness of this rare disorder. CASE REPORT A male term neonate presented clinically with unusual soft skull, extremely large fontanels, and palpable right clavicular discontinuity. Cranial computed tomography revealed severe calvarian ossification defect leading to widely enlarged sutures. Right-sided clavicular dysplasia with discontinuity in the middle part were shown on a chest X-ray. Whole-exome sequencing and Sanger sequencing of the RUNX2 gene confirmed the diagnosis of CCD following a single-nucleotide mutation (NM_001024630.3: c.569G>A) in the child as well as in his mother. His additional family members in the maternal line had also different degrees of clavicular and cranial hypoplasia or multiple dental anomalies. CONCLUSIONS In clinical practice, in a newborn presenting with severe defects in ossification of the skull and widely enlarged sutures and/or hypoplasia or aplasia of the clavicles, CCD should be considered based on a combination of clinical and radiological genetic criteria. Family history and genetic testing are crucial since the mutation follows autosomal dominant inheritance.","PeriodicalId":39064,"journal":{"name":"American Journal of Case Reports","volume":"26 ","pages":"e946322"},"PeriodicalIF":1.0,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11784996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143042378","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

Preserving Cervical Mobility: A Novel Robot-Assisted Approach for Atlas Fracture Fixation.

IF 1

American Journal of Case Reports Pub Date : 2025-01-25 DOI: 10.12659/AJCR.945718

Han Yi, Fei Wang, Seng-Lin Zhang, Jiang Hu, Wei Zhang

{"title":"Preserving Cervical Mobility: A Novel Robot-Assisted Approach for Atlas Fracture Fixation.","authors":"Han Yi, Fei Wang, Seng-Lin Zhang, Jiang Hu, Wei Zhang","doi":"10.12659/AJCR.945718","DOIUrl":"10.12659/AJCR.945718","url":null,"abstract":"BACKGROUND The management of unstable atlas fractures remains a subject of ongoing debate and controversy. The conservative surgical treatment commonly involves fusion, resulting in severe loss of cervical spine mobility, and a large incisions and extensive tissue dissection are required. We aim to introduce a novel concept and surgical approach for treating atlas fracture, one that involves minimizing trauma while maintaining mobility of the upper cervical spine without resorting to fusion. CASE REPORT We present the case of a 48-year-old woman with an atlas fracture who underwent robot-assisted pedicle screw placement via biportal endoscopy technique. We seek to introduce a novel concept and surgical approach for treating atlas fracture, one that involves minimizing trauma while maintaining mobility of the upper cervical spine without resorting to fusion. The patient's preoperative VAS score for neck pain was 7, which improved to 3 postoperatively. The right and left cervical rotation improved from 15° preoperatively to 50° postoperatively. Preoperative CT and MRI scans demonstrated satisfactory reduction of the anterior and posterior arch fractures and satisfactory fixation position of the pedicle screws. She was discharged 4 days later, and she had good range of flexion, extension, and rotation of the cervical spine 2 months after surgery. CONCLUSIONS Robot-assisted percutaneous atlas pedicle screw placement via biportal endoscopy is a beneficial surgical treatment for atlas fractures. This technique offers satisfactory alignment and union of the fractures and preservation of atlanto-axial joint motion while having the advantages of minimal invasiveness, rapid postoperative recovery, and fewer complications.","PeriodicalId":39064,"journal":{"name":"American Journal of Case Reports","volume":"26 ","pages":"e945718"},"PeriodicalIF":1.0,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11774435/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143042398","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

Dual Blood Purification with CytoSorb and oXiris in Managing Recurrent Septic Shock: A Case Report.

IF 1

American Journal of Case Reports Pub Date : 2025-01-24 DOI: 10.12659/AJCR.945952

Bartłomiej Włochacz, Andrzej Rybak, Agnieszka Próchnicka, Bartosz Rustecki, Daniel Wendt, Jakub Klimkiewicz

{"title":"Dual Blood Purification with CytoSorb and oXiris in Managing Recurrent Septic Shock: A Case Report.","authors":"Bartłomiej Włochacz, Andrzej Rybak, Agnieszka Próchnicka, Bartosz Rustecki, Daniel Wendt, Jakub Klimkiewicz","doi":"10.12659/AJCR.945952","DOIUrl":"10.12659/AJCR.945952","url":null,"abstract":"BACKGROUND Extracorporeal blood purification strategies were recently developed as adjunctive treatments for sepsis. CytoSorb® is an approved medical device designed to reduce blood levels of inflammatory cytokines. The oXiris high-adsorption membrane filter is used in continuous hemofiltration adsorption. We describe the case of a 67-year-old man with recurrent septic shock, requiring treatment with antibiotics, vasopressors, inotropes, mechanical ventilation, continuous renal replacement therapy (CRRT), and adjunctive treatment with an oXiris filter and hemadsorption using the CytoSorb device. CASE REPORT A 67-year-old man was admitted to the Intensive Care Unit (ICU) with septic shock. He received antibiotics, fluids, vasopressors, and inotropes and was mechanically ventilated. Acute kidney failure was treated with CRRT. His condition improved, and he was transferred to the general ward. On day 3 in the ward, he developed a new episode of septic shock and was readmitted to ICU. Standard therapy with fluids, vasopressors, and empiric antibiotics was started. Despite treatment, his condition deteriorated dramatically. CRRT with an oXiris filter in combination with hemoadsorption using CytoSorb was started. After CRRT initiation and integration of the CytoSorb adsorber, rapid improvement in the patient's condition was observed. Daily laboratory test results showed significant decreases in procalcitonin and CRP. The patient was discharged from ICU on day 5 after initiation of CytoSorb therapy. CONCLUSIONS Although no guidelines and large clinical trial data are yet available to support the use of CytoSorb and oXiris, this report supports the findings from previous reports and small studies, that they can be considered as adjunctive treatments for patients with sepsis.","PeriodicalId":39064,"journal":{"name":"American Journal of Case Reports","volume":"26 ","pages":"e945952"},"PeriodicalIF":1.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11774436/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029867","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

Post-Transplant Lymphoproliferative Disorder at the Porta Hepatis Causing Hepatic Artery Stenosis and Cholestasis.

IF 1

American Journal of Case Reports Pub Date : 2025-01-23 DOI: 10.12659/AJCR.945837

Badi Rawashdeh, Christina Papageorge, Yazan Al-Adwan

{"title":"Post-Transplant Lymphoproliferative Disorder at the Porta Hepatis Causing Hepatic Artery Stenosis and Cholestasis.","authors":"Badi Rawashdeh, Christina Papageorge, Yazan Al-Adwan","doi":"10.12659/AJCR.945837","DOIUrl":"10.12659/AJCR.945837","url":null,"abstract":"BACKGROUND Post-transplant lymphoproliferative disorder (PTLD) encompasses a group of disorders ranging from hyperplastic to malignant lymphoid proliferations in the post-transplant period owing to immunosuppression, often in the setting of EBV transformation. PTLD is a rare complication of immunosuppression that, like lymphomas, can have a variable presentation based on disease localization. We report a case of PTLD mass effect at the porta hepatis for the first time in the literature, resulting in hepatic artery stenosis (HAS) and common hepatic duct obstruction. CASE REPORT A 54-year-old woman presented with cholestasis 4 months after receiving a deceased donor liver transplant. MRCP revealed a mass at the porta hepatis causing biliary compression, which resolved with subsequent biliary stenting. The woman presented again 3 weeks later with a similar presentation. CT revealed that the mass had enlarged, causing HAS, which resolved with subsequent hepatic artery stenting. The biopsy revealed PTLD, and the patient was successfully managed with rituximab and a reduction of her immunosuppressive regimen. CONCLUSIONS This case report describes a rare occurrence of PTLD, which particularly impacting the porta hepatis, resulting in HAS and compression of the bile duct. PTLD should be considered in the differential diagnosis for obstructive jaundice and hepatic artery compression, even in the early post-transplant months, when these symptoms are often attributed to surgical factors.","PeriodicalId":39064,"journal":{"name":"American Journal of Case Reports","volume":"26 ","pages":"e945837"},"PeriodicalIF":1.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11774434/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143024981","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

Adenomyosis-Induced Urinary Retention: Case Analysis and Clinical Implications. 腺肌病引起的尿潴留：病例分析及临床意义。

IF 1

American Journal of Case Reports Pub Date : 2025-01-22 DOI: 10.12659/AJCR.946476

Feihong Xu, Weiyong Zhong, Shujiang Ye, Rongfang Zhong, Yi Jiang, Zhenquan Lu, Lin Xiong, Xiang Xu

{"title":"Adenomyosis-Induced Urinary Retention: Case Analysis and Clinical Implications.","authors":"Feihong Xu, Weiyong Zhong, Shujiang Ye, Rongfang Zhong, Yi Jiang, Zhenquan Lu, Lin Xiong, Xiang Xu","doi":"10.12659/AJCR.946476","DOIUrl":"10.12659/AJCR.946476","url":null,"abstract":"BACKGROUND Acute urinary retention (AUR) is relatively rare in non-pregnant women and is usually associated with lower urinary tract dysfunction, neurological issues, or pelvic organ compression. Adenomyosis is a common gynecologic condition characterized by the invasion of endometrial glands and stroma into the myometrium, often accompanied by symptoms such as dysmenorrhea and heavy menstrual periods. Although adenomyosis is common, its involvement in causing urinary retention is rare but deserves clinical attention. CASE REPORT We report the case of a patient with recurrent urinary retention due to adenomyosis, who had a 20-year history of dysmenorrhea and menorrhagia. Imaging revealed significant thickening of the posterior uterine wall and a globular increase in size. Due to the ineffectiveness of conservative treatment, the patient ultimately underwent a total hysterectomy via laparoscopy. After the operation, the patient's urinary retention symptoms completely disappeared, her urinary function quickly returned to normal, and her postoperative follow-up showed no recurrence of urinary retention or other urinary-related symptoms. CONCLUSIONS Although adenomyosis is common in women, acute urinary retention remains rare. This case report suggests that clinicians should consider adenomyosis as a potential cause alongside other common causes of recurrent or unexplained urinary retention in female patients, particularly in those presenting with classic symptoms such as prolonged dysmenorrhea and menorrhagia. The successful treatment of this case further highlights the importance of an individualized treatment plan, as total hysterectomy can effectively relieve symptoms and improve the patient's quality of life.","PeriodicalId":39064,"journal":{"name":"American Journal of Case Reports","volume":"26 ","pages":"e946476"},"PeriodicalIF":1.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11760045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013483","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