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Meigs syndrome in low-resource setting: a pediatric case report. 低资源环境中的Meigs综合征：一份儿科病例报告。
IF 0.5
Oxford Medical Case Reports Pub Date : 2025-06-27 eCollection Date: 2025-06-01 DOI: 10.1093/omcr/omaf056
Sheila Macuácua, Arlindo Muhelo, Mohammad Salgado, Agostino Calção, Helton Zucula, Ahivaldino Zita, Josina Chilundo, Sandra Mavale, Damiano Pizzol, Lee Smith
{"title":"Meigs syndrome in low-resource setting: a pediatric case report.","authors":"Sheila Macuácua, Arlindo Muhelo, Mohammad Salgado, Agostino Calção, Helton Zucula, Ahivaldino Zita, Josina Chilundo, Sandra Mavale, Damiano Pizzol, Lee Smith","doi":"10.1093/omcr/omaf056","DOIUrl":"10.1093/omcr/omaf056","url":null,"abstract":"<p><p>Meigs syndrome is a rare condition characterized by the presence of a benign fibroma of the ovary, ascites, and pleural effusion. It is very uncommon and the diagnosis is made with difficulty based on symptoms that usually mimic disseminated malignancy or tuberculosis. Although it is a benign and treatable condition, extreme presentations of late-stage diseases occur with high mortality and morbidity rates. We report on a case of a 13-year-old female presenting with misdiagnosed late-stage Meigs Syndrome in a low-resource setting.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 6","pages":"omaf056"},"PeriodicalIF":0.5,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202289/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530280","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
Metastatic spread of pleural mesothelioma to the peritoneum and gallbladder presenting as recurrent acute cholecystitis. 胸膜间皮瘤转移扩散至腹膜及胆囊，表现为复发性急性胆囊炎。
IF 0.5
Oxford Medical Case Reports Pub Date : 2025-06-27 eCollection Date: 2025-06-01 DOI: 10.1093/omcr/omaf082
Mina Fouad, Abed M Zaitoun, Dileep N Lobo
{"title":"Metastatic spread of pleural mesothelioma to the peritoneum and gallbladder presenting as recurrent acute cholecystitis.","authors":"Mina Fouad, Abed M Zaitoun, Dileep N Lobo","doi":"10.1093/omcr/omaf082","DOIUrl":"10.1093/omcr/omaf082","url":null,"abstract":"<p><p>Malignant pleural mesothelioma, a rare, aggressive cancer primarily associated with asbestos exposure, is characterised by poor prognosis and limited treatment options. Distant metastases are uncommon, and peritoneal involvement is rare, while metastasis to the gallbladder is extremely unusual. We report the case of a patient with malignant pleural mesothelioma undergoing immunotherapy with nivolumab and ipilimumab, who developed recurrent acute cholecystitis. Imaging revealed features of acute cholecystitis with gallstones. She eventually underwent a laparoscopic cholecystectomy because immunotherapy could not be continued in the presence of infection. Histopathological and immunohistochemical analysis confirmed metastatic epithelioid mesothelioma. The gallbladder metastasis was likely haematogenous or from peritoneal seeding, rather than direct spread. This case underscores the importance of a high index of suspicion when evaluating atypical presentations of mesothelioma, particularly in the context of immunotherapy.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 6","pages":"omaf082"},"PeriodicalIF":0.5,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530281","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
Chronic leg ulcers in a patient with Hyperoxaluria type 1: a rare and challenging diagnosis. 1型高草酸尿患者的慢性腿部溃疡：罕见且具有挑战性的诊断。
IF 0.5
Oxford Medical Case Reports Pub Date : 2025-06-27 eCollection Date: 2025-06-01 DOI: 10.1093/omcr/omaf068
Soukayna Kabbou, Ouiam Eljouari, Salim Gallouj
{"title":"Chronic leg ulcers in a patient with Hyperoxaluria type 1: a rare and challenging diagnosis.","authors":"Soukayna Kabbou, Ouiam Eljouari, Salim Gallouj","doi":"10.1093/omcr/omaf068","DOIUrl":"10.1093/omcr/omaf068","url":null,"abstract":"<p><p>Calciphylaxis is an uncommon yet highly severe condition characterized by systemic medial calcification of arterioles, leading to ischemia and subsequent tissue necrosis. we report the case of a 29 year-old female suffering from primary hyperoxaluria type 1 and end-stage renal disease, Developed multiple painful ulcerations on her legs, initially believed to be due to cutaneous oxalosis. However, pathology findings revealed calciphylaxis. The association calciphylaxis and hyperoxaluria is rare, making this case unique. and she was treated with medical therapy, high-flow oxygen therapy and advanced wound dressings to facilitate granulation tissue formation and optimize ulcer healing, and daily hemodialysis with a low-calcium dialysate.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 6","pages":"omaf068"},"PeriodicalIF":0.5,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530266","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
CSF dissemination of EGFR-mutant lung cancer present as cranial nerve injury and masticator muscle denervation: a case report and literature review. egfr突变肺癌脑脊液播散表现为颅神经损伤和咀嚼肌失神经支配：1例报告并文献复习。
IF 0.5
Oxford Medical Case Reports Pub Date : 2025-06-27 eCollection Date: 2025-06-01 DOI: 10.1093/omcr/omaf055
Cheng-Sheng Liu, Kevin Li-Chun Hsieh, Long-Sheng Lu, Jeng-Fong Chiou
{"title":"CSF dissemination of EGFR-mutant lung cancer present as cranial nerve injury and masticator muscle denervation: a case report and literature review.","authors":"Cheng-Sheng Liu, Kevin Li-Chun Hsieh, Long-Sheng Lu, Jeng-Fong Chiou","doi":"10.1093/omcr/omaf055","DOIUrl":"10.1093/omcr/omaf055","url":null,"abstract":"<p><p>Lung cancer with central nervous system metastases are troublesome clinical scenarios. Rare and diagnostically challenging presentations with subtle image findings may delay diagnosis. We report one case with advanced non-small cell lung cancer. A 48-year-old female present with chewing difficulty, diplopia and facial asymmetry. Magnetic resonance imaging of the brain revealed edematous swelling and abnormal enhancement over bilateral masticator muscles, and faint enhancement over origins of cranial nerves near brainstem. Therefore, masticator muscle denervation related to cranial nerve injury was diagnosed. Symptomatic and disease control was achieved after double dose osimertinib which provide novel insights in the treatment of EGFR-mutant lung cancer with cranial nerve involvement. Chewing difficulty is an exceptional clinical presentation in lung cancer and may lead to delayed diagnosis in case of unawareness. In addition, radiological detectable bilateral masticator muscle denervation is rarely seen and has not been published in the field of lung cancer.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 6","pages":"omaf055"},"PeriodicalIF":0.5,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530270","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
Occult mesenteric injury after blunt abdominal trauma. 腹部钝性创伤后隐蔽性肠系膜损伤。
IF 0.5
Oxford Medical Case Reports Pub Date : 2025-06-27 eCollection Date: 2025-06-01 DOI: 10.1093/omcr/omaf083
Jan Philipp Ramspott, Gaby Kass Abd Alahad, Hans-Joachim Meyer-Krahmer, Alexander D Bungert, Andreas Pascher, Reiner Schürmann
{"title":"Occult mesenteric injury after blunt abdominal trauma.","authors":"Jan Philipp Ramspott, Gaby Kass Abd Alahad, Hans-Joachim Meyer-Krahmer, Alexander D Bungert, Andreas Pascher, Reiner Schürmann","doi":"10.1093/omcr/omaf083","DOIUrl":"10.1093/omcr/omaf083","url":null,"abstract":"","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 6","pages":"omaf083"},"PeriodicalIF":0.5,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530283","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
Immunodeficiency, centromeric instability, and facial anomalies (ICF) syndrome identified by whole-exome sequencing (WES): a case report from a developing country. 通过全外显子组测序（WES）鉴定的免疫缺陷、着丝粒不稳定和面部异常（ICF）综合征：来自一个发展中国家的病例报告。
IF 0.5
Oxford Medical Case Reports Pub Date : 2025-06-27 eCollection Date: 2025-06-01 DOI: 10.1093/omcr/omaf079
Rahaf Joma, Shahed Radwan, Sakhaa Hannoun, Jawad Hasson, Banan M Aiesh
{"title":"Immunodeficiency, centromeric instability, and facial anomalies (ICF) syndrome identified by whole-exome sequencing (WES): a case report from a developing country.","authors":"Rahaf Joma, Shahed Radwan, Sakhaa Hannoun, Jawad Hasson, Banan M Aiesh","doi":"10.1093/omcr/omaf079","DOIUrl":"10.1093/omcr/omaf079","url":null,"abstract":"<p><strong>Background: </strong>Immunodeficiency, centromeric instability, and facial anomalies (ICF) syndrome is a rare genetic autosomal recessive disorder that results in impaired immune system function, instability of the centromeric region of chromosomes, and distinct facial features. This is the first case report of ICF in Palestine.</p><p><strong>Case presentation: </strong>A male child with recurrent respiratory tract infections, ear discharge and facial anomalies. Whole-exome sequencing was performed. A homozygous missense variant DNMT3B was identified, and the patient was diagnosed with ICF and was managed successfully with intravenous immunoglobulins.</p><p><strong>Conclusion: </strong>ICF syndrome is a rare genetic disorder that affects the immune system. It has three common symptoms which are present in most cases. Treatments like immunoglobulin supplementation or allogeneic stem cell transplantation can improve the chances of survival and enhance the quality of life.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 6","pages":"omaf079"},"PeriodicalIF":0.5,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530277","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
Signet ring cell carcinoma of the ampulla of Vater: case series. 壶腹印戒细胞癌：病例系列。
IF 0.5
Oxford Medical Case Reports Pub Date : 2025-06-27 eCollection Date: 2025-06-01 DOI: 10.1093/omcr/omaf072
Christian Zeta-Arica, Lucia Galarreta-Galvez, Fernando Revoredo-Rego, Fritz Kometter-Barrios, Jose Arenas-Gamio
{"title":"Signet ring cell carcinoma of the ampulla of Vater: case series.","authors":"Christian Zeta-Arica, Lucia Galarreta-Galvez, Fernando Revoredo-Rego, Fritz Kometter-Barrios, Jose Arenas-Gamio","doi":"10.1093/omcr/omaf072","DOIUrl":"10.1093/omcr/omaf072","url":null,"abstract":"<p><p>Signet ring cell carcinomas (SRCC) are aggressive neoplasms with poor prognoses, commonly found in the stomach, colon, and small intestine. However, their occurrence in the Ampulla of Vater is rare and their origin remains unclear. Among 163 cases of surgically treated ampullary carcinomas, we observed 4 cases (2.4%) of SRCC with jaundice being the primary clinical manifestation, followed by weight loss and abdominal pain. Duodenoscopy played a pivotal role in the diagnosis. Anatomopathological findings are detailed, emphasizing immuno-histological lineage and lymph node involvement. Two cases underwent adjuvant treatment (GemCap and Folfirinox), with follow-up periods ranging from 18 to 64 months. We review the literature, highlighting the importance of radical surgery, lymph node involvement, and systemic treatment in the survival of these patients.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 6","pages":"omaf072"},"PeriodicalIF":0.5,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202320/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530287","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
Single-digit clubbing revealing an occult fracture. 一根手指杵状物显示有隐匿性骨折。
IF 0.5
Oxford Medical Case Reports Pub Date : 2025-06-27 eCollection Date: 2025-06-01 DOI: 10.1093/omcr/omaf065
Mahesh Mathur, Sushan Adhikari, Sumit Paudel, Nabita Bhattarai, Sambidha Karki, Sandhya Regmi
{"title":"Single-digit clubbing revealing an occult fracture.","authors":"Mahesh Mathur, Sushan Adhikari, Sumit Paudel, Nabita Bhattarai, Sambidha Karki, Sandhya Regmi","doi":"10.1093/omcr/omaf065","DOIUrl":"10.1093/omcr/omaf065","url":null,"abstract":"<p><p>Single-digit clubbing is a rare physical sign, with only a few cases reported in the literature. The causes of single-digit clubbing are myxoid cyst, osteoid osteoma, enchondromas, myxochondromas, superficial acral fibromyxoma, sarcoidosis, median, and ulnar nerve injury. We hereby report a case of solitary digital clubbing of the toe due to an underlying occult fracture.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 6","pages":"omaf065"},"PeriodicalIF":0.5,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202302/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530288","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
Sinus arrest consequence of moderate hyperkalemia: a case report. 中度高钾血症引起的窦性停搏1例。
IF 0.5
Oxford Medical Case Reports Pub Date : 2025-06-27 eCollection Date: 2025-06-01 DOI: 10.1093/omcr/omaf059
Antonio Cortés-Ortíz, José Antonio Trujillo-Espinosa, José Antonio Hernández-Lozada, Abraham Edgar Gracia-Ramos
{"title":"Sinus arrest consequence of moderate hyperkalemia: a case report.","authors":"Antonio Cortés-Ortíz, José Antonio Trujillo-Espinosa, José Antonio Hernández-Lozada, Abraham Edgar Gracia-Ramos","doi":"10.1093/omcr/omaf059","DOIUrl":"10.1093/omcr/omaf059","url":null,"abstract":"<p><p>Hyperkalemia can lead to life-threatening arrhythmias, regardless of serum potassium levels. The electrocardiogram morphology lacks sensitivity and specificity in indicating the severity of hyperkalemia. Here, we present a case of an elderly woman with a history of end-stage renal disease on hemodialysis who developed sinus arrest due to moderate hyperkalemia without typical electrocardiographic findings of hyperkalemia, with subsequent restoration of sinus rhythm after correcting the electrolytic disturbance. The case highlights the importance of clinicians maintaining a high degree of suspicion for electrocardiographic abnormalities related to hyperkalemia, even in the absence of typical ECG findings, to ensure accurate diagnosis and timely intervention.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 6","pages":"omaf059"},"PeriodicalIF":0.5,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530289","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
Traumatic oculomotor nerve avulsion with subarachnoid hemorrhage identified using magnetic resonance imaging. 外伤性动眼神经撕脱并蛛网膜下腔出血的核磁共振诊断。
IF 0.5
Oxford Medical Case Reports Pub Date : 2025-06-27 eCollection Date: 2025-06-01 DOI: 10.1093/omcr/omaf070
Keiichiro Tominaga, Takashi Moriya, Tomohiro Kikuchi, Yuki Kishihara, Hideto Yasuda, Masahiro Kashiura, Shinzato Yutaro
{"title":"Traumatic oculomotor nerve avulsion with subarachnoid hemorrhage identified using magnetic resonance imaging.","authors":"Keiichiro Tominaga, Takashi Moriya, Tomohiro Kikuchi, Yuki Kishihara, Hideto Yasuda, Masahiro Kashiura, Shinzato Yutaro","doi":"10.1093/omcr/omaf070","DOIUrl":"10.1093/omcr/omaf070","url":null,"abstract":"<p><p>Traumatic injury to the oculomotor nerve is a serious condition and generally carries a poor prognosis.Herein, we report a case of oculomotor nerve disruption with traumatic subarachnoid hemorrhage that was identified using an imaging technique. A 63-year-old female patient was brought to our emergency department following a traffic accident. Conservative treatment was initiated, leading to an improvement in her level of consciousness, although her right oculomotor nerve palsy symptoms remained unalleviated. She was discharged 2 weeks later with persistent symptoms of right oculomotor nerve palsy. In cases of cranial nerve palsy following head injuries, magnetic resonance imaging using steady-state constructive interference can provide valuable insights for detecting damage within the tentorial gap.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 6","pages":"omaf070"},"PeriodicalIF":0.5,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202295/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530301","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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