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}
{"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}
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}
{"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}
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}
{"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}
{"title":"A case of corneal abscess following self-medication with topical dermatologic corticosteroids in a child.","authors":"Firdaouss Essaddouqui Esslimani, Chaimae Khodriss, Soukaina Zefzoufi, Soukayna Kabbou, Meriem El Bahloul","doi":"10.1093/omcr/omaf064","DOIUrl":"10.1093/omcr/omaf064","url":null,"abstract":"<p><p>Topical dermatologic corticosteroids (TDC), while essential in treating skin conditions, can cause severe complications when misused, particularly in children. This case study reports a 7-year-old girl with a history of long-term self-medication with 0.05% betamethasone for dermatological lesions, resulting in iatrogenic Cushing's syndrome and a severe corneal abscess. The child presented with visual loss, corneal infiltrates, and hypopyon. Ocular and biochemical tests confirmed the diagnosis. The management included antifungal and antibacterial treatments, intrastromal voriconazole injection, and amniotic membrane grafting. TDC were gradually discontinued, and tacrolimus was used for skin symptoms. After 3 months, visual acuity improved to 3/10, with residual corneal opacity. This case emphasizes the dangers of prolonged TDC use without supervision and the need for early intervention in ocular complications.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 6","pages":"omaf064"},"PeriodicalIF":0.5,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530261","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}
Bonifacio C Pedregosa Ii, Herminigildo H Gan, Cyrus G Escabillas, Jose C Navarro
{"title":"Co-occurrence of familial cerebral cavernous malformations and tuberculous meningitis.","authors":"Bonifacio C Pedregosa Ii, Herminigildo H Gan, Cyrus G Escabillas, Jose C Navarro","doi":"10.1093/omcr/omaf071","DOIUrl":"10.1093/omcr/omaf071","url":null,"abstract":"","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 6","pages":"omaf071"},"PeriodicalIF":0.5,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530268","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}
{"title":"Innovative anaesthetic approaches to severe Kyphoscoliosis in a child with congenital vertebral abnormalities: a case report.","authors":"Rahul Kumar Chaudhary, Prajwal Bista, Byre Gowda","doi":"10.1093/omcr/omaf081","DOIUrl":"10.1093/omcr/omaf081","url":null,"abstract":"<p><p>The management of severe kyphoscoliosis in children, particularly those with congenital vertebral anomalies, presents a formidable challenge that requires a highly coordinated, multidisciplinary approach. In this case report, we delve into the complex journey of an 11-year-old female diagnosed with extreme kyphoscoliosis (Cobb's angle 90°) complicated by rib and vertebral dysplasia. This unique presentation not only demanded precision in surgical technique but also necessitated advanced anesthetic strategies and real-time intraoperative monitoring to ensure a successful outcome. Undergoing a major spinal deformity correction and stabilization procedure, the patient benefitted from cutting-edge technologies and tailored anesthetic interventions, designed to mitigate the inherent risks of such intricate surgeries. Remarkably, her perioperative course remained entirely uneventful, and she emerged from surgery with exceptional clinical results. This case underscores the importance of a holistic, collaborative care model-where orthopedic surgeons, anesthesiologists, and specialized support teams work in concert to navigate the complexities of congenital spinal anomalies. Key Clinical Message The management of severe kyphoscoliosis in pediatric patients with congenital vertebral anomalies requires a highly coordinated, multidisciplinary approach to ensure optimal outcomes. This case highlights the value of advanced anaesthetic and surgical techniques, real-time intraoperative monitoring, and personalized anesthetic strategies in achieving successful correction of complex spinal deformities while minimizing perioperative risks.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 6","pages":"omaf081"},"PeriodicalIF":0.5,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202294/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530278","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}
Hawro T Hamza, Huda S Sulaiman, Muazzaz G Jaafar, Savan S Shengola, Bahkan J Saeed, Sami S Omar, Fahmi M Fatah, Kakil I Rasul, Saadi A Surchi, Fayrooz A Kakasur, Mohammed N Gheni, Chinar A Mustafa
{"title":"Peritoneal metastasis of high-grade glioma via Ventriculoperitoneal shunt.","authors":"Hawro T Hamza, Huda S Sulaiman, Muazzaz G Jaafar, Savan S Shengola, Bahkan J Saeed, Sami S Omar, Fahmi M Fatah, Kakil I Rasul, Saadi A Surchi, Fayrooz A Kakasur, Mohammed N Gheni, Chinar A Mustafa","doi":"10.1093/omcr/omaf080","DOIUrl":"10.1093/omcr/omaf080","url":null,"abstract":"<p><p>High-grade gliomas (HGGs) are aggressive primary brain tumors with a poor prognosis. Although extracranial metastasis is uncommon, peritoneal dissemination via ventriculoperitoneal (VP) shunts is extremely rare. Here, we describe the case of an 18-year-old female with HGG who developed peritoneal metastasis one year after VP shunt placement. Although VP shunting in the presence of an intracranial high-grade tumor is generally not contraindicated, shunt-related metastasis should be recognized as a potential risk and an important, albeit rare, clinical presentation. This case highlights the diagnostic challenges and therapeutic limitations of this rare complication. Understanding this phenomenon is crucial for developing effective monitoring and treatment strategies.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 6","pages":"omaf080"},"PeriodicalIF":0.5,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202301/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530284","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}