{"title":"A Saddle Pulmonary Embolism at Transthoracic Echocardiography: A Case Report","authors":"Wassim Beladel, M. E. Minaoui","doi":"10.36347/sjmcr.2024.v12i02.007","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i02.007","url":null,"abstract":"Acute Pulmonary embolism (PE) is a life-threatening disease and is considered the third major cause of cardiovascular death with higher incidence and mortality rates. Identifying a saddle PE between the left and the right pulmonary trunk in transthoracic echocardiography (TTE) is rare, and helps to make a rapid diagnosis to avoid complications. Clinical presentation, electrocardiogram, and X-ray guide the diagnosis but are not specific. TTE is helpful and confirms the diagnosis especially when the CT is not available or in other situations when it is not realizable. Visualizing a pulmonary artery thrombus in TTE is unusual. It can be identified in the right cardiac chambers in less than 5% of patients with PE. The severity of acute PE is determined by its hemodynamics, the sudden pulmonary hypertension, and the development of obstructive shock. Anticoagulation therapy is the cornerstone of PE management and should be initiated as soon as possible.","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139871308","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":"A Saddle Pulmonary Embolism at Transthoracic Echocardiography: A Case Report","authors":"Wassim Beladel, M. E. Minaoui","doi":"10.36347/sjmcr.2024.v12i02.007","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i02.007","url":null,"abstract":"Acute Pulmonary embolism (PE) is a life-threatening disease and is considered the third major cause of cardiovascular death with higher incidence and mortality rates. Identifying a saddle PE between the left and the right pulmonary trunk in transthoracic echocardiography (TTE) is rare, and helps to make a rapid diagnosis to avoid complications. Clinical presentation, electrocardiogram, and X-ray guide the diagnosis but are not specific. TTE is helpful and confirms the diagnosis especially when the CT is not available or in other situations when it is not realizable. Visualizing a pulmonary artery thrombus in TTE is unusual. It can be identified in the right cardiac chambers in less than 5% of patients with PE. The severity of acute PE is determined by its hemodynamics, the sudden pulmonary hypertension, and the development of obstructive shock. Anticoagulation therapy is the cornerstone of PE management and should be initiated as soon as possible.","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139811420","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}
Hamza El Jadi, A. Kessab, Hajar Srifi, Imane Moustaghit
{"title":"New Case of Papillary Thyroglossal Tract Cyst Carcinoma, in the Absence of Clear Guidelines, What Should Be Do?","authors":"Hamza El Jadi, A. Kessab, Hajar Srifi, Imane Moustaghit","doi":"10.36347/sjmcr.2024.v12i02.003","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i02.003","url":null,"abstract":"Thyroglossal tract cyst carcinoma (TTCC) is a rare pathological situation, The challenge is mainly in the surgical management. In this article, we report a new case of papillary TTCC in a 51 years old female patient, not suspected preoperatively and confirmed postoperatively by histological analysis of the resected specimen. The therapeutic strategy was completed by a total thyroidectomy with adjuvant treatment with radioactive iodine and hormone restraint therapy. The outcome was favorable after 7 years of follow-up. In the absence of clear guidelines, the management of TTCC depends on the clinical situation and the experience of the treating team.","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139687939","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":"Uterine Rupture: A Distressing Catalyst for Severe Postpartum Hemorrhage","authors":"Chirag Sharma, Hina Patel","doi":"10.36347/sjmcr.2024.v12i02.004","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i02.004","url":null,"abstract":"Uterine rupture is a disruption of the uterine scar, causing foetal expulsion into the peritoneal cavity. This condition, primarily caused by the separation of uterine scar tissue from previous caesarean surgery, reduces foetal survival and increases maternal morbidity and mortality. A 32-year-old woman with a history of four vaginal deliveries and one caesarean section was diagnosed with uterine rupture, leading to a laparotomy procedure and obstetric hysterectomy. Consistent antenatal care can prevent uterine rupture.","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139812392","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":"Value of the Myelogram in the Diagnosis of Gaucher Disease: Two Cases Report","authors":"Houari Mouna, Krichal Lina, Nasfi Abdelmalek, Latifa Jalili, Ammor Abdeslam, Chaimae Errabhi, Majda Elhassouni, Tasnim Kouame, Kaoutar Bahyat, Aissaoui Fqayeh Abderrahmane, Houari Mouna","doi":"10.36347/sjmcr.2024.v12i02.002","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i02.002","url":null,"abstract":"Among the most common constitutional overload enzymopathies, Gaucher disease is a rare constitutional overload disease and often caused by lysosomal enzyme deficiencies in pediatric population more than adults. The cause of Gaucher disease is a deficiency of glucocerebrosidase resulting in an accumulation of glucocerebroside) in macrophages. These abundant macrophages are present in the lymphoid tissues (spleen, liver, marrow, lymph node), some of which have a characteristic morphological appearance (Gaucher cell) allowing the diagnosis to be suggested during myelogram. Reporting two cases of adult patients in whom the demonstration of overload cells in the myelogram allowed us to direct towards the diagnosis of Gaucher disease.","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139828859","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}
J. Mhaili, Mohammed Boussif, Youssef Bouktib Ayoub El Hajjami, B. Boutakioute, M. Idrissi, N. I. Ganouni
{"title":"Synovial Sarcomatous Transformation in Recklinghaussen Disease: A Case Report","authors":"J. Mhaili, Mohammed Boussif, Youssef Bouktib Ayoub El Hajjami, B. Boutakioute, M. Idrissi, N. I. Ganouni","doi":"10.36347/sjmcr.2024.v12i02.001","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i02.001","url":null,"abstract":"Malignant sarcomatous transformation of neurofibromas MSTN are a major cause of mortality in patients with NF1, its optimal management and final prognosis depend on early and accurate detection. Through a case report and a literature review, we will discuss the specificity of sarcomatous transformation in Neurofibromatosis type 1.","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139877277","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}
J. Mhaili, Mohammed Boussif, Youssef Bouktib Ayoub El Hajjami, B. Boutakioute, M. Idrissi, N. I. Ganouni
{"title":"Synovial Sarcomatous Transformation in Recklinghaussen Disease: A Case Report","authors":"J. Mhaili, Mohammed Boussif, Youssef Bouktib Ayoub El Hajjami, B. Boutakioute, M. Idrissi, N. I. Ganouni","doi":"10.36347/sjmcr.2024.v12i02.001","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i02.001","url":null,"abstract":"Malignant sarcomatous transformation of neurofibromas MSTN are a major cause of mortality in patients with NF1, its optimal management and final prognosis depend on early and accurate detection. Through a case report and a literature review, we will discuss the specificity of sarcomatous transformation in Neurofibromatosis type 1.","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139817336","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":"Uterine Rupture: A Distressing Catalyst for Severe Postpartum Hemorrhage","authors":"Chirag Sharma, Hina Patel","doi":"10.36347/sjmcr.2024.v12i02.004","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i02.004","url":null,"abstract":"Uterine rupture is a disruption of the uterine scar, causing foetal expulsion into the peritoneal cavity. This condition, primarily caused by the separation of uterine scar tissue from previous caesarean surgery, reduces foetal survival and increases maternal morbidity and mortality. A 32-year-old woman with a history of four vaginal deliveries and one caesarean section was diagnosed with uterine rupture, leading to a laparotomy procedure and obstetric hysterectomy. Consistent antenatal care can prevent uterine rupture.","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139872541","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":"Value of the Myelogram in the Diagnosis of Gaucher Disease: Two Cases Report","authors":"Houari Mouna, Krichal Lina, Nasfi Abdelmalek, Latifa Jalili, Ammor Abdeslam, Chaimae Errabhi, Majda Elhassouni, Tasnim Kouame, Kaoutar Bahyat, Aissaoui Fqayeh Abderrahmane, Houari Mouna","doi":"10.36347/sjmcr.2024.v12i02.002","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i02.002","url":null,"abstract":"Among the most common constitutional overload enzymopathies, Gaucher disease is a rare constitutional overload disease and often caused by lysosomal enzyme deficiencies in pediatric population more than adults. The cause of Gaucher disease is a deficiency of glucocerebrosidase resulting in an accumulation of glucocerebroside) in macrophages. These abundant macrophages are present in the lymphoid tissues (spleen, liver, marrow, lymph node), some of which have a characteristic morphological appearance (Gaucher cell) allowing the diagnosis to be suggested during myelogram. Reporting two cases of adult patients in whom the demonstration of overload cells in the myelogram allowed us to direct towards the diagnosis of Gaucher disease.","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139888753","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}
Alassane Kouma, Sylvain Coulibaly, Mamadou Dembélé, Moussa Konate, M. N’diaye, H. Diarra, Seydou Ly, Issa Cissé, S. Sanogo, Cheick Zoumana Berete, Soumaïla Keïta, Adama Diaman Keïta, Siaka Sidibé
{"title":"Contribution of Computed Tomography in the Diagnosis of Multifocal Non-Hodgkin’s Lymphoma at the Mother-Child University Hospital the ‘’Luxembourg’’ About a Case","authors":"Alassane Kouma, Sylvain Coulibaly, Mamadou Dembélé, Moussa Konate, M. N’diaye, H. Diarra, Seydou Ly, Issa Cissé, S. Sanogo, Cheick Zoumana Berete, Soumaïla Keïta, Adama Diaman Keïta, Siaka Sidibé","doi":"10.36347/sjmcr.2024.v12i01.007","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i01.007","url":null,"abstract":"Lymphoma is a malignant proliferation of lymphoid tissue cells. We report a case of multi-focal lymphoma of lymph node, pharyngeal, cardiac and splenic sites. This was a 19-year-old patient received in February 2023, at the radiology and medical imaging department of the Mother and Child University Hospital Center ''Luxembourg'' as part of the CT exploration of a lateral mass. -left cervical. On admission, the clinical examination found a patient with an altered general condition, moderately colored conjunctiva, normal blood pressure and temperature. Examination of the lymph node areas revealed a left latero-cervical swelling, and fixed bilateral axillary swellings, of firm consistency and irregular contours. Palpation revealed hepatosplenomegaly. Cardiopulmonary auscultation was normal. A cervico-thoraco-abdominal CT scan revealed irregular thickening of the left lateral wall of the oropharynx, a hypodense tissue mass in the right cardiac chambers, heterogeneous splenomegaly, cervical, mediastinal, axillary and abdominal ADP. The histological examination carried out after lymph node biopsy revealed a histological appearance of small cell lymphoma. Conclusion: Lymphoma is a very common malignant tumor that can occur at any age. This tumor can affect all organs, however its cardiac location is rare. The positive diagnosis remains histological. Imaging plays an important role in the initial assessment, extension and surveillance.","PeriodicalId":509943,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139535295","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}