Archive of clinical cases最新文献_第4页

An unusual variant of type I common bile duct duplication associated with ampullary carcinoma. 与胰腺癌相关的 I 型总胆管重复的不寻常变异。

IF 0.8

Archive of clinical cases Pub Date : 2024-07-16 eCollection Date: 2024-01-01 DOI: 10.22551/2024.43.1102.10289

Andrei Bancu, Thomas Poundall, Claudia Santos, Yutaro Higashi, Abed M Zaitoun, Dileep N Lobo

引用次数: 0

Type II pleuropulmonary blastoma in a fetus: case report of a rare mesenchymal mediastinal tumor and literature review. 胎儿胸膜肺泡瘤 II 型：罕见间质纵隔肿瘤病例报告和文献综述。

IF 0.8

Archive of clinical cases Pub Date : 2024-06-24 eCollection Date: 2024-01-01 DOI: 10.22551/2024.43.1102.10286

Valentin Tiberiu Moldovan, Maria Sajin, Sergiu D Habago, Leila Ali

{"title":"Type II pleuropulmonary blastoma in a fetus: case report of a rare mesenchymal mediastinal tumor and literature review.","authors":"Valentin Tiberiu Moldovan, Maria Sajin, Sergiu D Habago, Leila Ali","doi":"10.22551/2024.43.1102.10286","DOIUrl":"10.22551/2024.43.1102.10286","url":null,"abstract":"Mediastinal tumors are exceedingly rare during fetal development, presenting significant diagnostic challenges and potentially leading to severe outcomes such as stillbirth or metastatic disease if not promptly identified and managed. Pleuropulmonary blastomas are primitive mesenchymal tumors often linked to mutations in the DICER1 gene, indicating a hereditary pattern associated with other common adult neoplasms with dominant inheritance. This report describes a case involving a 20-year-old Caucasian woman whose pregnancy was complicated by a stillbirth in the second trimester. Initial suspicions of a mediastinal tumor arose from blood tests and ultrasound examinations during pregnancy surveillance. However, the definitive diagnosis of a type II pleuropulmonary blastoma was established through a pathological examination at autopsy. This case underscores the complexities of diagnosing fetal mediastinal tumors and contributes to the sparse literature on neonatal pleuropulmonary blastomas. Our comprehensive review of the differential diagnoses and literature emphasizes the unique characteristics of pleuropulmonary blastoma and its similarities to other soft tissue sarcomas, enhancing understanding of their clinical and genetic profiles.","PeriodicalId":72274,"journal":{"name":"Archive of clinical cases","volume":"11 2","pages":"41-46"},"PeriodicalIF":0.8,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11195025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141452309","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

Pacemaker lead thrombosis - a rare cause of breathlessness. 起搏器导线血栓--导致呼吸困难的罕见原因。

IF 0.8

Archive of clinical cases Pub Date : 2024-06-24 eCollection Date: 2024-01-01 DOI: 10.22551/2024.43.1102.10288

Megan Ashleigh Kelly, Alexander Davidson, Kirsty Griffiths, Renzo Pessotto, Stephen James Leslie

{"title":"Pacemaker lead thrombosis - a rare cause of breathlessness.","authors":"Megan Ashleigh Kelly, Alexander Davidson, Kirsty Griffiths, Renzo Pessotto, Stephen James Leslie","doi":"10.22551/2024.43.1102.10288","DOIUrl":"10.22551/2024.43.1102.10288","url":null,"abstract":"As the number of pacemaker insertions increases to manage numerous cardiac arrhythmias, the number of complications is also increasing as a result. More common complications such as infection and lead displacement are routinely discussed with patients before they undergo the procedure. However rare complications such as superior vena cava syndrome are not discussed during the consenting period. But they do occur, as seen in this case of a 69-year-old male. This fit and active man had a right-sided dual-chamber pacemaker inserted due to sinus node disease and presented 5 years later with symptoms suggestive of superior vena cava obstruction (SVCO). Despite anticoagulation and before surgical intervention could be performed, the patient developed a right-sided chylothorax which was drained. An autologous pericardial patch repair of the SVC and a thrombectomy of SVC clots was subsequently performed. This was only partially successful and the SVCO recurred. A low fatty chain diet was initiated to manage the chylothorax, which remains stable. This rare complication has left the patient with a small pleural effusion and chronic pleural thickening. They can still exercise with mild breathlessness. The management of such a complication, which requires the input of many specialists, is challenging and often does not completely resolve all symptoms. For this reason, superior vena cava obstruction should be considered as a risk during the consenting procedure for a pacemaker insertion.","PeriodicalId":72274,"journal":{"name":"Archive of clinical cases","volume":"11 2","pages":"51-55"},"PeriodicalIF":0.8,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11195026/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141452307","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

Is it a thrombus or a tumor? An imaging dilemma for clinicians. 是血栓还是肿瘤？临床医生的影像难题。

IF 0.8

Archive of clinical cases Pub Date : 2024-06-24 eCollection Date: 2024-01-01 DOI: 10.22551/2024.43.1102.10285

James Choi, Toby Speirs, Ranvir Bhatia, Sanjay Sivalokanathan, Colin Craft

引用次数: 0

Transcatheter prosthetic valve endocarditis of an aortic valve-in-valve bioprosthesis in an elderly male. 一名老年男性的主动脉瓣瓣中瓣生物假体经导管人工瓣膜心内膜炎。

IF 0.8

Archive of clinical cases Pub Date : 2024-06-24 eCollection Date: 2024-01-01 DOI: 10.22551/2024.43.1102.10287

Shreyas Bellur, Michele Gallo, Brian Ganzel, Praveen Seshabhattar, Siddharth Pahwa

引用次数: 0

Triple whammy in a patient with portal vein thrombosis. 门静脉血栓患者的三重打击。

Archive of clinical cases Pub Date : 2024-05-14 eCollection Date: 2024-01-01 DOI: 10.22551/2024.42.1101.10280

Elamein Yousif, Elamin Dahawi, Sarah Premraj, Wissem Melki

引用次数: 0

Internal hernia as cause of acute abdomen in a preterm neonate: when necrotizing enterocolitis is not the culprit. 早产新生儿急腹症的原因是内疝：当坏死性小肠结肠炎不是罪魁祸首时。

Archive of clinical cases Pub Date : 2024-05-14 eCollection Date: 2024-01-01 DOI: 10.22551/2024.42.1101.10284

Zoi Lamprinou, Elisavet Kanna, Ioannis Skondras, Rodanthi Sfakiotaki, Jonida Mene, Orthodoxos Achilleos

引用次数: 0

A reevaluation of mixed depressive states from the DSM-5- TR perspective: a series of prototypical cases. 从 DSM-5- TR 角度重新评估混合抑郁状态：一系列原型病例。

Archive of clinical cases Pub Date : 2024-04-30 eCollection Date: 2024-01-01 DOI: 10.22551/2024.42.1101.10282

Stefano Pini, Accursio Raia, Giulia Amatori, Benedetta Nardi, Barbara Carpita, Antonio Tundo, Liliana Dell'Osso

{"title":"A reevaluation of mixed depressive states from the DSM-5- TR perspective: a series of prototypical cases.","authors":"Stefano Pini, Accursio Raia, Giulia Amatori, Benedetta Nardi, Barbara Carpita, Antonio Tundo, Liliana Dell'Osso","doi":"10.22551/2024.42.1101.10282","DOIUrl":"https://doi.org/10.22551/2024.42.1101.10282","url":null,"abstract":"Mixed depressive states are defined by the co-presence of depressive and manic symptoms. They represent extremely variable conditions from the point of view of clinical expressiveness and are difficult to recognize, ranging from clear schizophrenic-like psychoses and pseudodemented pictures to subsyndromal psychopathology. At the basis of the extreme variability of depressive pictures with mixed features are the different combinations that depressive and manic symptoms can assume. Furthermore, the intensity of depressive symptoms and manic symptoms, combined, can be variable, a factor that contributes to making the picture even more variable. Each form of mixed depressive state therefore presents its own specific symptomatic characteristics and specific difficulties in differential diagnosis and each form requires a different therapeutic strategy. In this work we have distinguished four possible specific subtypes of mixed depressive states, describing their specific clinical presentation and the therapeutic options most supported by the literature with the aim of contributing to a better recognition of mixed depressive states, to avoid incorrect diagnoses at patient and treatments that are useless if not worsening.","PeriodicalId":72274,"journal":{"name":"Archive of clinical cases","volume":"11 1","pages":"22-28"},"PeriodicalIF":0.0,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11060145/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867744","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

Exploring the severity and early onset of familial type 1 diabetes in Romania: genetic and microbiota insights. 探索罗马尼亚家族性 1 型糖尿病的严重性和早期发病情况：遗传和微生物群的启示。

Archive of clinical cases Pub Date : 2024-04-30 eCollection Date: 2024-01-01 DOI: 10.22551/2024.42.1101.10283

Amalia Ioana Arhire, Dorian Sorin Ioacara, Teodora Papuc, Gratiela Gradisteanu Parcalibioru, Simona Fica

{"title":"Exploring the severity and early onset of familial type 1 diabetes in Romania: genetic and microbiota insights.","authors":"Amalia Ioana Arhire, Dorian Sorin Ioacara, Teodora Papuc, Gratiela Gradisteanu Parcalibioru, Simona Fica","doi":"10.22551/2024.42.1101.10283","DOIUrl":"https://doi.org/10.22551/2024.42.1101.10283","url":null,"abstract":"Type 1 diabetes mellitus (T1DM) is a chronic condition characterized by pancreatic autoimmunity and destruction of the insulin producing beta-cells. The risk of familial type 1 diabetes (FT1DM) is greater in families with paternal T1DM. The children with paternal FT1DM have a more severe form of the disease with diabetic ketoacidosis. Three families with FT1DM, out of which two with paternal diabetes and daughters diagnosed with this disease, and one family with sibling FT1DM were evaluated between 2019-2021 in the Pediatric Diabetes and the Diabetes, Nutrition and Metabolic Departments of a tertiary hospital. Clinical, biological, and genetic evaluations were performed, together with an assessment of the gastrointestinal microbiota. The Romanian children with FT1DM had a more severe onset, a median of age at onset of 9 years old and a genetic predisposition with positive HLA DR3/R4, DQB1*02:01. The protecting allele, DPB1*04:01, was found only in the siblings with FT1DM. A gastrointestinal dysbiosis, characterized by pro-inflammatory bacteria, with high levels of Enterobacteriaceae and Candida, was observed in the gut microbiota. This is the first case series of FT1DM in Romanian patients that shows the presence of genetic determinants but also a pathological microbiota which may determine a more severe and an early-age onset of disease.","PeriodicalId":72274,"journal":{"name":"Archive of clinical cases","volume":"11 1","pages":"29-33"},"PeriodicalIF":0.0,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11060146/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140873822","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

Recurrent diffuse alveolar hemorrhage and extracorporeal membrane oxygenation utilization in a hematopoietic stem cell transplant patient with Hunter's syndrome. 一名亨特综合征造血干细胞移植患者的复发性弥漫性肺泡出血和体外膜氧合的使用。

Archive of clinical cases Pub Date : 2024-04-30 eCollection Date: 2024-01-01 DOI: 10.22551/2024.42.1101.10281

Nasreen Noor, Gene Peir, Ásdís Finnsdóttir Wagner, Jay Rilinger, Jenna Miller

引用次数: 0