Archives of clinical and medical case reports最新文献_第10页

Patient with Carcinoid Syndrome and Severe Cardiac Disease with Both Tricuspid an Pulmonary Lesions 伴有三尖瓣和肺部病变的类癌综合征和严重心脏病患者

Archives of clinical and medical case reports Pub Date : 2022-01-01 DOI: 10.26502/acmcr.96550518

I. Nițu, I. Burcea, Daniela Greere, A. Croitoru, C. Poiană

{"title":"Patient with Carcinoid Syndrome and Severe Cardiac Disease with Both Tricuspid an Pulmonary Lesions","authors":"I. Nițu, I. Burcea, Daniela Greere, A. Croitoru, C. Poiană","doi":"10.26502/acmcr.96550518","DOIUrl":"https://doi.org/10.26502/acmcr.96550518","url":null,"abstract":"Introduction: Carcinoid Heart Disease (CHD) is a rare cardiac manifestation occurring in patients with advanced Neuroendocrine Tumours (NET) and the carcinoid syndrome, usually involving the right-sided heart valves and eventually leading to right heart failure. The additional burden of cardiac dysfunction heralds a steep decline in quality of life and survival, the prompt recognition of this disease being therefore of the utmost importance. Case summary: We present the case of a 57 year old female patient diagnosed in 2016 with carcinoid tumor of the proxymal ileum (Grade 2 NET ki 67 8%) and liver metastasis. She underwent surgery with both tumor and secondary determinations resection, followed by chemotherapy in the same year. The patient comes to our clinic in February 2019, complaining in the last 5 months of abdominal pain associated with flushing of the face, simetric peripheral edema, progressive limitation in effort, appearance of dyspnea on moderate exertion and dry caugh. The transthoracic echocardiography detected severe dilation of the right chambers, systolic dysfunction of the right ventricle, tricuspid disease with severe regurgitation and mild stenosis.","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69343387","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}

引用次数: 0

Laparoscopic Cholecystectomy for a giant Gallstone 腹腔镜胆囊切除术治疗巨大胆结石

Archives of clinical and medical case reports Pub Date : 2022-01-01 DOI: 10.26502/acmcr.96550447

Irfan Jan Khan, Murad Alahmad, Fahad Aurif, Najeeb Hussain Mir

{"title":"Laparoscopic Cholecystectomy for a giant Gallstone","authors":"Irfan Jan Khan, Murad Alahmad, Fahad Aurif, Najeeb Hussain Mir","doi":"10.26502/acmcr.96550447","DOIUrl":"https://doi.org/10.26502/acmcr.96550447","url":null,"abstract":"Introduction: Cholelithiasis is very common, but giant gallstones gallstones bigger than 5 cm in diameter, are very rare. It is very challenging to remove them laparoscopically, especially in emergency situations. Case Report: A 69-year-old female complained of right upper abdominal pain with vomiting for 1 day. Abdominal ultrasound indicated acute cholecystitis and a single, extremely large gallstone (9cm). Emergency laparoscopic cholecystectomy was performed successfully. Discussion: Gallstone over 5 cm in diameter is very rare. Laparoscopic Cholecystectomy (LC) is very difficult for these cases, especially in the emergency situations. Laparoscopic cholecystectomy can, however, be safely performed in experienced hands. To the best of our knowledge, this is one of the biggest gallstones managed laparoscopically. Conclusion: Although the presence of giant gallstones poses technical challenges, laparoscopic cholecystectomy can be safely performed in the experienced hands. However, if the anatomy cannot be delineated clearly, open surgery remains the safe option. Arch Clin Med Case Rep 2022; 6 (1): 40-44 DOI: 10.26502/acmcr.96550447 Archives of Clinical and Medical Case Reports 41","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69343522","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}

引用次数: 1

Jejunum Hemolymphangioma Presenting as Chronic Anemia: A Case Report 空肠淋巴血管瘤表现为慢性贫血1例

Archives of clinical and medical case reports Pub Date : 2022-01-01 DOI: 10.26502/acmcr.96550448

Jiao Liu, Meng Zhang, Yesheng Li, Yi Chen, Yong-Han Hong, Yangqing Huang

{"title":"Jejunum Hemolymphangioma Presenting as Chronic Anemia: A Case Report","authors":"Jiao Liu, Meng Zhang, Yesheng Li, Yi Chen, Yong-Han Hong, Yangqing Huang","doi":"10.26502/acmcr.96550448","DOIUrl":"https://doi.org/10.26502/acmcr.96550448","url":null,"abstract":"Presenting Chronic Anemia: A Case Report. Abstract Background: Hemolymphangioma is a rare disease with congenital malformation of both vascular and lymphatic vessels characterized by cystic dilation. It mostly occurs in cutaneous localizations like head, neck during childhood. Only few cases of hemolymphangioma occur in the small intestine, pancreas, esophagus have been reported. Hemolymphangioma is usually asymptomatic symptoms can be chronic anemia due to gastrointestinal bleeding. They constitute an unusual manifestation and there is a low incidence of this type of tumor. Case Presentation: We report the case of a 42-year-old male, with a 7- month history of chronic anemia requiring blood transfusion. Hemoglobin and Hematocrit count were low, therefore further examinations were required to rule out bleeding sources or other causes of anemia. Double balloon enteroscopy showed a 20×20 mm lesion taking up 30% of the circumference in the proximal jejunum, with raised whitish edges, the center with a vascular appearance, and bleeding spots. Histological sections of the lesion revealed in the lamina propria and submucosal layer of the jejunum several markedly dilated thin-walled lymphatic spaces lined with single layers of flat endothelial cells. The final pathologic diagnosis was submucosal hemolymphangioma. Histological examination confirmed the diagnosis of submucosal hemolymphangioma. Conclusion: The clinical symptoms of hemolymphangioma range from abdominal pain, anemia due to chronic blood loss in gastrointestinal tract, and obstruction to perforation. This case makes the point that hemolymphangioma should be concerned in the differential diagnosis of chronic anemia and other tumors in abdominal cavity with multiple diagnostic methods to confirm the presence of the condition.","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69343528","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}

引用次数: 0

Urgent Appendectomy Performed Along with Hematopoietic Cell Transplantation (HCT) for a Patient with Severe Aplastic Anaemia – A Case Report 紧急阑尾切除术联合造血细胞移植治疗严重再生障碍性贫血1例报告

Archives of clinical and medical case reports Pub Date : 2022-01-01 DOI: 10.26502/acmcr.96550481

Sondus Alsharidah, S. Ousia, E. Abdelhafez, B. Antoun, Dala AlShemmeri, Hassan M Khalil, M. Askar

引用次数: 0

Implications of High Levels of Activin B in Human Keloid: A Case Report 高水平激活素B在人类瘢痕疙瘩中的意义:一例报告

Archives of clinical and medical case reports Pub Date : 2022-01-01 DOI: 10.26502/acmcr.96550523

Seungmin Ham, Craig B. Harrison, P. Temple‐Smith, G. Southwick

引用次数: 0

Atypical Presentation of a Large Aortopulmonary Window in a Very Low Weight and Preterm Born Infant 极低体重早产儿主动脉肺窗大的不典型表现

Archives of clinical and medical case reports Pub Date : 2022-01-01 DOI: 10.26502/acmcr.96550486

Katja Schumacher, Sabine Meier, M. Borger, M. Kostelka, M. Vollroth

引用次数: 0

Subacute Constrictive Pericarditis after mRNA Covid-19 Vaccination mRNA - covid疫苗接种后的亚急性缩窄性心包炎

Archives of clinical and medical case reports Pub Date : 2022-01-01 DOI: 10.26502/acmcr.96550465

I. Hysi, O. Rebet, B. Vaquette, O. Fabre

引用次数: 2

High Risk Molar Pregnancy Treated by Chemotherapy and Surgery: A Case Report 化疗加手术治疗高危磨牙妊娠1例

Archives of clinical and medical case reports Pub Date : 2022-01-01 DOI: 10.26502/acmcr.96550515

Fabiana Carbone, G. Santangelo, M. Scudo, A. Fracassi, G. Gentile, V. Di Donato, I. Palaia, L. Spiniello, G. Perniola

引用次数: 0

Diabetic Mastopathy Coexisting with Appendix Neuroendocrine Tumor in A Type 1 Diabetic Woman: A Case Report 1型糖尿病女性糖尿病性乳腺病变合并阑尾神经内分泌肿瘤1例

Archives of clinical and medical case reports Pub Date : 2022-01-01 DOI: 10.26502/acmcr.96550516

Gabriele Iraci Sareri, D. Cataldo, V. Mancini, L. Nigi, F. Dotta

{"title":"Diabetic Mastopathy Coexisting with Appendix Neuroendocrine Tumor in A Type 1 Diabetic Woman: A Case Report","authors":"Gabriele Iraci Sareri, D. Cataldo, V. Mancini, L. Nigi, F. Dotta","doi":"10.26502/acmcr.96550516","DOIUrl":"https://doi.org/10.26502/acmcr.96550516","url":null,"abstract":"B-cell Abstract Diabetic mastopathy is a rare condition representing less than 1% of all benign breast lesions, occurring preferentially in pre-menopausal women affected by long-standing type 1 diabetes, especially in presence of microvascular diabetic complications. Its exact etiopathogenesis is still unclear, however an autoimmune background is highly hypothesized. In some cases, diabetic mastopathy strongly mimicks breast cancer. To date, no widely accepted diagnostic guidelines have been established for this pathological condition, however core-needle biopsy represents the gold standard for diagnosis. Surgical excision is the primary treatment option, taking into consideration the potential development of diabetic mastopathy into a breast cancer. We here describe for the first time the coexistence of diabetic mastopathy with a neuroendocrine tumor in a long-standing type 1 diabetic woman. This association apparently seems “incidental”, however it would be interesting to verify whether other cases will be reported in order to clarify the possible relationship between these two pathological conditions.","PeriodicalId":72280,"journal":{"name":"Archives of clinical and medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69343833","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}

引用次数: 0

Favism in the Elderly 老年人的歧视

Archives of clinical and medical case reports Pub Date : 2022-01-01 DOI: 10.26502/acmcr.96550521

Carme Gomila Sintes, S. Bernal, E. Rojas, Pilar Leoz Alegretti, Matias Nicolas Flores Orella, A. B. Betbesé Roig

引用次数: 1