Journal of clinical case reports最新文献_第2页

Accessory Hepatic Lobe in Paediatric Patients: Case Report and a Comprehensive Literature Review 小儿副肝叶:病例报告及综合文献回顾

Journal of clinical case reports Pub Date : 2021-01-01 DOI: 10.37421/2165-7920.2021.11.1467

Accessory hepatic lobe • Ectopic liver tissue • Accessory li Omphalocele

{"title":"Accessory Hepatic Lobe in Paediatric Patients: Case Report and a Comprehensive Literature Review","authors":"Accessory hepatic lobe • Ectopic liver tissue • Accessory li Omphalocele","doi":"10.37421/2165-7920.2021.11.1467","DOIUrl":"https://doi.org/10.37421/2165-7920.2021.11.1467","url":null,"abstract":"Background: Accessory Hepatic Lobe (AHL) is a rare congenital anomaly that consists of the presence of a supernumerary lobe of hepatic parenchyma. The incidence of AHL is less than 1%, with only 27 cases having been reported in the paediatric population to date. Aim: To identify studies in the literature on accessory hepatic lobe and present our experience with this condition. Material and methods: We report the case of a patient who underwent surgery for intestinal occlusion and was found to have an accessory liver lobe with an embedded gallbladder. We reviewed published articles on accessory hepatic lobes accessed via PubMed, Google Scholar, Science Direct and Web of Science. Keywords included accessory hepatic lobe, ectopic liver tissue, ectopic liver lobe, accessory liver lobe. The search included articles published before August 2021 in English. Results: We identified 27 published cases of paediatric accessory hepatic lobe. Of these 27, 14 were female and 13 were male, and the age range was 1 day to 19 years. We report the case of a female patient with intestinal occlusion found to have an accessory hepatic lobe with an embedded gallbladder. Of the 28 published cases, including ours, 11 are associated with abdominal wall defects including Umbilical Hernia, Omphalocele, Cloacal Exstrophy and Beckwith Wiedemann syndrome. Conclusion: Accessory hepatic lobe is a rare entity usually detected incidentally. A total of 28 cases were reported, including our own. Paediatric surgeons should be aware of this condition in children with a history of abdominal wall defects.","PeriodicalId":73664,"journal":{"name":"Journal of clinical case reports","volume":"11 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70049923","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

Septic Shock Complicated with Limb Ischemic Necrosis: Three Case Reports and their Review of Literature 感染性休克合并肢体缺血性坏死3例报告及文献复习

Journal of clinical case reports Pub Date : 2021-01-01 DOI: 10.37421/2165-7920.2021.11.1450

Zheng Li

{"title":"Septic Shock Complicated with Limb Ischemic Necrosis: Three Case Reports and their Review of Literature","authors":"Zheng Li","doi":"10.37421/2165-7920.2021.11.1450","DOIUrl":"https://doi.org/10.37421/2165-7920.2021.11.1450","url":null,"abstract":"Purpose: Limb ischemic necrosis is a very rare but severe condition that generally leads to amputation in septic shock. Our aim is to review the risk factors for development of limb ischemic necrosis in ICU patients requiring vasopressor support and draw the attention of doctors. Methods: A retrospective review of clinical information and photographs in 3 septic shock patients, including APACHII scores, dose of norepinephrine, time of ischemic necrosis and final outcome from July 2001 to June 2020 at a single intensive care unit. Results: All of the three patients had high APACHE II score, obvious coagulation dysfunction and severe hypotension on admission; In order to maintain the target blood pressure, the dose of norepinephrine range from 0.36 to 7.27 μg/kg/min; Case 2 and 3 had a higher average dose and length of NE treatment when comparing to case 1. Finally, case 1 survived but undergone amputation, case 2 and case 3 died. Conclusion: Septic shock with limb ischemic necrosis is a very serious complication and may indicate a poor prognosis. As an ICU doctor, we should pay attention to the complication in our clinical practice which can greatly affect patient’s quality of later life.","PeriodicalId":73664,"journal":{"name":"Journal of clinical case reports","volume":"11 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70049343","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

Two Cases of Hemifacial Spasm Completely Recovered after Repeated BTX-A Treatment 反复BTX-A治疗面肌痉挛完全恢复2例

Journal of clinical case reports Pub Date : 2021-01-01 DOI: 10.37421/2165-7920.2021.11.1458

T. Shen, Yingying Xu, Jing-Liu, W. Luo, Xia Zhang

引用次数: 0

Acquired Bartters Syndrome: A Rare Metabolic Abnormality Induced by Streptomycin 获得性易货综合征:一种罕见的由链霉素引起的代谢异常

Journal of clinical case reports Pub Date : 2021-01-01 DOI: 10.37421/2165-7920.2021.11.1466

Shazia Durdana, M. Zaheer, Syed Hasan Amir, S. Khan

引用次数: 0

Soft Tissue Coverage with Submental Flap in Massive Medication-Related Osteonecrosis of the Mandible 颏下皮瓣覆盖下颌骨大面积药物相关性骨坏死的研究

Journal of clinical case reports Pub Date : 2021-01-01 DOI: 10.37421/2165-7920.2021.11.1461

R. Tabrizi, Mehrdad Dehghanpour Barouj, P. Behnia, P. Bakhshaei

引用次数: 0

Pharmacists Role in Deprescribing Medications in An Adult with End-Stage Kidney Disease 药师在成人终末期肾病患者开处方中的作用

Journal of clinical case reports Pub Date : 2021-01-01 DOI: 10.37421/2165-7920.2021.11.1465

Aashish Sreeram, A. Matos, N. Amin, J. Turgeon, Katie Meyer, ni Bardolia

{"title":"Pharmacists Role in Deprescribing Medications in An Adult with End-Stage Kidney Disease","authors":"Aashish Sreeram, A. Matos, N. Amin, J. Turgeon, Katie Meyer, ni Bardolia","doi":"10.37421/2165-7920.2021.11.1465","DOIUrl":"https://doi.org/10.37421/2165-7920.2021.11.1465","url":null,"abstract":"Purpose: Individuals diagnosed with End-Stage Kidney Disease (ESKD) have multiple comorbidities and require many medications. Alterations in renal function, coupled with pharmacokinetic and pharmacodynamic changes in individuals with increasing age, can result in adverse drug effects. The purpose of this case is to demonstrate how interventions recommended by a clinical pharmacist improved medication safety for a patient with ESKD. Case: A 55-year-old male with a past medical history of ESKD, peripheral artery disease, chronic heart failure, cirrhosis, and major depressive disorder had a clinical pharmacist-led medication review. During the review, the clinical pharmacist identified several medications (i.e., bumetanide, metolazone, spironolactone, rivaroxaban) that should be discontinued since the patient had no urinary flow output and was on dialysis. Before the recommendations were addressed, the patient experienced retinal hemorrhaging, which may have been a rivaroxaban-associated adverse drug reaction. After addressing the retinal hemorrhaging, the physician discontinued the rivaroxaban and initiated clopidogrel. Additionally, both bumetanide and metolazone were discontinued. Conclusion: This case demonstrates that clinical pharmacists can have a significant role in medication therapy management and medication safety, especially in patients with ESKD. Healthcare providers with patients with ESKD on dialysis can greatly benefit from consulting with a clinical pharmacist who can evaluate all medications for safety and efficacy.","PeriodicalId":73664,"journal":{"name":"Journal of clinical case reports","volume":"11 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70049790","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

A First Case of Adrenomyeloneuropathy with Mutation R152C: A Case Report with Literature Review R152C突变肾上腺髓神经病变1例并文献复习

Journal of clinical case reports Pub Date : 2021-01-01 DOI: 10.37421/2165-7920.2021.11.1445

M. Mansour, R. Aoun, Maroua Melliti, A. Kacem, Meriem Mselmani, R. Mrissa, J. Zaouali

引用次数: 0

Parietal Abcess Revealing Several Foci of Extramedullary Hematopoiesis: A Case Report 壁脓肿显示髓外造血的几个病灶:1例报告

Journal of clinical case reports Pub Date : 2021-01-01 DOI: 10.37421/2165-7920.2021.11.1459

Y. Gharbi

引用次数: 0

A Report on Causes and Prevention of Cancer 癌症的起因和预防报告

Journal of clinical case reports Pub Date : 2021-01-01 DOI: 10.37421/2165-7920.2021.11.1472

J. Callaghan

引用次数: 0

Ruptured Hematosalpinx: An Unconventional Cause of Hemoperitoneum in Early Pregnancy 输卵管破裂:妊娠早期腹膜出血的一种非常规原因

Journal of clinical case reports Pub Date : 2021-01-01 DOI: 10.37421/2165-7920.2021.11.1446

C. Kambasha, N. Prasad, P. Jamjute, H. Moukarram

引用次数: 1