{"title":"A novel approach to removal of ingested sharp objects in a 25-year old patient with 23 prior procedures","authors":"S. G. Ellesøe","doi":"10.25149/JCASEREPMED.V8I2.197","DOIUrl":"https://doi.org/10.25149/JCASEREPMED.V8I2.197","url":null,"abstract":"Recurrent ingestion of sharp foreign body ingestion is a rare phenomenon but it challenges the surgeon since the patient often has been operated on several times before, making a simple gastrotomy a high risk procedure. Here we report a patient with 23 prior procedures due to foreign body ingestion of which 15 were knives. In the case presented she had an 18 cm long steak knife embedded in the esophageal mucosa. An overtube was not available why a rigid endoscope was successfully used in combination with a colon polypectomy snare.","PeriodicalId":90207,"journal":{"name":"Journal of case reports in medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43993440","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":"Treatment of Calciphylaxis Induced Lower Extremity Ulcers using Sodium Thiosulfate","authors":"M. Elahi","doi":"10.25149/jcrm.v7i4.152","DOIUrl":"https://doi.org/10.25149/jcrm.v7i4.152","url":null,"abstract":"No Abstract","PeriodicalId":90207,"journal":{"name":"Journal of case reports in medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46419234","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":"Keratosis Obturans–Pathologic Version of Ear Wax Problem","authors":"P. Dubach","doi":"10.25149/jcrm.v7i4.151","DOIUrl":"https://doi.org/10.25149/jcrm.v7i4.151","url":null,"abstract":"No Abstract","PeriodicalId":90207,"journal":{"name":"Journal of case reports in medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46154985","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}
Joshua Smith, Andrew C Birkeland, Jonathan B McHugh, Matthew E Spector
{"title":"Maxilla Osteonecrosis: a differential diagnosis in patients with metastatic cancer on bisphosphonates.","authors":"Joshua Smith, Andrew C Birkeland, Jonathan B McHugh, Matthew E Spector","doi":"10.4303/jcrm/235969","DOIUrl":"10.4303/jcrm/235969","url":null,"abstract":"<p><p>Bisphosphonate-induced osteonecrosis of the mandible and/or maxilla is an increasingly recognized, though still rare complication of bisphosphonate therapy. In the present case, the patient presented with a seven-month history of maxillary sinusitis and pain, and was originally diagnosed with a bony metastasis from her primary breast cancer. However, surgical excision and biopsy led to a diagnosis of bisphosphonate-induced osteonecrosis of the maxilla. As bisphosphonates are often prescribed for patients with metastatic disease, it is important to recognize that bisphosphonate-induced osteonecrosis may present similarly to bony metastases.</p>","PeriodicalId":90207,"journal":{"name":"Journal of case reports in medicine","volume":"5 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4917287/pdf/nihms768607.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34613398","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 rare case of Kussmaul Disease (Sialodochitis Fibrinosa).","authors":"Amrita Ray, Sarah J Burgin, Matthew E Spector","doi":"10.4303/jcrm/235894","DOIUrl":"https://doi.org/10.4303/jcrm/235894","url":null,"abstract":"<p><p>Sialodochitis fibrinosa (or commonly known as Kussmaul Disease) is a rare salivary gland disease characterized by recurrent salivary gland swelling and pain as a result of mucofibrinous plugs. Typically patients have a history of multiply recurrent glandular swelling, dehydration and/or decreased salivary flow, thick secretions from Stensen's or Wharton's duct, and/or history of allergic diseases. Retention of mucofibrinous plugs may lead to acute suppurative parotitis and chronic sialadenitis ultimately. The diagnosis is one of exclusion, and treatment is based on symptomatology and largely supportive.</p>","PeriodicalId":90207,"journal":{"name":"Journal of case reports in medicine","volume":"4 1+3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4523240/pdf/nihms671949.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33900394","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":"Tracheobronchial amyloidosis: A case report and review of the literature.","authors":"A. Birkeland, J. Mchugh, M. Spector","doi":"10.4303/JCRM/235859","DOIUrl":"https://doi.org/10.4303/JCRM/235859","url":null,"abstract":"OBJECTIVES\u0000This is a case report on tracheobronchial amyloidosis. This disease may provide a diagnostic challenge for otolaryngologists due to its rarity and relative lack of literature. Our case highlights presentation and workup of this disease.\u0000\u0000\u0000METHODS\u0000The index patient's workup included clinical exam, CT of the neck and chest, direct laryngoscopy, bronchoscopy and biopsy. Additional reports of tracheobronchial amyloidosis were identified in a PubMed database search.\u0000\u0000\u0000RESULTS\u0000Our index patient presented with dyspnea and hoarseness. Clinic laryngoscopy showed a tracheal mass. Radiology demonstrated an irregular tracheal soft tissue lesion. The patient underwent biopsy, and pathology was consistent with amyloidosis. He had no systemic signs of amyloidosis. He underwent local resection to improve his airway diameter, with no complications.\u0000\u0000\u0000CONCLUSIONS\u0000Tracheobronchial amyloidosis should be kept in an otolaryngologist's differential diagnosis for patients with nonspecific upper airway symptomatology and radiographic lesions in the trachea or bronchi.","PeriodicalId":90207,"journal":{"name":"Journal of case reports in medicine","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71099004","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}
Jennifer L Orning, Dimitri G Trembath, Adam M Zanation, Anand V Germanwala
{"title":"Endoscopic Endonasal Approach for Resection of Infundibular Granular Cell Tumor: Case Report and Literature Review.","authors":"Jennifer L Orning, Dimitri G Trembath, Adam M Zanation, Anand V Germanwala","doi":"10.4303/jcrm/235775","DOIUrl":"10.4303/jcrm/235775","url":null,"abstract":"<p><p>Granular cell tumors of the pituitary and infundibular stalk are rare, slow growing tumors. Although usually asymptomatic, neurological deficits with chiasmatic compression can lead to clinical presentation. We describe a case in which a purely endoscopic endonasal approach was used for complete resection of an infundibular granular cell tumor with skull base reconstruction with a pedicled nasoseptal flap. Final pathology confirmed the diagnosis and 24 month follow up revealed no recurrence of the tumor with continued improvement in the patient's vision. This diagnosis must be entertained for masses noted in the sellar/suprasellar region. Immunohistochemistry and radiographic findings help lead to an accurate diagnosis. Complete surgical resection remains the mainstay of treatment in symptomatic patients, as published reports indicate little value with adjuvant radiation therapy and poor long term control. The complication of panhypopituitarism can often result following complete resection and patients need to be counseled with the risks of treatment. A purely endoscopic endonasal approach was safe and effective and should be attempted only by experienced skull base centers.</p>","PeriodicalId":90207,"journal":{"name":"Journal of case reports in medicine","volume":"2 ","pages":"235775"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4030550/pdf/nihms538824.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32368207","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":"Hyperostotic Esthesioneuroblastoma.","authors":"Murugappan Ramanathan, Anand V Germanwala","doi":"10.4303/jcrm/235779","DOIUrl":"10.4303/jcrm/235779","url":null,"abstract":"<p><p>Esthesioneuroblastomas are rare, soft-tissue tumors that can often extend from the sinonasal cavity into the intracranial and orbital space. Prognosis depends upon the histological grade and location/extent of the tumor. Treatment often consists of maximum surgical resection followed by adjuvant chemoradiation therapy. We present a case of a patient with esthesioneuroblastoma accompanied by an extensive osteoblastic reaction leading to significant hyperostosis along the skull base. His presenting symptoms included diplopia, and imaging revealed invasion of the orbital and intracranial spaces. Although a gross total resection of the soft tissue component of the tumor was achieved, a complete removal of the involved hyperostotic skull base could not be performed despite endoscopic endonasal and bifrontal craniotomy approaches in the same operative setting. Symptomatically, the patient improved and went on to receive chemoradiation therapy; he remains clinically and radiographically stable at 12 months. Investigation into the genetics and immunohistochemistry of this rare, hyperostotic variant of estheioneuroblastoma may provide details regarding its aggressive nature.</p>","PeriodicalId":90207,"journal":{"name":"Journal of case reports in medicine","volume":"2 ","pages":"235779"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4030552/pdf/nihms547364.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32368208","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}