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

Refractory priapism associated with anti-psychotics. Report of a case for risperidone 与抗精神病药物相关的难治性阴茎勃起。利培酮一例报告

Archives of clinical case reports Pub Date : 2023-05-08 DOI: 10.29328/journal.acr.1001070

Odionnys Ramos Luces, Miriangel Fermín, Yalisca Perdomo

{"title":"Refractory priapism associated with anti-psychotics. Report of a case for risperidone","authors":"Odionnys Ramos Luces, Miriangel Fermín, Yalisca Perdomo","doi":"10.29328/journal.acr.1001070","DOIUrl":"https://doi.org/10.29328/journal.acr.1001070","url":null,"abstract":"Priapism is a prolonged erection, usually painful, that occurs in the absence of sexual desire or stimulation, is not relieved by masturbation or intercourse and is the consequence of a mismatch in the regulatory mechanisms that initiate penile erection and those that allow its detumescence. One of the main causes of low-flow priapism is the use of drugs with an α-adrenergic antagonist effect, among which antipsychotic drugs stand out. Our objective is to present a clinical case and review the literature on the use of antipsychotics in medicine, psychiatry and other specialties and their relationship with the dose of the psychoactive drug in the onset of priapism. We present a 23-year-old male patient, single, with a significant history of mild Autism, for which he has received regular treatment with 6 mg daily of risperidone. He started experiencing priapism spontaneously for the last 4 days until a family member took him to the Emergency Room – intense, persistent and painful penile erection. Given the failure of the initial medical treatment for priapism, it was decided to perform multiple distal cavernous-cancellous shunts with improvement after 72 hours and discharge of the patient. We understand that there is a high affinity of antipsychotics for the α 1-adrenergic receptor, risperidone has an α 1 antagonist capacity. In fact, the third cause of priapism cases induced by atypical antipsychotics is secondary to risperidone, including recent cases associated with its parenteral depot presentation RisperdalConsta®.","PeriodicalId":92875,"journal":{"name":"Archives of clinical case reports","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78774294","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

An uncommon gastrointestinal bleeding in a patient with portal vein thrombosis: a case report and literature review 门静脉血栓形成患者消化道出血1例报告并文献复习

Archives of clinical case reports Pub Date : 2023-05-04 DOI: 10.29328/journal.acr.1001069

Alijanzadeh Dorsa, Arabpour Erfan, Abdi Mohammadamin, A. Mohammad

引用次数: 0

Osteopoikilosis: a rare case with interesting imaging 骨成形症:罕见病例，影像学表现有趣

Archives of clinical case reports Pub Date : 2023-04-17 DOI: 10.29328/journal.acr.1001068

Mohammad Nejadhosseinian, Pouya Hadighi, L. Aghaghazvini, Ali Mozaffari Mohammad, Mazyar Babagoli, Tahereh Faezi Seyedeh

引用次数: 0

A case of hepatic intraductal papillary neoplasm of the bile duct 肝胆管内乳头状肿瘤1例

Archives of clinical case reports Pub Date : 2023-03-21 DOI: 10.29328/journal.acr.1001067

Beltaifa Dorsaf, Slama Sana Ben, Guebsi Sofiene, A. Aziz, Arfa Nafaa, L. Ahlem, Bacha Dhouha

{"title":"A case of hepatic intraductal papillary neoplasm of the bile duct","authors":"Beltaifa Dorsaf, Slama Sana Ben, Guebsi Sofiene, A. Aziz, Arfa Nafaa, L. Ahlem, Bacha Dhouha","doi":"10.29328/journal.acr.1001067","DOIUrl":"https://doi.org/10.29328/journal.acr.1001067","url":null,"abstract":"Introduction: Intraductal Papillary Neoplasm of the Bile ducts (IPNB) is a rare entity characterized by exophytic growth of the bile ducts. Case presentation: In this report, we present a 57-year-old male with no prior medical history consulted for upper right abdominal pain, jaundice and pruritus. Abdominal Ultrasound (US) and magnetic resonance imaging/Bili-magnetic resonance were performed. They revealed that the circumferential parietal thickening of the common hepatic duct had extended approximately 4 cm with moderate dilatation of the left intrahepatic bile ducts. Computed tomography showed no evidence of distant metastasis. Biopsy revealed a high-grade intraductal papillary neoplasm. After 40 days, the patient had left hepatectomy with resection of the main bile duct and the gallbladder. Macroscopic examination of the surgical specimen showed a dilatation duct at the hilum with thickening of their walls. The histopathology report revealed multiple intra-hepatic papillary neoplasms with high-grade dysplasia with an invasive carcinoma component in the left hepatic duct without extending to the biliary wall, classified as pT1N0. Conclusion: This premalignant lesion has the potential to transform into invasive carcinoma if not properly diagnosed. Our case illustrates how early identification can lead to potential surgical resection.","PeriodicalId":92875,"journal":{"name":"Archives of clinical case reports","volume":"118 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82426310","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

Primary follicular lymphoma arising from the ascendant colon: A case report 源自上升结肠的原发性滤泡性淋巴瘤1例

Archives of clinical case reports Pub Date : 2023-01-24 DOI: 10.29328/journal.acr.1001065

Gabsi Sofiene, Aziz Atallah, Hajri Mohamed, Hadrich Zied, Omrani Sahir, B. Rached, Mestiri Hafedh

引用次数: 0

Non-operative management of perforated jejunal diverticulitis 空肠穿孔憩室炎的非手术治疗

Archives of clinical case reports Pub Date : 2023-01-24 DOI: 10.29328/journal.acr.1001066

A. Aziz, Gabsi Sofiene, Hajri Mohamed, Hadrich Zied, Mestiri Hafedh, Omrani Sahir

引用次数: 0

Vesicovaginal fistula: an uncommon complication of a perineal burn in a 12-year-old girl 膀胱阴道瘘:一个罕见的并发症会阴烧伤在12岁的女孩

Archives of clinical case reports Pub Date : 2023-01-18 DOI: 10.29328/journal.acr.1001064

Cheikhrouhou Taycir, Dhaou Mahdi Ben, Hbaieb Manar, Zitouni Hayet, M. Riadh

引用次数: 0

Neglected percutaneous rod extrusion following posterior occipitocervical instrumentation: a case report 后枕颈内固定后被忽视的经皮棒挤压:1例报告

Archives of clinical case reports Pub Date : 2022-11-18 DOI: 10.29328/journal.acr.1001063

Reinhold Maximilian, Bonacker Johannes, Driesen Tobias, Lehmann Wolfgang

{"title":"Neglected percutaneous rod extrusion following posterior occipitocervical instrumentation: a case report","authors":"Reinhold Maximilian, Bonacker Johannes, Driesen Tobias, Lehmann Wolfgang","doi":"10.29328/journal.acr.1001063","DOIUrl":"https://doi.org/10.29328/journal.acr.1001063","url":null,"abstract":"Purpose: The extrusion of implant material is a rare complication but has been reported in several cases following anterior cervical spine surgery. A posterior spontaneous percutaneous rod extrusion after rigid occipitocervical (OC) instrumentation (screw and rod construct) has not been reported yet. The authors discuss potential complications after cervical spine surgery and its clinical management. Methods: This is a case report of a 56-year-old patient after posterior OC spine surgery with initially unobserved implant failure and posterior percutaneous rod extrusion. The implant failure with a missing rod has been documented 4 years later during a routine follow-up visit. Results: At the four-year follow-up, the asymptomatic patient presented with a stable occipitocervical junction and an improved range of motion after generalized sepsis with an epidural spinal abscess, decompression and posterior OC instrumentation. A computed tomography scan of the implant failure of a broken rod was noticed two years postoperatively. The patient failed to return to the clinic. For years postoperatively he returned to the clinic and the broken rod could not be detectable in-situ on the X-rays anymore. Conclusion: The posterior percutaneous rod extrusion following an OC instrumentation not noticed by the patient, is a very rare complication that has not been described in the literature yet. Once seen back in the clinic, the patient unexpectedly reported an improved ROM without neck pain. Usually, revision surgery or implant removal is recommended if an implant failure is documented.","PeriodicalId":92875,"journal":{"name":"Archives of clinical case reports","volume":"563 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77604406","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

Chronic Lyme disease presented with gastroparesis 慢性莱姆病表现为胃轻瘫

Archives of clinical case reports Pub Date : 2022-10-31 DOI: 10.29328/journal.acr.1001062

Öz Özlem, Turhan Vedat

引用次数: 0

Influence of corneal spherical aberration, anterior chamber depth, and ocular axial length on the visual outcome with an extended depth of focus wavefront-designed intraocular lens 角膜球差、前房深度和眼轴长度对扩展焦深波前人工晶状体视力结果的影响

Archives of clinical case reports Pub Date : 2022-08-08 DOI: 10.29328/journal.acr.1001061

A. Bedei, Claudio Carbonara, A. Farcomeni, Laura Castellini, Alessia Pietrelli

{"title":"Influence of corneal spherical aberration, anterior chamber depth, and ocular axial length on the visual outcome with an extended depth of focus wavefront-designed intraocular lens","authors":"A. Bedei, Claudio Carbonara, A. Farcomeni, Laura Castellini, Alessia Pietrelli","doi":"10.29328/journal.acr.1001061","DOIUrl":"https://doi.org/10.29328/journal.acr.1001061","url":null,"abstract":"Purpose: The purpose of the study was to evaluate which ocular parameters have an impact on visual results obtained after an extended depth of focus (EDF) wavefront-designed intraocular lens (IOL). Setting: The study was conducted in three Italian centers (private practice in Lucca and two ambulatory surgical centers in Pisa and in Rome) from 01/09/2014 to 30/09/2015. Design: The study population included 178 eyes of 91 patients who had cataract surgery and implantation of an EDF wavefront - designed IOL (Mini Well Ready - SIFI Med Tech S.r.l.). Methods: Preoperative and postoperative refractive corneal spherical aberration (SA), ocular axial length, or anterior chamber depth were measured. Results: The majority of patients were spectacle-independent for near, intermediate, and distance vision and no one reported disturbing halos or glare. No overall significant differences were observed when stratifying anterior chamber depth (ACD) and ocular axial length (AL) by uncorrected distance visual acuity (UCDVA); p = 0.465 and 1.000 respectively, corrected distance visual acuity (CDVA); p = uncorrected near visual acuity (UCNVA); p = 1.000 and 0.728 respectively; p = 1.000 under both parameters and halos; 1.000 under both parameters. Still, there was a statistically significant difference when stratifying SA with 5 mm only by UDVA (p = 0.040). Conclusion: These results are consistent with similar outcomes in the scientific literature as measured with tests of visual acuity, either with or without optical correction. We also demonstrated that these IOLs can be used in myopic and hyperopic eyes, although it may be useful to evaluate the preoperative corneal SA to achieve better results.","PeriodicalId":92875,"journal":{"name":"Archives of clinical case reports","volume":"50 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81474893","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