MOJ clinical & medical case reports最新文献

{"title":"Retroperitoneoscopic drainage of a retroperitoneal abscess when open surgery is not an option: a novel surgical technique","authors":"C. Rivera","doi":"10.15406/mojcr.2019.09.00305","DOIUrl":"https://doi.org/10.15406/mojcr.2019.09.00305","url":null,"abstract":"Objective: An open cholecystectomy has specific surgical indications, including cirrhosis, vesicular cancer, and severe adherence syndrome. Abscesses resulting from the open surgery corresponds to 1% of complications. When located in the retroperitoneum, these abscesses are life-threatening conditions, having a high mortality from a delayed diagnosis or incomplete drainage. Treatment can be conservative, surgical or endoscopically. Materials and Methods: In the right lateral decubitus position, between the medial and posterior axillary lines, inferior to the twelfth costal space an incision is made for the 12mm trocar. Avulsion and resection of the lateral abdominal muscles and latissimus dorsi muscle until inside the retroperitoneum, where under direct vision, the 5mm and the pneumatic trocar are inserted above and anterior to the iliac crest. Results: Through the retroperitoneum scope, the retroperitoneum space is easily accessed to ensure complete abscess drainage. In the out-patient consults, there were no resulting complications reported. Discussion: Retroperitoneal infections are a surgical and diagnostic challenge. The abscess classification depends on the anatomic location which can direct any of the therapeutic options, between the conservative, surgical, or percutaneous drainage. The conservative approach is reserved for small collections (<3cm), the percutaneous is widely used but not exempt from complications, and more recently the minimally invasive approach, the retroperitoneoscopic drainage, has shown superior benefits, with complete drainage and debridement leading to a decreased recurrence rate. Conclusions: We propose a retroperitoneum scope access as a safe and ideal method to drain retroperitoneal abscesses in patients whom a conservative approach cannot be performed, or those who cannot undergo a percutaneous or open surgical technique.","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48964435","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":"4th ventricular ependymoma with lumbosacralmetastasis surgically removed at one sitting: a case report","authors":"Neeraj Salhotra","doi":"10.15406/MOJCR.2019.09.00303","DOIUrl":"https://doi.org/10.15406/MOJCR.2019.09.00303","url":null,"abstract":"","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49187827","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":"Recurrent lymphoma as a cause of obscure massive small bowel bleeding","authors":"D. Victor","doi":"10.15406/mojcr.2019.09.00302","DOIUrl":"https://doi.org/10.15406/mojcr.2019.09.00302","url":null,"abstract":"Diffuse large B-cell lymphoma (DLBCL) is an aggressive malignancy that accounts for the largest proportion of non-Hodgkin lymphoma. The gastrointestinal (GI) tract is the most common site of extra-nodal involvement.1,2 Subsequent gastrointestinal bleeding can be a life-threatening complication. Recurrent lymphoma is unusual to present with gastrointestinal hemorrhage, especially after longstanding remission. Here, we present obscure massive small bowel bleeding as the initial presentation of recurrent DLBCL.","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44869082","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":"Atypical case of Mayer–Rokitansky–Kuster–Hauser syndrome and amyloidosis: is there a link or association?","authors":"M. Behiry","doi":"10.15406/mojcr.2019.09.00301","DOIUrl":"https://doi.org/10.15406/mojcr.2019.09.00301","url":null,"abstract":"Renal problems such as absence or ectopia of the kidneys is not uncommon which may lead to urinary incontinence, recurrent urinary tract infections or even renal failure,2 however Amyloidosis was incriminated in our case We present this atypical case of Mayer– Rokitansky–Kuster–Hauser syndrome complicated with renal failure due to amyloid kidney to raise an inquiry is there a link between this syndrome and amyloidosis or such an association.","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41615672","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":"Numb chin syndrome with sickle cell disease - a report of two cases","authors":"M. Mohapatra","doi":"10.15406/mojcr.2019.09.00299","DOIUrl":"https://doi.org/10.15406/mojcr.2019.09.00299","url":null,"abstract":"","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46135097","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":"A case of open degloving injury in a pregnant patient","authors":"M. Afzal","doi":"10.15406/mojcr.2019.09.00300","DOIUrl":"https://doi.org/10.15406/mojcr.2019.09.00300","url":null,"abstract":"Road traffic accidents are taking lives of approximately 1.25million people in the world annually. Trauma during pregnancy is also quite common in developing countries but it is not frequently reported. Mothers in 3rd trimester are most vulnerable for trauma due to unstable gate and shift of center of gravity.1,2 Degloving injuries are one of very common devastating injury associated with road traffic accident. It is a type of avulsion in which rotational force causes skin and subcutaneous tissue to be torn completely from underlying muscle and fascia3 .It can be open or closed .It is most common in males and main sites are lower limb, trunk, scalp and face. Diagnosing degloving injury is also a challenging decision .most of the time it’s clinical or by ultrasound or CT scanning.3,4–9","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48611033","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":"Duodenal hematoma secondary to acute chronic pancreatitis: case report and literature review","authors":"Luiz Carlos Araújo Souza, Rafael Francisco Alves Silva, Carlos Hirokatsu Watanabe Silva, O. Claros","doi":"10.15406/MOJCR.2019.09.00295","DOIUrl":"https://doi.org/10.15406/MOJCR.2019.09.00295","url":null,"abstract":"","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46756976","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":"Single intravitreal etamsylate injection for the treatment of choroidal neovascular membrane formation in neovascular age-related macular degeneration","authors":"P. Cuevas","doi":"10.15406/mojcr.2019.09.00289","DOIUrl":"https://doi.org/10.15406/mojcr.2019.09.00289","url":null,"abstract":"Submacular haemorrhage (SMH) is an accumulation of blood between the neurosensory retina and retinal pigment epithelium (RPE), arising from the choroidal circulation within the macula. It is considered that it usually occurs in the context of neovascular (wet) age-related macular degeneration (ARMD).1 Owing to iron toxicity, SMH damages the RPE and the photoreceptors, affects the fibrin network contraction and causes a subsequent reduced nutrient flux from choriocapillaris ensued of scarring development.2–4 While SMH is not common, wet ARMD patients with coagulopathies to which anticoagulant medication is administered are, nevertheless, particularly susceptible to developing this disease.5 The visual outcome of wet ARMD patients with SMH is typically poor, particularly in eyes with thick blood clots or involving large areas of the macula, and which develop a choroidal neovascular membrane (CNVM).6 Average time for disappearance of the SMH is 6 months.4 Experimental studies support prompt treatment of SMH, as tissue damage occurs within 24hours. Without treatment the natural history of SMH is poor. Search for a safe and effective treatment for removing the blood beneath the macula to hasten visual recovery and prevent irreversible damage to the outer retina is a medical need. There is no standard treatment for acute SMH. Etamsylate is a newly identified therapeutically relevant molecule that could be used in pathological conditions involving aberrant fibroblast growth factor (FGF) signalling7,8 (NOSOTROS). Immunoreactivity for FGF has been reported in CNVM removed surgically from humans with ARMD, which suggests a role of this growth factor in the origin and progression of the disease.9 Furthermore, damage of RPE as it occurs in ARMD, causes the release of FGF which, in turn, could contribute to formation of CNVM by itself.10 Thus, local inhibition of FGF would sum an adequate strategy for resolving CNVM. We describe here the efficacy of intravitreal etamsylate administration in a patient with SMH and CNVM associated with wet ARMD.","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67082768","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":"Wide excision and reconstruction surgery using NVFG for giant cell tumor of the right proximal radius campanacci 3","authors":"Irsan Abubakar","doi":"10.15406/mojcr.2019.09.00321","DOIUrl":"https://doi.org/10.15406/mojcr.2019.09.00321","url":null,"abstract":"Giant Cell tumors, also widely abbreviated as GCT, is a type of benign, potentially aggressive tumor. It is a fairly common occurrence, representing around 5% of all primary bone tumors.1,2 GCT is often linked with significant disruption of bone structure, which could be severely damaging in peri-articular locations.2 For tumor that is considered benign, GCT is highly recurrent and have a high potential for metastasis; 1-9% of GCT patients are presented with metastasis, and some studies have correlated this with local recurrence and the aggressive tumor type.3 GCT most commonly occurs due into the 3rd decade of life, with around 80% of GCT cases being found in patients of 20 to 50 years of age. Less than 3% of GCT cases are found on patient less than 14 years old, and 13% of cases occurring in patients over the age of 50.4","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67082929","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":"A simple method of unclogging enteral feeding tubes: even when traditional methods have failed","authors":"A. Levy, Sandor J. Kovacs","doi":"10.15406/mojcr.2018.08.00290","DOIUrl":"https://doi.org/10.15406/mojcr.2018.08.00290","url":null,"abstract":"Enteral feeding tubes are commonly placed as a means for providing patients with nutrition and hydration when they are unable to meet their daily caloric and hydration requirements by mouth. They may also be placed in patients who are at a significant aspiration risk. This may be secondary to malignancy, neurological or mechanical dysphagia, as well as critical illness.1 Many neurological diseases cause dysphagia, but patients with traumatic brain injury (TBI), cerebrovascular disease, degenerative central nervous system disease, and hypoxic brain injury comprise the majority of referrals in this subset of patients.2 These patients not only require enteral nutrition, but they also require medications through these tubes. Medications are preferably administered in liquid form. However, there are several medications that are only manufactured in solid form. These medications require being crushed and dissolved in water prior to administration through feeding tubes.","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67082756","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}