Clinical Case Reports

A female in her thirties inserted an Asian traditional hair stick, kanzashi, into her urinary bladder for sexual gratification. The tip of kanzashi penetrated the bladder wall. kanzashi was usually used with kimono, which is a traditional Japanese garment. We need to know that everyday objects can become bladder foreign bodies and how to manage them properly.

Figure 4: Axial abdominal computed tomography, illustrating multiple bilateral renal angiomyolipoma. White arrow shows darker fat attenuation seen in the lesion.

Knuckle pads are uncommonly encountered in clinical practice and may be mistaken for other rheumatologic diseases. They are benign, typically manifest in early adulthood, and may be idiopathic, hereditary, or acquired. They have a distinct appearance on musculoskeletal ultrasound, which can be used to spare unnecessary further diagnostic evaluation.

Congenital adrenal hyperplasia due to 11-beta-hydroxylase deficiency might be a cause of secondary hypertension in late-diagnosed adult patients.

This is the first documentation of immune dysregulation manifesting as uncontrolled gout in a male FXTAS premutation carrier. There is a need for further investigation of immune-mediated disorders in male FXTAS carriers.

Gastric volvulus is surgical emergency that should be considered as a differential in patients who present to the emergency department with severe epigastric pain and evidence of gastric outlet obstruction.

Despite the rarity of the disease, primary cutaneous lymphomas are heterogeneous group of non-Hodgkin lymphomas that account for 2% of all lymphomas. In most cases, skin lesions are secondary to or concomitant with bone, or lymph node involvement. Furthermore, cutaneous involvement at the time of presentation is usually rare.

Intussuception in adults is a rare cause of intestinal obstruction. Early imaging like ultrasonography and CT scan can lead us to make the diagnosis soon. Laparotomy is the choice of surgery for small bowel obstruction. The extension of resection depends on the pathologic cause of intussusception as the lead point.

Although metoclopramide has many adverse effects, torsade de pointes (TdP) is rare. Repeated administration of metoclopramide in combination with risk factors for TdP may cause ventricular fibrillation following TdP.