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COVER IMAGE
Cover Image
- Page: i
- First Published: 27 May 2022

The cover image is based on the Case Report Utility of coronary orbital atherectomy with guide-extension system for distally located undilatable in-stent restenosis: A case report by Hiroyuki Yamamoto et al., https://doi.org/10.1002/ccr3.5798.
Cover Image
- Page: ii
- First Published: 27 May 2022

The cover image is based on the Case Report Fine-needle aspiration cytology diagnosis of aspergilloma - A case report by Dilasma Ghartimagar et al., https://doi.org/10.1002/ccr3.5826.
ISSUE INFORMATION
CASE REPORTS
Case report: Bilateral simple Syndactyly in a toddler with maternal exposure to cabergoline
- First Published: 04 May 2022
A very rare case of splenosis and acquired chronic non-cirrhotic portal vein thrombosis with cavernous transformation
- First Published: 04 May 2022
Case of impacted subglottic metallic foreign body removal without tracheostomy through an endotracheal tube
- First Published: 04 May 2022
Utility of coronary orbital atherectomy with guide-extension system for distally located undilatable in-stent restenosis: A case report
- First Published: 04 May 2022
The first report of 2:1 atrioventricular block following COVID-19 vaccination
- First Published: 04 May 2022
Hyoscine butylbromide induced psychosis: A case report
- First Published: 05 May 2022
Through this case, we hope to communicate the notion that every practitioner should be aware of common medicines with anticholinergic effects, and drug-induced psychosis should be investigated in young patients with acute behavioral abnormalities.
COVID-19 complicated with chronic necrotizing pulmonary aspergillosis and aspergilloma progressing to fibrosing aspergillosis: A case report
- First Published: 05 May 2022

Chronic pulmonary aspergillosis is a potentially serious disease that may threaten the post-COVID-19 patient's vital and functional prognosis. Yet, both the diagnosis and the treatment are challenging. Therefore, early clinical suspicion, chest CT scan, and screening for aspergillosis are important. Next, timely antifungal treatment based on international guidelines is recommended.
Visceral leishmaniasis in non-endemic rural hilly region of Nepal: A case report
- First Published: 05 May 2022
Visceral leishmaniasis is endemic in lowland regions. However, high index of suspicion is needed in appropriate clinical setting even in high altitudes due to possible vector expansion to these areas.
Concrescence of the right maxillary second and third molars: A case report
- First Published: 05 May 2022
No child should suffer from vitamin K deficiency-induced bleeding disorders
- First Published: 05 May 2022
The current vitamin K deficiency-bleeding prophylaxis programs cannot prevent bleeding shortly after birth. We should establish an optimal global standard of prophylaxis using both intramuscular and oral administration of vitamin K promptly.
Patient with Dravet syndrome: A case report
- First Published: 05 May 2022
Cerebral atrophy and ventricular dilatation can be present in MRI of brain in patient with DS. The patients with DS are undertreated and do not get the standard treatment of DS because of misdiagnosis.
Rapid bilateral visual loss as the initial clinical manifestation in idiopathic hypertrophic cranial pachymeningitis
- First Published: 06 May 2022

We reported a patient presented with 4-day acute painless bilateral visual loss, who was diagnosed to have idiopathic hypertrophic cranial pachymeningitis based on laboratory tests and MRI data, the visual acuity obviously improved after timely treatment. Therefore, Intracranial changes should be considered in patients with a sharp decline in visual acuity but with no obviously positive signs of the eye fundus.
Effective treatment of advanced Hodgkin lymphoma with a modified BEACOPP regimen for a patient with demyelinating hereditary motor and sensory neuropathy type 1 (HMSN1)
- First Published: 05 May 2022
Concomitant coexistence of ACTH-dependent and independent Cushing syndrome
- First Published: 09 May 2022
The concomitant coexistence of ACTH-dependent and independent Cushing syndrome remains extremely rare. The difficulty is to determine whether the adrenal dependency existed at the time of the diagnosis or if it developed postoperatively.
Spontaneous renal tract rupture from obstructing vesico-ureteric junction calculus
- First Published: 09 May 2022
Acute polyneuropathy as the main manifestation of primary Sjogren’s syndrome: A case report
- First Published: 09 May 2022
Pure white cell aplasia an exceptional condition in the immunological conundrum of thymomas: Responses to immunosuppression and literature review
- First Published: 09 May 2022
Endometrial adenocarcinoma with bone metastasis: A case report
- First Published: 09 May 2022
Indocyanine green fluorescence: A surgeon’s tool for the surgical approach of gallstone ileus
- First Published: 09 May 2022
Indocyanine green is a non-invasive technique that allows the surgeon to obtain adequate visualization of biliary tree in patients with biliary fistulas decreasing the risk of injury.
Spontaneous tension pneumothorax as a complication of Coronavirus disease 2019: Case report and literature review
- First Published: 09 May 2022
Growing teratoma syndrome: Two case reports
- First Published: 09 May 2022
In growing teratoma syndrome, the metastatic tumors do not decrease in size despite the normalization of serum tumor markers with chemotherapy. Because of its high recurrence, timely complete surgical resection is preferred treatment.
Left ventricular thrombosis and endogenous endophthalmitis in the setting of COVID-19: A case report
- First Published: 12 May 2022

Considering that COVID-19 patients are more prone to develop thromboembolism, appropriate workups must be done in case of relevant presentations. Given that immunomodulatory and immunosuppressant drugs are used to treat the inflammatory phase of COVID-19 patients may develop rare infections such as endogenous endophthalmitis.
Osteochondroma of talus: A case report from Nepal
- First Published: 12 May 2022
Talus may be affected in the osteochondromas. Surgical excision is a successful technique of treatment for symptomatic osteochondromas with low recurrence, despite the fact that most osteochondromas are treated conservatively.
Fine-needle aspiration cytology diagnosis of aspergilloma – A case report
- First Published: 12 May 2022
Longitudinally extensive transverse myelitis (LETM) secondary to SARS-CoV-2 infection: A recent reality in spinal cord injury rehabilitation
- First Published: 12 May 2022
Immunotherapy using Histobulin™ in psoriasis: A case report
- First Published: 12 May 2022
There is no cure for psoriasis, and early treatment is recommended to improve skin manifestations and systemic inflammation, which can lead to comorbidities in various organs. Histobulin™ was effective and induced remission in a psoriasis patient.
Hypertriglyceridemia-induced pancreatitis after egg retrieval for in vitro fertilization and fenofibrate cessation
- First Published: 12 May 2022
Hansen’s disease masquerading as rheumatoid arthritis: A case report
- First Published: 12 May 2022
Primary retroperitoneal cavernous hemangioma: An exceptional disease in adulthood
- First Published: 12 May 2022
Primary retroperitoneal cavernous hemangioma is an extremely rare disease in clinical practice. To prevent catastrophic bleeding, this pathology should be recognized as a differential in retroperitoneal tumors.
Cutaneous lymphangioma secondary to breast cancer radiotherapy after mastectomy: A case report
- First Published: 12 May 2022
Breast lymphangioma may occur secondary to radiotherapy after mastectomy. It should be considered in the diagnosis of patients with vesicular lesions in the field of radiation therapy in the differential diagnosis of metastasis.
Congenital cutaneous candidiasis in a premature neonate: A case report
- First Published: 12 May 2022
CCC is a rare infection with few reports in the literature; it can occur in preterm or term neonates with heterogeneous clinical manifestations. Early recognition and prompt diagnosis are essential to initiate treatment to avoid systemic compromise.
Harlequin syndrome: An asymmetric face
- First Published: 12 May 2022
Harlequin syndrome is a rare entity that may be the tip of a neurological iceberg. It may be idiopathic or associated with general diseases. The main clinical symptoms are flush and unilateral hyperhidrosis associated with hypo or anhidrosis and paleness of the opposite side. These patients should be referred to specialized ophthalmological and neurological examination.
Application of laparoscopic distal pancreatectomy for normal anatomy after hiatal hernia repair: A case report
- First Published: 12 May 2022
In cases requiring pancreatic tumor surgery associated with a giant type IV hiatal hernia, hernia repair should be initially performed to ensure that pancreatectomy can be performed safely and in the normal anatomical position.
A rare homozygous p.Arg87Trp variant of the GBA gene in Gaucher disease: A case report
- First Published: 12 May 2022
Gaucher disease is the most common inherited lysosomal storage disorder. It is a multisystem condition resulting from glucocerebrosidase deficiency, with high inter- and intrafamilial phenotypic variability. Gaucher disease patients can be eligible for enzymatic replacement therapy. Therefore, it should be suspected in adults presenting with unexplained splenomegaly and skeletal deformities.
Pneumoparotid related to obstructive sleep apnea syndrome treated by oral appliance with anterior opening to reduce intraoral pressure
- First Published: 12 May 2022
Dohsa-hou for unexplained regression in Down syndrome in a 19-year-old man: A case report
- First Published: 15 May 2022
Yellow nail syndrome in an elderly sudanese female: A case report
- First Published: 15 May 2022
The co-existence of recurrent respiratory affection and non-pitting edema in patients of more than 40 years should raise suspicion of yellow nail syndrome even in absence of sinusitis, bronchiectasis, or positive family history.
Isthmocele—a neglected cause of secondary infertility and implantation failure: A case report
- First Published: 15 May 2022
A component could not be larger than the whole, polyclonal immunoglobulin interference in conjugated/direct bilirubin assay and elimination: A case report
- First Published: 15 May 2022

In the clinical laboratory, irrational results can signal the presence of analytical interferences, such as hemolysis, icterus, lipemia, and paraproteinemia. Although specimen dilution or the use of various measurement methods may not totally resolve the interference, they can assist in diminishing it and obtaining a reproducible result.
Perampanel markedly improved clinical seizures in a patient with a Rett-like phenotype and 960-kb deletion on chromosome 9q34.11 including the STXBP1
- First Published: 15 May 2022
Choroidal neovascularization in a patient after resolution of multiple evanescent white dot syndrome: A case report
- First Published: 15 May 2022
Appendico-ileal knotting causing small bowel obstruction: A case report
- First Published: 15 May 2022

Small bowel obstruction is one of the most common causes of emergency admission with abdominal pain often requiring surgical intervention. Small bowel obstruction (SBO) is a common cause of emergency admission to surgical ward. The etiologies for the majority of these cases include postoperative adhesions and hernia. However, acute appendicitis presenting with SBO due to appendico-ileal knotting is a very rare and unsuspected condition in an emergency scenarios.
Stent thrombosis during COVID-19 pandemic: A case series
- First Published: 18 May 2022
The covid-19 infection or vaccination may increase the chance of stent thrombosis due to a hypercoagulable state. Stent thrombosis is one of the most important complications of coronary artery stenting and always associated with catastrophic events.
Venous thoracic outlet syndrome: When exercising may be discouraged
- First Published: 15 May 2022
Complex chromosomal rearrangement involving 15q11-q13 interstitial triplication and duplication: A new case report of dysmorphic and neuropsychiatric features
- First Published: 15 May 2022
A case of preeclampsia developing massive ascites after delivery
- First Published: 15 May 2022
Case report: PICC line for a toddler with bilateral bidirectional Glenn shunt, Fontan circulation, and persistent left superior vena cava
- First Published: 16 May 2022
Children with bilateral bidirectional Glenn shunt, Fontan procedure, and persistent left superior vena cava require an unique PICC placement approach to prevent unexpected complications. Hence, it is extremely important to provide nurses with knowledge about this altered central venous anatomy and explicitly outline in the PICC placement guidelines.
Urinary bladder cavernous hemangioma in a 3-year-old: A rare case report
- First Published: 16 May 2022

Cavernous hemangioma (CH) accounts for 0.6% of all urinary bladder tumors. CH should be considered in the differential diagnosis of childhood urogenital mass. CH are rare benign tumors, with life-threatening complications when diagnosis is delayed. CH is insensitive to chemotherapy, thus surgery is effective in low-resource setting.
Stomatological management and implant-supported rehabilitation in a patient with recessive dystrophic epidermolysis bullosa
- First Published: 16 May 2022
Case of follicular mucinosis showing brownish yellow and red dots via dermoscopy
- First Published: 16 May 2022
Fahr syndrome discovered in adulthood revealing a rare GNAS mutation in pseudohypoparathyroidism type 1a in a Tunisian family
- First Published: 16 May 2022
PHP1a is one of the rare and little-known pathologies that can take a long time to be discovered. It associates a particular morphotype, subcutaneous calcifications and bone and renal resistance to parathormone. It is an inherited condition, which results from an abnormality in the GNAS gene. It is usually diagnosed in childhood. and few studies have addressed its natural history. Our report illustrates the natural history of a patient with PHP1A, which went undiagnosed until the age of 31 years. Through this clinical case, we emphasize the importance of a complete phosphocalcic balance in order to find and recognize the typical biochemical alterations associated with this pathology (hypocalcemia, hyperphosphatemia and high levels of PTH), the need for a detailed clinical examination because the phenotypic appearance often escapes notice and the identification of the responsible mutation in the index case is useful for screening other family members avoiding late diagnosis.
Decidual stromal cell therapy for generalized lymphadenopathy as a special clinical manifestation of COVID-19 infection: A case report
- First Published: 16 May 2022
Cutis verticis gyrata: Three cases illustrating three different etiologies
- First Published: 18 May 2022
Lateral luxation: Is root resorption an unavoidable complication?
- First Published: 18 May 2022
The key clinical message of this case report is to detail the management of lateral luxation and to highlight the importance of clinical and radiological follow-up in order to detect the possible complications, particularly root resorption.
Long-segment restrictive tear of radial artery under ultrasound guide for arteriovenous fistula by PTA: A case report
- First Published: 18 May 2022
A rare case of concurrent pulmonary and hepatic hydatid cysts treated by single-stage surgical management
- First Published: 18 May 2022
Free-wall perforation of the left ventricle after acute myocardial infarction complicated with pericardial tamponade that mimicked ascending aortic dissection: A case report
- First Published: 18 May 2022
Repair of double orifice mitral valve with an atrioventricular septal defect in a girl with Ellis–Van Creveld syndrome
- First Published: 18 May 2022

Congenital heart defects are common among Ellis–Van Creveld syndrome patients, and need to be managed to enhance the quality of life and improve prognosis. Partial atrioventricular septal defect is among the most common congenital heart defects in these patients, and double orifice mitral valve is encountered frequently.
CASE IMAGE
Bone marrow aspiration in a patient with systemic microsporidium
- First Published: 16 May 2022
CLINICAL IMAGES
Can the Omicron variant of COVID-19 cause pneumonia in young patients without risk factors?
- First Published: 04 May 2022
CASE REPORTS
Cone-beam computed tomography in the diagnosis of regional odontodysplasia
- First Published: 20 May 2022
Listeria endocarditis and spondylodiscitis: A case report and review of the literature
- First Published: 20 May 2022
Double purse-string suture surgical wound closure after excision of nipple adenoma of the breast: A case report
- First Published: 20 May 2022

Nipple adenoma is a rare, benign pathology that requires adequate excision and satisfactory surgical reconstruction. Our excision and double purse-string suture method covered both requirements, forgoing necessitation of special training of the surgeon or expensive equipment, thus rendering it a simple, safe, and effective treatment option.
Immune-mediated thrombotic thrombocytopenic purpura in a Jehovah’s Witness – Effectiveness of incorporating extracorporeal immunoadsorption to caplacizumab, steroids and rituximab
- First Published: 20 May 2022
Our experience in this case suggests that caplacizumab together with corticosteroids, rituximab, and EIA may be an effective treatment option for further patients with i-TTP who are unable to undergo TPE. EIA is as a treatment in place of TPE contributing to a very rapid removal of autoantibodies against ADAMTS-13.
Hyaluronic acid augmentation pharyngoplasty complicated by retropharyngeal abscess and grisel syndrome: Case report and literature review
- First Published: 20 May 2022
Velopharyngeal insufficiency (VPI) can be treated conservatively by speech therapy or surgically by augmentation pharyngoplasty and pharyngeal surgeries. Augmentation pharyngoplasty is safe and well-tolerated procedure. We report a very rare complication of this procedure which is retropharyngeal abscess and Grisel syndrome (GS). GS is a serious condition that requires early diagnosis and prompt intervention to prevent further neurological complications.
The positive short-term effect of dexamethasone on ataxia symptoms in a patient with ataxia-telangiectasia: A case report
- First Published: 20 May 2022
Idiopathic osteoporosis, Ehlers–Danlos syndrome, postural orthostatic tachycardia syndrome, and mast cell activation disorder in a 27-year-old male patient: A unique case presentation
- First Published: 20 May 2022
Cognitive behavioral therapy for an individual suffering from chronic pain with overactivity and sleep disturbance: A case report
- First Published: 20 May 2022
Intra-articular osteoid osteoma of the capitulum: A diagnostic challenge
- First Published: 20 May 2022

We describe the first case of intra-articular osteoid osteoma of the capitulum presented as elbow pain, extension lack, and sensation of click in joint flexion. Surgical treatment either arthroscopic or open is more in use in tumor location than cortical osteoid osteoma. Radiofrequency ablation should be used with extreme caution.
The usefulness of OK-432 for the treatment of postoperative chylothorax in a low-birth-weight infant with trisomy 18
- First Published: 20 May 2022
Laparoscopic cholecystectomy after percutaneous transhepatic gallbladder drainage for acute cholecystitis in a patient with a left ventricle assist device: A case report and brief review of the literature (with video)
- First Published: 22 May 2022
Development of metastatic Merkel cell carcinoma following the excision of same-sided recurrent auricular melanoma
- First Published: 22 May 2022
Alpha-L-iduronidase deficiency: A novel mutation resulting in severe early presentation of Mucopolysaccharidosis type I and literature review of the molecular basis
- First Published: 27 May 2022

A variant in a form of IDUA multiple exons deletion (deletion of exon 9′–3′) may indicate early severe MPS I phenotype. Moreover, this variant might be associated with cardiac involvement as its first manifestation. Establishment of the genetic diagnosis permits genetic counseling, prevents patients from undergoing unhelpful diagnostic procedures and allows for accurate prognosis.
Rare case of nasal cavity chondrosarcoma presenting only with unilateral decreased vision
- First Published: 23 May 2022
Acute liver failure due to hepatitis B virus reactivation induced by doxorubicin and cyclophosphamide chemotherapy for adjuvant treatment of breast cancer: A case report
- First Published: 23 May 2022
A new variant of MYCN gene as a cause of Feingold syndrome
- First Published: 23 May 2022
CASE REPORT
Endomyocardial fibrosis in a non-tropical patient who presented with chest pain mimicking ACS and left ventricular thrombus, case report
- First Published: 23 May 2022
CASE IMAGE
Is air an issue? A severe case of subcutaneous emphysema in an immunocompromised patient
- First Published: 23 May 2022
Labyrinthitis ossificans following severe acute otitis media
- First Published: 24 May 2022
Intrapelvic migration of the lag screw in intramedullary nailing after intertrochanteric fracture fixation: A case report
- First Published: 23 May 2022
Successful repair of a postcardiac surgery ascending aortic pseudoaneurysm
- First Published: 27 May 2022
CASE REPORTS
Neurosurgery in a patient with severe hemophilia B: an experience using eftrenonacog alfa as perioperative management
- First Published: 23 May 2022
Hemophilia patients may need surgical interventions for complications either related or not to their coagulopathy. Real-life experience is still limited using eftrenonacog alfa. This case demonstrates that it is an effective and safe treatment option.
Horizontal stenting via retrograde route for recurrent ruptured posterior communicating artery aneurysm after clipping: A case report and literature review
- First Published: 27 May 2022
Isolated psoas abscess caused by Mycobacterium tuberculosis: A rare case report
- First Published: 27 May 2022
Transoral removal of a hilo-parenchymal submandibular sialolith
- First Published: 27 May 2022
TASL is an established minimally invasive technique described more than 20 years ago. However, it is important to report these findings in literature, since previous reports suggested that it is an underutilized surgical technique.
Dilemma of Tocilizumab therapy for a patient with critical COVID-19 disease and neutropenia: Case report and review of the literature
- First Published: 27 May 2022
Cavernous hemangioma of mesentery involving the jejunum causing intestinal obstruction in an adult male
- First Published: 27 May 2022
Suicidal attempt by disinfectant solution ingestion in case of opioid dependence
- First Published: 27 May 2022
The importance of paying attention to suicide risk in cases of opioid dependence with a history of psychiatric illness, even if hospitalized, maintaining patient safety issues in the hospital's ward and ICU, unavailability of dangerous equipment and careful monitoring by nurses, patient care in terms of self-harm and/or to others, and psychiatric counseling for such patients is emphasized in the treatment of such patients.
E. coli bacterial meningitis after transrectal prostate biopsy under antibiotic prophylaxis: a case report and literature review
- First Published: 27 May 2022
Even after antibiotic prophylaxis, severe infections sometimes follow transrectal prostate biopsy. Involvement of the central nervous system is not well known but demands early recognition. In this situation, intravenous antibiotics with a high penetration through the blood–brain barrier are of vital importance. The most effective preventive measure against infectious complications is to change the biopsy approach to transperineal.
Anchored fallopian tube through the drain tube: A rare case report
- First Published: 27 May 2022
Anchored fallopian tube through the drain tube is a rare postoperative complication. This differential should be kept in mind if the drain tube in the pelvic cavity cannot be removed post-salpingectomy.
The Potential Involvement of SARS-CoV-2 in the Immuno-Pathogenesis of a Type A Aortic Dissection Case
- First Published: 27 May 2022
In the case of severe SARS-CoV-2 infection, severe inflammation (i.e., cytokine storm) and downregulation of ACE2 can be associated with aortic dissection.