• Issue

    Clinical Case Reports: Volume 11, Issue 1

    January 2023

COVER IMAGE

Open Access

Cover Image

  • First Published: 27 January 2023
Cover Image Volume 11 Issue 1, 2023

The cover image is based on the Case Report Tooth adornment among siblings living in an urban slum in Nigeria: Health implications for a vulnerable population by Mary E. Osuh et al., https://doi.org/10.1002/ccr3.6563.

Open Access

Cover Image

  • First Published: 24 February 2023
Cover Image Volume 11 Issue 1, 2023

The cover image is based on the Case Report Surgical strategy for airway management and bleeding control in penetrating neck injury in zone II: A case report by Tomohiro Akutsu et al., https://doi.org/10.1002/ccr3.6862.

Open Access

Cover Image

  • First Published: 24 February 2023
Cover Image Volume 11 Issue 1, 2023

The cover image is based on the Case Report Healing of large endodontic lesions using a new combination of triple antibiotics: A case report by Saeed Asgary et al., https://doi.org/10.1002/ccr3.6879.

ISSUE INFORMATION

Open Access

Issue Information

  • First Published: 03 January 2023

CASE REPORT

Open Access

Challenges in management of Bartholin gland leiomyoma: A case report

  • First Published: 28 January 2023
Challenges in management of Bartholin gland leiomyoma: A case report

Bartholin gland neoplasms are rare tumors, commonly misdiagnosed as Bartholin's cysts. Excision is the treatment of choice. Short time follow-up allows prompt management of potential postoperative complications. Continuing long-term follow-up is recommended due to recurrence risk.

Open Access

COVID-19-induced thrombotic microangiopathy: A great mimicker of thrombotic thrombocytopenic purpura (TTP)

  • First Published: 16 January 2023
COVID-19-induced thrombotic microangiopathy: A great mimicker of thrombotic thrombocytopenic purpura (TTP)

COVID-19-associated thrombosis is becoming well documented in the literature and clinical practice. Treating physicians must be cognizant to the less known thrombotic microangiopathy which can be a consequence of COVID-19. Clinical findings overlap with thrombotic thrombocytopenic purpura (TTP), although it may not be responsive to mainstay treatment of TTP.

Open Access

Radiation-induced myofibroblastoma within the nasal sinus requiring maxillectomy and ethmoidectomy: A case report and literature review

  • First Published: 20 January 2023
Radiation-induced myofibroblastoma within the nasal sinus requiring maxillectomy and ethmoidectomy: A case report and literature review

Extramammary-myofibroblastomas are rare tumors, especially in the head and neck region. The long-term prognosis of these tumors post-excision is favorable. The patient remains under close surveillance but has yet to present with clinical recurrence.

Open Access

Tooth adornment among siblings living in an urban slum in Nigeria: Health implications for a vulnerable population

  • First Published: 03 January 2023
Tooth adornment among siblings living in an urban slum in Nigeria: Health implications for a vulnerable population

Self-adornment with dental jewels among youth living in low socioeconomic environments has multiple health implications. Professional dentists are essential to advise, treat, and maintain good oral health in areas where the practice is prevalent.

Open Access

Flumatinib plus venetoclax as an effective therapy for Philadelphia chromosome-positive acute myeloid leukemia: A case report

  • First Published: 03 January 2023

The figure shows the treatment process of the patient and the dynamic changes in blood cell count during venetoclax and flumatinib. The BCR::ABL1 transcript was negative after two courses of the combination of venetoclax anf flumatinib. No serious adverse events occurred during the treatment, although hematological toxicity was observed.

Open Access

Elimination of refractory ventricular tachycardia storm and fibrillation using stereotactic radiotherapy

  • First Published: 16 January 2023
Elimination of refractory ventricular tachycardia storm and fibrillation using stereotactic radiotherapy

Radiotherapy offers a feasible, safe, and effective therapy to VT storms refractory to pharmacotherapy and ablation. Radiotherapy can be therapeutic, palliative, or a bridge to transplant. More studies are needed to further investigate the use of SBRT.

Open Access

Effectiveness of stellate ganglion block for the treatment of patulous eustachian tube: A case report

  • First Published: 03 January 2023

We concluded that successful management of PET can be obtained with SGB; this treatment was not previously used for this disorder.

Open Access

Aortic arch surgery for type B aortic dissection: How far should we go? The value of a hybrid approach

  • First Published: 03 January 2023
Aortic arch surgery for type B aortic dissection: How far should we go? The value of a hybrid approach

Surgical treatment for aortic disease remains challenging and demanding. Treatment often needs to be tailored to the patient or the group of patients being referred. A hybrid approach may have a role to play as an additional option to the surgical armamentarium. Cooperation between different specialists is essential.

Open Access

Negative effects of rivaroxaban observed in a patient with multiple common risks triggered by a bicycle accident

  • First Published: 20 January 2023
Negative effects of rivaroxaban observed in a patient with multiple common risks triggered by a bicycle accident

The picture is the necrotic tissue in the left lower leg 20 days after injury from a bicycle accident.

Open Access

Rupture of a previously undiagnosed intracranial aneurysm during endoscopic dacryocystorhinostomy: A case report

  • First Published: 16 January 2023
Rupture of a previously undiagnosed intracranial aneurysm during endoscopic dacryocystorhinostomy: A case report

A patchy high-density shadow in the right frontal lobe was revealed by a head computed tomography scan due to the rupture of an undiagnosed intracranial aneurysm during endoscopic endonasal dacryocystorhinostomy.

Open Access

Lung abscess due to Streptococcus intermedius associated with SARS CoV-2 infection in pregnancy: Unusual presentation and complication of a commensal bacteria during pregnancy

  • First Published: 03 January 2023
Lung abscess due to Streptococcus intermedius associated with SARS CoV-2 infection in pregnancy: Unusual presentation and complication of a commensal bacteria during pregnancy

Streptococcus intermedius is part of the commensal oral flora, but it has been described in a few cases as the causal agent of lung abscesses. We describe an unusual case of lung abscess caused by Streptococcus intermedius in pregnancy.

Open Access

Recreational nitrous oxide induced subacute combined degeneration of the spinal cord: A case report

  • First Published: 16 January 2023
Recreational nitrous oxide induced subacute combined degeneration of the spinal cord: A case report

Simplified schematic representation of the effects of the inactivation of vitamin B12 by nitrous oxide. Nitrous oxide oxidizes cobalt ions in vitamin B12 leading to inactivation, which results in an increase in homocysteine and methylmalonic acid and the inability to synthesize or maintain myelin leading to SACD. SACD, subacute combined degeneration.

Open Access

Common variable immunodeficiency with granulomatous-lymphocytic interstitial lung disease treated with monoclonal antibodies against COVID-19: A case report

  • First Published: 23 January 2023
Common variable immunodeficiency with granulomatous-lymphocytic interstitial lung disease treated with monoclonal antibodies against COVID-19: A case report

The use of monoclonal antibodies directed against SARS-CoV-2 in combination with molnupiravir in a patient with CVID and GLILD is safe.

Open Access

A rare case of a laryngeal angiomyolipoma

  • First Published: 16 January 2023
A rare case of a laryngeal angiomyolipoma

A man with long-term dyspnea diagnosed with a laryngeal angiomyolipoma. This diagnosis is clinically significant because a common complaint manifested from a rare cause that has the potential to cause airway obstruction and difficulty intubating.

Open Access

Targeted treatment of refractory primitive neuroectodermal tumor arising from an immature teratoma with crizotinib leading to a sustained response

  • First Published: 03 January 2023
Targeted treatment of refractory primitive neuroectodermal tumor arising from an immature teratoma with crizotinib leading to a sustained response

When conventional therapy is exhausted in advanced malignancies, evaluation with next-generation sequencing can identify targetable gene expression patterns like ALK overexpression in this PNET case, which led to a durable response with crizotinib.

Open Access

A case of shock after STEMI: Think beyond the cardiogenic one

  • First Published: 11 January 2023
A case of shock after STEMI: Think beyond the cardiogenic one

Adrenal crisis is a rare life-threatening condition that can occur after segment elevation myocardial infarction. Because it can mimic cardiogenic shock and can lead to the development of takotsubo syndrome, it is important to recognize it in order to initiate appropriate treatment and reduce mortality.

Open Access

Surgical management of severe pediatric blunt abdominal trauma

  • First Published: 16 January 2023

Surgical treatment of liver trauma consists of bleeding control. Therefore, it is important to choose a surgical method and material that is easy for the team to handle in order to achieve hemostasis, while avoiding complications.

Open Access

Juvenile polyposis syndrome: A case report

  • First Published: 03 January 2023

“JPS ought to be suspected in patients with multiple-stalked polyps. Endoscopic studies may not be sufficient to pinpoint the diagnosis but can be a useful guide in diagnosis of JPS. Histology with genetics can be used as confirmatory tests.”

Open Access

Trust but verify: A case report of unintended medication omission

  • First Published: 03 January 2023

Applying the proverb “trust but verify” by revisiting the initial medication history likely prevented unnecessary testing and subsequent medical interventions.

Open Access

Treatment of a high healthcare utilizer with sepsis in a virtual hybrid hospital-at-home program

  • First Published: 03 January 2023
Treatment of a high healthcare utilizer with sepsis in a virtual hybrid hospital-at-home program

Mayo Clinic's Advance Care at Home program can deliver both inpatient-level care as well as postacute, skilled nursing-level wound care, and rehabilitative therapy. Decompensations were treated in the home setting, preventing escalations to the emergency department.

Open Access

A novel RAD51 variant resulting in Fanconi anemia identified in an infant with multiple congenital anomalies

  • First Published: 19 January 2023

The four described patients with RAD51-associated Fanconi anemia share several characteristics. However, our patient also presented with tracheobronchomalacia and other uncommon anomalies that help expand the phenotype of this rare disease.

Open Access

Streptococcus-related acute suppurative thyroiditis in a COVID-19-positive child: A rare case report

  • First Published: 03 January 2023
Streptococcus-related acute suppurative thyroiditis in a COVID-19-positive child: A rare case report

The association between acute suppurative thyroiditis (AST) and COVID-19 is rare but very important. The early treatment and diagnosis of AST, with complete aspiration and antibiotic therapy, can induce full recovery in patients without surgery.

Open Access

A case report of multiple abscesses caused by Streptococcus intermedius

  • First Published: 16 January 2023

Streptococcus intermedius has a unique tropism in the brain, liver, and lungs leading to abscess formation. When compared to other members of this group like Streptococcus anginosus and Streptococcus constellatus, S. intermedius infections are more substantial. S. intermedius is unique to the other bacteria in SAG due to the expression of intermedilysin (ILY), allowing it to cause cell necrosis with membrane bleb formation. The mortality rate for SAG-associated bacteremia is 10%–16%. Early recognition and timely intervention are important for successful treatment and improved outcomes. There are currently no screening guidelines when S. intermedius is found in culture data; however, clinicians should have a low threshold to consider imaging for indolent infections.

Open Access

Recurrent sideroblastic anemia during pregnancy

  • First Published: 11 January 2023
Recurrent sideroblastic anemia during pregnancy

Although Sideroblastic anemia is a rare type of anemia, it should be considered in cases of unexplained pregnancy-relapsing anemia. Identification of possible revisable causes like pyridoxine deficiency is crucial to avoid both maternal and fetal adverse effects. Extensive workup including deep genetic testing might be required, guided by each case's clinical and histopathological findings..

Open Access

Surgical revascularization for severe spasm in the left main coronary artery

  • First Published: 06 January 2023
Surgical revascularization for severe spasm in the left main coronary artery

Surgical revascularization is effective for repeated coronary artery spasms resulting in circulatory collapse. Spasms can sometimes occur in other coronary arteries and may also occur in arteries of other organs.

Open Access

Brain abscess due to Nocardia asiatica in a 63-year-old patient with adult-onset still disease: A case report

  • First Published: 11 January 2023
Brain abscess due to Nocardia asiatica in a 63-year-old patient with adult-onset still disease: A case report

Nocardiosis is a rare bacterial infection that requires applied microbiology laboratory techniques to establish its diagnosis and to provide a targeted treatment.

Open Access

Tumor-to-tumor metastasis to Warthin tumor presenting as an initial sign of breast carcinoma: A case report

  • First Published: 06 January 2023
Tumor-to-tumor metastasis to Warthin tumor presenting as an initial sign of breast carcinoma: A case report

Tumor-to-tumor metastasis to salivary gland tumors is extremely rare. We present a case in which lobular breast carcinoma metastases were found within a Warthin tumor of the left parotid gland. The pathology of the distant metastases steered the diagnostics of the primary breast tumor. This patient case serves as a reminder that a new distant primary cancer might be the cause of a parotid lump.

Open Access

Acute myocardial infarction complicated by purulent pericarditis: A case report

  • First Published: 08 January 2023
Acute myocardial infarction complicated by purulent pericarditis: A case report

Although bleeding complications are the primary cause of sudden cardiac tamponade in acute myocardial infarction, purulent pericarditis is also a possibility. It is rare but must be diagnosed promptly because it can worsen rapidly by sepsis.

Open Access

Pacemaker implantation for persistent sinus node dysfunction in a patient with COVID-19

  • First Published: 06 January 2023

To recognize that sinus bradycardia initiated by COVID-19 can cause congestive heart failure and identify COVID-19 as a potential etiology of sinus node dysfunction. Although it is usually reversible, it may persist in some patients.

Open Access

A case report of biallelic CHEK2 heterozygous variant presenting with breast cancer

  • First Published: 11 January 2023
A case report of biallelic CHEK2 heterozygous variant presenting with breast cancer

The biallelic germline pathogenic variants of CHEK2 gene confer a high risk of early-onset breast cancer development to their female carriers that calls in for their more aggressive management and surveillance.

Open Access

Goblet cell adenocarcinoma of the ascending colon: An underrecognized diagnostic pitfall

  • First Published: 11 January 2023
Goblet cell adenocarcinoma of the ascending colon: An underrecognized diagnostic pitfall

The colon is an exceptional site of goblet cell adenocarcinoma (GCA). For appropriate management, metastasis of a primary appendiceal GCA should be excluded.

Open Access

A giant quiet esophageal polyp: A case report

  • First Published: 11 January 2023

Esophageal polyps are rare and asymptomatic; however, they can grow extensively and cause significant discomfort for the patient. Therefore, it is crucial to consider them as a differential diagnosis.

Open Access

Liver transplantation following late-onset hepatic sinusoidal obstruction syndrome occurred beyond 1-year postallogeneic hematopoietic stem cell transplantation

  • First Published: 11 January 2023

This late-onset HOVD case occurred beyond 16 months post-HSCT indicating that late-onset HOVD should be taken into consideration when patients developed related clinical signs no matter how long post-HSCT. Solid organ transplantation offers valuable therapeutic options for patients with single organ failure after HSCT without adverse impact on overall outcomes.

Open Access

Adult-onset still's disease and budd-chiari syndrome: A case report

  • First Published: 16 January 2023
Adult-onset still's disease and budd-chiari syndrome: A case report

Adult onset still's disease is a rare autoinflammatory disease displaying with a wide range of non-specific symptoms and budd-chiari syndrome is an uncommon disorder characterized by obstruction of hepatic venous outflow. AOSD complicated with BCS is a rare but potentially life-threatening entity. Clinicians should be aware of this complication.

Open Access

Neutrophilic erythrophagocytosis in myelodysplastic syndrome and cold agglutinin disease co-occurrence

  • First Published: 11 January 2023
Neutrophilic erythrophagocytosis in myelodysplastic syndrome and cold agglutinin disease co-occurrence

In this paper, we report a rare case with several notable features. coexistence of MDS and CAD and observation of phagocytized red blood cell precursor nuclei are the most remarkable aspects of this case.

Open Access

Adult-size interface during non-invasive ventilation for a child with pediatric acute respiratory distress syndrome: Maintaining principle on a different population

  • First Published: 16 January 2023
Adult-size interface during non-invasive ventilation for a child with pediatric acute respiratory distress syndrome: Maintaining principle on a different population

Due to the limited access to the proper pediatric-size of non-invasive ventilation interfaces, using an adult-size nasal mask as an oro-nasal pediatric interface may overcome this limitation. However, it cannot be generalizable from this report.

Open Access

First tiger shark Galeocerdo cuvier bite in 75 years in French Polynesia (Eastern Central Pacific)

  • First Published: 16 January 2023
First tiger shark Galeocerdo cuvier bite in 75 years in French Polynesia (Eastern Central Pacific)

When sharks bite humans, the removal of large pieces of flesh or bones indicates a feeding motivation. The shark size can be assessed through average interdental distances. Prompt and effective emergency first-aid measures are crucial for survival.

Open Access

A laparoscopic approach to address massive splenomegaly, symptomatic cholelithiasis, and a planned postoperative pregnancy: A case report

  • First Published: 23 January 2023

Laparoscopic splenectomy is a safe and effective approach for patients with immune thrombocytopenic purpura, even those with massive splenomegaly. We highlight the benefits of tailoring the surgical approach to address the patient's surgical needs.

Open Access

Bilateral anterior ischemic optic neuropathy and choroidal ischemia in a patient with COVID-19 infection

  • First Published: 23 January 2023
Bilateral anterior ischemic optic neuropathy and choroidal ischemia in a patient with COVID-19 infection

The purpose of this report was to illustrate the occurrence of bilateral ischemic optic neuropathy and choroidal ischemia following COVID-19. We aimed to shed light on the potential and multiplicity of ophthalmic presentation in a patient with COVID-19 infection.

Open Access

Double valve replacement in a case of Hedinger syndrome

  • First Published: 19 January 2023
Double valve replacement in a case of Hedinger syndrome

Early surgical treatment could be beneficial for patients with Hedinger Syndrome.

Open Access

Relapsed mantle cell lymphoma presenting with lactic acidosis and hypoglycemia: A case report

  • First Published: 11 January 2023
Relapsed mantle cell lymphoma presenting with lactic acidosis and hypoglycemia: A case report

Lymphoma rarely presents with co-existent lactic acidosis and hypoglycemia. Prompt recognition of this unusual presentation and careful management with consideration of chemotherapy is important as the prognosis is poor.

Open Access

Orbital apex syndrome due to herpes zoster infection in a patient with chronic kidney disease: A case report

  • First Published: 11 January 2023
Orbital apex syndrome due to herpes zoster infection in a patient with chronic kidney disease: A case report

Orbital apex syndrome is a rare complication of herpes zoster ophthalmicus, associated with poor outcome. Clinical suspicion should be high in immunocompromised cases, especially those with chronic kidney disease.

Open Access

Coexistence of anti-MDA5 and anti-PL-7 in a patient with dermatomyositis: A case report

  • First Published: 23 January 2023

The coexistence of anti-MDA5 and anti-PL-7 antibodies is extremely rare. We report a 41-year-old woman with coexisting anti-MDA5 and anti-PL-7 and the patient had an effective response to treatment.

Open Access

A case report of sacral neuromodulation tined lead migration into the rectum

  • First Published: 16 January 2023

After implanting an SNM lead, complications may not manifest only as urinary symptoms. In our case, lead migration occurred after gastrointestinal symptoms, but without urinary tract symptoms.

Open Access

Secondary subcutaneous abscess due to mixed infections by Peptoniphilus olsenii and Gleimia europaea after COVID-19

  • First Published: 16 January 2023
Secondary subcutaneous abscess due to mixed infections by Peptoniphilus olsenii and Gleimia europaea after COVID-19

Subcutaneous anaerobic bacterial infections can occur secondary to COVID-19. We describe a rare case of subcutaneous anaerobic bacterial abscess due to Peptoniphilus olsenii and Gleimia europaea after COVID-19.

Open Access

Necrotizing fasciitis and septic shock due to streptococcal toxic shock syndrome in an elderly patient: A case report

  • First Published: 19 January 2023

The elderly patient suffered from streptococcal toxic shock syndrome and went into shock rapidly and progressively. However, prompt surgical treatment, antimicrobial agents, and blood purification therapy such as polymyxin B immobilized fiber column direct hemoperfusion and continuous hemodiafiltration could have saved the patient's life.

Open Access

Cadaveric kidney transplantation in an ESRD patient with Klippel–Feil syndrome—A case report

  • First Published: 19 January 2023

Klippel–Feil syndrome is a skeletal disease with fusion of cervical vertebrae. During surgery, attention should be paid to the difficulty in airway management and the importance of being prepared for it using video laryngoscopy. Because anatomy of vessel and bladder were normal, technique of kidney transplant surgery was routine.

Open Access

Distalization using efficient attachment protocol in clear aligner therapy—A case report

  • First Published: 20 January 2023
Distalization using efficient attachment protocol in clear aligner therapy—A case report

Distalization of full cusp class IIs always poses therapeutic challenges, more so with clear aligner therapy. This case report illustrates efficient class II correction with CA by judicious use of short class II elastics, 14-day aligner change, sequential distalization by optimizing staging prescriptions, and efficient anchorage planning with attachment protocols.

Open Access

Left ventricular pseudoaneurysmectomy in patient without hemodynamic instability: A case report

  • First Published: 16 January 2023

Left ventricular pseudoaneurysm can lead to serious morbidity or mortality. The reported incidence is 10%–35% and has declined, primarily after coronary angioplasty. Several treatment methods are currently available. These all need to be taken individually when surgery or medical treatment is appropriate.

Open Access

Surgical strategy for airway management and bleeding control in penetrating neck injury in zone II: A case report

  • First Published: 23 January 2023
Surgical strategy for airway management and bleeding control in penetrating neck injury in zone II: A case report

The management of penetrating neck injuries is difficult due to the complicated anatomy and very small area of the neck. Training in cervical lymph node dissection for esophageal cancer could be useful in managing penetrating neck injuries.

Open Access

Interatrial septum dissection, severe aortic stenosis, and paravalvular mitral regurgitation: A rare combination and their hemodynamic interrelationship

  • First Published: 16 January 2023
Interatrial septum dissection, severe aortic stenosis, and paravalvular mitral regurgitation: A rare combination and their hemodynamic interrelationship

Left atrial wall dissection is a rare complication of mostly mitral valve interventions and is often underrecognized given its wide clinical presentations. Diagnosis requires a multimodality imaging approach. Although its management approaches are controversial, conservative treatment should be considered. Increased incidence in the future is likely because of increased percutaneous interventions.

Open Access

Treatment of unexplained facial numbness with stellate ganglion blockade: A case report

  • First Published: 19 January 2023

To date, there is no established treatment for facial numbness or dysesthesia of unknown origin. A 50-year-old man with no history of psychosomatic consultation and a tendency toward anxiety on the Hospital Anxiety and Depression Scale presented with facial numbness. He was successfully treated using a stellate ganglion block (SGB).

Open Access

Bilateral non-contiguous necrotizing fasciitis of the lower extremities

  • First Published: 19 January 2023
Bilateral non-contiguous necrotizing fasciitis of the lower extremities

Radical debridement and necrosectomy in necrotizing fasciitis.

Open Access

Pregnancy in an isthmocele: A rare case from Nepal

  • First Published: 16 January 2023
Pregnancy in an isthmocele: A rare case from Nepal

Pregnancy in an isthmocele or previous scar site should be a differential diagnosis in an unexplained bleeding in post-cesarean section cases.

Open Access

Healing of large endodontic lesions using a new combination of triple antibiotics: A case report

  • First Published: 23 January 2023

The recently introduced combination of triple antibiotics (penicillin G, metronidazole, and ciprofloxacin; PMC) seems to be an effective medication against intracanal microbiota and appears to be able to assist in the preparing a matrix for the healing of endodontic lesions, making PMC a promising medicament against the dental root canal originated diseases.

Open Access

Vaccine-induced immune thrombotic thrombocytopenia (VITT) after SARS-CoV-2 vaccination: Two cases from Germany with unusual presentation

  • First Published: 20 January 2023
Vaccine-induced immune thrombotic thrombocytopenia (VITT) after SARS-CoV-2 vaccination: Two cases from Germany with unusual presentation

Vaccine-induced immune thrombotic thrombocytopenia (VITT) is a rare clinical condition that has emerged during mass vaccination against SARS-CoV-2. The diagnosis of VITT requires a high index of suspicion because many aspects of the syndrome are not yet fully understood, and unusual presentations may occur.

Open Access

Treatment of primary eosinophilic colitis using immunoglobulin/histamine complex

  • First Published: 20 January 2023
Key Clinical Message

An immunoglobulin/histamine complex effectively induced remission of primary eosinophilic colitis. It had both antinociceptive effects and nonallergen-specific desensitization effects.

Open Access

Spontaneous intracranial hypotension complicated by unilateral subdural hematoma, coma, and the rare Kernohan's notch phenomenon

  • First Published: 23 January 2023
Spontaneous intracranial hypotension complicated by unilateral subdural hematoma, coma, and the rare Kernohan's notch phenomenon

This article offers support for recently emerging literature on the morbidity of spontaneous intracranial hypotension (SIH), a condition previously considered to have a benign course. Subdural hematoma (SDH) in the background of SIH should be assessed carefully as neurosurgical interventions aiming at hematoma evacuation can possibly lead to further exacerbation of SIH.

CASE IMAGES

Open Access

Pituitary hyposignal characteristic of hemochromatosis on MRI

  • First Published: 11 January 2023
Pituitary hyposignal characteristic of hemochromatosis on MRI

Pituitary haemochromatosis is an endocrine disorder caused by the accumulation of iron due to a lack of absorption during haemochromatosis. The characteristic appearance on MRI is a T2 and T2* hyposignal of the anterior pituitary gland without enhancement, respecting the pituitary stalk and the posterior pituitary gland. Diagnosis is essential for early treatment.

Open Access

Differentiation syndrome in patients with acute promyelocytic leukemia

  • First Published: 26 January 2023
Differentiation syndrome in patients with acute promyelocytic leukemia

Differentiation syndrome should be suspected and considered on the top of the differential diagnoses whenever you encounter a patient with acute promyelocytic leukemia who deteriorates after starting chemotherapy with ATRA/ATO and prompt management with steroids is crucial in order to avoid this fatal complication.

Open Access

Primary pleural lymphoma accompanied by silicosis

  • First Published: 08 January 2023
Primary pleural lymphoma accompanied by silicosis

Silicosis is rarely accompanied by pleural effusions. When pleural effusions are found in patients with silicosis, lymphoma should be considered, in addition to lung cancer and tuberculosis.

Open Access

Imaging manifestations of small cell neuroendocrine carcinoma of the ureter

  • First Published: 23 January 2023
Imaging manifestations of small cell neuroendocrine carcinoma of the ureter

Most small cell neuroendocrine carcinomas originating in the urinary system are located in the bladder and prostate: they rarely arise from the ureter. This report presents a case confirmed with ultrasonography, computed tomography, magnetic resonance urography, and pathological analysis.

Open Access

Heart rate response during cardiopulmonary exercise in the denervated heart

  • First Published: 23 January 2023
Heart rate response during cardiopulmonary exercise in the denervated heart

The patients after heart transplantation usually present resting tachycardia, a slower increase in heart rate (HR) at the onset of exercise, a blunted chronotropic response to exercise in general, maximal HR being attained in the recovery period.

Open Access

Physical findings of crowned dens syndrome

  • First Published: 19 January 2023
Physical findings of crowned dens syndrome

In patients with crown dens syndrome, CT scans of head and neck show calcifications surrounding the dens.

Open Access

Localized skin mottling associated with acute gastric dilatation

  • First Published: 16 January 2023
Localized skin mottling associated with acute gastric dilatation

As a complication with acute gastric dilatation, localized skin mottling disappeared immediately is a rare finding. Gastric dilatation could have caused compression of the inferior epigastric artery.

Open Access

Radiological manifestation of optic nerve infarction in a patient with invasive mucormycosis secondary to diabetic ketoacidosis in Pakistan

  • First Published: 19 January 2023

Immunocompromised patients usually suffer from fungal infections. If not managed in time, patient can end up having optic nerve infarction and invasive intracranial complications.

Open Access

Sarcomatoid carcinoma of the gallbladder: A rare and aggressive form of gallbladder cancer

  • First Published: 16 January 2023
Sarcomatoid carcinoma of the gallbladder: A rare and aggressive form of gallbladder cancer

The diagnosis of sarcomatoid carcinoma is challenging and relies on histopathological examination coupled with an immunohistochemical study. Adequate sampling is mandatory to establish a correct diagnosis.

Open Access

Neurogenic pulmonary edema caused by right insular cortex infarction

  • First Published: 16 January 2023

Cerebral infarction involving insular cortex can cause neurogenic pulmonary edema (NPE). The NPE should be considered in the differential diagnosis of dyspneic patients with cerebral infarction involving the insular cortex.

Open Access

Laparoscopic resection of a uterine lipoleiomyoma

  • First Published: 16 January 2023
Laparoscopic resection of a uterine lipoleiomyoma

This case recalls the clinicopathological features of lipoleiomyoma and highlights the importance of a correct preoperative diagnosis to avoid unnecessary surgical morbidity.

Open Access

Tuberculous tenosynovitis of the hand: A challenging diagnosis

  • First Published: 26 January 2023
Tuberculous tenosynovitis of the hand: A challenging diagnosis

T1 weighted MRI images showed thickening of flexor sheaths (A), intensely enhanced after injection of gadolinium (B), conforming with flexor tenosynovitis of the left hand.

Open Access

Primary aortoduodenal fistula presenting as a rare cause of upper gastrointestinal bleeding

  • First Published: 16 January 2023
Primary aortoduodenal fistula presenting as a rare cause of upper gastrointestinal bleeding

Primary ADF is a life-threatening complication that should be considered in all patients with known abdominal aortic aneurysms presenting with massive bleeding. Early diagnosis and emergent surgery are crucial to patient survival.

Open Access

Late onset of flesh-colored papules of the neck

  • First Published: 26 January 2023
Late onset of flesh-colored papules of the neck

The diagnosis of papular elastorrhexis can be challenging. It belongs to a heterogeneous elastic tissue disorder. Histology remains the main key for diagnosis especially for unusual locations.

CASE VIDEOS

Open Access

Left atrial myxoma causing near-total mitral valve obstruction

  • First Published: 20 January 2023

We present a clinical video of a large left atrial myxoma causing mitral valve obstruction, highlighting the importance of echocardiography as a diagnostic modality to facilitate referral to a tertiary center.

Open Access

Interhemispheric gravity-assisted approach for microsurgical resection of a splenium arteriovenous malformation

  • First Published: 26 January 2023
Interhemispheric gravity-assisted approach for microsurgical resection of a splenium arteriovenous malformation

The parietal interhemispheric approach employing gravity retraction with skeletonization of bridging veins provides an excellent operative window for safe, curative resection of splenial arteriovenous malformations.