Articles

Brugada syndrome during physical therapy: a case report

This case report describes about a young, male patient with persisting syncope during physical therapy for complex regional pain syndrome type 1 after metatarsal fractures.

Authors: Jan Paul M Frölke, Almar WA Bruggeman, Frank PAJ Klomp and Joep LRM Smeets

Successful outcome of Langerhans cell histiocytosis complicated by therapy-related myelodysplasia and acute myeloid leukemia: a case report

Various therapeutic options are available for the management of Langerhans cell histiocytosis. However, treatment administered to control this disease may be complicated by acute leukemia.

Authors: Khalid A Al-Anazi, Abdulrahman Alshehri, Hazza A Al-Zahrani, Fahad I Al-Mohareb, Irfan Maghfoor and Dahish Ajarim

Brain function monitoring during off-pump cardiac surgery: a case report

Early postoperative stroke is an adverse syndrome after coronary bypass surgery. This report focuses on overcoming of cerebral ischemia as a result of haemodynamic instability during heart enucleation in off-p...

Authors: Paolo Zanatta, Enrico Bosco, Piero Di Pasquale, Agarwal Nivedita, Carlo Valfrè and Carlo Sorbara

Spontaneous mode non-invasive ventilation fails to treat respiratory failure in a patient with Multi-mincore disease: a case report

The increased morbidity and mortality resulting from respiratory failure in patients with neuromuscular disorders and/or kyphoscoliosis can be reversed with non-invasive ventilation. Spontaneous mode bilevel p...

Authors: Krishna B Sriram, Andrew Thornton and Ral Antic

Acquired constriction ring syndrome as a cause of inconsolable cry in a child: a case report

Acute constriction ring syndrome (ACRS) is a rare clinical condition characterized by formation of a circumferential constriction ring around an appendage or genitalia. Cases are mostly reported in infants and...

Authors: Vinay Singh, Pankaj Singh, Amit Sharma and Jay Sarkar

Emphysematous pyelonephritis, a rare cause of pneumoperitoneum: a case report and review of literature

Emphysematous pyelonephritis is a gas-producing necrotizing bacterial infection that involves the renal parenchyma and perirenal tissue.

Authors: Alexandros Strofilas, Andreas Manouras, Emmanuel E Lagoudianakis, Aikaterini Kotzadimitriou, Apostolos Pappas, Ioannis Chrysikos and Evangelos Menenakos

Dementia in a patient with Thymoma and hypogammaglobulinaemia (Good's syndrome)

Good's syndrome is extremely rare and refers to an acquired B and T cell immunodeficiency in thymoma patients. The authors of this article present a case report of a 75-year-old, caucasian male patient previou...

Authors: Nelson Pedro Ferreira de Jesus, Patrícia Margarida Serra Carvalho, Florbela Maria Grilo Dias, Elsa Maria Filipe Gaspar and José Júlio Alves de Moura

Metastatic non-small cell lung cancer presenting with an orbital metastasis: a case report

Metastatic disease to the orbit occurs in up to 7% of cancers. In approximately 20% of cases, there is no diagnosis of cancer at the time of presentation with orbital metastatic disease. This is a case of a 53...

Authors: Arun Azad

Apocrine adenocarcinoma of the nipple: a case report

Apocrine adenocarcinomas are rare malignant skin adnexal tumours. Apocrine carcinoma of the nipple is extremely rare and this case to the author's knowledge is only the third reported case worldwide and the fi...

Authors: George Alex

Successful removal of a giant intrathoracic lipoma: a case report and review of the literature

We report a case of a 44-year old female who presented to her physician complaining of mild dyspnea. A follow-up chest X-ray and chest computed tomography scan revealed a giant bilateral intrathoracic mass, fi...

Authors: Ramona M Hagmaier, Glenn A Nelson, Larkin J Daniels and Adam I Riker

Limb body wall complex in a still born fetus: a case report

We report the case of a male, low birth weight, stillborn fetus of 36 weeks gestation with limb body wall complex. An interesting and rare feature noted in the propositus was the absence of the left subclavian...

Authors: Nishad Plakkal, Joseph John, Sajini Elizabeth Jacob, J Chithira and Sowmya Sampath

Massive gastrointestinal haemorrhage due to gastritis cystica profunda

Gastritis Cystica Profunda is a well recognized entity which may occur several years after previous gastric surgery. This is a premalignant condition and may lead on to carcinoma of the stomach.

Authors: Vinay Itte, Ismail H Mallick and Peter J Moore

Pancreatic tuberculosis with splenic tuberculosis mimicking advanced pancreatic cancer with splenic metastasizes: a case report

A 60-year-old woman presented with vague abdominal pain for one week was referred to pancreatic tail carcinoma accompanied with splenic metastasizes. She came to our hospital for further treatment. Ultrasonogr...

Authors: YF Rong, WH Lou and DY Jin

Left common carotid artery arising from the brachiocephalic trunk: a case report

An abnormal origin of the left common carotid artery from the initial portion of the brachiocephalic trunk was found in the superior mediastinum in a 81-year-old Caucasian male cadaver during dissection practi...

Authors: Georgios Paraskevas, Paris Agios, Marios Stavrakas, Alexandra Stoltidou and Alexandros Tzaveas

Experience with recipient splenic artery inflow in adult liver transplantation: a case series

Hepatic artery thrombosis following orthotopic liver transplant is one of the most common reasons for early graft failure. Meticulous reconstitution of hepatic artery flow remains essential for good outcomes. ...

Authors: Wesley B Vanderlan, Marwan S Abouljoud, Atsushi Yoshida and Dean Y Kim

Anejaculation as an atypical presentation of prostate cancer: a case report

Anejaculation may occur as a result of neurological disease, iatrogenic injury or be drug induced. We report a case of a 66 year old man who presented with anejaculation following an emergency abdominal aortic...

Authors: Uwais Mufti, Khurshid R Ghani, Rateb Samman, Jaspal Virdi and Bernard Potluri

Primary osteosarcoma of the breast: case report

Mammary sarcomas are very uncommon and make up less than 1% of all primary breast malignancies.

Authors: Boutayeb Saber, Ahbeddou Nawal, Fetohi Mohamed and Errihani Hassan

Rapidly evolving purpuric lesions to massive hemorrhagic bullae, with rapid improvement by Prednisolone: as a coetaneous manifestation of Systemic Lupus Erythematosus: a case report

Systemic lupus Erythematosus is a chronic autodestructive disease, with loss of immune tolerance to nucleic acid and other cross reactive antigens. Despite of the numerous studies, the presence of some new man...

Authors: Farzin Khorvash, Alireza Emami Naeini, Mohaddeseh Behjati, Mansoor Karimifar, Fariborz Khorvash and Koorosh Dialami

The ethics of N of 1 trials in routine practice and other problems of publication ethics

Authors: Richard Smith

Milk allergy and bottles over the back fence: two single patient trials

To determine if allergy to cows milk was responsible for symptoms in two children.

Authors: Bruce Arroll, Harry Pert and Gordon Guyatt

Ball and socket ankle joint in connection with bilateral tarsal synostosis in a boy with congenital absence of the portal vain: a novel malformation complex

Contracted valgus flat foot in the adolescent is frequently caused by tarsal synostosis or synchondrosis. These synostoses are prevalently symptomatic during adolescence, when by ossifying they block the subta...

Authors: Shahin Zandieh, Anosheh Vakil-Adli, Josef Hochreiter, Franz Grill, Klaus Klaushofer and Ali Al Kaissi

Lateral dislocation of the knee joint after total knee arthroplasty: a case report

Total knee arthroplasty (TKA) is a successful therapy for functional improvement and pain relief in advanced symptomatic degeneration of the knee joint. But it can be associated with many complications, one of...

Authors: Ender Ugutmen, Korhan Ozkan, Koray Unay, Mahir Mahirogullari, Engin Eceviz and Omer Taser

Concomitant Xeroderma pigmentosum and disseminated small plaque psoriasis: first case of an antinomic association

We present the case of an eighteen-year-old Caucasian white boy who was diagnosed with xeroderma pigmentosum type A at age 5 and who experienced over the past year disseminated small plaque psoriasis confirmed...

Authors: Khaled Ezzedine, Thierry Simonart, Michel Candaele, Denis Malvy and Michel Heenen

Emphysematous cholecystitis: a case report

A 65-year-old Greek man with a history of diabetes mellitus and hypertension was admitted because of right upper quadrant pain, nausea and palpable right quadrant mass. On admission the patient was febrile (38...

Authors: Theodossis S Papavramidis, Antonis Michalopoulos, Vassilis N Papadopoulos, Daniel Paramythiotis, Vassiliki Karadimou, Haralambos Kokkinakis and Epameinontas Fahantidis

Symptomatic hypercalcemia in a patient with chronic tophaceous gout: a case report

Hypercalcemia has been widely associated with granulomatous processes. This is due to enhanced extra-renal conversion of calcidiol to calcitriol by activated macrophages within the granuloma. Symptomatic hyper...

Authors: Alok Sachdeva, Bruce E Goeckeritz and Alyce M Oliver

Acute myocardial infarction in an 18 year old South Indian girl with familial hypercholesterolemia: a case report

Familial hypercholesterolemia is a single gene disorder with an autosomal dominant pattern of inheritance. Here we report an 18 year old South Indian girl who presented with myocardial infarction. She had xant...

Authors: Anita A Kumar, Ghanshyam Palamaner Subash Shantha, Yadav Srinivasan, N Senthil, K Rajkumar, Neeta Paunikar and MK Sudhakar

Life threatening pneumonia in a lupus patient: a case report

We report a case of systemic lupus erythematosus (SLE) in a 44-year old Caucasian woman complicated with pneumonia and severe respiratory failure requiring ICU treatment and mechanical ventilation. Symptoms de...

Authors: Maciej Kupczyk, Adam Antczak, Piotr Kuna and Paweł Górski

Solitary mediastinal lymph node metastasis in rectosigmoid carcinoma: a case report

Colorectal cancer most commonly metastasizes to the regional lymph nodes, liver, bone, lung, and brain. Metastases to mediastinal lymph nodes is a rare entity which has never been reported to be solitary.

Authors: Khaled M Musallam, Ali T Taher, Ayman N Tawil, Zaher I Chakhachiro, Moh'd Z Habbal and Ali I Shamseddine

A solitary Peutz-Jeghers type polyp in the jejunum of a 19 year-old male

A 19-year old male presented with melena and anemia. A duodenoscopy revealed no abnormalities, but a small bowel X-ray series demonstrated a large jejunal polyp. This 4 cm large polyp was visualised during per...

Authors: Pieter PCJ ter Borg, Pieter PJ Westenend, Fried WLEM Hesp, Frans F van der Straaten, Wim W van de Vrie and Pieter P Honkoop

Cross-system effects of dysphagia treatment on dysphonia: a case report

Traditionally, treatment of dysphagia and dysphonia has followed a specificity approach whereby treatment plans have focused on each dysfunction individually. Recently however, a therapeutic cross-system effec...

Authors: Lisa A LaGorio, Giselle D Carnaby-Mann and Michael A Crary

Candida tropicalisspondylodiskitis in a patient with carcinoma of sigmoid colon: a case report

Fungal spondylodiskitis is being increasingly reported in immunocompromised patients. A patient who presented with severe back pain three months following laparoscopic resection of Carcinoma of Sigmoid colon i...

Authors: Chandra JKB Parthiban, Shiju A Majeed and Shanthanam S Mahalingam

Diffusion-negative MRI in acute ischemic stroke: a case report

Diffusion-weighted magnetic resonance imaging is a very sensitive tool for the early diagnosis of acute ischemic stroke. This is employed in some stroke centers as the primary screening tool to select patients...

Authors: Rahul Rathakrishnan, Vijay K Sharma and Bernard PL Chan

Takotsubo cardiomyopathy in a 68-year old Russian female

Takotsubo cardiomyopathy also known as transient left ventricular apical ballooning, stress-induced cardiomyopathy can present with retrosternal chest pain with EKG changes that can mimic a myocardial infraction.

Authors: Suriya Jayawardena, Danushan Sooriabalan, Olga Burzyantseva and Selvarathnam Sinnapunayagm

Collision tumour of the stomach with a cancer to cancer metastasis: a case report

Coexistence of a primary gastric lymphoma and a gastric adenocarcinoma is a rare event. The diagnosis is suspected after the pathologic examination of the endoscopic biopsies and definitely documented with the...

Authors: Alexandros Strofilas, Ioannis G Dalianoudis, Emmanuel E Lagoudianakis, Michael Genetzakis, Dimitrios Tsekouras, John Chrysikos, Nikolaos Koronakis, Vaggelogiannis Katergiannakis and Andreas Manouras

Cervical cancer in 2 women with a Mirena^®-pitfalls in the assessment of irregular bleeding: a case series

The levonorgestrel-releasing intra-uterine device (Mirena^®) is an effective, long term form of contraception that leads to a significant reduction of menstrual bleeding among majority of women. However, irregular...

Authors: Sabina de Weerd, Pieter J Westenend and Sjarlot GS Kooi

More than two years delay in the union of fracture neck of femur after primary intervention

More than two years delay in the union of fracture neck of femur is a very rare entity.

Authors: Naseem Ul Gani, Khursheed Ahmed Kangoo, Mohammed Farooq Butt, Gulam Nabi Dar and Mudassir Maqbool Wani

Non-occlusive mesenteric ischemia leading to 'pneumatosis intestinalis': a series of unfortunate hemodynamic events

Non-occlusive mesenteric ischemia (NOMI) is not uncommon in intensive care units. NOMI indicate ischemia of bowel wall without any significant obstruction in the mesenteric arteries. Common causes of NOMI incl...

Authors: Abhijeet Dhoble, Kamakshi Patel and Atul Khasnis

Hemorrhage from varices in hepaticojejunostomy in the fifth and tenth year after surgery for hepatic hilar bile duct cancer: a case report

We report a case of a 64-year-old female patient who underwent a right lobectomy of the liver (including total resection of the caudate lobe), dissection of the group 2 lymph nodes, left hepaticojejunostomy (R...

Authors: Hiroki Taniguchi, Michihisa Moriguchi, Hisashi Amaike, Nobuaki Fuji, Yasutoshi Murayama and Toshiyuki Kosuga

The single individual in medicine: how to escape from the probability theory trap

Doctors and their patients are always concerned with the likely outcome of an existing disease and the risk of future diseases, but there are many problems in interpreting for the individual data derived from ...

Authors: Enzo Grossi

Jejunal atresia presenting with mesenteric cyst in a neonate: a case report

Jejunoileal atresia is a congenital anomaly that is characterized clinically by bilious vomiting and abdominal distension. It has been associated with various congenital anomalies but its association with mese...

Authors: A Pandey, AN Gangopadhyay, SP Sharma, VD Upadhyaya and V Kumar

Arthrogryposis multiplex congenital in a child manifesting phenotypic features resembling dysosteosclerosis/osteosclerosis malformation complex; 3DCT scan analysis of the skull base

A boy presented with arthrogryposis multiplex congenita (AMC) associated with severe central nervous system dysfunction. The clinical history and the distinctive radiographic/tomographic features were consiste...

Authors: Ali Al Kaissi, Georg Kalchhauser, Franz Grill and Klaus Klaushofer

An unusual cause of collapsed lung after transhiatal oesophagectomy: a case report

Transhiatal oesophagectomy is an established technique for resection of tumours of the lower oesophagus and oesophagogastric junction. The authors describe a previously unreported serious complication associat...

Authors: GKJ Guthrie, LH Moyes and MJ Forshaw

A postmenopausal woman presenting with Ekbom syndrome associated with recurrent depressive disorder: a case report

Ekbom syndrome is a rare psychiatric disorder that can manifest as a delusion, overvalued idea or hallucination of parasitic infestations. It is more prevalent in postmenopausal women and patients are usually ...

Authors: Courtney Mahler, Glenda MacQueen and Zainab Samaan

Ectopic posterior mediastinal thyroid: a case report

Posterior mediastinum is a very rare site of ectopic thyroid and such cases are usually identified incidentally by radiography.

Authors: Sami Karapolat and Ismet Bulut

Takayasu's Arteritis presenting as a dissecting aortic aneurysm history: a case report

Takayasu's Arteritis, formerly known as "pulseless disease", is a chronic idiopathic vasculitis which affects the large vessels in the body. First described in the 1800's, this rare condition is more commonly ...

Authors: Mortimer B O'Connor, Elizabeth Murphy, Neil O'Donovan, Michael Murphy, Mark J Phelan and Michael J Regan

Atrial septal aneurysm associated with additional cardiovascular comorbidities in two middle age female patients with ECG signs of right bundle branch block: two case reports

Atrial septal aneurysm (ASA) is often associated with other atrial septal abnormalities, particularly with atrial septal defect type ostium secundum or patent foramen ovale. ECG signs of incomplete or complete ri...

Authors: Aurora Bakalli, Lulzim Kamberi, Ejup Pllana and Afrim Gashi

Adrenalectomy for solitary adrenal metastasis from colorectal cancer: A case report

Patients with adrenal metastasis from various primary tumours are regarded as cases of diffuse systemic spread and considered unsuitable for surgical resection. We herein report an operable case of heterochron...

Authors: Christopher Kosmidis, Christopher Efthimiadis, George Anthimidis, Sofia Levva, Georgia Ioannidou, Thomas Zaramboukas, Christos Emmanouilides, Sofia Baka, Maria Kosmidou, Georgios Basdanis and Epaminondas Fachantidis

Intraoperative positioning related injury of superficial radial nerve after shoulder arthroscopy – a rare iatrogenic injury: a case report

Arthroscopy of the shoulder is a well-established and routine procedure. The role is expected to increase further with an ever-increasing list of indications reflecting the gratifying results. Intraoperative i...

Authors: Vinay K Singh, Pankaj K Singh and Amir Azam

Penile and scrotal strangulation caused by a steel ring: a case report

Application of constricting devices on the external male genitalia for increasing sexual performance is an unusual practice that can potentially lead to penile strangulation with severe consequences. In this c...

Authors: Ioannis Efthimiou, Savas Kazoulis and Ioannis Christoulakis

Sulfamethoxazole/Trimethoprim induced liver failure: a case report

Sulfamethoxazole/Trimethoprim (SMX/TMP) is a commonly used antibiotic, its' known adverse reaction of hepatotoxicity leading to acute liver failure is considered rare. We present a case of a 22 year old female...

Authors: Salaheldin Abusin and Swapna Johnson