OpenMed/multicare-articles huggingface dataset:
Neglected Intrauterine Device Migration Complications: Case Reports
Authors: Audrey S Koh
Journal: Womens Health Rep (New Rochelle) (2023)
Keywords: iud complications, annual examination, case report, intrauterine device, migration, perforation
MeSH terms: Case Reports

This series of four cases describes unusual intrauterine device (IUD) migration complications, associated etiologic factors, and their management. Recent increases in sociopolitical and medical forces worldwide contributed to inattention to these patients with subclinical IUD complications. The international movement of patients, delays in gynecologic care due to the COVID-19 pandemic, lack of health care access, shifts away from annual examinations, and patients' lack of medical records or IUD awareness can lead to long durations of neglected IUDs and associated complications. These complications might have been avoided or minimized with regular gynecologic health care. Physicians should consider moving toward routine examinations of all IUD patients, rather than away from annual examinations as has been promulgated by some medical societies. Patient education is needed on the importance of routine monitoring of IUDs and retention of device records. Clinicians should become familiar with IUDs from around the world as well as devices no longer being prescribed, as their appearance, associated complications, and presentations may differ from locally currently available devices.
Mature bony metaplasia in multinodular goiter: A case report
Authors: Ali Al Khader, Esra Nsour, Anwar Alneweiri, Mohamad Al-Saghbini
Journal: Int J Surg Case Rep (2019)
Keywords: bone, osseous metaplasia, thyroid

Introduction:
Various degenerative changes can be seen in multinodular goiter. These include cystic changes, hemorrhage, fibrosis and calcification. However, osseous metaplasia is extremely rare.
Presentation of the case:
Here we present a 44-year-old lady with multiple ill-defined thyroid nodules upon physical examination. Thyroid ultrasound showed multiple variably sized nodules with cystic degeneration. The largest left lobe nodule showed macrocalcification. Further evaluation was advised by the radiologist. Total thyroidectomy was performed and it revealed histological osseous metaplasia with lamellar bone formation. The clinical course following resection was unremarkable.
Discussion:
Osseous metaplasia with ectopic bone formation is extremely rare in benign thyroid disorders. To the best of our knowledge, only thirteen cases of sporadic goiter with heterotopic bone formation are reported.
Conclusion:
Osseous metaplasia can be a pitfall in the diagnosis of multinodular goiter. Ruling out comorbidities is mandatory, and further genetic and follow-up studies are needed.
Late-onset mycotic aneurysm of brachial artery secondary to infective endocarditis: case report
Authors: Hammam Rasras, Taha Abu Al Tayef, Maryem Assmati, Omar El Mahi, Adnane Benzirar, Noha El Ouafi
Journal: Pan Afr Med J (2022)
Keywords: infective endocarditis, streptococcus spp, brachial artery, case report, mycotic aneurysm
MeSH terms: Aneurysm, Infected / diagnosis, Endocarditis / complications, Endocarditis, Bacterial / complications, Endocarditis, Bacterial / diagnosis, Case Reports, Anti-Bacterial Agents / therapeutic use, Brachial Artery, Female, Humans, Middle Aged, Prognosis, Anti-Bacterial Agents

Infective endocarditis remains a dreaded and severe disease because of its course, its complications, its need for good antibiotic management, as well as its morbidity. Peripheral mycotic aneurysm is a rare complication of infective endocarditis. We report the case of a 62-year-old female patient who presented with Streptococcus SPP infective endocarditis treated by antibiotics. Two months later, she presented with a mycotic aneurysm of the right brachial artery with the same germ, we have performed a brachial artery ligation, then a complete revascularization by graft of the saphenous vein. Through this case, we should not forget that the lesional assessment is always necessary to avoid missing serious complications that could threaten the functional prognosis, even vital.
Unusual Presentation of Tuberculous Thyroid Abscess in a Background of Hashimoto's Thyroiditis in a Chronic Hepatitis B Carrier
Authors: Sakthivel Chinnakkulam Kandhasamy, Sunil Kumar, Anubhav Sangwan, Neelam Sahani, Gopalakrishnan Gunasekaran, Sunil Kumar Meena, Swapnil Singh Kushwaha
Journal: Case Rep Surg (2016)
MeSH terms: Case Reports

Tuberculosis of thyroid gland is a very rare disease. It has variable presentations and may be sometimes associated with autoimmune thyroiditis. We report a case of 45-year-old male, with left sided painless neck swelling, with a purulent discharging sinus over it associated with night sweats and loss of appetite. Thyroid imaging disclosed heterogeneous enhancement of left lobe of thyroid gland with internal vascularity and coarse calcifications. Core needle biopsy revealed caseous necrosis and AFB positivity. Patient had thyroid peroxidase antibody and thyroglobulin antibody positivity and the rest of thyroid function tests were normal. Patient had positive Mantoux test, hepatitis B surface Ag, and low viral DNA. The patient was diagnosed as being a case of tuberculous abscess of thyroid gland and was put on antitubercular therapy for 2 months. Patient subsequently underwent left hemithyroidectomy when there was no response. Histopathological examination revealed tuberculosis of thyroid gland. A final diagnosis of tuberculous abscess of thyroid gland in a background of Hashimoto's thyroiditis in a chronic HBV carrier was made. Therefore, although rare tuberculosis of thyroid should be kept in mind as a differential diagnosis of thyroid swelling.
Intrathyroidal Parathyroid Carcinoma: An Atypical Thyroid Lesion
Authors: Noran Alharbi, Sylvia L Asa, Marta Szybowska, Raymond H Kim, Shereen Ezzat
Journal: Front Endocrinol (Lausanne) (2018)
Keywords: hypercalcemia, parathyroid carcinoma, pathology, sorafenib, thyroid nodule
MeSH terms: Case Reports

Parathyroid carcinoma is a rare endocrine malignancy that is typically difficult to diagnose at presentation. Here, we report a 63 year-old man who had symptomatic hypercalcemia. Investigations revealed a thyroid nodule and a lateral neck mass that was biopsied and diagnosed as "suspicious for a neuroendocrine neoplasm." He underwent total thyroidectomy with central and left neck node dissection. Histology and immunohistochemistry revealed an intrathyroidal angioinvasive parathyroid carcinoma with lymph node metastases. The tumor showed loss of parafibromin expression; germline testing revealed no pathogenic germline variants of CDC73, suggesting either a cryptic germline variant or a sporadic malignancy. Multiple pulmonary nodules consistent with metastatic disease explained persistent hypercalcemia and the patient was treated with denosumab as well as Sorafenib resulting in early regression of the lung nodules. This case illustrates an unusual parathyroid carcinoma with respect to anatomic presentation and the importance of complete pathological workup in securing the diagnosis. The management of these rare malignancies is discussed.
Crystalline-like keratopathy after intravenous immunoglobulin therapy with incomplete kawasaki disease: case report and literature review
Authors: Elif Erdem, Emine Kocabas, Hande Taylan Sekeroglu, Ozlem Ozgür, Meltem Yagmur, T Reha Ersoz
Journal: Case Rep Ophthalmol Med (2013)

A 7-year-old girl had presented with high body temperature and joint pain which continued for 3 days. Because of the prolonged history of unexplained fever, rash, bilateral nonpurulent conjunctival injection, oropharyngeal erythema, strawberry tongue, and extreme of age, incomplete Kawasaki disease was considered and started on an intravenous immunoglobulin infusion. Six days after this treatment, patient was referred to eye clinic with decreased vision and photophobia. Visual acuity was reduced to 20/40 in both eyes. Slit-lamp examination revealed bilateral diffuse corneal punctate epitheliopathy and anterior stromal haze. Corneal epitheliopathy seemed like crystal deposits. One day after presentation, mild anterior uveitis was added to clinical picture. All ocular findings disappeared in one week with topical steroid and unpreserved artificial tear drops. We present a case who was diagnosed as incomplete Kawasaki disease along with bilateral diffuse crystalline-like keratopathy. We supposed that unusual ocular presentation may be associated with intravenous immunoglobulin treatment.
Simultaneous triple primary malignancies, including bladder cancer, lymphoma, and lung cancer, in an elderly male: A case report
Authors: Risheng Huang, Zhijia Li, Shanshan Weng, Shenghao Wu
Journal: Open Life Sci (2022)
Keywords: bladder cancer, lung cancer, lymphoma, multiple malignancies
MeSH terms: Case Reports

Multiple primary malignancies (MPMs) are defined as the coexistence of at least two unrelated primary malignancies in a single patient, with the tumors differing in their histology. MPMs in the same patient, when present within 6 months of the primary tumor diagnosis, are considered a synchronous occurrence. In this case report, we describe a 61-year-old man who presented with three distinct tumors concurrently in 2021: noninvasive urothelial carcinoma of the bladder, diffuse large B-cell lymphoma, and squamous cell carcinoma of the lung. We discuss the process of therapy and briefly review the literature. MPMs are increasing in incidence, requiring an interdisciplinary approach to diagnosis and treatment.
A multidisciplinary approach for rehabilitation following ocular trauma
Authors: Pradeep Kumar, Himanshi Aggarwal, Varun Baslas, Raghuwar Dayal Singh
Journal: Burns Trauma (2014)
Keywords: custom ocular prosthesis, ocular trauma, prosthesis replacement
MeSH terms: Case Reports

Ocular trauma is a very common incidence that occurs in up to 67% of patients with maxillofacial trauma. It results in life-long agony of not being like others with two eyes, which can see and admire the nature's beauty. This article reports on a case of a 23-year-old male patient with phthisis bulbi, resulting from ocular trauma. The patient was rehabilitated aesthetically by fabrication of custom-made ocular prosthesis for his traumatically injured right eye. The patient was pleased with the aesthetic outcome, comfort, and mobility offered by the custom ocular prosthesis. There were no complications with regard to health of underlying residual ocular tissues and there was no need of relining of the prosthesis at 6 month recall appointment. Rehabilitation of patients with ocular trauma requires a multidisciplinary approach involving ophthalmologist, psychologist, and skilled maxillofacial prosthodontist. Custom-made ocular prosthesis fitted over the phthisical globe seems to be a highly positive, logical, noninvasive, and beneficial approach to increase mobility to the prosthesis, improve the cosmetic appearance and psychological well-being of the patient.
Schwannoma of the Base of the Tongue: A Case Report of a Rare Disease and Review of Literatures
Authors: Mohd Yusuf Haider, Manjur Rahim, N M K Bashar, Md Zakir Hossain, Sk Md Jaynul Islam
Journal: Case Rep Surg (2020)
MeSH terms: Case Reports

Background:
Schwannoma is a benign nerve sheath tumor. It was first identified by Virchow in 1908. These tumors can emerge from any nerve covered with a Schwann cell sheath, including the cranial nerves (with the exception of the optic and olfactory nerves), the spinal nerves, and the autonomous nervous system (Harada H, Omura K and Maeda A, 2001). Case Presentation. A 28-year-old male farmer presented with a swelling at the right side of the base of tongue extending into the oral tongue. It was identified incidentally by his newly married wife while he was yawning. It was asymptomatic. The patient had no difficulty in chewing, swallowing, or phonation and also no sensory or taste abnormalities. The tongue movements were normal.
Conclusions:
Diagnosis of schwannoma should be considered for a smooth, painless, firm swelling in the tongue. A schwannoma of the tongue may grow large enough before producing any symptom. Around 25-40% of schwannoma happen within the head and neck region, and among these, 1-12% occurs in the oral cavity, most regularly the tongue or mouth floor. Schwannoma of the tongue does not show any age or sex predisposition. It usually presents as a painless lump in the tongue, but when it grows larger than 3.0 cm, it may produce dysphagia, pain, or discomfort and change in the quality of voice. Here, we report a case of large (4 cm × 3 cm) asymptomatic schwannoma of the tongue in a 28-year-old male patient and review the literature available during the last 61 years.
Scrotal lymphangioma - a rare cause of scrotal swelling
Authors: Pradeep Kajal, Kamal Nain Rattan, Vivek S Malik, Vipin Garsa
Journal: APSP J Case Rep (2013)
Keywords: child, scrotum, lymphangioma
MeSH terms: Case Reports

Lymphangioma is an extremely rare cause of scrotal swelling. We are reporting such a tumor in a one and half year old child presenting with a painless, progressive scrotal swelling. The mass was evaluated and excised completely. Histopathology confirmed it as Lymphangioma.
A Case of Incomplete Removal of Horseshoe Kidney by Laparoscopic Nephrectomy in an Adult Leading to Urinary Leak: An Eye Opener
Authors: S Venkat Ramanan, P Velmurugan, A R Bhaskar Prakash, Anuj Arora, LeelaKrishna Karri
Journal: Case Rep Urol (2019)
MeSH terms: Case Reports

Horseshoe kidney is a common congenital fusion anomaly of the kidneys. It poses a challenge to surgeon because of its very variable anatomy in terms of location and lie, fusion, pelvicalyceal system, and the renal vessels. Here we describe a case of laparoscopic nephrectomy in a horseshoe kidney complicated by incomplete removal because of not realizing the lower and medial extent of pelvicalyceal system across midline to the contralateral side leading to persistent urine leak. The relevant anatomy and the necessary precautions to prevent such complication have been discussed.
Desmoplastic Fibroma Recurrence Associated with Tuberous Sclerosis in a Young Patient
Authors: A M Espinoza-Coronado, J P Loyola-Rodríguez, J H Olvera-Delgado, J O García-Cortes, J F Reyes-Macías
Journal: Case Rep Dent (2018)
MeSH terms: Case Reports

Case Report. A nine-year-old patient with a diagnosis of tuberous sclerosis (with no pathological record) that showed calcifications at the brain level. Besides, the case showed the Vogt triad (epilepsy, mental retardation, and sebaceous adenoma). The patient clinically showed a volume increase of hard consistency, without suppuration and no sessile that included the following teeth 73, 74, and 75. Cone beam computed tomography (CBCT) was obtained, and it displayed a delimited unilocular lesion. After surgical excision, the histopathological report was desmoplastic fibroma (DF). It was observed that the patient had an aggressive recurrence of DF at four months after surgery treatment. Due to these clinical findings, resective osseous surgery and curettage were carried out. It is uncommon to find these two pathologies together (DF and tuberous sclerosis). Since DF is a benign pathology but very invasive and destructive, it is necessary a constant follow-up examination due to a high recurrence frequency.
Cerebral Venous Sinus Thrombosis, Pulmonary Embolism, and Thrombocytopenia After COVID-19 Vaccination in a Taiwanese Man: A Case Report and Literature Review
Authors: Wei Lin, Chien-An Ko, Yueh-Feng Sung, Yeu-Chin Chen, Jiunn-Tay Lee, Yun-Qian Lin, Yu-Kai Lin
Journal: Front Neurol (2021)
Keywords: covid-19, cerebral venous sinus thrombosis, pulmonary embolism, thrombocytopenia, vaccine-induced immune thrombotic thrombocytopenia
MeSH terms: Case Reports

Objective: Coronavirus disease (COVID-19) vaccine-induced immune thrombotic thrombocytopenia (VITT) is a rare but fatal complication observed within 2 weeks of adenovirus-vectored vaccination. Case Report: A 52-year-old male patient, with a family history of autoimmune diseases, presented with a new onset of worsening headache with nausea and vomiting post-vaccination. The patient was diagnosed with VITT based on laboratory findings demonstrating thrombocytopenia, elevated D-dimer, and dural sinus thrombosis identified on neuroimaging. The patient was successfully treated with high-dose immunoglobulin, steroids, and non-heparin anticoagulants, without any neurologic sequelae. Finally, a confirmatory test with anti-platelet factor 4 antibody was strongly positive. Conclusion: Physicians should be vigilant when treating patients presenting with new-onset thunderclap headache, progressive worsening headache, and awakening headache accompanied by nausea or vomiting after vaccination, even if no definite clinical neurological deficits are identified. Emergency laboratory test results for demonstrating elevated D-dimer levels, decreased platelet count, and neuroimaging correlation are integral for diagnosis and must be the standard protocol. Treatment with non-heparin anticoagulants, high-dose intravenous immunoglobulin, and steroids that halt or slow the immune-mediated prothrombotic process should be initiated immediately. Considering the high mortality rate of VITT, treatment should be initiated prior to confirmatory test results.
"An Unusual Pattern of Metastasis" Metastatic Malignant Thymoma Presented with Breast Lump: A Case Report and Literature Review
Authors: Kah-Seng Khoo, Kavinya Diana T Nadesalingam, Diana Bee-Lan Ong, Li-Ying Teoh, Mei-Sze Teh, Suniza Jamaris, Mee-Hoong See
Journal: Case Rep Surg (2023)
MeSH terms: Case Reports

Metastatic lesions to the breast from extramammary malignant neoplasms are rare and reported account for 0.5-6.6% of all breast malignancies. Distant metastasis of thymoma is even rarer, especially to extrathoracic regions. We reported a woman with invasive malignant thymoma postneoadjuvant and resection of the thymoma, who developed breast metastasis 7 years later. Breast imaging showed high-density lesion with no intralesional microcalcifications and no significant axillary lymphadenopathy. Core biopsy and histopathology proved the lesion to be metastatic thymic carcinoma. Despite rarity, breast lumps with underlying extramammary malignancy should raise the suspicious of breast metastasis.
Unexpected Exacerbation of Tracheal Stenosis in a Patient with Hunter Syndrome Undergoing Cardiac Surgery
Authors: Nobue Terabe, Soichiro Yamashita, Makoto Tanaka
Journal: Case Rep Anesthesiol (2018)
MeSH terms: Case Reports

We report unexpected exacerbation of tracheal stenosis during general anesthesia in a 50-year-old patient with Hunter syndrome undergoing cardiac surgery for valvular disease. He had undergone cervical laminoplasty 3 months previously; at that time, his airway had been uneventfully managed. Preoperative flexible fiberoptic laryngoscopy showed a normal upper respiratory tract, but chest computed tomography showed tracheal stenosis that had flattened the lumen. The narrowest part above the tracheal bifurcation was 2 cm long and the anteroposterior diameter was ≤6 mm. Cardiac surgery was uneventfully performed. After weaning from cardiopulmonary bypass, the tidal volume suddenly decreased from 450 to 120 ml at sternal closure. The end-expiratory carbon dioxide pressure increased from 39 to 71 mmHg. Bronchoscopic examination showed that the part of tracheal bifurcation was almost occluded. A tidal volume of 400 ml was obtained after the transesophageal echocardiography probe was removed and the peak inspiratory pressure increased. Although extubation was performed on the second postoperative day, procaterol inhalation and noninvasive positive-pressure ventilation were needed for 3 days because of wheezing and dyspnea. In conclusion, the risk of lower respiratory tract obstruction should be considered during general anesthesia in patients with Hunter syndrome with collapsible tracheal stenosis undergoing cardiac surgery.
Mixed Large Cell Neuroendocrine Carcinoma of the Ovary: Report of a Rare Case
Authors: Ilias Galanis, Georgios Floros, Maria Sotiria Bompoula, Christophoros Theodoropoulos
Journal: Case Rep Obstet Gynecol (2020)
MeSH terms: Case Reports

LCNC (large cell neuroendocrine carcinomas) of the ovary is a rare aggressive tumor entity of the genital tract. Its pathogenesis, origin, and prognosis have not been fully elucidated, since there are a limited number of cases reported in literature. We report a case of an 80-year-old patient, who presented with a growing abdominal mass, which turned out to be a mixed LCNC/epithelial neoplasm. Although this type of tumor is rare, the continuous development of pathologoanatomy and immunohistochemistry contributes to our better knowledge and comprehension of these neoplasms.
Successful Percutaneous Coronary Intervention for Atherosclerotic Coronary Lesion with Anomalous Origin of the Right Coronary Artery
Authors: Junji Matsuda, Takashi Ikenouchi, Giichi Nitta, Shunichi Kato, Kazuya Murata, Miki Kanoh, Yukihiro Inamura, Nobutaka Kato, Tomomasa Takamiya, Ken Negi, Akira Sato, Tsunehiro Yamato, Yutaka Matsumura, Junichi Nitta
Journal: Case Rep Med (2018)
MeSH terms: Case Reports

Congenital coronary artery anomalies, including anomalous origin of a coronary artery, can manifest as life-threatening conditions, such as myocardial infarction or arrhythmia, and may even lead to sudden death associated with specific congenital anatomical features. Such arteries can also develop atherosclerotic lesions. This report describes the case of a 75-year-old man who was admitted to our hospital due to exertional dyspnea. The right coronary artery was found to originate from the left coronary sinus and exhibit tight stenosis due to atherosclerosis, causing effort angina pectoris. This case highlights the fact that coronary artery anomalies can cause angina pectoris via both atherosclerotic and nonatherosclerotic effects, and successful revascularization was achieved noninvasively via percutaneous coronary angioplasty.
Rare Case of Four Osseous Lesions of the Skull in a Patient with Secondary Syphilis
Authors: Jace Kusler, Supha Arthurs
Journal: Case Rep Infect Dis (2018)
MeSH terms: Case Reports

Syphilis is a sexually transmitted infection that is caused by the bacterium Treponema pallidum. Syphilis can present as primary, secondary, tertiary, or congenital. It can have an effect on many different organ systems and tissues leading to a wide variety of symptoms and complications; one rare manifestation is bone involvement. The patient in this case was diagnosed with secondary and early neurosyphilis and was also found to have skull lesions that were due to Treponema pallidum. There are guidelines for the treatment of primary, secondary, tertiary, and congenital syphilis; however, there are currently no guidelines for the treatment of syphilis with bone involvement.
Success and high predictability of intraorally welded titanium bar in the immediate loading implants
Authors: Vaniel Fogli, Michele Camerini, Dorina Lauritano, Francesco Carinci
Journal: Case Rep Dent (2014)

The implants failure may be caused by micromotion and stress exerted on implants during the phase of bone healing. This concept is especially true in case of implants placed in atrophic ridges. So the primary stabilization and fixation of implants are an important goal that can also allow immediate loading and oral rehabilitation on the same day of surgery. This goal may be achieved thanks to the technique of welding titanium bars on implant abutments. In fact, the procedure can be performed directly in the mouth eliminating possibility of errors or distortions due to impression. This paper describes a case report and the most recent data about long-term success and high predictability of intraorally welded titanium bar in immediate loading implants.