OpenMed/multicare-articles huggingface dataset:
Computational Evaluation of Surgical Design for Multisegmental Complex Congenital Tracheal Stenosis
Authors: Limin Zhu, Xiaolei Gong, Jinlong Liu, Youjin Li, Yumin Zhong, Juanya Shen, Zhuoming Xu
Journal: Biomed Res Int (2020)
MeSH terms: Bronchi / surgery, Computer-Aided Design, Constriction, Pathologic / surgery, Plastic Surgery Procedures, Trachea / abnormalities, Trachea / surgery, Case Reports, Bronchi / diagnostic imaging, Constriction, Pathologic / diagnostic imaging, Humans, Infant, Male, Trachea / diagnostic imaging, Tracheal agenesis

Multisegmental complex congenital tracheal stenosis (CTS) is an uncommon but potentially life-threatening malformation of the airway. Staged surgery is indicated for the complex pathophysiology of the abnormal trachea. Surgical intervention to fix the stenotic segments may result in different postoperative outcomes. However, only few studies reported the design of surgical correction for multisegmental CTS. We used computer-aided design (CAD) to simulate surgical correction under different schemes to develop a patient-specific tracheal model with two segmental stenoses. Computational fluid dynamics (CFD) was used to compare the outcomes of different designs. Aerodynamic parameters of the trachea were evaluated. An obvious interaction was found between the two segments of stenosis in different surgical designs. The surgical corrective order of stenotic segments greatly affected the aerodynamic parameters and turbulence flows downstream of tracheal stenosis and upstream of the bronchus. Patient-specific studies using CAD and CFD minimize the risk of staged surgical correction and facilitate quantitative evaluation of surgical design for multiple segments of complex CTS.
Oral Rehabilitation for Amniotic Band Syndrome: An Unusual Presentation
Authors: Kavita Hotwani, Krishna Sharma
Journal: Int J Clin Pediatr Dent (2015)
Keywords: amniotic band syndrome, craniofacial, oral rehabilitation, unusual
MeSH terms: Case Reports

Amniotic band syndrome (ABS) is a congenital disorder caused by entrapment of fetal parts in fibrous amniotic bands while in utero. The syndrome is underdiagnosed and its presentation is variable. The syndrome has been well described in the pediatric, orthopedic and obstetric literature; however, despite the discernable craniomaxillofacial involvement, ABS has not been reported in the dental literature very often. The present report describes a case of a patient with ABS and concomitant dental findings. How to cite this article: Hotwani K, Sharma K. Oral Rehabilitation for Amniotic Band Syndrome: An Unusual Presentation. Int J Clin Pediatr Dent 2015;8(1):55-57.
Chronic Lymphocytic Inflammation with Pontine Perivascular Enhancement Responsive to Steroids (CLIPPERS Syndrome): A Case Report and Literature Review
Authors: Nripesh Man Shrestha, Niranjan Acharya, Rabindra Desar
Journal: Case Rep Neurol Med (2023)
MeSH terms: Case Reports

CLIPPERS is a rare, chronic inflammatory neurological syndrome affecting multiple regions of the brain including the brainstem, cerebellum, and spinal cord. More than 100 cases have been documented globally since its initial description in 2010. This article reports the first case of the CLIPPERS syndrome in Nepal. Clinical and radiological evidences of the patient lead to the diagnosis of this disease. Brain MRI reveals punctate and curvilinear gadolinium enhancement in the pons and cerebellum, which is diagnostic for the disease. Steroid therapy has been reported to be effective in treating CLIPPERS syndrome. Although its pathophysiology indicates an immune-mediated process, the etiology is yet unknown. The treatment and prognosis of this illness depend on an early and accurate diagnosis.
Unique presentation of intra-abdominal testis: small bowel obstruction
Authors: Ibrahim E Bassiouny, Tariq O Abbas, Amani N Alansari, Mansour A Ali
Journal: ISRN Urol (2011)
MeSH terms: Case Reports

We describe here a two-year-old male who required urgent laparotomy to relieve a strangulated small bowel caused by internal herniation around an intra-abdominal testis. This clinical presentation has not been reported previously.
Idiopathic intracranial hypertension with multiple cranial nerve palsies in 10 years old thin Sudanese boy: case report
Authors: Mumen Abdalazim Dafallah, Elsanosi Habour, Esraa Ahmed Ragab, Zahraa Mamoun Shouk, Mohammed Izzadden
Journal: Egypt J Neurol Psychiatr Neurosurg (2021)
Keywords: case report, idiopathic intracranial hypertension, pediatrics, pseudotumor cerebri, sudan
MeSH terms: Case Reports

Background:
Idiopathic intracranial hypertension is a rare neurological disorder of unknown etiology. It is characterized by symptoms and signs of raise intra cranial pressure, normal brain neuroimaging, and high opening pressure ≥ 280 cm H2O in the presence of normal cerebro spinal fluid constituents.
Case presentation:
Ten years old thin boy presented with severe throbbing headache, vomiting, and visual obscurations for a duration of 10 days. Physical examination revealed body mass index of 14.8, VI and VII cranial nerve palsies. Fudoscopy showed grade 4 papilledema; brain CT and MRI were normal. Lumbar puncture revealed pressure of 300 cm H2O with normal CSF constituents. He was treated with acetazolamide, methylprednisolone, and paracetamol.
Conclusion:
Pediatricians need to be more aware of idiopathic intracranial hypertension as it can lead to permanent vision loss.
Diagnosis and Management of Rare Case of Mesenteric Hematoma Rupture after Transcatheter Aortic Valve Replacement (TAVR): A Case Report and Review of the Literature
Authors: Danish Abbasi, Jeffrey E Vanhook, Khashayar Salartash, Howard Levite
Journal: Case Rep Vasc Med (2018)
MeSH terms: Case Reports

We present a case of a 78-year-old female with history of diastolic heart failure and paroxysmal atrial fibrillation on apixaban presenting with worsening shortness of breath. She underwent transesophageal echocardiogram showing severe aortic stenosis with a valve area of 0.8 cm2. Coronary angiography did not reveal significant coronary artery disease. CT of chest, abdomen, and pelvis did not show any evidence of hematoma or dissection. Patient was scheduled for transfemoral TAVR. Patient's apixaban was discontinued prior to the procedure. She received heparin during the procedure. She successfully underwent left transfemoral aortic valve replacement. Shortly after the procedure, she complained of abdominal pain and became hypotensive. Blood pressure was 76/44 mm of Hg (MAP 58). Hemoglobin dropped to 8.1 g/dl (baseline 13). Stat CT abdomen and pelvis showed a large volume of hemorrhage in the peritoneal cavity. CTA of abdomen showed no evidence of aortic aneurysm or dissection but active extravasation below the inferior aspect of the spleen. Catheterization of the superior mesenteric artery (SMA) identified ileal branch of SMA as the source of bleeding. Embolization using gel foam slurry followed by a coil insertion was performed. Repeat angiogram demonstrated continued extravasation through arcade collaterals. A rapid exploration of the abdominal cavity revealed ruptured mesenteric hematoma. Evacuation of hematoma was performed. Portion of small ileum and bleeding mesenteric branch vessel was resected. Her condition stabilized with no postoperative bleeding and she was discharged on warfarin postoperatively. Use of antithrombotic therapy increases risk of bleeding in TAVR patients. Mesenteric hematoma rupture if not identified can be life-threatening. We believe that this is the first reported case of mesenteric hematoma rupture after a TAVR procedure.
Late onset Darier's disease in a genetically predisposed individual: a case report
Authors: Manoharan Dhanaraj, Geo Celestin Danny, Shreya Srinivasan, Sowmya Nagaraju
Journal: Pan Afr Med J (2022)
Keywords: darier’s disease, case report, dermoscopy, genodermatosis
MeSH terms: Darier Disease / diagnosis, Darier Disease / drug therapy, Darier Disease / genetics, Case Reports, Administration, Cutaneous, Adolescent, Adult, Child, Genetic Predisposition to Disease, Humans, Skin / pathology, Young Adult

Keratosis follicularis also called as Darier's disease, is a rare autosomal dominant cutaneous disease. It is characterized by greasy keratotic sometimes crusted red to brown papules and plaques over seborrheic areas and in flexures with nail abnormalities. It is well established that the disease begins between the ages of 6 and 20 years, with a peak onset during puberty. The disease tends to manifest early, especially with the family history of the disease. Hereby, we report a case of Darier's disease with a special interest in its late onset presentation despite having significant family history of the disease, along with clinicopathological and dermoscopic features. We also highlight the use of non-invasive investigative technique of dermoscopy as a tool to diagnose the disease.
Roux-en-Y gastric bypass and parastomal hernia repair: case report of concurrent operation in comorbid patient
Authors: Alexander Khitaryan, Ismail Miziev, Arut Mezhunts, Camil Veliev, Raisa Zavgorodnyaya, Alexey Orekhov, Vasily Kislyakov, Anastasiya Golovina
Journal: Int J Surg Case Rep (2020)
Keywords: bariatric surgery, case report, ipom, parastomal hernia, roux-en-y gastric bypass
MeSH terms: Case Reports

Introduction:
The treatment of parastomal hernias remains one of the most relevant issues in coloproctology and general surgery due to its high recurrence rate of 5 to 50%. An increase in the number of overweight people has led to the fact that at least 25% of patients with parastomal hernias are obese and have severe concurrent disorders.
Presentation of case:
A 69-years old woman with 12 × 15 cm parastomal hernia, grade 3 obesity and type 2 diabetes mellitus underwent concurrent laparoscopic IPOM hernia repair and Roux-en-Y gastric bypass. The patient was discharged on the 5th postoperative day. After 12 months the patient lost 42 kg, BMI = 28.3 kg/m2, had a complete remission of diabetes, and no signs of parastomal hernia.
Discussion:
Symptomatic parastomal hernias, accompanied by pain, episodes of incarceration, impaired evacuation of intestinal contents through the ostomy, and dermatitis require surgical intervention. The combination of bariatric surgery and simultaneous hernioplasty is a standard intervention approved in the respective guidelines. At the same time, in the case of parastomal hernias after colorectal operations, the risk of encountering a serious adhesion process can complicate laparoscopic surgery. In obese patients with type 2 diabetes mellitus, it is recommended to perform one of the bypass interventions.
Conclusion:
Concurrent bariatric surgery and hernia repair allow the patient to lose more than 70% of excess body weight, reduce the risk of hernia recurrence, and significantly reduce comorbidity. This surgical approach is safe in thoroughly selected patients, who might greatly benefit from it.
Chronic thromboembolic pulmonary hypertension secondary to a vascular malformation: case report diagnosis by lung subtraction iodine mapping
Authors: Aly Fawzy, Sebastian Mafeld, George Oreopoulos, Marc de Perrot, Micheal C McInnis
Journal: Front Med (Lausanne) (2023)
Keywords: balloon pulmonary angioplasty (bpa), case report, chronic thromboembolic pulmonary hypertension (cteph), computed tomography, vascular malformation
MeSH terms: Case Reports

Chronic thromboembolic pulmonary hypertension (CTEPH) is a challenging diagnosis that can occur even in the absence of a prior thrombotic event. The main screening test is ventilation-perfusion (VQ) scintigraphy. The gold standard treatment for CTEPH is pulmonary endarterectomy (PEA), however, balloon pulmonary angioplasty (BPA) is an emerging treatment, especially for CTEPH at the segmental level. We report on a case of a patient with segmental CTEPH diagnosed by lung subtraction iodine mapping (LSIM) in the context of a chest wall vascular malformation. CTEPH was treated with BPA and by embolization and ligation of their vascular malformation.
Elongated uvula and diagnostic utility of spirometry in upper airway obstruction
Authors: Rajiv Paliwal, Satish Patel, Purvesh Patel, Hiren Soni
Journal: Lung India (2010)
Keywords: elongated uvula, flow volume loops, upper airway obstruction

Elongated uvula is relatively an uncommon condition. Upper airway obstruction is often a missed complication of such a rare condition. Clinical presentations of upper airway obstruction often mimic asthma. Hence it is very easily mis-diagnosed as asthma. Spirometry offers a very simple test to diagnose upper airway obstruction very early and easily. Once diagnosed, the management of elongated uvula, almost exclusively, is surgical excision leading to total cure. Here is a case report of such a rare condition.
Endovascular Management of Superior Mesenteric Artery (SMA) Aneurysm - Adequate Access is Essential for Success - Case Report
Authors: Lovro Tkalčić, Berislav Budiselić, Miljenko Kovačević, Siniša Knežević, Slavica Kovačić, Damir Miletić, Vjekoslav Tomulić, Dimitrij Kuhelj
Journal: Pol J Radiol (2017)
Keywords: aneurysm, endovascular procedures, mesenteric artery, superior
MeSH terms: Case Reports

Background:
An aneurysm of the superior mesenteric artery (SMA) with a diameter of 2.2 cm was found incidentally on an ultrasound (US) examination in a 26-year-old woman. The only known risk factor was an intracranial aneurysm that was found on her grandmother's autopsy. Based on pregnancy planning and the current literature, endovascular management with a covered stent was proposed.
Case report:
Self-expandable, covered stent (Bard, Fluency®) was implanted using a single transfemoral approach. A stiff guidewire and a large sheath distorted the anatomy, which resulted in an incomplete aneurysmal neck covering. In the absence of additional covered stents, the procedure was terminated. Two weeks later, computed tomographic angiography (CTA) confirmed persistent aneurysmal perfusion due to the incomplete neck coverage. A multidisciplinary board opted for a second endovascular attempt, this time with a longer covered stent via the transaxillary approach in order to reduce anatomical distortion. Balloon, expandable, cobalt-chrome covered stent (Jotec, E-ventus BX®) was implanted in the SMA, covering the aneurysmal neck and overlapping the previously implanted covered stent. Angiography confirmed a complete exclusion of the aneurysm. A control US performed three weeks later confirmed a patent covered stent and complete aneurysmal exclusion. There was a mild median nerve damage periprocedurally that resolved in three months. The most recent US control examination, performed eleven months after the procedure, showed an excluded aneurysm and a patent covered stent. There were no clinical signs of bowel ischaemia during the follow-up period.
Conclusions:
Endovascular management of SMAA proved to be safe and efficient. The "access from above" is probably safer and should be considered in the majority of cases with acceptable sizes of access vessels. Mid-term results in our patient are good and life-long follow-up is planned to prevent late complications.
Case Report: Stress Fracture in an International Triple Jumper: Importance of an Integrated Care Approach Which Also Incorporates Biomechanics
Authors: Edem Allado, Marine Ankri, Frédéric Khiami, Teddy Tamgho, Aghiles Hamroun, Catarina Proenca Lopes, Mathias Poussel, Bruno Chenuel
Journal: Front Sports Act Living (2021)
Keywords: biomechanics, elite athlete, stress fracture, tibia–injuries, triple jump exercise
MeSH terms: Case Reports

Athletes fear stress fracture (SF) injuries as they can put a premature end to their athletic careers. Understanding any mechanical constraints can suggest preventive management approach. Specifically, for the triple jump, the mechanical stresses that occur during the event appear to be the main factors for risk of injury. This clinical case describes three successive episodes of anterior tibial fracture in an international triple jumper between 2011 and 2013. The first fracture received surgical treatment involving intramedullary nailing. The second fracture occurred in the same location and was considered a recurrence requiring medical treatment, whilst the third was a complete fracture of the surgical material and required surgical revision. These recurrent fractures can be explained by the fatigue of materials (bone and nail) induced by triple jump practice and emphasize the importance of integrating biomechanics into an assessment of the case. The use of biomechanical modelization to identify these weaknesses could be an approach for clinical management of such patients. Observation of the intrinsic mechanical stresses during high-level triple jump may lead to identification of modifiable risk factors for bone fragility.
Multidisciplinary Case Management in Mesiodens Impacted Cases with Calcifying Odontogenic Cyst
Authors: Tania Saskianti, Udijanto Tedjosaongko, Regina Ayu Pramudita, Nita Naomi, Alit Rahma Restu
Journal: Case Rep Dent (2022)
MeSH terms: Case Reports

Calcifying odontogenic cyst (COC) is a cyst originating from odontogenic epithelium and has a characteristic ghost cell appearance. Clinically, COC is characterized by asymptomatic swelling, leading to lingual expansion, tooth migration, apical resorption, and perforation of cortical bone. COC is most often asymptomatic and is often only discovered during a routine radiological examination. This case report describes the clinical interventions to manage a patient with mesiodens impacted with COC. The procedure is aimed at evaluating the multidisciplinary management of COC at Universitas Airlangga Hospital, Surabaya. Multidisciplinary care has an important role in treating COC cases comprehensively.
Abdominal Pregnancy in the Small Intestine Presenting as Acute Massive Lower Gastrointestinal Hemorrhage
Authors: Apiradee Pichaichanlert, Vor Luvira, Nakhon Tipsunthonsak
Journal: Case Rep Surg (2017)
MeSH terms: Case Reports

An abdominal pregnancy is an ectopic pregnancy in which the implantation site occurs in the abdominal cavity outside the female reproductive organs. There have been four reported cases that ruptured into the gastrointestinal tract and into the large intestine. We present the first case of an abdominal pregnancy rupturing into the small intestine with a good outcome.
Factors affecting human colostrum fatty acid profile: A case study
Authors: Vassilia J Sinanoglou, Dionisis Cavouras, Theodora Boutsikou, Despina D Briana, Dimitra Z Lantzouraki, Stella Paliatsiou, Paraskevi Volaki, Sotiris Bratakos, Ariadne Malamitsi-Puchner, Panagiotis Zoumpoulakis
Journal: PLoS One (2017)
MeSH terms: Colostrum / metabolism, Fatty Acids / analysis, Adult, Age Factors, Body Mass Index, Chromatography, Gas, Colostrum / chemistry, Fatty Acids, Monounsaturated / analysis, Female, Gestational Age, Humans, Infant, Newborn, Linoleic Acid / analysis, Male, Oleic Acid / analysis, Palmitic Acid / analysis, Pregnancy, Young Adult, Fatty Acids, Fatty Acids, Monounsaturated, Oleic Acid, Palmitic Acid, Linoleic Acid

The role of maternal colostrum to infant development has been extensively studied and presented. Among the main factors which contribute to breast milk composition are maternal diet, age and body mass index, parity, duration of pregnancy and stage of lactation. This study aims to investigate the potential impact of several factors including demographic (i.e. maternal age and nationality) on the colostrum fatty acid profile. Colostrum was collected the third day postpartum in a Greek maternity hospital. Certain lipid quality indices and fatty acid ratios were estimated and results were statistically processed. The main identified fatty acids were palmitic (C16:0), oleic (C18:1ω-9), and linoleic (C18:2ω-6) acids. Among fatty acids, saturated fatty acids predominated (47.61%), followed by monounsaturated fatty acids (39.26%), while polyunsaturated fatty acids had the lowest proportion (13.13%). Values of lipid quality indices were within the reported in the literature ranges. Maternal body mass index, nationality, age, mode of delivery, gender and fetal weight percentile were studied in respect to their potential influence on the fatty acid profile of colostrum fat. Results suggest that colostrum fatty acid profile was mainly dependent on maternal nationality and age rather than mode of delivery and maternal BMI. Regarding the effect of maternal nationality, significant differences were found for saturated and monounsaturated fatty acids. Of the most interesting findings is that colostrum fat from older (≥35 years) mothers had less saturated fat and more appropriate LQIs values. Finally, a reversed correlation was observed between the customized centile of the infants and the colostrum fat content.
Smoking Relapse Causing an Acute Exacerbation of Desquamative Interstitial Pneumonia with Pleural Effusions and Mediastinal Adenopathies
Authors: Tyler Pickell, Jamie Donnelly, Francois Abi Fadel
Journal: Case Rep Pulmonol (2018)
MeSH terms: Case Reports

Desquamative interstitial pneumonia (DIP) is a rare interstitial pneumonia often caused by smoking. DIP is typically regarded as a chronic disease, but acute DIP exacerbations can occur, and some have resulted in death. Factors that can provoke a DIP exacerbation are not well described in the literature. We present a case of a 58-year-old male with DIP, who after being treated successfully with smoking cessation and steroids for 7 months, required hospitalization for acute hypoxemic respiratory failure. This acute episode was very likely an exacerbation of his DIP after a smoking relapse period of 6 weeks prior to this acute presentation. This report also highlights unique CT findings in a DIP case of pleural effusions and mediastinal adenopathies seen chronically and relapsing acutely. To the best of our knowledge, CT findings of pleural effusions and mediastinal adenopathies concurrently have not been described in a case of DIP in chronic or acute conditions.
Endovascular Management of a Refractory Pseudoaneurysm of the Sternocleidomastoid Artery Caused by Attempted Internal Jugular Central Line Placement with Long-Term Follow-Up: A Case Report and Review
Authors: Yassmeen Abdel-Aty, Michael P Bellew
Journal: Case Rep Otolaryngol (2018)
MeSH terms: Case Reports

Introduction:
This case report shows successful treatment of a refractory sternocleidomastoid branch of the superior thyroid artery (SBSTA) pseudoaneurysm using endovascular glue embolization in a patient who refused surgery.
Case presentation:
A 63-year-old female with multiple comorbidities presented with a firm 7 cm tender mass located in the right neck. Ultrasound showed pseudoaneurysm and a 7 × 3.3 × 4 cm multilobular hematoma in the location of the previous central line. CTA showed a corresponding heterogeneous mass. Serial imaging demonstrated enlargement over 2 weeks. Angiogram showed contrast blush off of the SBSTA.
Management and outcome:
SBSTA was embolized using glue. Repeat angiogram showed embolization and no contrast blush. One month later, the mass was no longer pulsatile but present on physical exam. CTA showed decreased size. 8 months later, her neck was soft without mass.
Discussion:
Pseudoaneurysms of the external carotid artery are rare and usually due to trauma. Pseudoaneurysms after central line placement are documented, but most are complications of femoral central lines. A handful of cases of superior thyroid artery pseudoaneurysms due to several etiologies are reported, but none involving the SBSTA. Therapeutic options include surveillance, compression, thrombin injection, embolization, and surgery. Endovascular management offers an alternative for patients unwilling or unable to undergo open surgery.