OpenMed/multicare-articles huggingface dataset:
In situ repair or reconstruction of the abdominal aorta-iliac artery by autologous fascia-peritoneum with posterior rectus sheath for the treatment of the infected abdominal aortic and iliac artery aneurysms: A case series and literature review
Authors: Lubin Li, Guolong Liu, Benxiang Yu, Wenqiang Niu, Zhigang Pei, Juwen Zhang, Haijie Che, Fubo Song, Mu Yang
Journal: Front Cardiovasc Med (2022)
Keywords: autologous fascia-peritoneum with posterior rectus sheath, in situ, infected aneurysm, reconstruction, repair
MeSH terms: Case Reports

Background:
Infected abdominal aortic and iliac artery aneurysms are considered acute and severe diseases with insidious onset, rapid development, and high mortality in vascular surgery. Currently, there is no better treatment, either anatomic or extra-anatomical repair.
Case presentation:
From February 2018 to April 2022, 7 patients with infected abdominal aortic and iliac artery aneurysms did not have sufficient autologous venous material for repair. With the consent of the Ethics Committee of the hospital, it uses the autologous peritoneal fascial tissue with rectus sheath to repair or reconstruct the infected vessels in situ. There were 5 cases of infected abdominal aortic aneurysm, 1 case of an infected common iliac aneurysm, and 1 case of the infected internal iliac aneurysm. Aortoduodenal fistula was found in 3 cases, all of them were given duodenal fistula repair and gastrojejunostomy and cholecystostomy. Three cases of infected abdominal aortic aneurysms were repaired with the autologous peritoneal fascial tissue patch, and 2 cases of infected abdominal aortic aneurysms were reconstructed by the autologous peritoneal fascial tissue suture to bifurcate graft in situ, the autologous peritoneal fascial tissue suture reconstructed the rest 2 cases of infected iliac aneurysm to tubular graft in situ. It was essential that Careful debridement of all infected tissue and adequate postoperative irrigation and drainage. Antibiotics were administered perioperatively, and all patients were subsequently treated with long-term antibiotics based on bacterial culture and susceptibility results of infected tissues and blood. All 7 patients had underwent surgery successfully. But there were 2 cases died of anastomotic infection or massive hemorrhage after the operation, the other 5 cases survived. The follow-up time was 2-19 months. The enhanced CT of postoperation showed that the reconstructed arteries were smooth without obvious stenosis or expansion, and no abdominal wall hernia occurred.
Conclusion:

In situ repair or reconstruction with autologous peritoneal fascial tissue with rectus sheath is a feasible treatment for the infected aneurysm patients without adequate autologous venous substitute, but it still needs long-term follow-up and a large sample to be further confirmed.
Delayed replantation of avulsed teeth: two case reports
Authors: Selcuk Savas, Ebru Kucukyilmaz, Merve Akcay, Serhat Koseoglu
Journal: Case Rep Dent (2015)

This case report presents two cases of delayed replantation of avulsed maxillary central incisors after an extended dry extra-alveolar period. Eight-year-old boy and 10-year-old boy presented with avulsed maxillary central incisors due to trauma occurring 27 and 7 hours earlier, respectively. Treatment guidelines for avulsed mature/immature permanent teeth with prolonged extra-oral time were carried out for the teeth and the extra-oral endodontic treatment was completed. After having been repositioned, the teeth were stabilized for 4 weeks and prophylactic antibiotic was prescribed. Clinical and radiographic controls were done after 18 months for Case I and 12 months for Case II. During the follow-up periods the teeth reported in these cases have remained in a stable, functional position but revealed clinical initial replacement resorption and ankylosis.
Thrombotic Thrombocytopenic Purpura-Haemolytic Uremic Syndrome and pregnancy
Authors: Julius Chacha Mwita, Sandro Vento, Tadele Benti
Journal: Pan Afr Med J (2014)
Keywords: thrombotic thrombocytopenic purpura-haemolytic uremic syndrome, pregnancy
MeSH terms: HELLP Syndrome / diagnosis, Hemolytic-Uremic Syndrome / diagnosis, Pregnancy Complications, Hematologic / diagnosis, Purpura, Thrombotic Thrombocytopenic / diagnosis, Case Reports, Adult, Female, Hemolytic-Uremic Syndrome / complications, Hemolytic-Uremic Syndrome / therapy, Humans, Pregnancy, Pregnancy Complications, Hematologic / physiopathology, Pregnancy Complications, Hematologic / therapy, Purpura, Thrombotic Thrombocytopenic / complications, Purpura, Thrombotic Thrombocytopenic / therapy

Thrombotic Thrombocytopenic Purpura-Haemolytic Uremic Syndrome (TTP-HUS) is a rare pregnancy and postpartum complication that may simulate the more common obstetric complications, preeclampsia and the syndrome of haemolysis, elevated liver functions tests, low platelets (HELLP). We describe a 26 years old patient who presented with peri-partum TTP-HUSand was initially treated as a case of HELLP syndrome without any improvement. A brief review of the current TTP-HUS treatment options in pregnancy is also presented.
Bitemporal Lobe Cysts
Authors: Amine Naggar, Youssef Omor, Rachida Latib
Journal: J Belg Soc Radiol (2023)
Keywords: mri, central nervous system, nasopharyngeal carcinoma, radionecrosis, radiotherapy
MeSH terms: Case Reports

Teaching Point: Cystic brain necrosis is a rare but severe post-radiation complication; the late post-radiation context, the temporal location, and the MRI features can suggest the diagnosis.
Eosinophilic angiocentric fibrosis of the nasal septum
Authors: Yunchuan Li, Honggang Liu, Demin Han, Hongrui Zang, Tong Wang, Bin Hu
Journal: Case Rep Otolaryngol (2013)

Background. Eosinophilic angiocentric fibrosis (EAF) is a rare benign condition of unknown aetiology that causes stenosis of the upper respiratory tract. It is most commonly found at the nasal septum and sinus mucosa causing mucosal thickening and nasal obstructive symptoms. The diagnosis is mainly based on characteristic histologic findings. Case Report. A 27-year-old young woman presented with a slow growing mass at her anterior nasal septum for over eight years. She complained of persistent nasal obstruction, epistaxis, sometimes diffused facial pain, and chronic headache. 3 years ago, the tumor was partially resected for ventilation and a nasal septum perforation was left. Imaging findings indicated soft-tissue thickening of the anterior part of septum and adjacent lateral nasal walls. Pathological examination showed numerous inflammatory cells infiltrates containing eosinophils, fibroinflammatory lesion with a whorled appearance fibrosis which typically surrounded vessels. A diagnosis of eosinophilic angiocentric fibrosis was made. All laboratory tests were unremarkable. Skin prick test was positive. The tumor-like lesion was totally resected. Conclusions. EAF is a rare benign and progressive disorder causing destruction. Combined with radiological imaging of EAF historical findings contribute to the diagnosis. It is important to prevent tumor from recurrence by total resection of the lesion.
A Rare Complication of HVAD Outflow Thrombosis and the Importance of HVAD Waveform Analysis
Authors: John Ning, Nunzio Gaglianello
Journal: Case Rep Cardiol (2019)
MeSH terms: Case Reports

We present a case of a 64-year-old female who was supported with an HVAD as bridge-to-transplant (BTT) who presented with a gastrointestinal (GI) bleeding and underwent esophagogastroduodenoscopy (EGD) and colonoscopy. Her waveforms changed abruptly following the procedure, and she decompensated. With various imaging modalities and hemodynamic monitoring, we felt that she had thrombus in her outflow graft, which improved following systemic heparinization. She was listed for cardiac transplantation and remained hospitalized. At the time of surgery, her outflow graft was noted to be compressed externally and pathology was consistent with platelet-fibrin thrombus deposition.
Neglected orbitozygomaticomaxillary fractures with complications: A case report
Authors: Siti Isya Wahdini, Ishandono Dachlan, Rosadi Seswandhana, Magda Rosalina Hutagalung, Indri Lakhsmi Putri, Dwiki Afandy
Journal: Int J Surg Case Rep (2019)
Keywords: case report, maxillofacial trauma, orbitozygomaticomaxillary fracture, surgical repair

Introduction:
Zygomatic complex fracture is one of the most frequently occuring injuries to facial structures and often involves damage to the surrounding structures, including the orbital floor and/or medial orbital wall. These complicated injuries can cause both serious opthalmic and aesthetic complcations that make reconstructions more difficult.
Case presentation:
A 22 year old male presented with facial asymmetry. On examination, there were neglected fractures of left orbitozygomaticomaxillary complex with various compications. We performed lateral orbitotomy, bone graft, medial and lateral cantopexy with 3D reconstruction models as a guidance. There were some appearance improvements including improved orbital dystopia and corrected facial asymmetry. However, his vision could not be corrected because the reconstruction was too late.
Discussion:
Several examinations before reconstruction of the injury has to be done, especially radiological examinations to decide proper diagnosis and reconstruction plans. Some complications may make difficulties in establishing precise time for surgery. Three-dimensional (3-D) reconstrucion model can help increase accuracy of the reconstruction but consume more time.
Conclusion:
Severe maxillofacial fracture should be treated immediately to avoid further complications. Multidisciplinary examinations can provide more accurate preliminary recommendations particularly when combine with properly calibrated CT scan imaging.
Isolation Syndrome after Cardiac Arrest and Therapeutic Hypothermia
Authors: Peter B Forgacs, Esteban A Fridman, Andrew M Goldfine, Nicholas D Schiff
Journal: Front Neurosci (2016)
Keywords: cardiac arrest, cognitive motor dissociation, disorders of consciousness, hypoxic brain injury, positron emission tomography, quantitative electroencephalography, therapeutic hypothermia
MeSH terms: Case Reports

Here, we present the first description of an isolation syndrome in a patient who suffered prolonged cardiac arrest and underwent a standard therapeutic hypothermia protocol. Two years after the arrest, the patient demonstrated no motor responses to commands, communication capabilities, or visual tracking at the bedside. However, resting neuronal metabolism and electrical activity across the entire anterior forebrain was found to be normal despite severe structural injuries to primary motor, parietal, and occipital cortices. In addition, using quantitative electroencephalography, the patient showed evidence for willful modulation of brain activity in response to auditory commands revealing covert conscious awareness. A possible explanation for this striking dissociation in this patient is that altered neuronal recovery patterns following therapeutic hypothermia may lead to a disproportionate preservation of anterior forebrain cortico-thalamic circuits even in the setting of severe hypoxic injury to other brain areas. Compared to recent reports of other severely brain-injured subjects with such dissociation of clinically observable (overt) and covert behaviors, we propose that this case represents a potentially generalizable mechanism producing an isolation syndrome of blindness, motor paralysis, and retained cognition as a sequela of cardiac arrest and therapeutic hypothermia. Our findings further support that highly-preserved anterior cortico-thalamic integrity is associated with the presence of conscious awareness independent from the degree of injury to other brain areas.
Propylene Glycol Toxicity in Adolescent with Refractory Myoclonic Status Epilepticus
Authors: Kara A Bjur, Bryan C Cannon, Anthony L Fine, Matthew J Ritter, Kerry E Schueler, Michael E Nemergut
Journal: Case Rep Pediatr (2017)
MeSH terms: Case Reports

Propylene glycol (PG) is a solvent commonly used in medications that, while benign at low doses, may cause toxicity in adults and children at high doses. We describe a case and the physiologic sequelae of propylene glycol toxicity manifested in a critically ill adolescent male with refractory myoclonic status epilepticus aggressively treated with multiple PG-containing medications (lorazepam, phenobarbital, and pentobarbital)-all within accepted dosing guidelines and a total daily PG exposure previously recognized to be safe. Hemodynamic measurements by bedside echocardiography during clinical toxicity are also reported. Clinicians should have a high index of suspicion for propylene glycol toxicity in patients treated with PG-containing medications even when the total PG exposure is lower than currently accepted limits.
Rare Congenital Aberrant Left Superior Pulmonary Vein Discovered with Central Line Placement in a Patient with Critical Cardiorespiratory Collapse
Authors: Spencer Knox, Mario Madruga, S J Carlan
Journal: Case Rep Pulmonol (2017)
MeSH terms: Case Reports

Background:
Partial anomalous pulmonary venous connection is a rare congenital vascular disorder that may be asymptomatic. Left-sided connections with the innominate vein are discovered infrequently and those without an atrial septal defect are extremely rare.
Case:
A 66-year-old male was found to have an anomalous left pulmonary vein when a central venous catheter was inserted for management of hypoxemia. In addition to the connection with the left innominate vein an echocardiogram revealed no atrial septal defect. Computed tomography arteriography was used to define the anomaly.
Conclusion:
Left superior vein partial anomalous pulmonary venous connection with the left innominate vein was discovered incidentally on insertion of central venous catheter. The otherwise innocuous anomaly can become a significant variable when treating critical cardiopulmonary collapse.
Dysmorphic Short Stature: Radiological Diagnosis of Trichorhinophalangeal Syndrome
Authors: Corina Ramona Nicolescu, Laura Kasongo, Léon Rausin
Journal: Case Rep Pediatr (2018)
MeSH terms: Case Reports

Trichorhinophalangeal syndrome (TRPS), a type of skeletal dysplasia, is characterized by a triad of dysmorphic (bulbous nose and large ears); ectodermal (thin and sparse hair); and skeletal (short stature and cone-shaped epiphyses) findings, and this combination is helpful for early diagnosis and appropriate follow-up. A 14-year-old boy presented with short stature and distinctive facial features, and following the first clinical and biological evaluation, no precise diagnosis was reached. Progressive bilateral development of noninflammatory and painless deformity of his second finger required a radiological exam that highlighted the key elements (cone-shaped epiphyses) for final diagnosis. This case illustrates the difficulties to early recognition of TRPS when the clinical presentation is not complete and radiological findings are missing.
A case of unifocal eosinophilic granuloma of the mandible in an adult female: a case report
Authors: Anshita Agarwal, Gaurav P Agrawal, Sarwar Alam, Benazeer Husain
Journal: Case Rep Dent (2012)

Eosinophilic granuloma of bone is a disease with an incidence of one new case per 350,000 to 2 million per year, which is an uncommon disease of maxillofacial region, and presents in more than 90% in children under the age of ten with predominance for males. As a result, eosinophilic granuloma of the jaw is always unconsidered in the differential diagnosis of similar lesions by many clinicians. It is difficult to make a correct diagnosis on it without proof of a pathological diagnosis, which correlates with the diverse clinical and radiographic presentations of eosinophilic granuloma in the jaws. In the present paper we report a rare case of unifocal eosinophilic granuloma of mandible occurring in an adult female.
New Onset Tinnitus after High-Frequency Spinal Cord Stimulator Implantation
Authors: Alexander V Golovlev, Michael G Hillegass
Journal: Case Rep Anesthesiol (2019)
MeSH terms: Case Reports

The most common complications of spinal cord stimulation (SCS) therapy are generally related to surgical site infection and hardware malfunction. Less well understood are the adverse neurological effects of this therapy. We present the case of a patient who underwent placement of a Senza HF10 high-frequency spinal cord stimulator with subsequent development of tinnitus, vertigo, intermittent involuntary left facial twitches, and perioral numbness. These symptoms resolved following deactivation of her device. To further explore these less common neurologic complications of SCS therapy, a review of literature and a review of the U.S. Food and Drug Administration Manufacturer and User Facility Device Experience database are included. Further research and investigation in this area are needed so that clinicians and patients may have more complete knowledge and understanding of the potential treatment-limiting complications of spinal cord stimulation.
Multiple bilateral trigger fingers in a child with neurofibromatosis type I following an acute viral infection: A case report
Authors: Mohammad M Al-Qattan, Felwa A AlMarshad, Attiya Ijaz, Qutaiba Shah Mardan
Journal: Int J Surg Case Rep (2020)
Keywords: children, neurofibromatosis, trigger finger, viral infection
MeSH terms: Case Reports

Introduction:
Triggering of the fingers in children is an uncommon entity. A review of the literature on the topic did not reveal any reports of multiple triggering in patients with neurofibromatosis.
Case report:
Our patient is a known case of neurofibromatosis type I (NF 1). At the age of 4 years, the child required chemotherapy to treat symptomatic bilateral optic glioma. Chemotherapy was complicated by severe viral upper respiratory tract infection with concurrent multi-joint synovitis and mild triggering of the fingers. A second course of chemotherapy was required 2 years later. This was also complicated by a viral infection, joint synovitis, and worsening of the triggering. Surgical release of the A1 and part of the A2 pulleys was curative.
Discussion:
Two factors contributed to the development of multiple triggering in our pediatric patient. The NF 1 itself predisposes to fibrosis. The second factor is the synovitis that accompanied the acute viral infection.
Conclusion:
We report on a case of multiple bilateral trigger fingers in a child with NF 1 following an acute viral infection and discuss the pathogenesis.
Sclerosing Mediastinitis Causing Unilateral Pulmonary Edema Due to Left Atrial and Pulmonary Venous Compression. A Case Report and Literature Review
Authors: Nikolaos Panagopoulos, Vasileios Leivaditis, Pantelis Kraniotis, Panagiota Ravazoula, Efstratios Koletsis, Dimitrios Dougenis
Journal: Braz J Cardiovasc Surg (2019)
MeSH terms: Mediastinitis / complications, Pulmonary Atelectasis / etiology, Pulmonary Edema / etiology, Sclerosis / complications, Case Reports, Review, Adult, Biopsy, Constriction, Pathologic / diagnostic imaging, Constriction, Pathologic / pathology, Female, Heart Atria / diagnostic imaging, Heart Atria / pathology, Humans, Mediastinitis / diagnostic imaging, Mediastinitis / pathology, Pulmonary Atelectasis / diagnostic imaging, Pulmonary Atelectasis / pathology, Pulmonary Edema / diagnostic imaging, Pulmonary Edema / pathology, Radiography, Thoracic, Sclerosis / diagnostic imaging, Sclerosis / pathology, Tomography, X-Ray Computed, Mediastinal Fibrosis

Sclerosing mediastinitis (SM), previously named chronic fibrosing mediastinitis, is an inflammatory process that in its end-stage results to sclerosis around the mediastinal structures. SM is quite rare and has been correlated with inflammatory and autoimmune diseases, as well as malignancy. SM may either present in a mild form, with minor symptoms and a benign course or in a more aggressive form with severe pulmonary hypertension and subsequent higher morbidity and mortality. The diagnosis of SM may be difficult and quite challenging, as symptoms depend on the mediastinal structure that is mainly involved; quite often the superior vena cava. However, practically any mediastinal structure may be involved by the fibrotic process, such as the central airways, as well as the pulmonary arteries and veins, leading to obstruction or total occlusion. The latter may be impossible to undergo proper surgical excision of the lesion, and is considered to be a real challenge to the surgeon. We herein report a case of SM that presented with arterial and venous compression. The imaging appearance was that of unilateral pulmonary edema, associated with lung collapse. The case is supplemented by a non-systematic review of the relevant literature.
Anomalous origin and retropulmonary course of an atherosclerotic stenosed left circumflex coronary artery
Authors: J A T C Parker, A A Peivandi, S Bitschnau, N Kayhan, C F Vahl
Journal: Int J Vasc Med (2010)
MeSH terms: Case Reports

We here present the case of a rarely seen anomalous origin and retropulmonary course of the left circumflex artery from the proximal right coronary artery. The patient suffered from coronary ischemia due to stenotic lesions both in the aberrant circumflex coronary artery and in the first and second diagonal branches. Coronary bypass operation was performed.
Targeted treatment of refractory primitive neuroectodermal tumor arising from an immature teratoma with crizotinib leading to a sustained response
Authors: Benjamin M Snyder, Alex H Lion, Amy E Helvie, Mark S Marshall, Michael J Ferguson
Journal: Clin Case Rep (2023)
Keywords: ewing sarcoma, pnet, crizotinib, precision oncology
MeSH terms: Case Reports

Here we present a case of metastatic PNET which arose from an immature teratoma that was refractory to standard Ewing sarcoma chemotherapy. This PNET was determined to have elevated levels of ALK protein via IHC. The patient was treated with crizotinib on a palliative basis with a sustained response.
Interceptive Orthodontics with Resin Turbos for Pseudo-Class III Malocclusions
Authors: Neal D Kravitz
Journal: Case Rep Dent (2019)
MeSH terms: Case Reports

Background and overview:
Lingual eruption of the permanent maxillary central incisors in the early mixed dentition can result in a traumatic anterior crossbite, causing mobility and gingival recession to the opposing mandibular incisors.
Case description:
This case report presents a common finding of a 7-year-old boy with a dental crossbite and pseudo-Class III malocclusion caused by lingual eruption of the maxillary central incisors. An interceptive phase of orthodontic treatment was provided by bonding a beveled resin turbo on the mandibular incisors. The crossbite was corrected in 3 months without any orthodontic appliances. In the absence of the traumatic occlusion, the mandibular incisors stabilized and the gingival tissue was expected to regenerate.
Conclusions and practical implications:
Dentists and orthodontists can place beveled resin turbos on the mandibular incisors to jump an anterior dental crossbite conservatively, without the use of orthodontic brackets and wires.