OpenMed/multicare-articles huggingface dataset:
Combined unilateral hemilaminectomy and thoracoscopic resection of the dumbbell-shaped thoracic neurinoma: a case report
Authors: Toshihide Tanaka, Naoki Kato, Ken Aoki, Aya Nakamura, Mitsuyoshi Watanabe, Satoru Tochigi, Hideki Marushima, Tadashi Akiba, Yuzuru Hasegawa, Toshiaki Abe
Journal: Case Rep Neurol Med (2012)

A 41-year-old woman complained of chest pain when coughing. Computed tomography and magnetic resonance imaging disclosed a homogenously enhanced tumor occupying the spinal canal at the Th7 level and extending into the right paravertebral space through the intervertebral foramen between Th7 and Th8. The tumor was successfully removed via a posterolateral approach using unilateral hemilaminectomy followed by thoracoscopic surgery. Since the tumor had a dumbbell shape, a combined approach was considered essential. The histological diagnosis was a thoracic neurinoma. Combined hemilaminectomy and thoracoscopic surgery may be a good alternative for the management of thoracic dumbbell-shaped tumors.
Unexpected Complication Ten Years after Initial Treatment: Long-Term Report and Fate of a Maxillary Premolar Rehabilitation
Authors: Davide Augusti, Gabriele Augusti
Journal: Case Rep Dent (2018)
MeSH terms: Case Reports

Full-coverage restorations represent a well-known rehabilitation strategy for compromised posterior teeth; in the last years, new ceramic materials like zirconia have been introduced and widely adopted for the prosthetic management of molar and premolar areas. A long-term follow-up of a maxillary premolar rehabilitation using a veneered zirconia crown is presented; after ten years of uneventful clinical service of the tooth-restoration complex, a serious complication-namely, a vertical root fracture (VRF)-occurred. An extended time lapse (9 years) between the end of restorative procedures and development of symptoms due to VRF has been observed. On the other hand, a complete functional and esthetic integrity of the zirconia crown (without chippings or crack development) is documented along the follow-up period. Due to periodontal breakdown and severity of fracture, the premolar was extracted. The illustrations of our late failure, aetiological factors, and available data on the literature regarding VRF are addressed. Patients and clinicians should be aware of potential occurrences of some long-term, serious complications when dealing with previously treated and/or structurally weakened teeth. The development of a VRF might be unexpected and might occur many years after the end of tooth rehabilitation, despite adoption of contemporary restorative protocols and techniques.
Emerging of Fatal Colitis with Multidrug-Resistant Candida glabrata after Small Bowel Transplantation
Authors: Zahra Zareshahrabadi, Mojtaba Shafiekhani, Hamed Nikoupour, Hasti Nouraei, Hamid Morovati, Kamiar Zomorodian
Journal: Case Rep Transplant (2021)
MeSH terms: Case Reports

Background:
Small bowel transplantation is a potential option for patients with intestinal-failure, and the incidences of infections caused by Candida species that are more resistant to antifungal drugs are increasing in these patients. In this manuscript, we reported a case of fatal colitis after small bowel transplantation induces by multidrug-resistant (MDR) Candida glabrata. Case Presentation. A 52-year-old man has undergone an extensive small bowel resection with the length of the remaining bowel which was less than 40 cm who became a candidate for transplantation. Four months after transplantation, the patient experienced severe bloody diarrhea with abdominal distension. Ileoscopy and colonoscopy did not show neither pathological change and rejection nor cytomegalovirus (CMV) infection posttransplantation. Abdomen computed tomography showed diffuse moderate small bowel wall thickening. After detection of budding yeast in the stool samples, stool culture was positive for Candida, DNA was extracted, and ITS1-5.8s-ITS2 region of the fungal agent was amplified. Sequencing analysis of PCR and antifungal susceptibility testing revealed that this isolate was multidrug-resistant C. glabrata. Besides, there was no evidence for other pathogens known to cause infection in various laboratory tests. Immediate antifungal treatments with caspofungin remained unsuccessful, and on the eighteenth day of admission, the patient expires with septic shock.
Conclusion:
These findings highlight the challenging management of candidiasis in patients with small bowel transplantation. Infectious diseases due to MDR organisms have emerged as a vital clinical problem in this patient population.
An extremely rare case of malignant jejunal mesenteric inflammatory myofibroblastic tumor in a 61-year-old male patient: A case report and literature review
Authors: Hamdi Al Shenawi, Salamah A Al-Shaibani, Suhair K Al Saad, Fedaa Al-Sindi, Khalid Al-Sindi, Noor Al Shenawi, Yahya Naguib, Rami Yaghan
Journal: Front Med (Lausanne) (2022)
Keywords: inflammatory, jejunum, mass, mesenchymal, mesentery, myofibroblastic, stromal, tumor
MeSH terms: Case Reports

Introduction:
A mesenteric inflammatory myofibroblastic tumor (IMT) is a rare solid tumor of intermediate malignant potential that affects children, adolescents, and young adults predominantly. IMT is mostly encountered in the lung. We report a case of malignant jejunal mesenteric IMT in a 61-year-old male patient who presented with vague abdominal pain and generalized weakness. CT scan revealed a mesenteric mass displacing the attached jejunum. Surgical resection was curative.
Discussion:
An extensive literature review was performed to update and further analyze the already available data. A total of 35 cases with mesenteric IMT were reported previously. Only five cases of jejunal mesenteric IMT were reported. Mesenteric IMT demands vast effort to reveal the diagnosis due to its vagueness in the clinical presentation. Mesenteric IMT resembles each other in plenty of pathological and immunohistochemical characteristics.
Conclusion:
To the best of our knowledge, this is the first case of malignant jejunal mesenteric IMT in the elderly. Surgical resection was curative.
Primary angiitis of the central nervous system: a report of three cases from a single colombian center
Authors: Nicolás Coronel-Restrepo, Fabio Bonilla-Abadía, Omar A Cortes, Jorge H Izquierdo, Alberto M Shinchi, Juan C Bravo, Gabriel J Tobón, Carlos A Cañas
Journal: Case Rep Neurol Med (2013)

The primary angiitis of the central nervous system (PACNS) is an entity with a very low incidence and prevalence. It is not clear why the inflammatory process of this entity is limited to the cerebral vasculature without systemic manifestations. Its clinical manifestations are very heterogeneous and make clinical diagnosis difficult. In most cases, a brain biopsy is required. Only the clinical suspicion and the ability to recognize the possible clinical and imagenological patterns of presentation make an accurate diagnosis possible. The vast majority of the treatment recommendations are given by series of case reports. The following paper described the clinical, imagenological, and histopathological characteristics of three Colombian patients with PACNS. The strategic therapeutic used in shown.
A Rare Case of Breast Metastatic Gastrointestinal Stromal Tumor
Authors: Woong Kee Baek, Pu Ni, Jennifer Zeng, Victoria Collins, Nebras Zeizafoun
Journal: Cureus (2023)
Keywords: breast metastasis of gist, gastrointestinal stromal tumor (gist), gist in immunosuppressed, kit exon 11 mutation gist, kit exon 17 mutation gist, metastatic gist
MeSH terms: Case Reports

Gastrointestinal stromal tumor (GIST) is one of the most common spindle cell neoplasms of the alimentary system, and can arise anywhere along the gastrointestinal tract (GI). Its incidence rate is up to 22 cases per million, with a minor geographic variation. GIST is thought to originate from interstitial cell of Cajal, and its pathogenesis is related to molecular defects, such as KIT receptor tyrosine kinase or platelet-derived growth receptor alpha gene activation. While the majority of GISTs are known to show a benign disease course, metastases of high-grade forms to different organ systems have been seldom reported. We present a case with an unprecedented metastasis of GIST to the breast. The patient is a 62-year-old female with a history of the primary resection of GIST from the small intestine. Her disease course was initially complicated by multiple metastases, solely localized to the liver for which she had a living-donor liver transplant. The tumor harbored both KIT exon 11 and exon 17 mutation. Fourteen months post-transplant, the patient was found to have metastatic GIST on her breast biopsy. GIST metastasis to the breast is extremely rare. A consideration of this spindle cell neoplasm as a differential is recommended when clinical suspicion arises. The pathophysiology, current diagnostic tool, grading system, and treatment of this tumor are discussed.
A Fatal Case of Klebsiella pneumoniae Mycotic Aneurysm
Authors: Chien-Ming Chao, Kun-Kuang Lee, Chia-Sheng Wang, Ping-Jen Chen, Tsung-Chih Yeh
Journal: Case Rep Emerg Med (2011)
MeSH terms: Case Reports

Mycotic aneurysm is a serious clinical condition with significant morbidity and mortality. Staphylococcus aureus and Salmonella species are the most common causative pathogens. Klebsiella pneumoniae was rarely reported as a possible pathogen causing mycotic aneurysm; therefore, we describe a K. pneumoniae-related fatal bacteremia mycotic aneurysm in a patient in spite of appropriate antimicrobial agents and surgical management.
Intussusception induced by gastrointestinal metastasis of malignant melanoma: A case report
Authors: Koichiro Kumano, Tsuyoshi Enomoto, Daichi Kitaguchi, Yohei Owada, Yusuke Ohara, Tatsuya Oda
Journal: Int J Surg Case Rep (2020)
Keywords: case report, intussusception, malignant melanoma, metastatic small bowel tumor
MeSH terms: Case Reports

Introduction:
Malignant melanoma sometimes metastasizes to small intestine, and could cause various clinical symptoms, including intussusception. Among the acute abdomen cohort in Japan, it is quite rare to encounter this entity.
Presentation of case:
A 68-year-old male patient was admitted to our hospital with chief complaints of abdominal pain and vomiting. He underwent tumor resection for malignant melanoma of the primary lesion at left foot base, local recurrence and brain metastasis during the last five years. At admission, abdominal X-ray demonstrated small bowel obstruction. An ileus tube was inserted, and contrast media enema study showed crab-like shadow defect was observed in the advanced part. Enhanced computed tomography showed intussusception in the proximal jejunum caused by a tumor of 5 cm in diameter in the advanced part. No other intestinal lesion was found. Diagnosis of intussusception caused by solitary metastasis of malignant melanoma was made. Laparoscopic partial resection of the small intestine was performed. Postoperative course was uneventful, and patient was followed in outpatient clinic without further treatment with any recurrence of disease for one years.
Discussion:
Malignant melanoma tends to metastases to the small intestine simultaneously and multiply. It bothers surgeons to decide range of small intestinal resection at emergency surgery. In the present study, preoperative examination allowed the adequate range of intestinal resection including location and number of metastases before operation.
Conclusion:
When an acute abdomen caused by intestinal metastasis of malignant melanoma was consulted, surgeon should make effort to identify location and number of metastatic lesion, preoperatively.
Acute respiratory failure as a manifestation of an arachnoid cyst
Authors: Lalitha V Pillai, Gopal Achari, Sanjay Desai, Vinayak Patil
Journal: Indian J Crit Care Med (2008)
Keywords: cystoperitoneal shunt, posterior fossa arachnoid cyst, respiratory arrest
MeSH terms: Case Reports

Arachnoid cysts are the most common congenital cystic lesions in the brain occurring in the middle fossa, suprasellar region and occasionally in the posterior fossa. Conventionally all cysts are considered as benign and symptoms are attributed to expansion of cysts causing compression of adjacent neurological structures, bleeds within the cyst or due to the development of acute hydrocephalus. We are reporting this case of a 15-year-old female patient with non-progressive weakness in the limbs since the age of seven years who presented with acute onset syncopal attacks and respiratory failure. She was intubated and ventilated. An magnetic resonance imaging scan showed large posterior fossa cyst extending up to mid second cervical vertebra causing compression of the medulla and pons, with mild hydrocephalus. After a failed attempt to wean her from the ventilator a cysto peritoneal shunt surgery was performed following which she was weaned from the ventilator successfully. Weakness in the upper and lower limbs, which had increased in the preceding month, also improved following the surgery.
Pregnancy management in laparoscopic promontofixation patients: a challenging situation with no clear recommendations
Authors: Youssef Kharbach, Abdelhak Khallouk
Journal: Pan Afr Med J (2020)
Keywords: pelvic organ prolapse, laparoscopic promontofixation, pregnancy
MeSH terms: Laparoscopy / methods, Pelvic Organ Prolapse / surgery, Pregnancy Outcome, Case Reports, Adult, Female, Fertility Preservation, Humans, Pregnancy

Uterine-sparing prolapse surgery offers fertility preservation; however, available data on the safety of pregnancy after surgery and the effects of pregnancy on surgical outcome are limited. Authors report herein reflections on the case of a 39-year-old woman with pelvic organ prolapse who underwent laparoscopic promontofixation. Pregnancy was diagnosed 2 weeks post-surgery. The main target of this research is to focus on pregnancy management before and after promontofixation due to the lack of data on the safety of pregnancy following surgery and the effect of pregnancy on surgical outcome. It seems preferable to us to operate patients in the first part of the cycle, if not after a dosage of beta-HCG and to provide effective contraception for at least 12 months.
Giant Partially Thrombosed Coronary Aneurysm in Multisystem Inflammatory Syndrome Associated with SARS-CoV-2 in Children
Authors: Karen Daniela Manchola Narváez, Natalia Del Pilar Delgado Ortíz, Iván José Ardila Gómez, Pilar Pérez López, Martín Fernando Rivera Ortíz
Journal: Case Rep Med (2022)
MeSH terms: Case Reports

Multisystem inflammatory syndrome in children (MIS-C) is a postinfectious condition which usually develops 4 to 6 weeks after SARS-CoV-2 infection in a genetically predisposed individual. Clinical features are heterogeneous and include fever, respiratory compromise, mucocutaneous involvement with conjunctival abnormalities and erythematous exanthem, abdominal pain, and diarrhea. Neurologic and cardiovascular symptoms can also develop, including coronary artery dilatation. Some cases involve 2 or more organs and require critical admission. Echocardiography is the mainstay of cardiac evaluation in the acute setting as well as on outpatient follow-up. We present the case of a 4-month-old female with no past medical or surgical history who presented with a prolonged febrile syndrome associated with severe respiratory illness, gastrointestinal symptoms, and mucocutaneous abnormalities. Diagnosis of MIS-C was established based on clinical findings, persistently elevated markers of systemic inflammation and positive SARS-CoV-2 molecular test and evidence of prior SARS-CoV-2 infection with SARS-CoV-2 IgG positive. Echocardiogram evidenced myopericarditis and coronary aneurysms and patient was deemed candidate for immunomodulatory therapy with intravenous immunoglobulin (IVIg), resulting in favorable clinical and paraclinical outcomes. Few cases of giant coronary aneurysms have been reported in children. There are no existing literature reports about coronary thrombosis or thrombus formation resulting from vascular aneurysmal dilations in this population. As such, the prognosis and natural history of coronary artery aneurysms in the setting of MIS-C remain largely unknown.
Gastro-splenic fistula, a rare presentation of sickle cell disease patient with splenic abscess: Case report and literature review
Authors: Ali Alsinan, Moslem Alelq, Fozia Alsugair, Ali Hassan, Abrar Waheed, Saeed Alshomimi
Journal: Int J Surg Case Rep (2019)
Keywords: endoscopy, fistula, sickle cell disease, splenectomy

Introduction:
Hemoglobinopathies such as Thalassemia and Sickle Cell Disease are risk factors for splenic abscess formation. Gastro-splenic fistula is a rare complication of splenic abscess. In the literature, there are no reported cases of gastro-splenic fistula in patients with hemoglobinopathies.
Presentation of case:
We are presenting a rare case of a 15-year-old boy with undiagnosed sickle cell trait with splenic sequestration crisis as first presentation of his disease. This was complicated by splenic abscess formation. Gastro-Splenic fistula was not apparent in computed tomography and upper gastrointestinal endoscopy findings were misinterpreted initially, which lead to delay in diagnosis and management. The patient was managed initially with antibiotics, followed by splenectomy and partial gastrectomy.
Discussion:
Gastro-splenic fistula is not a common entity. It may be caused by gastric or splenic pathologies. In our case, which is the first reported in literature, the fistula developed as a complication of splenic abscess in patient with sickle cell disease. Its presentation depends on the underlying condition. CT scan is the modality of choice for diagnosis. Upper GI endoscopy findings of the fistula is often misinterpreted. The treatment of fistula is splenectomy and partial gastrectomy.
Conclusion:
Delayed diagnosis and management of splenic abscess in patients with sickle cell disease predisposes to fistula formation.
Unusual clinical presentation of cutaneous angiosarcoma masquerading as eczema: a case report and review of the literature
Authors: Nhat Q Trinh, Issra Rashed, Kelli A Hutchens, Aileen Go, Edward Melian, Rebecca Tung
Journal: Case Rep Dermatol Med (2013)

An unusual case of cutaneous angiosarcoma clinically mimicking eczema is described. A 98-year-old Caucasian male presented with a 6-month history of a flesh-colored, subcutaneous nodule on his left forehead with contralateral facial erythema and scaling that had been previously diagnosed as eczema. Despite treatments with topical steroids and moisturizers, the condition did not resolve. At our clinic, excisional biopsy of the forehead lesion and scouting biopsies from the contralateral cheek were performed which revealed cutaneous angiosarcoma. The described case illustrates that dermatitis-like features should be considered as a rare clinical manifestation of cutaneous angiosarcoma. It also demonstrates that these lesions may respond well to radiotherapy as a single modality.
Penile calciphylaxis in a patient with end-stage renal disease and chronic hemodialysis: a case report
Authors: Saad Bkiri, Zakaria Tlemsani, Youness Khdach, Youssef Nmili, Karim Bennani, Fayçal Abbad, Mohammed Ghadouane
Journal: Pan Afr Med J (2022)
Keywords: penile calciphylaxis, case report, renal failure, total penectomy
MeSH terms: Calciphylaxis / diagnosis, Calciphylaxis / etiology, Calciphylaxis / therapy, Kidney Failure, Chronic / complications, Kidney Failure, Chronic / therapy, Penile Diseases / diagnosis, Penile Diseases / etiology, Penile Diseases / pathology, Case Reports, Humans, Male, Middle Aged, Necrosis / pathology, Penis, Renal Dialysis / adverse effects

Penile calciphylaxis is a rare and highly morbid condition mainly affecting diabetic patients with chronic renal failure (CRF). It is characterized by ischemic skin ulceration and necrosis secondary to dystrophic calcification of the subcutaneous penile tissue and penile arterioles. We report a 52-year-old male with a 6-year history of diabetes mellitus and CRF on hemodialysis, who presented with a painful penile necrotic lesion in the last three weeks. He firstly treated with medical treatment, which was failed. Then underwent total penectomy. The histopathology result confirmed the diagnosis of penile calciphylaxis. Unfortunately, he passed away due to septic shock and multisystem organ failure ten days after surgery. In conclusion, the diagnosis of penile calciphylaxis must be evoked in the presence of any minimal necrotic penile lesion in a patient with CRF; this will initiate quick medical and/or minimally invasive surgical treatment to improve the patient's prognosis and avoid serious complications.
Retroperitoneal Endometriotic Cyst Infiltrated in the Iliopsoas Incidentally Found in a Patient with Acute Back Pain
Authors: Nanami Tsukasaki, Takuro Yamamoto, Akihisa Katayama, Nozomi Ogiso, Tomoharu Okubo
Journal: Case Rep Obstet Gynecol (2017)
MeSH terms: Case Reports

We describe a rare case of retroperitoneal endometriotic cyst infiltrated in the iliopsoas incidentally found in a patient with acute back pain. Endometriosis at the pelvic peritoneum, including the Douglas pouch, has been reported often; there are few reports of cystic endometriosis in the retroperitoneal cavity. Today there are various theories regarding how endometriosis occurs. By pathological findings and lesion sites of the present case, we concluded that the endometrial tissues in the menstrual blood might metastasize lymphatically and implant and form the retroperitoneal cyst.
Spontaneous Intraoperative Rupture of a Large Interstitial Pregnancy: Laparoscopic Management
Authors: Ourania Koukoura, George Dragoumis, Georgia Gorila, Irontianta Gkorezi-Ntavela, Konstantinos Dafopoulos, George Pistofidis
Journal: Case Rep Obstet Gynecol (2020)
MeSH terms: Case Reports

We present a case of a large interstitial pregnancy which was intraoperatively ruptured, but was eventually laparoscopically treated. The patient experienced 9 weeks of amenorrhea, and a right cornual pregnancy measuring 6 cm was diagnosed. The patient consented on having a minimal surgical treatment, and a laparoscopic right cornuotomy was decided. During surgery, and prior to any manipulation to the uterus, there was a spontaneous rupture of the ectopic which resulted in excessive bleeding. Temporal pressure at the bleeding site and ligation of the superior branches of the right uterine artery allowed for a careful dissection of the right uterine cornua and achieved hemostasis. The surgery proceeded uneventfully thereafter. Although surgical intervention in such cases entails a high risk of hemorrhage, successful completion of the laparoscopy lies on the meticulous preoperative planning and the controlled precise surgical steps during the procedure.