OpenMed/multicare-articles huggingface dataset:
Disclosure of Sibling Sexual Abuse by Hospitalized Adolescent Girls: Three Case Reports
Authors: Emilie Carretier, Jonathan Lachal, Nina Franzoni, Selim Benjamin Guessoum, Marie Rose Moro
Journal: Front Psychiatry (2022)
Keywords: adolescent psychiatry, case report, child protection, child sexual abuse, disclosure, sibling incest, sibling sexual abuse
MeSH terms: Case Reports

Although sibling sexual abuse (SSA) may be the most common type of intrafamilial sexual abuse, it has not been widely studied. The lack of studies makes it very difficult for clinicians to create a comprehensive framework about this complex phenomenon, particularly in comparison with other forms of intrafamilial sexual abuse, such as father-daughter incest. SSA is still underrecognized and underdisclosed but it has the potential to be every bit as harmful as sexual abuse by a parent. The topic rarely finds its way into the more general psychiatry or social work literature. It is imperative to increase healthcare practitioners' awareness of this complex subject to improve their ability to listen to, detect, and manage the disclosures of SSA in adolescent populations. This paper presents vignettes of three 13-to-15-year-old adolescent girls who disclosed SSA during inpatient hospitalization in an adolescent psychiatric and medicine department. These cases illustrate the complexity of SSA, which has been associated with a wide spectrum of both mental and physical symptoms. Adolescent victims of SSA experience serious distress, with various and numerous psychiatric manifestations, including but not limited to depression and suicide attempts, addictive behaviors, post-traumatic stress symptoms, and eating disorders. Physical symptoms should also alert practitioners: adolescent survivors are more likely to be affected by somatic complications such as sexually transmitted diseases, chronic pain, urogenital symptoms, and nutritional disorders. We offer some recommendations to improve the detection and support of distressed adolescents disclosing SSA. Listening to them and offering a protective multidisciplinary response can limit the lasting damage and contribute to the repair process.
Sigmoid Volvulus as a Clinical Manifestation of Acquired Colonic Hypoganglionosis: A Case Report
Authors: Siraj Alsulimani, Noomen Haoues, Arwa M Aljuhani, Noor Fayoumi, Abdullah Al-Sawat
Journal: Cureus (2023)
Keywords: constipation, ganglia, hirschsprung disease, pseudo-obstruction, sigmoid volvulus
MeSH terms: Case Reports

A reduced and limited number of myenteric ganglia and low acetylcholinesterase activity in the lamina propria characterizes an unusual form of intestinal innervation disorder known as acquired or adult-onset hypoganglionosis. Only a few cases have been observed in adults, while the majority are diagnosed in infancy or youth. We report a rare case of colonic hypoganglionosis that presented as sigmoid volvulus in a 25-year-old female brought in to the ER. She underwent endoscopic decompression but developed a massive sigmoid volvulus with proximal colon dilatation. It was decided to do a total colectomy with an end ileostomy. The diagnosis was confirmed by histopathology, which revealed acquired hypoganglionosis. In order to prevent delayed or emergency presentation and the development of a stoma, the diagnosis of hypoganglionosis must be confirmed with full-thickness biopsies from all affected parts of the large bowel. Hypoganglionosis is rarely present, so young patients with a history of chronic constipation must be treated with a high index of suspicion.
Daptomycin-Induced Acute Eosinophilic Pneumonia: Late Onset and Quick Recovery
Authors: Mohamad Rachid, Khansa Ahmad, Meghan Saunders-Kurban, Aelia Fatima, Aditya Shah, Anas Nahhas
Journal: Case Rep Pulmonol (2017)
MeSH terms: Case Reports

Background:
Daptomycin is a cyclic lipopeptide antibiotic that provides great coverage for gram positive cocci. From the early years of daptomycin use, concerns were raised regarding the pulmonary side effects of daptomycin and potential development of acute eosinophilic pneumonia (AEP) secondary to daptomycin therapy.
Discussion:
AEP could be idiopathic or induced by drugs or toxins. It is a distinct entity from atopic diseases and autoimmune, parasitic, or fungal infections that can also cause pulmonary eosinophilia. Multiple medications are associated with acute eosinophilic pneumonia. Multiple cases of daptomycin-induced AEP have been reported in the literature. Diagnosis of AEP is based on clinical history, laboratory tests, and radiographic studies. Obtaining bronchoalveolar lavage or lung biopsy is needed to confirm the diagnosis. Timing of the drug use and clinical presentation is crucial in the diagnosis of drug-induced AEP. Discontinuation of the offending drug and systemic corticosteroids are the mainstay treatment with great outcomes and recovery.
Conclusion:
We present a case of AEP caused by daptomycin, with complete recovery after discontinuation of daptomycin and administration of steroids. The patient had AEP after almost 6 weeks of daptomycin therapy which has never been reported in literature and our patient achieved complete recovery with appropriate management.
Multiple myeloma revealed by spinal cord compression and herpes zoster in a 36-year-old Cameroonian
Authors: Victor Sini, Tatuene Joseph Kamtchum, Callixte Kuate Tegueu, Vincent De Paul Djientcheu
Journal: Pan Afr Med J (2013)
Keywords: cameroonian, multiple myeloma, herpes zoster, plasmocytosis, spinal cord compression, young age
MeSH terms: Herpes Zoster / complications, Herpes Zoster / diagnosis, Multiple Myeloma / complications, Multiple Myeloma / diagnosis, Spinal Cord Compression / diagnosis, Spinal Cord Compression / etiology, Case Reports, Adult, Cameroon, Diagnosis, Differential, Female, Humans

Multiple myeloma is a malignant plasma cell disorder occurring mostly in people above 60 years old. The authors describe a case of multiple myeloma in a 36-year-old patient revealed by spinal cord compression and Herpes zoster with a rapidly unfavourable outcome.
Actinomycosis of the Lower Lip: Report of a Case
Authors: Manabu Shigeoka, Daisuke Takeda, Masaya Akashi
Journal: Case Rep Dent (2022)
MeSH terms: Case Reports

Actinomycosis is usually a chronic infectious disease caused by Actinomyces species, which are anaerobic Gram-positive bacteria that normally colonize the human oral cavity and digestive and urogenital tracts. Although this lesion often occurs on soft tissue around the mandible, cases localized in the lip are very uncommon. We encountered a patient with actinomycosis in the lower lip. A 76-year-old woman with a 5-mm submucosal nodule of the lower lip was referred to our hospital from a dental clinic. The clinical diagnosis was a benign submucosal tumor. Total excision and histological examination were conducted. No oral antibiotic therapy was prescribed. The histological diagnosis was actinomycosis. The postoperative course was uneventful with no signs of recurrence during the 6 months after surgery.
Disseminated tuberculosis mimicking ankylosing spondylitis
Authors: Valérie Huyge, Serge Goldman, Muhammad S Soyfoo
Journal: Case Rep Rheumatol (2011)
MeSH terms: Case Reports

Ankylosing spondylitis is a chronic inflammatory disorder affecting mainly the axial skeleton. Here we report a case of a man with a clinical suspicion of ankylosing spondylitis but with a persistence of increased inflammatory markers. In this case, (18)F-FDG-PET/CT revealed multiple hypermetabolic lesions in axial skeleton, lymph nodes, and the lung, suggestive of either disseminated tuberculosis or lymphoma. Histological analysis of the pulmonary lesion revealed mycobacterium tuberculosis. This case highlights, firstly, the importance of excluding other diagnoses in the presence of clinical picture of ankylosing spondylitis and high inflammatory markers and, secondly, the determining role of PET/CT.
ST-Segment Elevation Myocardial Infarction and Normal Coronary Arteries after Consuming Energy Drinks
Authors: S Michael Gharacholou, Nkechinyere Ijioma, Emma Banwart, Freddy Del Carpio Munoz
Journal: Case Rep Cardiol (2017)
MeSH terms: Case Reports

The use of energy drinks, which often contain stimulants, is common among young persons, yet there have been few reports of adverse cardiac events. We report the case of a 27-year-old man who was admitted to our facility with an acute ST-segment elevation myocardial infarction in the setting of using energy drinks. Angiography revealed no obstructive coronary disease. The patient had elevation of cardiac troponin. Noninvasive testing with echocardiography and cardiac magnetic resonance imaging demonstrated both abnormalities in resting wall motion at the anterior apex along with late gadolinium enhancement of the anterior wall, respectively. The patient also underwent formal invasive evaluation with an intracoronary Doppler study demonstrating normal coronary flow reserve and acetylcholine provocation that excluded endothelial dysfunction and microvascular disease. The patient recovered and has abstained from consuming additional energy drinks with no reoccurrence of symptoms. A review of some of the potential cardiac risks associated with consuming energy drinks is presented.
Congenital Smooth Muscle Hamartoma Obscuring the Cornea
Authors: Andrew Bean, Abdullah Al-Bouri, Geoffrey Bradford, Thomas Mauger
Journal: Case Rep Ophthalmol Med (2021)
MeSH terms: Case Reports

Congenital smooth muscle hamartoma is a benign proliferation of smooth muscle that most commonly presents in the lumbosacral area or proximal extremities. Although exceedingly rare, congenital smooth muscle hamartomas have been reported to occur in ocular structures such as the brow, eyelid, and conjunctival fornix. This case describes an atypical congenital bulbar lesion in a newborn male which obscured the cornea. The lesion, which appeared to originate from the bulbar conjunctiva and/or the limbus, was excised at 5 months of age. Pathologic evaluation was consistent with congenital smooth muscle hamartoma. The authors of this report believe it is the first to describe a patient with a congenital smooth muscle hamartoma of the bulbar conjunctiva/limbus.
Arterial-colonic fistula secondary to colonic stent erosion into the left external iliac artery
Authors: Jacquelyn Dillon, Alexandra N Mills, Kate R Pawloski, Nicholas Scribetta, Alexander Greenstein
Journal: J Surg Case Rep (2023)
Keywords: colonic stent, fistula, self-expandable metal stent
MeSH terms: Case Reports

Self-expandable metal stent (SEMS) are widely utilized as a bridge to surgical intervention and for palliative treatment of malignant bowel obstructions. The risk of complications associated with SEMS is low in well-selected patients. Stent erosion is a rare but serious adverse event that is associated with high morbidity and mortality. Here, we report the case of a 74-year-old patient with a colonic obstruction secondary to a pelvic mass that was treated with SEMS and radiotherapy, who developed a partial thickness stent erosion and recurrent hematochezia 6 years after placement. Endoscopic retrieval was not technically feasible. During attempted surgical resection, massive hemorrhage occurred from a colonic-arterial fistula to the left external iliac artery resulting in death. While SEMS remain an effective, minimally invasive approach for the management of bowel obstructions, prolonged in-situ lifetime may confer an increased risk of serious adverse events including erosion and fistula formation.
Preoperative assessment of anomalous right coronary artery arising from the main pulmonary artery
Authors: Marshall W Winner 3rd, Subha V Raman, Benjamin C Sun, Juan A Crestanello
Journal: Case Rep Med (2011)
MeSH terms: Case Reports

Anomalous origin of the right coronary artery from the pulmonary artery is a rare condition. Two cases are presented in this paper. One case was treated by ligation and coronary artery bypass. The other was treated by direct reimplantation of the anomalous coronary artery into the aorta.
Ileal adenocarcinoma in a young pregnant woman: A rare case report
Authors: Chao Xiao, Qijun Cheng, Chengjian Cao, Xue Xiao, Yutao Zhang
Journal: Front Oncol (2023)
Keywords: abdominal pain, case report, ileal neoplasms, intestinal obstruction, pregnancy, vomiting
MeSH terms: Case Reports

Primary intestinal malignancies account for only 1%-3% of all malignant gastrointestinal tumors. Adenocarcinomas are uncommonly located in the ileum. Ileal adenocarcinoma (IA) is rare and difficult to diagnose because of its location. IA is common in older men and rare in young pregnant women. A 23-year-old pregnant woman was hospitalized several times for repeated vomiting and abdominal pain. Her symptoms were relieved after symptomatic treatment. She exhibited no typical manifestations of intestinal obstruction, such as abdominal distension, difficulty passing gas and defecation. Unfortunately, she was misdiagnosed with acute gastroenteritis. On the second day after delivery, the patient stopped passing gas and computed tomography (CT) revealed an intestinal obstruction. She was treated as paralytic ileus. However, in view of failed conservative management, she was decided for an exploratory laparotomy. A malignant ileal tumor 5cm from the ileocecal valve was found incidentally and was surgically excised accompanied with End-to-side anastomosis of ileal and transverse colon. The operation lasted 195 minutes. Pathological examination revealed an IA. Pregnant woman who experience symptoms of intestinal obstruction should be alert to the possibility of malignancy in the small intestine. IA is an insidious tumor in pregnant women. An "IA triad" can be defined as refractory vomiting, vague abdominal pain, and weight loss (or inadequate weight gain in pregnant women). Pregnant women with an IA triad should undergo investigation with endoscopy or, if necessary, magnetic resonance imaging (MRI).
Left-right reversal of the testes within the scrotum: An extremely rare variant of testicular ectopia
Authors: Kenjiro Kishitani, Kenji Yoda, Satoru Taguchi, Hikaru Suyama, Hayato Hoshina, Yoshiyuki Akiyama, Yuta Yamada, Yusuke Sato, Daisuke Yamada, Haruki Kume
Journal: IJU Case Rep (2022)
Keywords: cryptorchidism, ectopic testis, male infertility, testicular ectopia, undescended testis
MeSH terms: Case Reports

Introduction:
Testicular ectopia refers to abnormal positioning of testis, which includes a wide variety of variants. An ectopic testis is located off the normal path of male gonadal descent, unlike conventional undescended testis.
Case presentation:
A 37-year-old man presented with the complaint of a palpable lesion in the scrotum. Magnetic resonance imaging of the scrotum revealed bilateral testes on the respective opposite sides of the scrotum with bilateral spermatic cords crossing under the base of the penis. Accordingly, he was diagnosed as "left-right reversal of the testes within the scrotum." In retrospect, the "palpable" lesion was thought to be the spermatic cords crossing above the testes. Semen analysis identified deteriorated sperm motility, suggesting possible male infertility.
Conclusion:
This case of left-right reversal of the testes within the scrotum is probably a new variant of testicular ectopia that has never been reported.
Lymphatic mapping in the treatment of chronic seroma: a case series
Authors: Michael Singer, Kristen Aliano, Steven Stavrides, Thomas Davenport
Journal: Eplasty (2015)
Keywords: allergy, arthroplasty, lymphatic mapping, lymphocele, seroma
MeSH terms: Case Reports

Objective:
Seromas or lymphoceles are common postoperative complications. This series presents 3 patients with lower extremity seromas refractory to treatment that required lymphatic mapping and lymphatic ligation for closure, and in 1 case, diagnosis.
Methods:
Lymphatic mapping procedure consisted of intraoperative injection of subcutaneous tissue with methylene blue distal to the seroma with observation of dye effluence from transected or injured lymphatics draining into area of seroma.
Results:
In 2 patients, methylene blue dye absorption into lymphatic vessels allowed for optimized visual identification of lymphatic leak and contrast against surrounding tissues. In the third patient, where no lymphocele leak was found, the study was diagnostic and helped to find an alternate etiology for the recurrent seroma.
Conclusion:
Lymphatic mapping with methylene blue dye is an effective tool in the evaluation and diagnosis of chronic seroma.
Immunoglobulin G4-Related Disease Accompanied by Primary Myelofibrosis: Case Report
Authors: Ziwei Liu, Shangzhu Zhang, Wen Zhang, Jun Feng, Mengtao Li, Xiaofeng Zeng
Journal: Front Med (Lausanne) (2021)
Keywords: acute myeloid leukemia, immunoglobulin g4–related disease, lymphadenopathy, myeloproliferative neoplasm, primary myelofibrosis
MeSH terms: Case Reports

Immunoglobulin G4-related disease (IgG4-RD) is a heterogeneous autoimmune fibrosing disorder that presents common pathologic features but with unclear etiology. We report a rare case of IgG4-RD accompanied by primary myelofibrosis that eventually transformed into acute myeloid leukemia. A 50-year-old woman suffered from progressive lacrimal and parotid gland enlargement, diaphoresis, and rapid weight loss. Important clinical findings included remarkable leukocytosis, hyperglobulinemia, and splenomegaly. IgG4-RD was confirmed by salivary gland biopsy. Meanwhile, myelofibrosis was diagnosed according to histopathological findings of bone marrow and genetic mutation test of peripheral blood. The patient was on corticosteroid treatment. However, she developed into acute myeloid leukemia (AML) in the 8th month of follow-up. Our case suggested that myeloproliferative neoplasm (MPN) may co-occur with IgG4-RD. Bone morrow aspiration and genetic tests are helpful for throughout evaluation. An active search for hematological malignancies is warranted at diagnosis and during follow-up for patients who present with unexplained leukocytosis, pancytopenia, splenomegaly, or weight loss.
Gilbert Syndrome in a Young Ethiopian Man: First Case Report
Authors: Amir Sultan, Kibrewossen Kiflu
Journal: Ethiop J Health Sci (2021)
Keywords: ethiopia, gilbert syndrome, hyperbillirubinemia, jaundice, liver
MeSH terms: Gilbert Disease / diagnosis, Case Reports, Adult, Fasting, Humans, Hyperbilirubinemia / diagnosis, Male, Young Adult

Background:
Gilbert syndrome is a well-recognized condition causing unconjugated hyperbilirubinemia with otherwise normal transaminases and liver function tests.
Case:
A 21 year old male patient presented with recurrent episodes of jaundice over four years. The episodes were preceded by stressful conditions and intercurrent illnesses. All laboratory prameters were normal except an unconjugated hyperbilirubinemia. A diagnosis of Gilbert syndrome was made after careful clinical evaluation.
Conclusion:
Recognizing Gilbert syndrome has important clinical implicaitions by avoiding uncessary and expensive workup of patients with jaundice. Mangement entails avoiding stressful conditions and prolonged fasting.
Intraoperative surprise evidence of bronchial rent during lung surgery: a case report
Authors: Ravi Damodhar Nikhade, Charuta Pravin Gadkari, Aishwarya Santosh Pingley
Journal: Pan Afr Med J (2022)
Keywords: tuberculosis, case report, management, spinal
MeSH terms: Hydropneumothorax, One-Lung Ventilation / methods, Case Reports, Adolescent, Bronchi / surgery, Female, Humans, Intubation, Intratracheal / methods, Lung, Trachea

Among multiple causes of tracheobronchial rent, most common is iatrogenic factor. Whenever there is surprise evidence of bronchial wall tear while doing lung surgery, tracheal tube extubation and postoperative management pose a challenge. We report a 16-year-old girl, weighing 27kg, a case of pulmonary Koch's who presented with hydropneumothorax on left side. She had a prolonged course on mechanical ventilation, was gradually weaned off and extubated in intensive care unit (ICU) with implantable cardioverter defibrillator (ICD) in-situ. However, chest X-ray continued to show loss of bronchovascular markings and high-resolution computed tomography (HRCT) thorax revealed multiple cavitatory lesions, hydropneumothorax from upper to lower lobe, ground glass opacities on left side and mediastinal shift towards right side. Hence, she was posted for left lung decortication. Decortication was done using one lung ventilation protocol with 28 Fr left sided double-lumen endobronchial tube (DLT). While checking for leaks before closure, it was noted that exhaled tidal volume was unacceptably low and a rent on left main bronchus of around 2x2 cm with scarred borders was detected. The rent was repaired with tissue patch suturing by the surgeons. After the procedure, DLT was exchanged with endotracheal tube (ETT) no 6. Patient was managed with elective ventilation post-operatively in ICU for 48 hours and extubated uneventfully. A vigilant monitoring of vital parameters and close communication with surgeons is important for detecting and managing any perioperative complication during lung surgery. Elective ventilation could play a significant role for healing a big rent in trachea-bronchial area.
Thyrotoxicosis Associated with a Hypopharyngeal Toxic Nodular Thyroid
Authors: S Ali Imran, Adam Hinchey, Rob Hart, Martin Bullock, Andrew Ross, Steven Burrell
Journal: Case Rep Endocrinol (2017)
MeSH terms: Case Reports

Ectopic thyroid is a rare developmental anomaly which may be either asymptomatic or present with thyroid dysfunction as well as pressure symptoms. Here we present a novel case of thyrotoxicosis associated with a hypopharyngeal multinodular thyroid in a female. Removal of the ectopic thyroid led to normalization of the thyroid status.
Dermoscopy and Reflectance Confocal Microscopy in the Diagnosis and Management of Nail Fold Squamous Cell Carcinoma
Authors: Sara Mazzilli, Terenzio Cosio, Laura Diluvio, Laura Vollono, Salvador Gonzalez, Monia Di Prete, Augusto Orlandi, Luca Bianchi, Elena Campione
Journal: J Med Life (2020)
Keywords: nailfold squamous cell carcinoma, non-melanoma skin cancer, reflectance confocal microscopy
MeSH terms: Carcinoma, Squamous Cell / diagnosis, Carcinoma, Squamous Cell / diagnostic imaging, Dermoscopy, Microscopy, Confocal, Skin Neoplasms / diagnosis, Skin Neoplasms / diagnostic imaging, Case Reports, Carcinoma, Squamous Cell / pathology, Humans, Male, Middle Aged, Skin Neoplasms / pathology

The management and prognosis of squamous cell carcinoma largely depend on its invasiveness and grade of differentiation. Pigmented nail fold squamous cell carcinoma represents a therapeutic challenge, needing careful treatment to preserve nail function. Here, we report the use of dermoscopy and Reflectance Confocal Microscopy to monitor nail fold squamous cell carcinoma in situ and its response to treatment with topical imiquimod.