OpenMed/multicare-articles huggingface dataset:
Partial substitution of the ureter using a double short segments of the ileum following the Monti procedure
Authors: Mounir Lahyani, Nabil Jakhlal, Fouad Bakloul, Tarik Karmouni, Khalid Elkhader, Abdellatif Koutani, Ahmed Ibn Attya Andaloussi, Ismail Bezza, Mohamed Elouazni, Lhssan Ifrine, Abdelkader Belkouchi
Journal: Pan Afr Med J (2015)
Keywords: ureter, ileum, monti procedure, stenosis, substitution, treatment
MeSH terms: Ileum / transplantation, Postoperative Complications / surgery, Transplantation, Heterotopic, Ureter / surgery, Case Reports, Fibromatosis, Aggressive / surgery, Humans, Hydronephrosis / etiology, Hydronephrosis / surgery, Laparotomy, Male, Middle Aged, Postoperative Complications / pathology, Sclerosis, Stents, Transplantation, Autologous, Ureter / injuries, Ureter / pathology

The partial substitution of the ureter using a pediculated double short segments of the ileum is a technique used to re-establish ureteral transit and preserve the renal unit, following the resection of extensive ureteral lesions. Standard surgical procedure for an ileoureteroplasty consists of isolating an ileal duct of equal or greater length than the ureteral defect and interposing it in the urinary tract in an isoperistaltic direction. Monti described a surgical technique that allows for the creation of catheterizable stomas in continent urinary diversions, using the Mitrofanoff principle. These passageways were created from one or several 2.5 cm long ileal sections by means of their detubulization and transverse retubulization.
Compulsive versifying after treatment of transient epileptic amnesia
Authors: Ione O C Woollacott, Phillip D Fletcher, Luke A Massey, Amirtha Pasupathy, Martin N Rossor, Diana Caine, Jonathan D Rohrer, Jason D Warren
Journal: Neurocase (2015)
Keywords: dementia, hypergraphia, lamotrigine, poetry, temporal lobe, transient epileptic amnesia, verbal creativity
MeSH terms: Amnesia / diagnosis, Compulsive Behavior / diagnosis, Epilepsy, Temporal Lobe / diagnosis, Case Reports, Research Support, Non-U.S. Gov't, Aged, Amnesia / complications, Amnesia / psychology, Compulsive Behavior / complications, Epilepsy, Temporal Lobe / complications, Epilepsy, Temporal Lobe / psychology, Female, Humans, Temporal Lobe / physiopathology

Compulsive production of verse is an unusual form of hypergraphia that has been reported mainly in patients with right temporal lobe seizures. We present a patient with transient epileptic amnesia and a left temporal seizure focus, who developed isolated compulsive versifying, producing multiple rhyming poems, following seizure cessation induced by lamotrigine. Functional neuroimaging studies in the healthy brain implicate left frontotemporal areas in generating novel verbal output and rhyme, while dysregulation of neocortical and limbic regions occurs in temporal lobe epilepsy. This case complements previous observations of emergence of altered behavior with reduced seizure frequency in patients with temporal lobe epilepsy. Such cases suggest that reduced seizure frequency has the potential not only to stabilize or improve memory function, but also to trigger complex, specific behavioral alterations.
Compensatory quadrant-hyperhidrosis after contralateral intrathoracic surgery: a case report
Authors: Stefan Brodoehl, Otto Wilhelm Witte, Albrecht Guenther
Journal: J Med Case Rep (2013)

Introduction:
Unilateral hyperhidrosis can be a neurological manifestation of irritations of the central or peripheral nervous system.
Case presentation:
We present the case of a 67-year-old German man who had hyperhidrosis of his right upper body quadrant (including face, arm, and chest) following intrathoracic surgery of a left-sided pleural lipoma.
Conclusion:
An isolated unilateral hyperhidrosis might occur after intrathoracic surgery. Besides anticholinergic drugs the use of botulinum toxin should be considered.
Paliperidone extended release for the treatment of pediatric and adolescent patients with Tourette's disorder
Authors: Kazuhiko Yamamuro, Manabu Makinodan, Toyosaku Ota, Junzo Iida, Toshifumi Kishimoto
Journal: Ann Gen Psychiatry (2014)
Keywords: haloperidol, paliperidone extended release, tics, tourette's disorder
MeSH terms: Case Reports

Objective:
A subgroup of patients with Tourette's disorder (TD) has symptoms refractory to haloperidol, a standard therapeutic drug for TD.
Methods:
We report on three cases of pediatric and adolescent patients who were treated with paliperidone extended release.
Results:
In two cases, TD symptoms were remarkably improved by switching from haloperidol to paliperidone extended release, and in another case, paliperidone extended release showed significant efficacy in treating TD symptoms as the first-line drug. In all cases, no significant adverse side effects were detected.
Conclusion:
Paliperidone extended release may be a strong candidate for the treatment of pediatric and adolescent patients with TD.
Case Report: Pathologic Complete Response to Induction Therapy in a Patient With Potentially Resectable Pancreatic Cancer
Authors: Changchang Lu, Yahui Zhu, Hao Cheng, Weiwei Kong, Linxi Zhu, Lei Wang, Min Tang, Jun Chen, Qi Li, Jian He, Aimei Li, Xin Qiu, Dongsheng Chen, Fanyan Meng, Xiaoping Qian, Baorui Liu, Yudong Qiu, Juan Du
Journal: Front Oncol (2022)
Keywords: pd-1 inhibitor, benefit, induction therapy, pathologic complete response, potentially resectable pancreatic cancer
MeSH terms: Case Reports

Immune monotherapy does not appear to work in patients with pancreatic cancer so far. We are conducting a clinical trial that combines programmed cell death protein-1 (PD-1) inhibitor with chemotherapy and concurrent radiotherapy as induction therapy for patients with locally advanced pancreatic cancer (LAPC) and borderline resectable pancreatic cancer (BRPC). Here, we report a case with a pathologic complete response (pCR) and no postoperative complications after the induction therapy. The patient received four cycles of induction therapy and achieved a partial response (PR) with a significant decline of tumor marker carbohydrate antigen 19-9 (CA19-9). Also, peripheral blood samples were collected during the treatment to investigate serial circulating tumor DNA (ctDNA) dynamic changes in predicting the tumor response and outcomes in patients. Our result suggested that PD-1 blockade plus chemotherapy and concurrent radiotherapy is a promising mode as induction therapy for patients with potentially resectable pancreatic cancer. In this case, serial ctDNA alterations accurately provide a comprehensive outlook of the tumor status and monitor the response to the therapy, as validated by standard imaging.
Innovative method with two-stage surgery for Ewing sarcoma with personalized distal clavicle reconstruction: A case report and diagnosis review
Authors: Patcharapol Arunwatthanangkul, Panichanok Piyabenjarad, Siraprapa Wisitthipakdeekul, Thanapon Chobpenthai
Journal: Front Oncol (2023)
Keywords: ewing sarcoma, clavicle reconstruction, distal clavicle, patient-specific implants, personalized 3d reconstruction
MeSH terms: Case Reports

A 13-year-old boy presented with a growing lump on his left clavicle for 5 months. The plain radiograph revealed an osteolytic mass with aggressive periosteal reaction, suggesting a malignant lesion. The results of advanced imaging and histopathological examinations revealed that the patient had Ewing sarcoma without metastasis. The two-stage surgery was as follows: resection-observation-reconstruction. The underlying rationale was that Ewing sarcoma has a high recurrence. After 2 years of resection, the patient had remission, and he currently has a personal 3D-printed titanium implant with intact shoulder function.
COVID-19 Vaccination Associated Bilateral Pulmonary Embolism: Cause or Coincidence
Authors: John Omotola Ogunkoya, Marion Itohan Ogunmola, Akinwale Folarin Ogunlade, Akindele Emmanuel Ladele
Journal: Case Rep Pulmonol (2022)
MeSH terms: Case Reports

Background:
Acute pulmonary embolism (APE) is a common cause of morbidity and mortality all over the world. Sudden onset dyspnea and chest pain are characteristic. Prior to our index case, only two previous cases of bilateral pulmonary thromboembolism were reported in black Africans and the first to be associated with COVID-19 vaccination. These cases were seen and described in middle-aged men. Case Summary. A 59-year-old man presented with a 2 week history of sudden onset dyspnea and a week history of productive cough. No associated chest pain or hemoptysis. No preceding history suggestive of leg pain/swelling. The patient had the booster dose of moderna (mRNA) COVID-19 vaccine a month before the onset of symptoms. There was associated anorexia, generalized body pain, joint pain, and weakness. He had reduced oxygen saturation at presentation with tachycardia. CTPA showed nearly occlusive right and left pulmonary arteries.
Conclusion:
Bilateral acute pulmonary embolism is rare all over the world. Its association with COVID-19 vaccine administration is even rarer. However, the clinical presentations and investigation findings are similar to the descriptions available in the literature for unilateral APE.
Portal Vein Thrombosis after the Consumption of Date Seed Powder: A Case Study
Authors: Mohammad Ali Zakeri, Mohammad Hossein Bagheripour, Marcello Iriti, Mahlagha Dehghan
Journal: Case Rep Med (2021)
MeSH terms: Case Reports

Date seeds can be used as ingredients to enhance the nutritional value of some functional foods for human consumption as well as additives in pharmaceutical and cosmetic industries. However, there are no reports on the complications of date seeds after oral consumption. We currently report a patient with no history of gastrointestinal disease, who has been admitted to the hospital with portal vein thrombosis (PVT) and suffered from complications.
Use of Cadaveric Pericardial Tissue in the Surgical Treatment of Neurogenic Bladder
Authors: Madison Caja, Michaela Lamonde, John Barnard, Stanley Zaslau, Robert E Shapiro
Journal: Case Rep Urol (2019)
MeSH terms: Case Reports

The surgical treatments for neurogenic bladder are extremely variable. The lack of specific treatment guidelines makes this disease process even more challenging to treat. We present a case of a 55-year-old female with neurogenic bladder secondary to spinal cord injury (SCI). Her incontinence was conservatively managed with indwelling Foley drainage. Despite continued upsizing of the Foley catheters, the patient continued to have urinary leakage. The patient subsequently underwent a transvaginal bladder neck closure (BNC) with suprapubic bladder neck diversion (SPC). The urethra was successfully closed and uniquely supported with the use of cadaveric pericardial tissue (CPT). This surgical approach of neurogenic bladder provides durable continence with short operative times, minimal patient morbidity, decreased hospital length, and low risk of progressive renal dysfunction. BNC with SPC can provide an excellent management solution for neurogenic bladder from spinal cord injury refractory to conservative management.
Granulocytic sarcoma presenting as atypical mastoiditis with facial paralysis: description of a case
Authors: M Crovetto, J A Márquez, C Ereño, J Elexpuru, R Crovetto, A Martinez
Journal: Case Rep Otolaryngol (2011)
MeSH terms: Case Reports

We describe a case of temporal granulocytic sarcoma in a 26-year-old patient after apparent molecular remission of an acute myeloid leukaemia. He complained of otodynia with hearing loss and facial paralysis on the right side. He was treated with chemotherapy and self-transplant haematopoietic stem cells. He was cured clinically, molecular remission of the haematological processes was achieved, and he remained asymptomatic for three years. Facial paralysis and hearing loss associated with temporal GS should be treated with chemotherapy. Aggressive surgery may complicate the clinical course of the disease and it should be avoided.
Complete hydatidiform mole presenting as a placenta accreta in a twin pregnancy with a coexisting normal fetus: case report
Authors: Marijo Aguilera, Philip Rauk, Rahel Ghebre, Kirk Ramin
Journal: Case Rep Obstet Gynecol (2012)

A twin pregnancy with a complete hydatidiform mole and a coexisting normal fetus (CHMF) is a rare clinical scenario, and it carries many associated pregnancy and postnatal risks. Limited numbers of case studies exist reporting an outcome of live birth, and only three prior cases report the presentation of a hydatidiform mole as a placenta previa. We report a case of CHMF with the molar component presenting antenatally as a placenta previa, which ultimately resulted in placenta accreta at the time of delivery. A live male infant was delivered at 34 weeks' gestation via planned cesarean section, and a hysterectomy was performed following unsuccessful removal of the molar component. We additionally utilized previously described methods of placing internal iliac balloons and ureteral stents prior to delivery. In such a high-risk pregnancy with a known molar previa component, these surgical preparation measures may be of benefit.
Systemic Sarcoidosis Presenting in a Scar
Authors: Amy Xiao, Lauryn M Falcone, Joseph C English Iii
Journal: Case Rep Dermatol Med (2023)
MeSH terms: Case Reports

While most forms of sarcoidosis of the skin do not require treatment, 40% of patients initially diagnosed with cutaneous sarcoidosis are found to have an asymptomatic disease involving other organ systems. It is the involvement of the lungs, heart, eyes, and nervous system which most often contributes to morbidity/mortality. An early and accurate diagnosis of sarcoidosis is difficult because patients may be asymptomatic, initial presentations may vary, and there is no single reliable diagnostic test except biopsy. We present a case of scar sarcoidosis which led to the diagnosis of stage II pulmonary sarcoidosis in a woman in her 50s. Her scar sarcoidosis presented as well-circumscribed, reddish-brown macules surrounding an atrophic scar from a prior skin graft on the right leg. Biopsy revealed scattered, well-formed, non-necrotizing granulomas of the dermis composed of epithelioid histiocytes and multinucleated giant cells, surrounded by a sparse infiltrate of lymphocytes and histiocytes. A CT chest demonstrated extensive hilar lymphadenopathy, leading to a diagnosis of stage II pulmonary sarcoidosis with cutaneous involvement. This case illustrates the interesting presentation of scar sarcoidosis and underscores the importance of a broad differential including sarcoidosis for skin changes around scars and underscores the need for early biopsy. Prompt cutaneous diagnosis leads to earlier systemic evaluation, therapeutics, and better outcomes.
A Case of Congenitally Corrected Transposition of Great Arteries: An Infrequent Happenstance
Authors: Prakash Ajmera, Vikas Medep
Journal: Case Rep Med (2017)
MeSH terms: Case Reports

Congenitally corrected transposition of the great arteries (CCTGA) is rare form of congenital heart diseases. It may be present with or without associated anomalies. Patients with CCTGA are usually diagnosed at early stages of life due to associated anomalies, but they may even remain asymptomatic till later decades of their life. We report a case of a 42-year-old man who presented at neurosurgery department with dizziness, seizures, and loss of consciousness, in whom isolated CCTGA was discovered incidentally. Further investigation depicted right ventricular hypertrophy, mild valvular regurgitation, mildly dilated pulmonary artery, low heart rate with AV dissociation, and third-degree heart block. These indicated for implantation of permanent pacemaker into the patient. The implantation of VVI mode pacemaker was uneventful and the patient is being followed up in the past eight months in favorable condition.
A Patient with Dyspnea and an Enlarged Right Ventricle
Authors: Michelle Nsahlai, Amr Telmesani, Valeria E Duarte
Journal: Methodist Debakey Cardiovasc J (2022)
Keywords: left to right shunt, partial anomalous pulmonary venous return, sinus venosus asd
MeSH terms: Heart Septal Defects, Atrial, Pulmonary Veins, Case Reports, Dyspnea / diagnosis, Dyspnea / etiology, Heart Ventricles / diagnostic imaging, Humans, Hypertrophy, Right Ventricular

Case report of a patient with no significant past medical history who presented with reports of dizziness, dyspnea on exertion, and palpitations that had been ongoing for at least 5 years. It demonstrates the importance of considering the presence of an inter-atrial shunt when evaluating a patient with an unexplained dilated right atrium and right ventricle.
A case report of a rare and challenging gangrenous splenic flexure volvulus in a pregnant patient
Authors: Alison Bullen, Joel Lewin, Trent Cross, Benjamin Woolven
Journal: Int J Surg Case Rep (2018)
Keywords: case report, colonic volvulus, pregnancy, splenic flexure volvulus

Introduction:
Splenic flexure volvulus is a rare cause of intestinal obstruction and is uncommonly encountered in young patients from developed countries.
Presentation of case:
This report details a challenging case of a gangrenous large bowel volvulus in a 25 year old woman 20 weeks pregnant, highlighting the diagnostic and operative challenges that this rare clinical situation presents. After urgent MRI confirming a splenic flexure volvulus, an emergency open left hemicolectomy and end colostomy was performed. Following uneventful recovery and successful delivery of her baby at full term, she was reversed 6 months later.
Discussion:
Splenic flexure volvulus is a rare cause of large bowel obstruction, and as such can result in a delay in diagnosis, particularly in the setting of pregnancy. In this case, the patient was not diagnosed until day 3 of her admission when she decompensated with a rising white cell count.
Conclusion:
Splenic flexure volvulus is a rare occurrence. This case report of a young pregnant woman presenting with a large bowel obstruction due to splenic flexure volvulus highlights the importance of considering and investigating for this diagnosis.
Removal of Common Bile Ducts Stones via Percutaneous Access with a Flexible Ureteroscope and Laser Assistance
Authors: R J L F Loffeld, J Paulus, S Langbein, B Jansen
Journal: Case Rep Gastrointest Med (2019)
MeSH terms: Case Reports

Two patients are described with large stones in the common bile duct. Standard ERCP was not possible. Both patients were successfully treated with percutaneous access and use of the ureteroscope with the holmium laser.
Small B cell lymphocytic lymphoma presenting as obstructive sleep apnea
Authors: Yung-An Tsou, Yuan-Kai Cheng, Chia-Der Lin, Weng-Cheng Chang, Ming-Hsui Tsai
Journal: World J Surg Oncol (2004)

Background:
Most lymphomas that involve the tonsil are large B cell lymphomas. Large B-cell lymphoma is a high grade malignancy which progresses rapidly. Tonsillar lymphoma usually presents as either a unilaterally enlarged palatine tonsil or as an ulcerative and fungating lesion over the tonsillar area. Small lymphocytic lymphomas (SLL) of the Waldeyer's ring are uncommon.
Case presentation:
We report a 41-year-old male who presented with a ten-year history of snoring. Physical examination revealed smooth bilateral symmetrically enlarged tonsils without abnormal surface change or cervical lymphadenopathy. Palatal redundancy and a narrowed oropharyngeal airway were also noted. The respiratory disturbance index (RDI) was 66 per hour, and severe obstruction sleep apnea (OSA) was suspected. No B symptoms, sore throat, odynophagia or dysphagia was found. We performed uvulopalatopharyngoplasty (UPPP) and pathological examination revealed incidental small B-cell lymphocytic lymphoma (SLL).
Conclusion:
It is uncommon for lymphoma to initially present as OSA. SLL is an indolent malignancy and is not easy to detect in the early stage. We conclude that SLL may be a contributing factor of OSA in the present case.
"Peripheral neuropathy crippling bronchial asthma": two rare case reports of churg-strauss syndrome
Authors: Kamal Kishore Pandita, Khalid Javid Bhat, Sushil Razdan, R P Kudyar
Journal: Case Rep Pulmonol (2014)

Churg-Strauss syndrome (CSS) is a rare cause of vasculitic neuropathy. Although rare and potentially fatal, Churg-Strauss syndrome (CSS) is easily diagnosable and treatable. The presence of bronchial asthma with peripheral neuropathy in a patient alerts a physician to this diagnosis. This is vividly illustrated by the presented two cases who had neuropathy associated with bronchial asthma, eosinophilia, sinusitis, and positive perinuclear antineutrophil cytoplasmic antibodies (p-ANCA) test, which improved with administration of steroids.
A Fatal Case of Life-Threatening Interstitial Pneumonitis Induced by Everolimus for Metastatic Renal Cell Carcinoma: A Comment about the Increased Risk of Interstitial Lung Disease in Japanese
Authors: Yasukiyo Murakami, Tetsuo Fujita, Yoji Wakatabe, Masatsugu Iwamura
Journal: Case Rep Urol (2019)
MeSH terms: Case Reports

We describe an 81-year-old woman with metastatic renal cell carcinoma who did not recover from life-threatening interstitial pneumonitis induced by everolimus therapy. She received everolimus due to disease progression after sunitinib, but 2 months after starting everolimus treatment, she visited the emergency department after developing a sudden fever and dyspnea. Chest CT revealed diffuse ground-glass opacities, thickening of the interlobular septa, and consolidation throughout both lung fields. The diagnosis was surmised to be everolimus-induced interstitial pneumonitis. Everolimus administration was stopped and 3 courses of steroid pulse therapy were administered, along with intensive care, but the patient died due to rapid respiratory failure.
Successful Bridge-to-Recovery Treatment in a Young Patient with Fulminant Eosinophilic Myocarditis: Roles of a Percutaneous Ventricular Assist Device and Endomyocardial Biopsy
Authors: Saki Hasegawa-Tamba, Keiki Sugi, Yodo Gatate, Kanako Sugiyama, Toshihiro Muramatsu, Shigeyuki Nishimura, Masanori Yasuda, Kenji Fukushima, Shintaro Nakano
Journal: Case Rep Emerg Med (2019)
MeSH terms: Case Reports

Eosinophilic myocarditis (EM) is a rare condition characterized by myocardial eosinophilic infiltration due to various underlying etiologies. The patient with EM may benefit from appropriate use of mechanical circulatory support (MCS) that acts as a bridge to myocardial recovery in response to effective immunosuppressive therapy. A 16-year-old boy presented with cardiogenic shock due to fulminant myocarditis, for which a percutaneous ventricular assist device (PVAD) was immediately inserted. Based on the histological diagnosis of EM, immunosuppressive therapy was immediately commenced, leading to improvement of left-ventricular ejection fraction (27% to 47%). The PVAD was successfully removed on day 7. Cardiac magnetic resonance imaging and dual-tracer myocardial scintigraphy suggested limited extent of irreversible myocardial damage. For fulminant EM, the short-term use of PVAD, together with immunosuppressive therapy guided by an immediate histological investigation, may be an effective bridging strategy to myocardial recovery.
Confusing combination of thrombocytopenia and thrombosis after heparin therapy in a patient with cardiac leiomyosarcoma; a nephrologist viewpoint
Authors: Mohammad-Reza Ardalan
Journal: J Nephropharmacol (2014)
Keywords: heparin, leiomyosarcoma, low molecular weight heparin, thrombocytopenia, thrombosis
MeSH terms: Case Reports

We represent here a 30-year-old woman with cardiac leiomyosarcoma who developed thrombocytopenia and deep vein thrombosis a few days after the start of low molecular weight heparin. Thrombocytopenia improved after replacement of low molecular weight heparin with hirudine. We speculated that cardiac leiomyosarcoma is a predisposing factor for development of heparin induced thrombocytopenia.