OpenMed/multicare-articles huggingface dataset:
Large Bowel Internal Hernia Secondary to Reimplanted Ureter
Authors: Amy A Howk, Anna Hayden, John E Griepentrog
Journal: Case Rep Surg (2024)
MeSH terms: Case Reports

Internal hernias are difficult to diagnose clinically, and normal cross-sectional imaging has been documented in many patients. Transmesenteric hernias from congenital defects or prior abdominal surgery are most common. A 46-year-old previously healthy female presented to the emergency department with acute onset nausea and vomiting eight years after a right ureteral transection during a laparoscopic hysterectomy, with a delayed ureterolysis and reimplantation into the bladder. Rectal contrast CT scan demonstrated a partial large bowel obstruction that was unclear if it was due to an underlying mass, stricture, or internal herniation. The patient was taken for exploratory laparotomy which demonstrated redundant transverse colon herniated under the mobile right ureter; an extended right hemicolectomy was performed. This report describes alteration of retroperitoneal anatomy creating a potential space for colonic herniation and emphasizes that clinical suspicion must remain high for patients presenting with obstructive or partially obstructive symptoms.
A Case of Diltiazem-Induced Pustular Rash in an 83-Year-Old Female
Authors: Ayrton I Bangolo, Karen Yelton-Torres, Atharv Mahajan, Vrusha Patel, Laiba Sajjad, Prince Ofori Ansong, Monisha Kashyap, Umesh Batura, Madhavi Ravulapalli, Ayodya Perera, Simcha Weissman
Journal: Case Rep Dermatol Med (2024)
MeSH terms: Case Reports

Acute generalized exanthematous pustulosis (AGEP) is a rare, acute skin eruption characterized by the development of numerous nonfollicular sterile pustules. Most cases are caused by drug reactions, among which Diltiazem has been incriminated. Herein, we present an 83-year-old female who presented for evaluation of generalized skin rash 3 days after initiation of Diltiazem. She was eventually diagnosed with AGEP, Diltiazem was discontinued, and systemic steroids were administered with the resolution of symptoms. This case report has the objective of encouraging clinicians to include AGEP in the differential diagnosis of skin eruption following the initiation of Diltiazem.
Aortic Thrombosis Associated with Three Types of COVID-19 Vaccine
Authors: Jose Maria Pereira de Godoy, Fernando Reis Neto, Gabriela Leopoldino da Silva, Henrique Amorim Santos, Henrique Jose Pereira de Godoy
Journal: Case Rep Surg (2023)
MeSH terms: Case Reports

Aortic thrombosis has been studied little in patients with COVID-19 and an association has recently been reported with the vaccine for this disease. The aim of the present study is to report five cases of aortic thrombosis at our institution within a three-month period associated with the COVID-19 vaccine. Five cases of aortic thrombosis were evaluated-three women and two men aged 29, 49, 51, 60, and 79 years. Four thrombi involved the thoracic aortic and one involved the abdominal aorta, with embolisms found in the kidneys, spleen, liver, upper limbs, and lower limbs. Embolectomy was performed on the limbs, and anticoagulant therapy was performed for the abdominal arteries. The patients recovered well and anticoagulant therapy was maintained. Aortic thrombosis is uncommon but was associated with the AstraZeneca vaccine in this case series.
Iatrogenic Liver Perforation During Liposuction: A Case Report and In-depth Review of Clinical Presentation, Management, and Lessons Learned
Authors: Nasrin Jafarian, Rand Y Omari, Aldana E Shahbik, Omar Braizat, Mohammed Muneer
Journal: Aesthet Surg J Open Forum (2023)
MeSH terms: Case Reports

Liposuction is generally recognized as a safe medical procedure. However, it is important to acknowledge the potential for complications during and after the operation. Although rare, the occurrence of iatrogenic liver perforation following liposuction is viewed as a serious complication, necessitating immediate and attentive medical care. We report a case of a 42-year-old female who underwent liposuction and presented with abdominal pain 3 days later. Elevated liver enzymes and imaging revealed an active bile leak from the right liver lobe. Exploratory laparotomy confirmed a penetrating injury, leading to multiple washout surgeries. After a 3-month hospital stay, including intensive care, the patient fully recovered upon discharge following abdominal wound closure. Despite considering liposuction procedures safe due to the associated overall low risk rates, it can lead to life-threatening complications such as hollow viscus or solid organ injury. The treatment for such complications can either be surgical or nonsurgical, depending on the patient's presentation and diagnosis. To promptly identify and address any complication postsurgery, close monitoring of patients postoperatively is necessary.
Case report: Complete clinical remission of feline progressive histiocytosis after multimodal treatment including electrochemotherapy
Authors: Bruna Voltolin de Sena, Paula Baêta da Silva Rios Turquete, Pedro Antônio Bronhara Pimentel, Isabella Oliveira Almeida, Gleidice Eunice Lavalle, Karen Yumi Ribeiro Nakagaki, Antonio Giuliano, Paulo Ricardo de Oliveira Paes, Rodrigo Dos Santos Horta
Journal: Front Vet Sci (2024)
Keywords: iba-1, bleomycin, cat, electroporation, histiocyte
MeSH terms: Case Reports

Feline histiocytic diseases are uncommon and rarely reported. Feline progressive histiocytosis (FPH) is the most common histiocytic disease in cats, predominantly affecting middle-aged animals. The most common presentation is the cutaneous form with solitary or multiple cutaneous nodules. A female, mixed-breed 6-year-old cat was presented with a 9-month history of a nodule in the nasal planum and was diagnosed by histopathology with histiocytic proliferation. At the time of diagnosis, new nodules were discovered on the lower lip, digit, and two lesions in the tail region, with the largest measuring 1.5 cm. Supplementary immunohistochemistry, showed immunolabeling for Iba-1 that in combination with the clinical course of the disease, confirmed the diagnosis of FPH. No response to chemotherapy treatment with lomustine alternated with doxorubicin was achieved. Toceranib phosphate resulted in a transient response and, stable disease for a short period (6 weeks). Electrochemotherapy with bleomycin was initiated and resulted in partial remission. Later on, chlorambucil was also started. Ultimately, the combination of all three treatments led to a complete response and disappearance of all the lesions. FPH is considered a disease resistant to various treatments, and effective treatments have not been reported. In this case report, we describe a successful multimodal therapeutic approach that resulted in complete resolution of the FPH and long-term survival (460 days without external lesions at the time of death). Further studies are necessary to confirm the efficacy of this therapeutic approach.
A case report of successful rescue using veno-arterial extracorporeal membrane oxygenation: managing cerebral-cardiac syndrome
Authors: Zheng Wang, Qi-Feng Zhang, Miao Guo, Xiao-Xia Qi, Xiao-Hui Xing, Gang Li, Shuang-Long Zhang
Journal: Front Cardiovasc Med (2024)
Keywords: va-ecmo, cardiac arrest, cardiogenic shock, case report, cerebral infarction, cerebral-cardiac syndrome, circulatory failure
MeSH terms: Case Reports

Introduction:
The presence of cerebral-cardiac syndrome, wherein brain diseases coincide with heart dysfunction, significantly impacts patient prognosis. In severe instances, circulatory failure may ensue, posing a life-threatening scenario necessitating immediate life support measures, particularly effective circulatory support methods. The application of extracorporeal membrane oxygenation (ECMO) is extensively employed as a valuable modality for delivering circulatory and respiratory support in the care of individuals experiencing life-threatening circulatory and respiratory failure. This approach facilitates a critical temporal window for subsequent interventions. Consequently, ECMO has emerged as a potentially effective life support modality for patients experiencing severe circulatory failure in the context of cerebral-cardiac syndrome. However, the existing literature on this field of study remains limited.
Case description:
In this paper, we present a case study of a patient experiencing a critical cerebral-cardiac syndrome. The individual successfully underwent veno-arterial-ECMO (VA-ECMO) therapy, and the patient not only survived, but also received rehabilitation treatment, demonstrating its efficacy as a life support intervention.
Conclusion:
VA-ECMO could potentially serve as an efficacious life support modality for individuals experiencing severe circulatory failure attributable to cerebral-cardiac syndrome.
"Fanged to Peril": Interesting Snake Bite Case Series
Authors: Vivek Mahadevaiah, Kalpana Ravikumar, Harismitha Manjunath
Journal: Cureus (2024)
Keywords: anti-snake venom, broken neck syndrome, coagulopathy, snake bite, vicc
MeSH terms: Case Reports

Snakebite is an acute life-threatening medical emergency and is included among the neglected tropical diseases in India. The incidence of snakebite mortality is particularly high in Southeast Asia and India has the highest number of cases of snakebites with a mortality of 35,000 to 50,000 cases per year according to the World Health Organization (WHO) direct estimation. There are three families of venomous snakes in Southeast Asia which mainly include Elapidae, Viperidae, and Colubridae. Snakebite victims show varied clinical presentations ranging from local signs to systemic signs of envenomation. WHO has detailed five syndromes based on various clinical presentations and the most probable family of snakes responsible for that syndrome. There are several cases reported on the initial clinical presentations in the literature; however, case series which include the presentation to ER, the hospital course, and management of complications have not been published in the literature. Following is a case series of five patients of diverse age groups who presented to the Emergency Medicine Department (ED) with a wide spectrum of clinical presentations, diverse clinical courses, and management strategies. These patients not only required the administration of anti-snake venom in the ED but also required additional interventional modalities including renal replacement therapy for acute kidney injury and biopsy-proven acute tubular necrosis, viper-induced consumptive coagulopathy, management of coagulopathy in pediatrics, management of compartment syndrome in pregnancy, mechanical ventilation for respiratory failure and management of neurotoxicity. We hereby emphasize that early recognition of signs of envenomation and early administration of anti-snake venom is imperative in the initial management of snakebites along with the monitoring of a snakebite victim for complications and timely management of the same.
Improvement in Hearing Loss Following Posterior Fossa Arachnoid Cyst Fenestration: A Case Study
Authors: Gavin M Lockard, Keaton Piper, Jay I Kumar, Nicole Riddle, Oliver Flouty
Journal: Cureus (2024)
Keywords: arachnoid cyst, excision, fenestration, headache, hearing loss, infratentorial, posterior fossa
MeSH terms: Case Reports

Arachnoid cysts are abnormal intradural collections of cerebrospinal fluid. For posterior fossa arachnoid cysts (PFACs), symptoms vary greatly, often relating to cranial nerve impingement and/or hydrocephalus. Literature on long-term symptomatic and radiographic follow-up of PFACs is lacking. This case study describes a 32-year-old man who presented with headaches and left-sided hearing loss and was found to have a large left-sided cerebellopontine angle arachnoid cyst with syrinx and ventriculomegaly. After PFAC fenestration and excision, his headaches resolved and his hearing markedly improved. At the one-year postoperative evaluation, symptom improvement persisted, and MRI demonstrated a stable decreased cyst and near-complete resolution of his syrinx.
Case report: Can cochlear implant stimulation lead to improved balance even after vestibular neurectomy?
Authors: Morgana Sluydts, Chloë De Laet, Liesbeth De Coninck, Catherine Blaivie, Joost J S van Dinther, Erwin Offeciers, Floris L Wuyts, Andrzej Zarowski
Journal: Front Neurol (2023)
Keywords: bilateral vestibulopathy, cochlear implant, tinnitus suppression, vestibular co-stimulation, vestibular neurectomy
MeSH terms: Case Reports

Introduction:
In a previous manuscript from our research group, the concept of vestibular co-stimulation was investigated in adult subjects who received a cochlear implant (CI). Despite what literature reports state, no signs of vestibular co-stimulation could be observed.
Results:
In this case report, it was described how a woman, who previously underwent a neurectomy of the left vestibular nerve and suffers from bilateral vestibulopathy (BVP), reported improved balance whenever her CI on the left was stimulating. Unexpectedly, the sway analyses during posturography indeed showed a clinically relevant improvement when the CI was activated.
Discussion:
Vestibular co-stimulation as a side effect of CI stimulation could not be the explanation in this case due to the ipsilateral vestibular neurectomy. It is more likely that the results can be attributed to the electrically restored auditory input, which serves as an external reference for maintaining balance and spatial orientation. In addition, this patient experienced disturbing tinnitus whenever her CI was deactivated. It is thus plausible that the tinnitus increased her cognitive load, which was already increased because of the BVP, leading to an increased imbalance in the absence of CI stimulation.
Case Report: Holistic dental care for a child with Hunter syndrome: Addressing dental ramifications, overcoming challenges, and enhancing quality of life
Authors: Swagata Saha, Krishna Priya, Kavita Rai, Manju R, Krithika Shetty, Amitha M Hegde, Ananya Rao K, Dhvani Abhijit Tanna, Mohanaram S, Shreya S
Journal: F1000Res (2024)
Keywords: hunter syndrome, dental rehabilitation, general anaesthesia, multidisciplinary approach, oral intubation, dental pain, dental caries
MeSH terms: Mucopolysaccharidosis II, Quality of Life, Case Reports, Child, Dental Care, Holistic Health, Humans, Male

Hunter syndrome (MPS II), an X-linked recessive lysosomal storage disorder, is a result of deficiency of the iduronate 2-sulfatase enzyme (IDS), leading to cognitive impairment, systemic organ involvement, and increased dental problems. This case report describes the management of a child with Hunter syndrome who was referred to the Department of Paediatric and Preventive Dentistry for pain in the upper front teeth. Intraoral examination revealed severe early childhood caries, prompting planning for full-mouth rehabilitation under general anaesthesia due to the child's uncooperative behaviour. In response to recommendations from the Department of Otolaryngology and the Department of Paediatric Surgery, a comprehensive treatment plan consolidated full-mouth rehabilitation in addition to adenoidectomy and inguinal and umbilical herniotomy procedures during a single session of general anaesthesia. Successful interventions were reflected in the uneventful one-month follow-up of the patient, highlighting the efficacy of the interdisciplinary approach. The key takeaway underscores the importance of collaborative interventions, emphasising singular intubation for patients requiring recurrent hospitalisations, providing both monetary relief and reducing post operative healing time. Designed to address global developmental delay in the child, a personalised home care plan was also implemented. Evaluation of plaque and gingival indices before and after the home care regimen demonstrated a notable improvement, indicating an enhanced oral quality of life.
Capnocytophaga canimorsus Septicemia With Sepsis-Induced Coagulopathy and Endocarditis
Authors: Jeannine L Kühnle, Maximilian Leitner, Vitalie Mazuru, Kai Borchardt, Sören L Becker, Franziska Roth, Robert Bals, Philipp M Lepper, Hans-Joachim Schäfers, Isabella T Jaumann
Journal: Case Rep Infect Dis (2024)
Keywords: capnocytophaga canimorsus, disseminated intravascular coagulation, sepsis, sepsis-induced coagulopathy, thrombotic microangiopathy
MeSH terms: Case Reports

Capnocytophaga canimorsus is a rare cause of serious infections with a high mortality of 10% to 30%. It is usually found in the oral cavity of cats and dogs and can cause severe sepsis in immunocompromised patients. An 81-year-old female Caucasian patient presented with C. canimorsus sepsis after a dog bite in her finger three days before presentation to our emergency department. She initially was presented to us with sepsis, thrombopenia, and schistocytes in her laboratory findings, suggesting the differential diagnoses of the multiple subtypes of thrombotic microangiopathy. She was admitted to the medical intensive care unit of the University Hospital of Saarland because of septic shock with circulatory insufficiency. The patient received plasmapheresis, antibiotics, and dialysis, under which she improved significantly. The fingertip of the affected finger developed necrosis and had to be amputated. Furthermore, the patient was diagnosed with a mitral valve endocarditis, a very rare complication of C. canimorsus infection. It was treated conservatively with antibiotics and was no longer detectable 8 weeks after the diagnosis. Surgical intervention was not needed. The case describes well that it is still difficult to distinguish between thrombotic thrombocytopenic purpura (TTP), disseminated intravascular coagulation (DIC), and sepsis-induced coagulopathy (SIC), especially in the early phases of acute disease, especially in C. canimorsus-induced sepsis.
Treatment of intracranial inflammatory myofibroblastic tumor with PD-L1 inhibitor and novel oncolytic adenovirus Ad-TD-nsIL12: a case report and literature review
Authors: Xiao Qian, Weihai Ning, Louisa Chard Dunmall, Yanming Qu, Yaohe Wang, Hongwei Zhang
Journal: Front Immunol (2024)
Keywords: case report, combination immunotherapy, immune checkpoints, intracranial inflammatory myofibroblastic tumor, oncolytic adenovirus
MeSH terms: Adenoviridae / genetics, Brain Neoplasms / therapy, Immune Checkpoint Inhibitors / therapeutic use, Oncolytic Virotherapy / methods, Case Reports, Review, B7-H1 Antigen / antagonists & inhibitors, Combined Modality Therapy, Humans, Male, Middle Aged, Neoplasms, Muscle Tissue / therapy, Oncolytic Viruses / genetics, Treatment Outcome, Immune Checkpoint Inhibitors, B7-H1 Antigen, CD274 protein, human

Inflammatory myofibroblastic tumor (IMT) is a rare pathological entity first described in 1939. This lesion is most commonly found in the lungs, but cases involving other systems, such as the central nervous system known as intracranial IMT (IIMT), have also been reported. Diagnosis currently relies on pathological results due to the lack of characteristic imaging changes. Surgical resection is an effective treatment, though the disease is invasive and may recur. Previous literature has reported a high level of programmed death 1 (PD-1) expression in IMT tissues, suggesting that immunotherapy may be effective for this condition. In this case report, we present a middle-aged male who received PD-1 inhibitor and oncolytic adenovirus (Ad-TD-nsIL12) treatment after IIMT resection surgery. This successful approach provides a new direction for the treatment of IIMT.
Semi-Immersive Virtual Reality Exercise Therapy for Upper Limb Rehabilitation in Patients With Spinal Cord Injury Using the Leap Motion Controller
Authors: Moaied Mohamed Ahmed Al Nattah, Simone Tiberti, Leandro Segaletti
Journal: Cureus (2024)
Keywords: leap motion controller, muscle weakness, occupational therapy, physiatrist, physical exercise, physical medicine and rehabilitation, semi-immersive virtual reality, spinal cord injury, unity 3d, upper limbs
MeSH terms: Case Reports

In this article, we present a case study involving a patient with spinal cord injury (SCI), resulting in tetraplegia and subsequent loss of upper limb function. The subject of our study was a 23-year-old woman with incomplete tetraplegia stemming from a cervical spinal cord injury. Our primary objective was to enhance hand function and grip strength. Throughout the intervention, we observed substantial enhancements in hand function, range of motion, and muscle power. Notably, the patient exhibited a favorable response to the therapy, demonstrating commendable adherence and active participation. To create an optimal training environment tailored to the patient's needs, we employed the Unity 3D game engine in conjunction with a Leap Motion controller sensor. This combination facilitated the development of a semi-immersive virtual training environment. The utilization of this technology aimed to simulate a conducive training atmosphere for the rehabilitation of hand function. Based on our study outcomes, we advocate for the incorporation of leap motion-related exercises in the treatment of hand functional loss and weakness. The promising results observed in this case study prompt the recommendation for further large-scale studies to validate and substantiate our findings. Such investigations would contribute to the establishment of evidence-based practices and enhance the understanding of the efficacy of Leap Motion technology in addressing upper limb impairments associated with spinal cord injuries.
The Rehabilitation Journey of a Cricket Player With Partial Rotator Cuff Tear: A Case Report of Pre and Postoperative Physiotherapy
Authors: Shraddha S Kochar, Swapnil U Ramteke, Subrat Samal
Journal: Cureus (2024)
Keywords: case report, partial rotator cuff tear, physiotherapy, preoperative rehabilitation, rotator cuff tear, supraspinatus tendon tear
MeSH terms: Case Reports

In adults, partial rotator cuff injuries can frequently be the root cause of pain in the shoulder. One recurrent pathology that may significantly impact a broad spectrum of individuals, including athletes, laborers, and sedentary people, is partial rotator cuff tears (RCTs). Physical therapy, anti-inflammatories, painkillers, rest or activity modifications, and corticosteroid injections are a few nonoperative treatment options for partial RCTs. We report a case of a 27-year-old male who sustained a rotator cuff injury of the right shoulder. The patient presented with pain and restriction of the right shoulder joint following the injury, which had occurred while throwing a ball forcefully with his right hand. The rehabilitation program emphasized pain management, restoring range of motion (ROM), increasing strength of muscles, and functional activities to optimize the patient's recovery. Concurrently, isometrics, ROM, and strengthening exercises were integrated into the rehabilitation program to enhance muscle strength, prevent tightness, and maintain ROM. The patient's progress was monitored by using the Disabilities of Arm, Shoulder, and Hand (DASH) score and the Upper Extremity Functional Scale (UEFS) at specific intervals during rehabilitation. The treatment and healing of a patient with an RCT who underwent both pre and postoperative physiotherapy are explored in this case report.
Chylous fistula after right breast fibroadenoma resection: a case report
Authors: Haoxi Liu, Liping Liu, Xinhua Yang
Journal: Front Surg (2024)
Keywords: breast, case report, chylous fistula, fibroadenoma, surgery
MeSH terms: Case Reports

Chylous fistula is a common postoperative complication for the head and neck surgery, thoracic and upper gastrointestinal surgery, but it rarely happens after breast surgery. There are few reports of chylous fistula after breast benign tumor resection according to literature retrieval. To our acknowledgement, this is the first case report of chylous fistula after breast fibroadenoma resection.