OpenMed/multicare-articles huggingface dataset:
Primary Rhabdomyosarcoma of Kidney with Local Recurrence and Liver Metastasis in Adults: A Case Report
Authors: Hamid Nasrollahi, Ali Eslahi, Ali Ariafar, Faisal Ahmed, Ahmad Monabati
Journal: J Kidney Cancer VHL (2022)
Keywords: adult, case report, disease progression, kidney, liver metastasis, pleomorphic, rhabdomyosarcoma
MeSH terms: Case Reports

Primary rhabdomyosarcoma (RMS) of the kidney in an adult is rare, with only a few cases published in the literature. It is a mesenchymal tumor associated with an aggressive and rapid clinical progression course. We present a case of primary renal RMS in a 58-year-old female who presented with intermittent abdominal pain in the past year. The computed tomography (CT) scan revealed a 20×25×8 cm heterogeneous solid mass in the middle pole extended to the lower pole of the right kidney. Therefore, the patient underwent a right radical nephroureterectomy. Histopathology examination and immunohistochemistry studies confirmed the diagnosis of RMS with pleomorphic components. Postoperatively, the patient was discharged without any complications and was referred to an oncologist for chemotherapy. However, a follow-up CT scan in 2 months showed widespread liver metastasis and local recurrence. The patient received Gemcitabine and Docetaxel, but her condition worsened, and she passed away 5 months later. Primary renal RMS is rare in adults. In addition, liver metastasis is uncommon and poorly understood. Hence, we describe the clinicopathologic characteristics, including clinical follow-up of our case, focusing on the disease progression, treatment, and outcome.
Primary neuroendocrine tumour of the breast: a case report and review of the literature
Authors: Sara Tato-Varela, Rosa Albalat-Fernández, Sara Pabón-Fernández, Enrique Rodríguez Zarco, Manolo La Calle-Marcos
Journal: Ecancermedicalscience (2015)
Keywords: breast, endocrine carcinoma, invasive carcinoma, neuroendocrine carcinoma
MeSH terms: Case Reports

Primary neuroendocrine tumour of the breast is a rare entity that first appeared in the 2003 World Health Organisation (WHO) classification of breast tumours. The data currently available on its prognosis are contradictory, although it seems clear that histological varieties such as small cell neuroendocrine carcinoma have a worse prognosis, due to their low degree of differentiation. The treatment of choice is surgery, and the indications for chemotherapy or radiotherapy do not differ greatly from those used for other breast tumours. It is crucial to underline the difficulty of establishing treatment protocols due to the low incidence of this histological type.
Food Protein-Induced Enterocolitis Syndrome Causing Hypovolemic Shock and Methemoglobinemia
Authors: Stefan W Malin, Riad Lutfi, Matthew L Friedman, Alicia M Teagarden
Journal: Case Rep Crit Care (2018)
MeSH terms: Case Reports

A 5-week-old previously healthy male presented with vomiting and diarrhea leading to hypovolemic shock and profound metabolic acidosis. He was subsequently found to have severe methemoglobinemia. The acidosis and shock improved with fluid resuscitation and methemoglobinemia was successfully treated with methylene blue. An extensive workup, including evaluations for infectious and metabolic etiologies, was unremarkable. However, a detailed dietary history revealed a recent change in diet, supporting a diagnosis of food protein-induced enterocolitis syndrome (FPIES). We present this case to highlight the importance of considering FPIES in an infant with vomiting and diarrhea, in the setting of a recent dietary change, leading to profound dehydration, metabolic acidosis, and methemoglobinemia. Diagnosis of FPIES, although difficult to make and one of exclusion, can be potentially life-saving.
A rare case of retroperitoneal leiomyoma
Authors: Rajiv Mahendru, Geetinder Gaba, Shweta Yadav, Gurmeet Gaba, Chinky Gupta
Journal: Case Rep Surg (2012)

Introduction. Leiomyoma uteri is one of the most common benign conditions for which women undergo hysterectomy every year. Fibroids found retroperitoneally are a rare entity, especially, primary retroperitoneal fibroid. Case Presentation. We report a case of 42-year-old para 1 who presented to our hospital with recurring retention of urine, lower abdominal and pelvic pain, and dyspareunia . Provisional diagnosis on the basis of examination and imaging was large subserosal fibroid with mild right-sided hydroureteronephrosis, due to pressure effect of the fibroid. Abdominal hysterectomy was done for the patient, and intraoperatively, a bulky uterus was found with multiple small fibroids on anterior and posterior walls, and a large fibroid approx. 10 × 8 cm was found arising from the posterior surface at the level of internal os retroperitoneally, which was confirmed by histopathology as leiomyoma. Conclusion. Retroperitoneal fibroids are rare neoplasms and treatment is surgical removal. Preoperative imaging can only give provisional diagnosis and can be misguiding. Final diagnosis of retroperitoneal fibroid can be made only intraoperatively.
Pure mucinous breast carcinoma in a 25-year-old female, a case report
Authors: Irean Garcia-Hernandez, Carlos A Lopez-Garcia, Servando Cardona-Huerta, Rocio Ortiz-Lopez, Nydia Paulina Herrera-Rios, B Kanagusico-Elguezabal, Esteban-Zubero Eduardo, Gabriela Sofia Gomez-Macias
Journal: Int J Surg Case Rep (2018)
Keywords: breast cancer, mucinous carcinoma, young patient

Introduction:
Mucinous carcinoma is a variant of invasive breast carcinomas representing 2% of them. These tumors frequently develop in postmenopausal females; it is a rare histological variant in young patients.
Case presentation:
A 25-year-old female refers a slow growth mass of 2 years of evolution. Excisional biopsy reveals a pure mucinous carcinoma with positive hormone receptors and negative HER2. She was treated with hormone therapy and surgical resection.
Discussion:
Mucinous carcinoma is a rare variant reported in young patients. Many series report that is frequently found in postmenopausal patients. We present a case of a pure mucinous carcinoma in a 25-year-old female with the importance of being a low-frequency malignancy in young patients.
Conclusion:
Due to its benign course, it is important to know that this lesion can also present in young patients. The importance underlies in the multidisciplinary management at the right time in a proper way.
Successful Treatment of Transient Central Diabetes Insipidus following Traumatic Brain Injury in a Dog
Authors: Catriona Croton, Sarah Purcell, Andrea Schoep, Mark Haworth
Journal: Case Rep Vet Med (2019)
MeSH terms: Case Reports

An 11-year-old female spayed Maltese presented comatose, half an hour after vehicular trauma, and was treated for traumatic brain injury and pulmonary contusions. The dog developed severe hypernatremia within six hours of presentation, which responded poorly to the administration of five percent dextrose in water. As central diabetes insipidus was suspected, desmopressin was trialled and resolution of hypernatremia was achieved six days later. Transient trauma-induced central diabetes insipidus has been described previously in two dogs; in the first, serum sodium concentrations were evaluated three days after injury and the other developed hypernatremia seven days after injury. To the authors' knowledge, this is the first report of rapid onset, transient, and trauma-induced central diabetes insipidus in a dog that encompasses the complete clinical progression of the syndrome from shortly after injury through to resolution.
A possible connective tissue primary lymphoepithelioma-like carcinoma (LELC)
Authors: G Aurilio, V Ricci, F De Vita, M Fasano, N Fazio, M Orditura, L Funicelli, G De Luca, D Iasevoli, F Iovino, F Ciardiello, G Conzo, F Nolè, Mg Lamendola
Journal: Ecancermedicalscience (2010)
Keywords: lymphoepithelioma, lymphoepithelioma-like carcinoma (lelc), neck mass
MeSH terms: Case Reports

Lymphoepithelial carcinoma is an undifferentiated nasopharyngeal carcinoma with lymphoid stroma and non-keratinizing squamous cells with distinctive clinical, epidemiological and etiological features. Conversely, lymphoepithelioma-like carcinomas (LELCs) are carcinomas that arise outside the nasopharynx but resemble a lymphoepithelioma histologically. In this case study, LELC presentation in connective tissue (left sternocleidomastoid muscle) is peculiar and unusual, but its diagnosis is supported by histological findings and clinical history, especially long disease free survival and no primary lesions in nasopharynx and lung district. We also discuss the pathogenesis, hypothesizing an embryological theory. To our knowledge, it could be the first reported case of a primary connective tissue LELC to the neck.
Life-threatening bleeding from peristomal varices after cystoprostatectomy: multimodal approach in a cirrhotic, encephalopathic patient with severe portal hypertension
Authors: Sergej E L Staubli, Tobias Gramann, Christoph Schwab, David Semela, Lukas Hechelhammer, Daniel S Engeler, Hans-Peter Schmid, Dominik Abt, Livio Mordasini
Journal: Case Rep Urol (2015)

The bleeding of peristomal varices due to a portosystemic shunt is rare but potentially life-threatening in cirrhotic patients with portal hypertension. The scarce case reports in the literature recommend transjugular intrahepatic portosystemic shunt (TIPS) to prevent further bleeding. We report on a 72-year-old man who was referred to our hospital because of life-threatening bleeding from peristomal varices, three years after radical cystoprostatectomy for invasive bladder cancer. CT imaging showed liver cirrhosis with a prominent portosystemic shunt leading to massively enlarged peristomal varices. TIPS was taken into consideration, but not possible due to hepatic encephalopathy (HE). Medical therapy with lactulose and the nonselective beta-blocker carvedilol was initiated to treat HE and portal hypertension. In a second step, the portosystemic shunt was percutaneously embolized. Here, we present a multimodal approach to treat intractable bleeding from peristomal varices in a patient with ileal conduit urinary diversion, not suitable for TIPS.
Differentiating Primary Pancreatic Lymphoma Versus Primary Splenic Lymphoma: A Case Report
Authors: Robert A Ries, Christina L Jacovides, Jennifer Rashti, Jerald Z Gong, Charles J Yeo
Journal: J Pancreat Cancer (2021)
Keywords: left upper quadrant mass, primary pancreatic lymphoma, primary splenic lymphoma
MeSH terms: Case Reports

Background: Both primary pancreatic lymphoma (PPL) and primary splenic lymphoma (PSL) represent rare entities. PPL typically arises in the head of the pancreas but may arise in other locations also. PSL usually presents with nonspecific symptoms, including left upper quadrant pain, weight loss, and fever. This report describes a patient with a large left upper quadrant mass, which initially was believed to be a primary pancreatic mass, but which on final pathology appeared to be consistent with a PSL. Presentation: The patient is a 64-year-old woman who initially presented with symptoms of left upper quadrant abdominal pain and distension; she subsequently was found to have an 18 cm heterogeneous mass arising from the pancreatic tail. She underwent a distal pancreatectomy with splenectomy. Final pathology confirmed a diffuse large B cell lymphoma arising from the splenic parenchyma. Conclusions: Both PPL and PSL are rare causes of left upper quadrant masses. In this case, we describe a large lymphoma that appeared to arise from the tail of the pancreas, but on final pathology was found to be splenic in origin. Differentiating these two clinical entities is important for prognostication and treatment. A multimodal approach with surgical resection followed by chemotherapy is preferred.
Hemolytic anemia caused by non-D minor blood incompatibilities in a newborn
Authors: Ali Ulas Tugcu, Deniz Anuk Ince, Ozden Turan, Burcu Belen, Lale Olcay, Ayse Ecevit
Journal: Pan Afr Med J (2019)
Keywords: hemolytic anemia, hyperbilirubinemia, minor blood incompability
MeSH terms: Anemia, Hemolytic / etiology, Bilirubin / metabolism, Hyperbilirubinemia / etiology, Immunoglobulins, Intravenous / administration & dosage, Case Reports, Anemia, Hemolytic / diagnosis, Blood Group Incompatibility / complications, Diagnosis, Differential, Erythrocyte Transfusion / methods, Hemoglobins / metabolism, Humans, Infant, Newborn, Infant, Premature, Jaundice, Neonatal / etiology, Male, Hemoglobins, Immunoglobulins, Intravenous, Bilirubin

Hyperbilirubinemia is one of the most widely seen cause of neonatal morbidity. Besides ABO and Rh isoimmunization, minor blood incompatibilities have been also been identified as the other causes of severe newborn jaundice. We report a newborn with indirect hyperbilirubinemia caused by minor blood group incompatibilities (P1, M, N, s and Duffy) whose hemolysis was successfully managed with intravenous immunoglobulin therapy. A thirty-two gestational weeks of preterm male baby became severely icteric on postnatal day 11, with a total bilirubin level of 14.66 mg/dl. Antibody screening tests revealed incompatibility on different minor groups (P1, M, N, s and Duffy (Fya ve Fyb)). On postnatal day thirteen, the level of bilirubin increased to 20.66 mg/dl although baby was under intensive phototherapy. After the administration of intravenous immunoglobulin and red blood cell transfusion, hemoglobin and total bilirubin levels became stabilised. Minor blood incompatibilities should be kept in mind during differential diagnosis of hemolytic anemia of the newborn. They share the same treatment algorithm with the other types hemolytic anemia. New studies revealed that intravenous immunoglobulin treatment in hemolytic anemia have some attractive and glamorous results. It should be seriously taken into consideration for treatment of minor blood incompatibilities.
'Everyone assumes a man to be quite strong': Men, masculinity and rheumatoid arthritis: A case-study approach
Authors: Caroline Flurey, Alan White, Karen Rodham, John Kirwan, Robert Noddings, Sarah Hewlett
Journal: Sociol Health Illn (2018)
Keywords: identity, masculinity, men's health, qualitative, rheumatoid arthritis, rheumatology
MeSH terms: Adaptation, Psychological, Arthritis, Rheumatoid / psychology, Masculinity, Case Reports, Research Support, Non-U.S. Gov't, Focus Groups, Humans, Male, Middle Aged, Patient Acceptance of Health Care, Qualitative Research

Current literature has overlooked the impact of chronic illness on masculine identity. We therefore aimed to investigate the impact of rheumatoid arthritis (a long term condition, affecting more women than men) on masculine identity. Six focus groups with 22 men with rheumatoid arthritis (RA) (data reported elsewhere) followed by five one-to-one interviews with men (English, mean age: 59 years) sampled to reflect a heterogeneous experience of life with RA based on knowledge gained from the focus groups. Transcripts were analysed using thematic analysis and are presented as individual case studies. Whilst the case studies provide five distinct experiences, common themes can be drawn across them, such as the importance of paid work. The men needed to renegotiate their masculine identity to deal with their RA. Two dealt with this by pushing through pain to retain masculine activities, two replaced masculine roles they could no longer do with other roles, and one rejected masculinity completely. Men with long term conditions may need to re-write their masculinity scripts to enable them to accept and adapt to their condition. However, some men struggle with this, which should be taken into consideration when designing self-management services for men with long term conditions.
Rare Presentation of Self-Limiting Kikuchi-Fujimoto Disease in Relapsing Nature
Authors: Karo Servatyari, Hero Yazdanpanah, Chamara Dalugama
Journal: Case Rep Med (2020)
MeSH terms: Case Reports

Background:
Kikuchi-Fujimoto disease (KFD) is a rare, benign, and self-limiting disease that is commonly associated with cervical lymphadenopathy and fever. The disease has a wide spectrum of clinical manifestations, and definitive diagnosis is based on the histological appearance in the excision biopsy of the lymph nodes. Recurrence of KFD is reported rarely. Case Presentation. A 56-year-old Iranian woman with a background history of thrombocytopenia presented with fever, malaise, loss of appetite, and weight loss with cervical lymphadenopathy. The excision biopsy of the cervical lymph nodes confirmed the diagnosis of KFD, and she made a full recovery with improvement of symptoms, regression of cervical lymph nodes, and normalization inflammatory markers. One year after remission, she presented with similar clinico-biochemical profile, and repeat biopsy confirmed KFD.
Conclusion:
Although the rate of recurrence of the disease is very low, the treating physician should consider the possibility and confirm it histologically.
The Effectiveness of Ketamine in Pediatric Acute Deafferentation Pain after Spinal Cord Injury
Authors: Devina G Shiwlochan, Misty Shah, Khushboo Baldev, Donna-Ann Thomas, Maxime Debrosse
Journal: Case Rep Anesthesiol (2020)
MeSH terms: Case Reports

Deafferentation pain and allodynia commonly occur after spinal cord trauma, but its treatment is often challenging. The literature on effective therapies for pediatric deafferentation pain, especially in the setting of spinal cord injury, is scarce. We report the case of a 12-year-old patient with acute allodynia after a gunshot injury to the spine. The pain was refractory to multiple analgesics, but resolved with ketamine, which also improved the patient's physical function and quality of life, a trend that continued many months after the injury. We suggest that early initiation of ketamine may be effective for acute pediatric deafferentation pain secondary to spinal cord injury, as well as preventing chronic pain states in that population.
A Pediatric Case of Diffuse Alveolar Hemorrhage Secondary to Poststreptococcal Glomerulonephritis
Authors: Alison Markland, Gregory Hansen, Anke Banks, Rajni Chibbar, Darryl Adamko
Journal: Case Rep Crit Care (2017)
MeSH terms: Case Reports

This report summarizes a case of a 4-year-old girl with poststreptococcal glomerulonephritis and diffuse alveolar hemorrhage, an atypical presentation in this age group and type of vasculitic disease. We propose that her rapid improvement in clinical status was due to her treatment, continuous renal replacement therapy (CRRT). This mechanism would have impacted recovery by removing factors such as endothelial microparticles, superantigens, and immune complexes that have been postulated as the pulmonary-renal link. This may be an interesting avenue of exploration going forward given the lack of evidence in treating such conditions and emergence of CRRT.
Percutaneous femoral de-rotational varus osteotomy for the treatment of acetabular dysplasia: surgical technique
Authors: Rami Jahmani, Ziad Ali Audat, Abdualaziz Z Alanazi, Giovanni Lovisetti
Journal: SICOT J (2023)
Keywords: developmental dysplasia of the hip, external fixator, femoral de-rotational varus osteotomy, minimal invasive, percutaneous osteotomy
MeSH terms: Case Reports

Pediatric acetabular dysplasia is common in orthopedic practice. Femoral de-rotational varus osteotomy (FDVO) is one of the surgical options suggested for treatment. In this article, we describe a simplified surgical technique of performing FDVO percutaneously using a pediatric Limb Reconstruction System external fixator, and we discuss the advantages and disadvantages of the technique.
Successful treatment of rapid growing mycobacterial infections with source control alone: Case series
Authors: Igor Dumic, Larry Lutwick
Journal: IDCases (2021)
Keywords: bloodstream infection, mycobacterium abscessus, mycobacterium chelonae, mycobacterium fortuitum, non tuberculous mycobacteria, skin and soft tissue infection, source control
MeSH terms: Case Reports

Rapid growing mycobacteria have been increasingly recognized as pathogens, both in immunocompromised and immunocompetent population, and their incidence has increased over the last decade significantly. Pulmonary infections are the most common, however, any organ can be affected. The treatment of these infections is costly, prolonged, and often antimicrobial resistance poses a significant challenge to a successful outcome. The source control together with antimicrobials is the cornerstone of treatment. We report a case series of 3 patients with extrapulmonary rapid growing mycobacterial infections in whom the successful treatment was achieved with source control alone.
Acute post-cardiopulmonary bypass left atrial thrombosis after mitral valvuloplasty and left atrial thrombectomy
Authors: Dong-Hyup Lee, Tae-Eun Jung, Sang-Jin Park
Journal: J Cardiothorac Surg (2012)
MeSH terms: Cardiopulmonary Bypass / adverse effects, Heart Diseases / etiology, Heart Diseases / surgery, Mitral Valve Stenosis / surgery, Thrombectomy / adverse effects, Thrombosis / etiology, Thrombosis / surgery, Case Reports, Research Support, Non-U.S. Gov't, Aged, Cardiac Surgical Procedures / adverse effects, Heart Atria, Humans, Male

A patient with mitral stenosis and multiple left atrial thrombi underwent valvuloplasty and thrombectomy. While closing the sternum after completing the cardiopulmonary bypass, a new left atrial thrombus was detected by transesophageal echocardiography. We used heparin for the prevention of new thrombus formation and closed the wound after meticulous bleeding control. Three months later, there was no residual thrombus in the left atrium according to the echocardiographic study.
Laparoscopic Resection of Recurrence from Hepatocellular Carcinoma after Liver Transplantation: Case Reports and Review of the Literature
Authors: Mushegh A Sahakyan, Airazat M Kazaryan, Ewa Pomianowska, Andreas Abildgaard, Pål-Dag Line, Bjørn Atle Bjørnbeth, Bjørn Edwin, Bård Ingvald Røsok
Journal: Case Rep Oncol Med (2016)

Background. Recurrence of hepatocellular carcinoma (HCC) after liver transplantation (LT) indicates a poor prognosis. Surgery is considered the only curative option for selected patients with HCC recurrence following LT. Traditionally, the preference is given to the open approach. Methods. In this report, we present two cases of laparoscopic resections (LR) for recurrent HCC after LT, performed at Oslo University Hospital, Rikshospitalet. Results. Both procedures were executed without intraoperative and postoperative adverse events. Whereas one of the patients had a recurrence one year after LR, the other patient did not have any sign of disease during 3-year follow-up. Conclusions. We argue that, in selected cases, patients with HCC recurrence following LT may benefit from LR due to its limited tissue trauma and timely start of subsequent treatment if curative resection cannot be obtained. In patients with relatively favorable prognosis, LR facilitates postoperative recovery course and avoids unnecessary laparotomy.