OpenMed/multicare-articles huggingface dataset:
Percutaneous Nephrolithotripsy in Morbidly Obese Patient: A Case Report
Authors: Fadhel Yusuf, Amr Elmekresh, Senthil Kumar, Fariborz Bagheri
Journal: Case Rep Urol (2022)
MeSH terms: Case Reports

A 50-year old male patient with morbid obesity was admitted for removal of large staghorn calculi and multiple small stones in the left kidney. The patient was managed by Percutaneous Nephrolithotomy (PCNL). Surgery was carried out in prone position and Alken's metal dilators were used for tract dilation. Alken dilators were inserted without any challenges, and the procedure was completed in a shorter span of time than anticipated with total operative time of 2 hours, including the change of positioning from lithotomy to prone. No intra-operative or post-operative complications were encountered. The patient has been followed up for 6 months post-operatively, without any complications or any evidence of stone recurrence.
Acute Cervical Longitudinally Extensive Transverse Myelitis in a Child With Lipopolysaccharide-Responsive-Beige-Like-Anchor-Protein (LRBA) Deficiency: A New Complication of a Rare Disease
Authors: Matteo Chinello, Margherita Mauro, Gaetano Cantalupo, Giacomo Talenti, Sara Mariotto, Rita Balter, Massimiliano De Bortoli, Virginia Vitale, Ada Zaccaron, Elisa Bonetti, Daniela Di Carlo, Federica Barzaghi, Simone Cesaro
Journal: Front Pediatr (2020)
Keywords: acute cervical longitudinally extensive transverse myelitis, autommunity, common variable immune deficiency (cvid), lipopolysaccharide responsive beige-like anchor protein (lrba), myelitis
MeSH terms: Case Reports

Lipopolysaccharide responsive beige-like anchor protein (LRBA) deficiency is a primary immunodeficiency disorder (PID) that can cause a common variable immunodeficiency (CVID)-like disease. The typical features of the disease are autoimmunity, chronic diarrhea, and hypogammaglobulinemia. Neurological complications are also reported in patients affected by LRBA deficiency. We describe a 7-year old female with an acute cervical longitudinally extensive transverse myelitis (LETM) as a feature of LRBA deficiency. This is the first case of LETM associated with LRBA deficiency described in literature.
Large complex odontoma of mandible in a young boy: a rare and unusual case report
Authors: G Siva Prasad Reddy, G V Reddy, B Sidhartha, K Sriharsha, John Koshy, Rehana Sultana
Journal: Case Rep Dent (2014)

Odontomas are the most common odontogenic tumors. They are broadly classified in to Compound Odontoma and Complex Odontoma. Among them complex odontoma is a rare tumor. Occasionally this tumor becomes large, causing expansion of bone followed by facial asymmetry. Otherwise these tumors are asymptomatic and are generally diagnosed on radiographic examination. We report a rare case of complex odontoma of mandible in a young boy. The tumor was treated by surgical excision under general anesthesia.
Paroxysmal hypnogenic dyskinesia responsive to doxylamine: a case report
Authors: Daniel M Williams
Journal: Case Rep Neurol Med (2012)

Paroxysmal hypnogenic dyskinesia is a rare clinical entity characterized by intermittent dystonia and choreoathetoid movements that begin exclusively during sleep, often with consciousness preserved once the patient is awakened during the episodes. They occur almost every night and are often misdiagnosed as sleeping disorders. Paroxysmal hypnogenic dyskinesia is currently known to be a form of frontal lobe epilepsy, but not in all cases. We present a 19-year-old male patient with paroxysmal hypnogenic dyskinesia who responded to antihistamines. This supports an alternative theory from 1977 (before the cases had been adequately described) that the disorder lies in dysregulation in the basal ganglia. This description now appears similar to acute dystonic reactions such as extrapyramidal symptoms from antipsychotic medications, which also respond to antihistamines.
Mycobacterium avium subsp. paratuberculosis infection in a patient with HIV, Germany
Authors: Elvira Richter, Johannes Wessling, Norbert Lügering, Wolfram Domschke, Sabine Rüsch-Gerdes
Journal: Emerg Infect Dis (2002)
MeSH terms: AIDS-Related Opportunistic Infections / complications, AIDS-Related Opportunistic Infections / microbiology, HIV Infections / complications, Mycobacterium avium subsp. paratuberculosis / isolation & purification, Tuberculosis / complications, Tuberculosis / microbiology, Case Reports, Adult, Anti-Infective Agents / therapeutic use, Antitubercular Agents / therapeutic use, Ciprofloxacin / therapeutic use, Fatal Outcome, Germany, HIV Infections / microbiology, Humans, Male, Mycobacterium avium subsp. paratuberculosis / classification, Ofloxacin / therapeutic use, Polymerase Chain Reaction, Tuberculosis / drug therapy, Anti-Infective Agents, Antitubercular Agents, Ciprofloxacin, Ofloxacin

Mycobacterium avium subsp. paratuberculosis (MAP), the causative agent of Johne disease in ruminants, has been incriminated as the cause of Crohn disease in humans. We report the first case of human infection with MAP in a patient with HIV; infection was confirmed by obtaining isolates from several different specimen types.
Omental Torsion after Laparoscopic Roux-en-Y Gastric Bypass Mimicking Appendicitis: A Case Report and Review of the Literature
Authors: Alexandre Descloux, Giacinto Basilicata, Antonio Nocito
Journal: Case Rep Surg (2016)

Introduction. Laparoscopic Roux-en-Y gastric bypass (LRYGBP) is a common procedure in obesity surgery. The aim of an antecolic approach is to reduce the rate of internal herniation. Our aim is to make bariatric surgeons aware of another possible complication of antecolic LRYGBP. Methods and Results. We present a case report of omental torsion 24 months after antecolic LRYGBP presenting as an acute abdomen, suggesting appendicitis. During diagnostic laparoscopy, omental infarction due to torsion was observed. Resection of the avital omentum was performed. Discussion. Omental torsion after antecolic LRYGBP is a rare complication. When appearing in the early postoperative phase, it may mimic an anastomotic leakage. It may also occur as late complication, presenting with acute abdomen as an appendicitis.
A tutorial on implantable hearing amplification options for adults with unilateral microtia and atresia
Authors: Joannie Ka Yin Yu, Lena Lai Nar Wong, Willis Sung Shan Tsang, Michael Chi Fai Tong
Journal: Biomed Res Int (2014)
MeSH terms: Congenital Microtia / therapy, Encephalitis / therapy, Hearing Aids, Prostheses and Implants, Review, Congenital Microtia / pathology, Encephalitis / pathology, Humans, Sound Localization, Suture Anchors, United States, External Auditory Canal, Bilateral Atresia Of, With Congenital Vertical Talus

Background:
Patients with unilateral atresia and microtia encounter problems in sound localization and speech understanding in noise. Although there are four implantable hearing devices available, there is little discussion and evidence on the application of these devices on patients with unilateral atresia and microtia problems.
Objective:
This paper will review the details of these four implantable hearing devices for the treatment of unilateral atresia. They are percuteaneous osseointegrated bone anchored hearing aid, Vibrant Soundbridge middle ear implant, Bonebridge bone conduction system, and Carina fully implantable hearing device.
Methods:
Four implantable hearing devices were reviewed and compared. The clinical decision process that led to the recommendation of a device was illustrated by using a case study.
Conclusions:
The selection of appropriate implantable hearing devices should be based on various factors, including radiological findings and patient preferences, possible surgical complications, whether the device is Food and Drug Administration- (FDA-)/CE-approved, and the finances. To ensure the accurate evaluation of candidacy and outcomes, the evaluation methods should be adapted to suite the type of hearing device.
Cavitary Lung Metastases in Prostate Cancer
Authors: Felix Delbare, Geert Villeirs
Journal: J Belg Soc Radiol (2022)
Keywords: ct-thorax, f18-psma-pet-ct, excavated lung lesions, lung metastasis, prostate cancer
MeSH terms: Case Reports

Teaching Point: Adenocarcinomas very rarely cause cavitary lung metastases.
Castleman Disease Presenting as Renal Hilar Mass
Authors: Mohammad Hadi Radfar, Hamid Pakmanesh, Peyman Torbati
Journal: J Endourol Case Rep (2015)
MeSH terms: Case Reports

Background:
We report a case of unicentric Castleman disease, a rare type of benign proliferation of lymphoid tissue. We present an uncommon disease that was managed effectively using laparoscopy.
Case presentation:
A 32-year-old woman presented with left-sided flank pain. A large retroperitoneal mass was detected in the left renal hilum close to the renal vessels. Laparoscopic removal of the mass was effectively performed. The pathologic examination was in favor of a rare type of benign proliferation of lymphoid tissue compatible with Castleman disease. The patient was cured with no evidence of recurrence in 1-year follow-up.
Conclusion:
Transperitoneal laparoscopic approach is feasible and effective in the management of this disease and is curative.
Conservative Management of Combined Pleural and Splenic Injury During Percutaneous Nephrostolithotomy
Authors: Geoffrey S Gaunay, Haris Ahmed, Arthur Smith, Zeph Okeke
Journal: J Endourol Case Rep (2016)
Keywords: pcnl complications, nephrolithiasis, percutaneous nephrostolithotomy, renal calculus, splenic injury
MeSH terms: Case Reports

Splenic injuries related to percutaneous nephrostolithotomy (PCNL) are infrequent. Herein, we report a combined splenic and pleural injury incurred during PCNL along with radiographic images documenting the complication. A review of management techniques for similar injuries is included.
Nonhealing ulcer: acroangiodermatitis of mali
Authors: Neeraj Varyani, Anubhav Thukral, Nilesh Kumar, Kailash Kumar Gupta, Ravi Tandon, Kamlakar Tripathi
Journal: Case Rep Dermatol Med (2011)
MeSH terms: Case Reports

An 18-year-old male presented with a nonhealing wound on left lower limb, pain and swelling over multiple joints, weight loss, and yellowish discoloration of eyes and urine for the past 4 years. On examination, the patient had pallor, icterus, and generalized lymphadenopathy with a nonhealing unhealthy ulcer over left medial malleolus. He had deformed joints with hepatomegaly and splenomegaly. His laboratory investigations were positive for antinuclear antibody (ANA) and anticardiolipin antibody (ACLA). Synovial fluid analysis showed inflammatory findings. Biopsy of margin of the ulcer showed findings consistent with Acroangiodermatitis of Mali. The patient was treated with disease-modifying antirheumatic drugs (DMARDs) and aspirin for juvenile idiopathic arthritis and secondary antiphospholipid antibody syndrome (APS), respectively. The ulcer was managed conservatively with systemic antibiotics and topical steroids along with limb elevation and compression elastic stockings. The patient's symptoms improved significantly, and he is in our followup.
Disseminated Histoplasmosis with Underlying Sarcoidosis-Rheumatoid Arthritis Overlap Syndrome: An Example of Diagnostic Test Threshold of Detection Affecting Test Results and Patient Care
Authors: Daniel Pankratz, Jordan Tichenor, Fernando Merino, Nathan C Bahr
Journal: Case Rep Infect Dis (2022)
MeSH terms: Case Reports

Histoplasmosis is common in many parts of the world but with areas of hyperendemicity. Disseminated histoplasmosis is the deadliest form of histoplasmosis and is most common among immunocompromised patients. Timely diagnosis is crucial to improve outcomes. We describe a patient on azathioprine and rituximab with disseminated histoplasmosis in which diagnosis was delayed in part because of negative early Histoplasma antigen testing, which was positive later in the course. This case serves as an example of the concept of "threshold of detection" in which a certain concentration of a microbe must be present for it to be detected by a diagnostic test that focuses on detection of a microbe or its components. This concept applies to many tests used to diagnose infectious diseases.
Oncocytes in Mucoepidermoid Carcinoma of the Palate: Diagnostic Challenges
Authors: Rammohan Kumar, Srikant Natarajan, K S Sneha, Nunna Sai Chitra, Karen Boaz, Nidhi Manaktala
Journal: Case Rep Dent (2017)
MeSH terms: Case Reports

The origin of a salivary gland tumour is attributed to cells at various levels of differentiation which present histologically as diverse tissues and cellular patterns. Mitochondria-rich, eosinophilic oncocytes are cells commonly encountered in salivary gland neoplasms. We report a case of mucoepidermoid carcinoma (MEC) in the palate of a 43-year-old female that exhibited a prominent oncocytic component. While the parotid and submandibular glands have been reported as predominant sites for oncocytic MEC (OMEC), the palate and minor salivary glands are rare sites for occurrence. Also, most of the reported cases of OMEC have been histologically of low-grade mucoepidermoid carcinoma with large cystic spaces and good prognosis. In this article, we discuss the differential diagnosis and diagnostic workup of an MEC presenting with oncocytes.
Medium-Chain Acyl-CoA Dehydrogenase Deficiency in an Infant with Dilated Cardiomyopathy
Authors: Marcello Marcì, Patrizia Ajovalasit
Journal: Cardiol Res Pract (2009)
MeSH terms: Case Reports

We report about an infant affected by dilated cardiomyopathy (CMP) in whom metabolic investigations evidenced medium-chain-acyl-CoA dehydrogenase deficiency (MCADD), that is one of three types of inherited disorders of mitochondrial fatty-acid beta-oxidation. Long-chain and very long-chain 3-hydroxyacyl-coenzyme A dehydrogenase deficits are recognized as responsible of hypertrophic or, less frequently, dilated cardiomyopathy (CMP) in childhood. Otherwise, to our knowledge, no case of MCADD associated to dilated CMP has been reported in literature.
Conservative treatment for cystic duct stenosis in a child
Authors: Marco Gasparetto, Laura Giordano, Mara Cananzi, Valeria Beltrame, Gianni Bisogno, Graziella Guariso
Journal: Case Reports Hepatol (2013)

Introduction. Few cases of common bile duct stenosis have been reported in the literature, and observations of strictures in the cystic duct are even more rare. Surgical cholecystectomy is the treatment needed in most cases of gallbladder hydrops. This paper describes the diagnosis and successful medical treatment of a rare pediatric case of cystic duct stenosis and gallbladder hydrops. Case Report. A formerly healthy one-year-old girl was admitted with colicky abdominal pain. Blood tests were normal, except for an increase in transaminases. Abdominal ultrasound excluded intestinal intussusception and identified a distended gallbladder with biliary sludge. MR cholangiography revealed a dilated gallbladder containing bile sediment and no detectable cystic duct, while the rest of the intra- and extrahepatic biliary tree and hepatic parenchyma were normal. This evidence was consistent with gallbladder hydrops associated with cystic duct stenosis. The baby was treated with i.v. hydration, corticosteroids, antibiotics, and ursodeoxycholic acid. Her general condition rapidly improved, with no further episodes of abdominal pain and normalization of liver enzymes. This allowed to avoid cholecystectomy, and the child is well 1.5 years after diagnosis. Conclusions. Although cholecystectomy is usually necessary in case of gallbladder hydrops, our experience suggests that surgical procedures can be avoided when the distension is caused by a cystic duct stenosis.
Case report: Novel three-dimensional echocardiographic methods mapping aortic root pseudoaneurysm secondary to blood culture-negative endocarditis with bicuspid aortic valve involvement
Authors: Yue Miao, Yanchao Zhang, Ling Yue, Shuang Guan, Wei Feng
Journal: Front Cardiovasc Med (2023)
Keywords: truevue, truevue glass, blood culture-negative endocarditis, infective endocarditis, pseudoaneurysm, three-dimensional echocardiography
MeSH terms: Case Reports

Background:
Infective endocarditis (IE), though uncommon, is a potentially lethal disease. Blood culture-negative endocarditis (BCNIE) accounts for 2.5%-31% of all cases of IE and can lead to life-threatening complications, including aortic root pseudoaneurysm. It is associated with considerable diagnostic and therapeutic dilemmas. TrueVue and TrueVue Glass include the latest two technologies applied in advanced three-dimensional echocardiography, which allow for novel photorealistic images of cardiac structures, and provide abundant previously unavailable diagnostic information. Herein, based on a series of novel three-dimensional echocardiographic methods, we report a case of BCNIE with aortic valve involvement, leading to aortic valve perforation and prolapse, and developing into a giant aortic root pseudoaneurysm.
Case summary:
In this study, we presented a case of a 64-year-old man exhibiting symptoms of intermittent fever, asthenia, and dyspnea following light exertion. Physical examination, laboratory tests, and electrocardiograms were suspected of IE, though the results of blood cultures were exactly negative. Three-dimensional transthoracic echocardiography, as well as a series of novel advanced techniques, was adopted to clearly visualize the lesions of the aortic valve and aortic root. However, despite active medical treatment modalities, the patient eventually suffered from a sudden, unexpected death 5 days later.
Conclusion:
BCNIE with aortic valve involvement and development into a giant aortic root pseudoaneurysm is a rare and serious clinical event. In addition, TrueVue and TrueVue Glass offer unprecedented photographic stereoscopic images, enhancing the diagnostic performance of such structural heart diseases.
Sweet syndrome following Moderna COVID-19 vaccine: A case report
Authors: Frederic Pelchat, Cynthia Fournier, Emilie Perron, Martin Gilbert, Bernard Delisle
Journal: SAGE Open Med Case Rep (2022)
Keywords: covid vaccine, covid-19 vaccine, moderna vaccine, sweet syndrome
MeSH terms: Case Reports

With the COVID-19 pandemic, vaccines have been administered all around the world probably more than ever. Even though they are considered safe, with such a huge quantity of doses used, many adverse effects including cutaneous ones were reported. We report here the case of a male adult with a history of monoclonal gammopathy of undetermined significance who presented with an extensive cutaneous eruption of indurated erythematous papules and plaques 2 days after receiving his first dose of Moderna COVID-19 vaccine (mRNA-1273 SARS-CoV-2 vaccine). Histopathology was compatible with a histiocytoid Sweet syndrome and history suggested that the vaccine contributed to the eruption.
Atraumatic Acromioclavicular Dislocation: A Case Report and Review of the Literature
Authors: Nasrat Sadeghi, Pieter Stijn Haen, Ron Onstenk
Journal: Case Rep Orthop (2017)
MeSH terms: Case Reports

Acromioclavicular dislocation (AC dislocation) is a common injury of the shoulder. In contrast to a traumatic cause, nontraumatic dislocation is very rare. We report on a 17-year-old female that presented with voluntary recurrent dislocation of the right AC joint followed by recurrent pain without instability of the ipsilateral shoulder. Clinical examination showed crepitation as well as palpitation pain and dislocation of the AC joint. There were no symptoms of Marfan or Ehlers-Danlos syndrome as other joint examinations were also negative for hypermobility. Considering age as well as minor complaints, nonoperative treatment by postural therapy without taping was recommended. After one year, the patient experienced fewer symptoms and she was able to participate in daily activities.
Case Report: Langerhans Cell Sarcoma With Intracranial and Extracranial Communication on the Left Frontal Bone
Authors: Shan Xie, Zhilin Shao, Dongqi Shao, Bang Du, Yi Han, Yu Li, Binbin Zhang, Xialin Zheng, Zhiquan Jiang
Journal: Front Surg (2022)
Keywords: langerhans cell sarcoma, left frontal, malignant tumor, pathological diagnosis, surgical resection
MeSH terms: Case Reports

Background:
Langerhans cell sarcoma (LCS) is an extremely rare type of malignant tumor that originates from Langerhans cells (LC). It is characterized by the malignant proliferation and dissemination of LC and is extremely invasive, with rapid progression and a poor prognosis. Treatment includes resection of lesions, radiotherapy, chemotherapy, immunotherapy, and transplantation of hematopoietic stem cells. However, a unified and optimized treatment plan is lacking, and individualized treatment is accepted.
Case presentation:
We report an 18-year-old man with intracranial and extracranial communicative LCS that occurred in only the left forehead without metastasis to other regions. Clinical and hematological data were normal. We undertook complete resection of diseased tissue, which was pathologically examined. Staining (hematoxylin and eosin) showed positivity for cluster of differentiation (CD)1a (++), S-100 protein (++), P53 (++), CD68 (+), cyclin D1 (+), cyclin A (+), cyclin B1 (+), IGF2BP3 (+), and Ki-67 (45%-50%). Recurrence or metastasis were not observed after long-term follow-up.
Conclusion:
LCS is a rare malignant tumor, and one that occurs with intracranial and extracranial communication is even rarer. Active adoption of an individualized treatment plan is crucial.
Small Duct Primary Sclerosing Cholangitis in Association With Hepatitis C Virus Infection: A Case Report
Authors: Suresh Kumar Nayudu, Kavitha Kumbum, Bhavna Balar, Masooma Niazi, Sridhar Chilimuri
Journal: Gastroenterology Res (2011)
Keywords: hepatitis c virus, primary sclerosing cholangitis, small duct
MeSH terms: Case Reports

Small duct primary sclerosing cholangitis (PSC) is characterized by cholestatic liver function tests, histological evidence of PSC but absence of classic cholangiographic findings. Large duct or classic PSC in association with hepatitis C virus (HCV) infection has rarely been reported. However to the best of our knowledge small duct PSC in association with HCV infection has not been reported. We report this case of small duct PSC in a patient with HCV infection. HCV infection in our patient was successfully treated with ribavirin and peg interferon alfa-2a, as evidenced by undetectable HCV ribonucleic acid levels. However, the patient had persistently elevated liver function tests suggestive of cholestasis. Endoscopic retrograde cholangiopancreatography (ERCP) revealed normal architecture of bile ducts. Hence patient underwent liver biopsy and its histopahological findings were suggestive of PSC. He had colonoscopy along with biopsy and inflammatory bowel disease (IBD) was ruled out.
Case Report: Robotic ALPPS Procedure for Hepatocellular Carcinoma in the Right Lobe of the Liver
Authors: Evgeny Solomonov, Itamar Tzadok, Salomon Stemmer, Seema Biswas
Journal: Front Surg (2021)
Keywords: associating liver partition and portal vein ligation for staged hepatectomy, hepato-pancreatobiliary surgery, hepatocellar carcinoma, liver, robotic
MeSH terms: Case Reports

Introduction: Associating liver partition with portal vein ligation for staged hepatectomy (ALPPS) is a surgical procedure for liver malignancy where the volume of the liver remnant is estimated to be too small. We present the first case of two-stage robotic ALPPS procedure, illustrating the steps and advantages of robotic surgery. Materials and Methods: A 68-year-old man with morbid obesity (BMI 40), portal fibrosis, macrovesicular steatosis, and poor liver function underwent robotic ALPPS for hepatocellular carcinoma in the right lobe of the liver (segments 5, 7, and 8). A video presentation (https://youtu.be/M50Gumf-4pw) of the operative procedure is accompanied by explanation in the text with embedded corresponding video time points. Results: Both stages of the procedure were performed robotically, with negligible blood loss, and rapid surgical recovery. The patient died 3 years later. Discussion: Robotic ALPPS offers reduced morbidity in major liver surgery for malignancy and may extend survival in meticulously selected patients.