OpenMed/multicare-articles huggingface dataset:
Treatment of endovascular coil and stent migration using the merci retriever: report of three cases
Authors: David K Kung, Taylor J Abel, Karthik H Madhavan, Richard T Dalyai, Brian J Dlouhy, Wei Liu, Pascal M Jabbour, David M Hasan
Journal: Case Rep Med (2012)
MeSH terms: Case Reports

Background. Coil and stent migration is a potentially catastrophic complication in endovascular neurosurgery, which may lead to cerebral thromboembolism. Techniques for removing migrated coil and stent are not well established. Methods and Results. We present three cases in which coil or stent migration occurred during endovascular embolization of a cerebral aneurysm. The Merci Retrievers were used successfully in all cases to remove the displaced foreign bodies. Technical details are described. Conclusion. The Merci Retriever device can be utilized successfully for removal of migrated coils and stents in endovascular neurosurgery.
Sub-acute Painless Vision Loss Secondary to Neuro-Ocular Syphilis
Authors: Amarjyo Randhawa, Kiratjyot Randhawa, Akshat Sood, Joseph Thirumalareddy, Sunil Nair
Journal: Cureus (2023)
Keywords: ocular syphilis, penicillin allergy, syphilis, treponema pallidum, vision loss
MeSH terms: Case Reports

There has been a consistent increase in syphilis cases in the United States over the past two decades. The prevalence of neuro-ocular involvement in syphilis is rare; however, with the increase in the prevalence of syphilis in the United States, more frequent encounters with complications of syphilis may be expected. Here, we present a case of sub-acute painless vision loss secondary to neuro-ocular syphilis.
Next-generation sequencing study on poorly differentiated carcinoma derived from a thirty-year-old epidermoid cyst: A case report
Authors: Woosuk Choi, Joseph Kyu-Hyung Park, Seung Geun Song, Baek-Kyu Kim
Journal: Front Oncol (2023)
Keywords: dna copy number variation, epidermoid cyst, malignant transformation, next-generation sequencing, squamous epithelium
MeSH terms: Case Reports

Although epidermoid cysts are frequently seen as benign lesions, they are highly uncommon to develop into cancerous lesions. A 36-year-old man with a cystic mass present on his left flank since childhood presented to our department. Based on the patient's medical history and abdominal computed tomography scan, we excised the lesion under the suspicion of an epidermoid cyst. Histopathological evaluation revealed the presence of poorly differentiated carcinoma with squamoid and basaloid differentiation, which showed a strong possibility of carcinoma arising from an epidermal cyst. Next-generation sequencing using TruSight oncology 500 assay showed copy number variation of ATM and CHEK1 genes.
Clinical and therapeutic features of Plummer-Vinson syndrome in a Tunisian population: a case series
Authors: Lassaad Chtourou, Manel Moalla, Hela Gdoura, Hend Smaoui, Ons Khrouf, Roua Kallel, Leila Mnif, Ali Amouri, Mona Boudabbous, Nabil Tahri
Journal: Pan Afr Med J (2023)
Keywords: plummer-vinson syndrome, dysphagia, endoscopic dilatation, iron deficiency anemia
MeSH terms: Deglutition Disorders / epidemiology, Deglutition Disorders / etiology, Deglutition Disorders / therapy, Esophageal Neoplasms / complications, Esophageal Squamous Cell Carcinoma / complications, Plummer-Vinson Syndrome / diagnosis, Plummer-Vinson Syndrome / epidemiology, Plummer-Vinson Syndrome / therapy, Case Reports, Female, Humans, Iron / therapeutic use, Male, Middle Aged, Neoplasm Recurrence, Local / complications, Neoplasm Recurrence, Local / drug therapy, Retrospective Studies, Iron

Plummer Vinson syndrome (PVS) is a rare entity and most publications are case or series of cases. Thus, we report a series from southern Tunisia. Our aim was to analyse the epidemiological and clinical characteristics, the therapeutic modalities as well as the evolution of this pathology. Thus we carried out a retrospective study from 2009 until 2019. For each patient with PVS, we collected the epidemiological, clinical, paraclinical data and therapeutic modalities. A total of 23 patients were enrolled with a median age of 49.52 years [18-82 years] and a clear female predominance (M/F=2/21). The median duration of dysphagia was 42 months [4-92 months]. Moderate microcytic hypochromic anemia was noted in 16 patients. The anemia was without obvious cause in 60.8% (n=14) of cases. The main endoscopic finding was a diaphragm in the cervical area. Treatment was based on iron supplementation followed by endoscopic dilatation with Savary dilators in 90.9% (n=20) and balloons for 9.1% of patients (n=2). Dysphagia recurred in 5 patients after a median of 26.6 months [2-60 months]. Three cases of PVS were complicated by esophageal squamous cell carcinoma. In conclusion, our series confirms that PVS affects mostly women. Anemia is frequently noted in these patients. Treatment is based on endoscopic dilatation which is often an easy and risk-free procedure and iron supplementation.
Multiple Bladder Diverticula Presenting in an 82-Year-Old Congolese Male
Authors: Jean de Dieu Tumusifu Manegabe, Daniel Safari Nteranya, Ghislain Maheshe Balemba, Fabrice Cikomola Gulimwentuga, Paul Budema Munguakonkwa, Paterne Safari Mudekereza, Bijou Safi Matabaro, Alliance Wani Bisimwa, Franck Masumbuko Mukamba, Georges Kuyigwa Toha, Kizito Mutuga Centwali, Costa Sudi Musilimu, Zénon Kuyigwa, Alain Kabakuli Namugusha, Wani Mulumekandi Rugarabura, Léon-Emmanuel Mubenga Mukengeshai
Journal: Case Rep Surg (2022)
MeSH terms: Case Reports

Bladder diverticulum is a congenital malformation characterized by the outpouching of the bladder following an obstruction of urine flux. We present a case of 82-year-old Congolese male patient presented at our facility with a poor urinary stream and lower abdominal pain. A distended abdomen was found on physical examination while the external genitalia were normal. All blood laboratory values were found to be within normal ranges. The patient's urine analysis revealed an uncountable number of white blood cells. Ultrasonography revealed multiple diverticula in the right posterolateral and posterior wall. An ultrasound of the abdomen revealed numerous bladder diverticula in the bladder's left posterolateral and posterior aspects, mild right-sided hydronephrosis, and severe left hydronephrosis with a thinned-out cortex. Both ureters were normal. A computed tomographic (CT) scan of the abdomen confirmed the diagnosis. The patient underwent an open laparotomy which allowed complete ablation of the diverticula followed by bladder wall repair. A one-week course of antibiotics was prescribed, and the patient was discharged fully recovered with no immediate complications. Although bladder diverticula are a congenital malformation, the presence of multiple diverticula suggests that the condition is acquired. In elderly patients, open laparotomy combined with intravenous antibiotics yields positive results.
Acute Pancreatitis in Individuals with COVID-19: A Case Report and Critical Review of Literature
Authors: Arsia Jamali, Khashayar Nemovi, Betul N Bayraktutar, Adam Farzaneh, Kevin Chan, Carlos Ramirez, Elika Shahkamrani, Anil Perumbeti
Journal: Case Rep Med (2022)
MeSH terms: Case Reports

Involvement of gastrointestinal tract has been reported in individuals diagnosed with COVID-19. Herein, we report a case of 65-year-old woman with type 2 diabetes mellitus, hypertension, and end-stage renal disease undergoing hemodialysis who was initially diagnosed with COVID-19 on a screening test. During the course of the disease, her respiratory symptoms remained mild; however, she developed acute pancreatitis leading to severe hypertension and hyperosmolar hyperglycemic state. During the hospitalization and treatment of acute pancreatitis, hyperglycemia, and hypertension, her condition improved and she was discharged in stable condition.
Case report: Duodenal obstruction caused by gastroduodenal artery pseudoaneurysm with hematoma: an unusual case and literature review
Authors: Yan-Yuan Zhou, Shao-Chung Wang, Chen-June Seak, Shu-Wei Huang, Hao-Tsai Cheng
Journal: Front Med (Lausanne) (2023)
Keywords: case report, duodenal obstruction, gastroduodenal artery, liquid embolic agent, pseudoaneurysm, transarterial embolization
MeSH terms: Case Reports

Visceral artery pseudoaneurysm is a rare disease that most commonly occurs in male patients in their 50s, with gastroduodenal artery (GDA) pseudoaneurysm accounting for only 1.5% of these. The treatment options generally include open surgery and endovascular treatment. In 40 cases of GDA pseudoaneurysm from 2001 to 2022, endovascular therapy was the mainstay of treatment in 30 cases, and most of them (77%) were treated by coil embolization. Our case report describes a 76-year-old female patient with a GDA pseudoaneurysm, which was treated by endovascular embolization using liquid embolic agent N-butyl-2-cyanoacrylate (NBCA) alone. This is the first time this treatment strategy has been used for GDA pseudoaneurysm. We demonstrate a successful outcome with this unique treatment. The successful experience of our case may provide a new treatment strategy for this rare disease.
Promoting a culture change in junior and youth sport in New Zealand
Authors: Simon R Walters, Vincent Minjares, Trish Bradbury, Patricia Lucas, Andrew Lenton, Kirsten Spencer, Simone Spencer
Journal: Front Sports Act Living (2022)
Keywords: behaviour change, children, coach, design-based research, good sports, parent, transformative learning

This paper provides insight into the evolution of a project designed to address longstanding adult attitudes and behavioural issues in junior and youth sport in New Zealand. The project was funded by Sport New Zealand (Sport NZ) and implemented by Aktive, a charitable trust that works with national and regional partners to fund and deliver community sport in Auckland. Aktive collaborated with a team of junior and youth sport researchers, adopting a pragmatic, mixed methods design-based research (DBR) approach to co-design an educational delivery framework aimed at influencing attitudes and assumptions underpinning coaches, parents, and community sport leaders' behaviours. Transformative learning principles informed the delivery framework with the project reaching 4,222 participants. Research evaluations included multiple case studies, surveys, semi-structured interviews, and focus groups, which confirmed awareness of problematic beliefs. The programme expanded to Regional Sport Organisations (RSOs) and National Sport Organisations (NSOs) culminating in a nationwide rollout. The study highlights the effectiveness of theoretically informed adult behaviour change programmes in junior and youth sport, the benefits of programmes being underpinned by a rigorous pedagogical approach, and the benefits of sport organisations and researchers collaborating to design and deliver sustainable change initiatives that address belief systems underpinning current issues.
Posterior sagittal approach in complicated Swenson's pull-through
Authors: O A Sowande, O Adejuyigbe
Journal: J Indian Assoc Pediatr Surg (2008)
Keywords: complications, swenson pull-through, posterior sagittal approach
MeSH terms: Case Reports

Context:
Swenson's pull-through is one of the standard operations for the treatment of children with Hirschsprung's disease. Complications arising from the operation are difficult to treat because of fibrosis in the pelvis. The posterior sagittal approach may be a safer alternative.
Aims:
The aim of this paper is to highlight our experience with the use of the posterior sagittal trans-sphincteric approach to treat unusual complications of Swenson's pull-through.
Settings and design:
A retrospective study of four patients who had posterior sagittal repair of their complications of Swenson pull-through at the Obafemi Awolowo University Teaching Hospital, Ile Ife, Nigeria.
Materials and methods:
Four cases of Hirschsprung's disease that developed post-Swenson pull-through complications are presented. There were three males and one female. Their age ranged between 10 months and 15 years. The patients had rectovaginal fistula, rectourethral fistula, high trans-sphincteric fistula-in-ano and complete anastomotic disruption.
Result:
All the patients were successfully treated using the posterior sagittal approach. The approach was used twice in one patient without significant sequelae. The three patients were old enough to be assessed and had a Kelly score of 4-6 at follow-up.
Conclusion:
The posterior sagittal technique offers a safe approach to treat the complications of Swenson pull-through.