OpenMed/multicare-articles huggingface dataset:
Surgical management of penoscrotal hypospadias in a child with Opitz G/BBB syndrome: a case report
Authors: Faisal Ahmed, Abdulfattah Altam, Qasem Alyhari, Mohamed Badheeb, Waleed Aljbri, Saleh Al-Wageeh, Abdullah Al-Naggar, Saif Ghabisha, Ebrahim Al-Shami
Journal: Pan Afr Med J (2023)
Keywords: opitz g/bbb syndrome, case report, cleft palate, hypertelorism, penoscrotal hypospadias
MeSH terms: Cleft Lip / surgery, Cleft Palate, Hypertelorism, Hypospadias / diagnosis, Hypospadias / surgery, Case Reports, Child, Preschool, Humans, Male, Hypertelorism with esophageal abnormality and hypospadias

Opitz G/BBB syndrome is a rare condition characterized by three significant anomalies; hypertelorism, cleft lip and palate, and hypospadias. However, other anomalies may be associated. Herein, we report a 4-year-old child presented with penoscrotal hypospadias. On examination, hypertelorism and cleft lip and palate were noticed, suggesting a diagnosis of Opitz G/BBB syndrome. The cleft lip was corrected in the first year, and a two-staged surgical approach was implemented for penoscrotal hypospadias. In the first stage, the chordee was corrected and urethral plate was reconstructed using a tabularized incised plate urethroplasty and testicular tunica vaginalis flap. In the second stage, the remanent hypospadias was corrected, and the meatal opening reached its normal location. In conclusion, a two-staged surgical approach for the treatment of penoscrotal hypospadias associated with Opitz G/BBB syndrome may provide excellent outcomes in early-recognized cases. The urologist should pay attention to abnormal facial characteristics in patients with hypospadias.
Multifocal retroperitoneal sarcoma
Authors: Theodosios Theodosopoulos, Dionysios Dellaportas, Vasiliki Psychogiou, Anneza Yiallourou, George Polymeneas, Georgios Gkiokas, Dionysios Voros
Journal: Case Rep Surg (2013)

Introduction. Retroperitoneal sarcomas comprise a small proportion of all soft tissue sarcomas, and multiple factors influence their clinical behavior. Histopathological type and grade as well as complete surgical resection especially on the first operative attempt are well recognized as the main prognostic factors. Multifocality is another prognostic factor, which compromises therapy and finally makes prognosis worse due to multiple adverse implications. Case Presentation. A rare case of a 65-year-old male patient suffering from a multifocal retroperitoneal liposarcoma successfully treated in our hospital is presented herein. Discussion. Also, general considerations for these tumors are discussed, and especially multifocality is underlined as an ominous sign of retroperitoneal sarcomas behavior. Despite multifocality, once again complete surgical excision remains the mainstay of treatment of these patients, as long as further systemic and local therapies do not provide durable results.
A Rare Finding of Falciform Ligament Thrombosis as a Sequel of Acute Pancreatitis
Authors: H Q C Lim, X W J Lee, N Mathias
Journal: Case Rep Radiol (2017)
MeSH terms: Case Reports

Falciform ligament (remnant of umbilical vein) is an anatomical structure that connects the liver to the anterior abdominal wall. This case reports a rare clinical presentation of falciform ligament thrombosis as a consequence of acute gallstone pancreatitis, in a patient with noncirrhotic liver. A 55-year-old female with a history of cholelithiasis was admitted with abdominal pain. Biochemistry profile showed hyperamylasemia and deranged liver function tests. Computerized Tomography (CT) revealed a 3 cm attenuated structure that can be traced up to the left portal vein, which represents an acute thrombosis of the falciform ligament. The patient was treated with Tinzaparin and subsequently anticoagulated. She subsequently had a laparoscopic cholecystectomy and made an uneventful recovery. We suspect that pancreatitis caused thrombophlebitis subsequently leading to recanalization and thrombosis of the umbilical vein. Falciform ligament thrombosis is a rare and poorly described complication following pancreatitis which clinicians and radiologists should be aware of.
Combined computed tomography and fluorodeoxyglucose positron emission tomography in the diagnosis of prosthetic valve endocarditis: a case series
Authors: Michele Bartoletti, Fabio Tumietto, Giovanni Fasulo, Maddalena Giannella, Francesco Cristini, Rachele Bonfiglioli, Luigi Raumer, Cristina Nanni, Silvia Sanfilippo, Marco Di Eusanio, Pier Giorgio Scotton, Maddalena Graziosi, Claudio Rapezzi, Stefano Fanti, Pierluigi Viale
Journal: BMC Res Notes (2014)
MeSH terms: Endocarditis, Bacterial / diagnosis, Heart Valve Prosthesis / adverse effects, Multimodal Imaging, Positron-Emission Tomography, Postoperative Complications / diagnosis, Prosthesis-Related Infections / diagnosis, Tomography, X-Ray Computed, Case Reports, Adult, Aged, Aged, 80 and over, Aortic Valve / diagnostic imaging, Aortic Valve / microbiology, Candidiasis / diagnosis, Candidiasis / therapy, Combined Modality Therapy, Endocarditis / diagnosis, Endocarditis / therapy, Endocarditis, Bacterial / drug therapy, False Negative Reactions, Female, Fluorine Radioisotopes, Fluorodeoxyglucose F18, Heart Valve Prosthesis Implantation, Humans, Male, Middle Aged, Postoperative Complications / drug therapy, Postoperative Complications / surgery, Prosthesis-Related Infections / drug therapy, Prosthesis-Related Infections / surgery, Radiopharmaceuticals, Reoperation, Fluorine Radioisotopes, Radiopharmaceuticals, Fluorodeoxyglucose F18

Background:
The diagnosis of prosthetic valve endocarditis is challenging. The gold standard for prosthetic valve endocarditis diagnosis is trans-esophageal echocardiography. However, trans-esophageal echocardiography may result in negative findings or yield images difficult to differentiate from thrombus in patients with prosthetic valve endocarditis. Combined computed tomography and fluorodeoxyglucose positron emission tomography is a potentially promising diagnostic tool for several infectious conditions and it has also been employed in patients with prosthetic valve endocarditis but data are still scant.
Case presentations:
We reviewed the charts of 6 patients with prosthetic aortic valves evaluated for suspicion of prosthetic valve endocarditis, at two different hospital, over a 3-year period. We found 3 patients with early-onset PVE cases and blood cultures yielding Pseudomonas aeruginosa, Staphylococcus epidermidis and Staphylococcus lugdunensis, respectively; and 3 late-onset cases in the remaining 3 patients with isolation in the blood of Streptococcus bovis, Candida albicans and P. aeruginosa, respectively. Initial trans-esophageal echocardiography was negative in all the patients, while fluorodeoxyglucose positron emission tomography showed images suspicious for prosthetic valve endocarditis. In 4 out of 6 patients valve replacement was done with histology confirming the prosthetic valve endocarditis diagnosis. After an adequate course of antibiotic therapy fluorodeoxyglucose positron emission tomography showed resolution of prosthetic valve endocarditis in all the patients.
Conclusion:
Our experience confirms the potential role of fluoroseoxyglucose positron emission tomography in the diagnosis and follow-up of prosthetic valve endocarditis.
A case report of coronary-subclavian steal syndrome treated with carotid to axillary artery bypass
Authors: Wissam Al-Jundi, Aiman Saleh, Kathryn Lawrence, Sohail Choksy
Journal: Case Rep Med (2009)
MeSH terms: Case Reports

Coronary-subclavian steal syndrome results from atherosclerotic disease of the proximal subclavian artery causing reversal of flow in an internal mammary artery used as conduit for coronary artery bypass. This rare complication of cardiac revascularisation leads to recurrence of myocardial ischaemia. When feasible, subclavian angioplasty and/or stent placement can provide acceptable result for these patients. Vascular reconstruction through carotid to subclavian artery bypass has been the standard procedure of choice. Other interventions in literature include axilloaxillary bypass and subclavian carotid transposition. This case report describes the use of carotid axillary artery bypass for the treatment of coronary-subclavian steal syndrome.
Impacted chicken bone in the laryngopharynx: a case report
Authors: Tamer A Mesallam
Journal: Int J Otolaryngol (2011)
MeSH terms: Case Reports

Objective. To describe a rare case of an impacted large foreign body (chicken bone) in the laryngopharynx. Case Report. A 28-years-old man presented with pain in the neck of 5 days duration. The patient gave a history of severe choking sensation while eating chicken. Laryngoscopic examination revealed a linear whitish large chicken bone impacted in the left pyriform fossa. The bone was removed under local anesthesia with the guidance of telescopic laryngeal examination. Conclusion. This paper describes impaction of a large chicken bone in the hypopharynx in an adult male patient and its removal with guided telescopic laryngeal examination.
Single coronary artery originating from the right sinus Valsalva and ability to work
Authors: Roberto De Rosa, Gennaro Ratti, Donato Gerardi, Carlo Tedeschi, Monica Lamberti
Journal: Ann Occup Environ Med (2015)
Keywords: multi slices computed tomography, single coronary artery, working capacity
MeSH terms: Case Reports

We present a case of a 56-year-old male electrician who was admitted to the hospital with atrial fibrillation, atypical chest pain and dyspnea. He gave a history that on the morning he had working for almost 4 hours carrying out various activities with considerable physical effort. After cardioversion, conventional coronary angiography revealed a suspect of single coronary vessel (SCA) arising from the right sinus of Valsalva. The patient underwent multislice computed tomography that showed a SCA arising from the right sinus Valsalva and dividing in Right Coronary Artery (RCA) and Left Main coronary artery (LM). The finding of posterior course of the LM without atherosclerotic has proved crucial for the expression of an opinion of working capacity even with limitation.
Bilateral Axillo-Brachial Artery Stenosis Following Messenger Ribonucleic Acid (mRNA) Vaccination Against Severe Acute Respiratory Coronavirus 2 (COVID-19)
Authors: Hasan Güven
Journal: Cureus (2023)
Keywords: brachial artery occlusion, covid-19 mrna vaccine, endovascular angioplasty, giant cell arteritis, vasculitis
MeSH terms: Case Reports

The following case report is an overview of an unusual presentation of bilateral axillo-brachial artery occlusion following messenger ribonucleic acid (mRNA) vaccination against severe acute respiratory coronavirus 2 (COVID-19). A 64-year-old female presented with symptoms initially consistent with polymyalgia rheumatica five weeks following the first booster of the Pfizer-BioNTech COVID-19 vaccine. She was successfully treated with prednisone therapy; however, despite the normalization of inflammatory markers, she later presented with bilaterally occluded axillo-brachial arteries. She successfully underwent endovascular management for the treatment of her symptoms. To our knowledge, this is the first case report of chronically occluded bilateral axillo-brachial artery disease following mRNA vaccination for COVID-19 successfully treated with endovascular therapy. The unusual pathogenesis of upper extremity arterial disease is reviewed and a review of endovascular treatment options is presented. A literature review of the types of vasculitis seen following mRNA COVID-19 vaccination is also presented.
The First Reported Pediatric Case of Primary Myoepithelial Carcinoma Involving the Whole Lung: Surgical Radical Treatment and Prosthesis Implant
Authors: Claudia Filisetti, Tiziana Russo, Andrea Pansini, Claudio Vella, Camilla Viglio, Giovanna Riccipetitoni
Journal: European J Pediatr Surg Rep (2020)
Keywords: cancer, myoepithelial carcinoma, pediatric, pediatric surgery
MeSH terms: Case Reports

Primary myoepithelial carcinoma of the lung (PMC-L) arising from the bronchial glands in lower respiratory tract is exceedingly rare. Thus far, few cases in adults and only one in a pediatric patient have been recorded. To our knowledge, this is the first report of PMC-L successfully removed in a child, focusing on the importance of multidisciplinary primary surgery for the treatment of this tumor. A 7-year-old girl was admitted for persistent cough and fever; she was unresponsive to oral antibiotics. Chest radiography showed loss of volume of left lung sustained by almost total atelectasis. After routine clinical investigations, she was referred for computed tomography scan and magnetic resonance imaging that documented the presence of a mass occupying the entire left upper lobe, infiltrating the pulmonary hilum (main bronchus, pulmonary artery, superior pulmonary vein, and pericardium). After multidisciplinary evaluation, the histopathologic diagnosis of PMC-L was established using ultrasonography-guided transthoracic core needle biopsy and bronchoscopic biopsies. She was then subjected to left pneumonectomy under extracorporeal circulation and positioning of a thoracic expander filled with 200 mL of saline solution. The postoperative course was uneventful. With TREP (very Rare Tumor in Pediatric Age) consent radiotherapy was performed (61.2 Gy). At the 10-month follow-up, the patient was alive, breathing normally without any oxygen support, without recurrence of PMC-L or metastasis, and without any chest deformity. To our knowledge, this is the first case where a pediatric patient was successfully operated for PMC-L involving the whole lung. Extracorporeal circulation enabled us to perform radical primary surgery. Prosthesis implant not only maintained normal chest expansion but also allowed focused radiotherapy, thus enabling us to prevent damage to vital organs.
Case report: Highly differentiated endometrial adenocarcinoma that collided with uterine cervical carcinosarcoma
Authors: Xue Fan, Haoyue Hu, Yang Liu, Songtao Tan, Meng Xie, Fang Zhang
Journal: Front Med (Lausanne) (2023)
Keywords: cervical carcinosarcoma, collision tumor, endometrial adenocarcinoma, pathology, therapy
MeSH terms: Case Reports

Uterine collision tumor is a rare pathological type composed of two or more malignant tumors. The components of these malignant tumors do not have histological mixing and are separated by the normal mesenchyme. Collision cancer is very rare, with uterine collision tumors being even rarer. Only a few cases have been reported in relation to uterine collision tumors. At present, there is no standard treatment guideline for uterine collision tumors, and a comprehensive treatment composed of surgery, radiotherapy, and chemotherapy is suggested. In this study, we report a 54-year-old female patient diagnosed with highly differentiated endometrial adenocarcinoma with cervical carcinosarcoma. The endometrial adenocarcinoma component invaded the deep myometrium (> 1/2 layer), involving the cervical glands and interstitium. The regional lymph node metastasis from endometrial adenocarcinoma was also detected. The patient underwent "transabdominal tumor cytoreduction (total hysterectomy + right adnexal resection + greater omentectomy + pelvic lymph node dissection + para-aortic lymph node dissection) + pelvic adhesion release." In addition, she has completed adjuvant radiotherapy and chemotherapy. After reviewing previous reports of collision tumors in different positions of the uterus, we found that collision tumors between the cervix and uterine body are very uncommon. In addition, we have not found any reports on the metastasis of sarcoid components, no matter what the composition is.
Clinical Versatility of the Facility-Equator Implant System as Mandibular Overdenture Retainers
Authors: Anna Paula da Rosa Possebon, Alessandra Julie Schuster, Amália Machado Bielemann, Ana Paula Pinto Martins, Samille Biasi Miranda, Otacílio Luiz Chagas-Júnior, Luciana de Rezende Pinto, Fernanda Faot
Journal: Case Rep Dent (2020)
MeSH terms: Case Reports

The use of mandibular overdentures (MO) for the rehabilitation of totally edentulous individuals with limited bone availability is widespread and has proven clinical success. Narrow diameter implants (NDI) are available on the market as MO retainers to solve problems related to limited bone availability and bone thickness, providing a low-cost, minimally invasive treatment option. This technique evolved over the years, and changes frequently involved the number of implants used as MO retainers, as the adoption of a smaller number of implants can generate biomechanical disadvantages, contributing to the increased stress in peri-implant tissues, which may accelerate marginal bone loss (MBL), in addition to reducing masticatory capacity and satisfaction with rehabilitation. Some studies pointed out that the use of 3 or more implants as MO retainers improves the biomechanics. Thus, the objective of this study was to report 3 different clinical cases where 3 or more NDI were adopted to retain mandibular overdentures in association with diverse loading protocols: (i) 3 implants adopting conventional loading, (ii) 4 implants using progressive loading, and (iii) 4 implants with hybrid loading. The case with 4 implants and progressive loading showed a slight worsening of masticatory function at 1 year, in addition to a more pronounced MBL compared to other cases, but with improvements in satisfaction and oral health-related quality of life. Thus, NDI can be used as MO retainers with predictability and clinical success, using different numbers of implants and loading protocols.
Repeated Induced-Membrane Technique Failure without Infection: A Series of Three Consecutive Procedures Performed for a Single Femur Defect
Authors: Laurent Mathieu, Marjorie Durand, Thomas Demoures, Christian Steenman, Alain-Charles Masquelet, Jean-Marc Collombet
Journal: Case Rep Orthop (2020)
MeSH terms: Case Reports

A 40-year-old male was treated using the induced-membrane technique (IMT) for a noninfected, 9 cm long femoral bone defect complicating a lengthening procedure. The interesting case feature lies in the three consecutive IMT procedures that were necessary to achieve complete bone repair in this unusual clinical situation. The first procedure failed because of the lack of graft revascularization likely related to an induced-membrane (IM) alteration demonstrated by histological observations. The second IMT procedure led to partial graft integration interrupted by the elongation nail breakage. At last, the third procedure fully succeeded after nail exchange and iterative iliac bone grafting. Complete bone union was achieved with a poor functional recovery one year after the last procedure and four years following the first cement spacer implantation. By means of clinical and histological observations, we demonstrated that the first and the second IMT failures had two distinct origins, namely, biological and mechanical causes, respectively. Although simple, a successful IMT procedure is not so easy to complete.
Case Report: Conservative Non-operative Management of a Neonate With Torted Wandering Spleen
Authors: Maha Bourusly, Mariam Ayed, Zainab Bahzad
Journal: Front Pediatr (2022)
Keywords: conservative treatment, neonate, spleen, splenectomy, wandering spleen
MeSH terms: Case Reports

Background:
The management of wandering spleen (WS) with torsion, a rare pathological condition, is currently unclear. Most patients with this disorder are treated with surgical interventions, such as splenectomy or splenopexy.
Case presentation:
A newborn female presented with low hemoglobin (10.8 mg/L) and high total serum bilirubin (193 μmol/L) at 3 h of life. A palpable mass was observed during her physical examination, and a magnetic resonance imaging scan of the abdomen confirmed the presence of an infarcted WS with torsion. Upon conservative management with oral antibiotic prophylaxis, careful observation, and repeated follow-ups, the infant remained clinically stable. At 2 years of age, she had normal complete blood count, and a repeat technetium study revealed two splenunculi/splenules in the splenic bed.
Conclusion:
Most patients with WS are treated surgically with splenectomy or splenopexy. Non-operative management may be a feasible treatment option in select cases with infarcted WS and may allow the natural process of autosplenectomy to occur.
A Case of Sarcoidosis with Unusual Radiographic Findings that Developed 5 Years after Silicone Augmentation Mammoplasty Complicated by Miliary Tuberculosis during Corticosteroid Treatment
Authors: Tomoko Miyashita, Katsunobu Yoshioka, Tomoyuki Nakamura, Keiko Yamagami
Journal: Case Rep Pulmonol (2011)
MeSH terms: Case Reports

A 54-year-old woman with a past history of silicone augmentation mammoplasty was admitted with fever and dyspnea with diffuse interstitial shadows on computed tomography (CT). Although radiological findings were atypical, we diagnosed sarcoidosis by laboratory, microbiological, and bronchoalveolar lavage fluid analysis. Corticosteroids ameliorated the condition, but she had recurrent of fever and CT revealed miliary nodules while interstitial shadows disappeared. Liver biopsy showed that noncaseating granuloma and Ziehl-Neelsen stain was positive. We diagnosed miliary tuberculosis which developed during corticosteroid therapy. Antituberculotic therapy resulted in favorable outcome. Possibility exists that onset of sarcoidosis was induced by mammoplasty, namely, human adjuvant disease.