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Case Report (case + report)
Kinds of Case Report Selected AbstractsSUPERFICIAL ESOPHAGEAL SQUAMOUS CELL CARCINOMA WITH BULKY GASTRIC HIATUS LYMPH NODE METASTASIS: A CASE REPORTDIGESTIVE ENDOSCOPY, Issue 4 2009Yoshiaki Takahashi In patients with superficial esophageal cancer, especially in those with tumor invasion above the muscularis mucosae, lymph node metastasis is very rare. We report a case of superficial esophageal cancer who presented with lymph node metastasis. In another hospital a 49-year-old man was found to have a bulky tumor adjacent to the cardiac area of the stomach and a total gastrectomy was carried out. Postoperatively, the tumor was identified as a lymph node containing metastatic squamous cell carcinoma. The main lesion could not be identified on fluorodeoxyglucose positron emission tomography. On esophagogastric endoscopy, using the iodine spray technique, we found an unstained lesion about 32 cm from the incisor teeth. The tumor was removed using endoscopic mucosal resection. The entire resected specimen was examined histopathologically; the depth of the tumor was above the muscularis mucosae. Thirty-four months after endoscopic mucosal resection, there is no sign of tumor recurrence or metastasis. [source] A 65-YEAR-OLD WOMAN WITH SELF-INJURIOUS BEHAVIOR: A CASE REPORTJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 7 2010Nahla Mahgoub MD No abstract is available for this article. [source] QUETIAPINE-INDUCED DYSTONIA AND AGITATION IN PARKINSON'S DISEASE WITH DEMENTIA: A CASE REPORTJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 5 2009Julio Leey MD No abstract is available for this article. [source] POSTTRAUMATIC SUBGALEAL HEMATOMA WITH ORBITAL EXTENSION ASSOCIATED WITH CLOPIDOGREL USAGE IN AN ELDERLY PATIENT: CASE REPORTJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 1 2007Sanjay H. Chotirmall MBBCh No abstract is available for this article. [source] GIANT LEFT ATRIUM MIMICKING A RIGHT THORACIC MASS: CASE REPORTJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 1 2006Ergun Seyfeli MD No abstract is available for this article. [source] A CASE REPORT OF PARANOID DELUSION WITH GALANTAMINE USEJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 11 2005Abid Iraqi MD No abstract is available for this article. [source] ABDOMINAL AND FLANK PAIN AS AN UNUSUAL PRESENTATION OF PULMONARY EMBOLISM: A CASE REPORTJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 7 2005Benedetta Boari MD No abstract is available for this article. [source] A SUDDEN AND TEMPORARY EPISODE OF ALTERED MENTAL STATUS: A CASE REPORTJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 2 2005Benedetta Boari MD No abstract is available for this article. [source] CASE REPORT: Efficacy of Hoodia for weight loss: is there evidence to support the efficacy claims?JOURNAL OF CLINICAL PHARMACY & THERAPEUTICS, Issue 5 2010A. M. Whelan PharmD Summary Increasing rates of adult obesity and its negative health consequences are likely to become an increasing burden to the Canadian health care system. Consumers are looking for treatment options and often try the natural health products that are heavily promoted as safe, fast and effective. In this case report, MH, a 57-year-old overweight female wanted advice regarding whether she should use the natural product Hoodia to help her attain her weight loss goals. A literature search was conducted using Medline, EMBASE, the Cochrane Library, Natural Medicines Comprehensive Database and IPA from inception to March 2009. The internet, files of the authors and bibliographies of articles were searched for additional references. No published, peer-reviewed randomized controlled trials examining efficacy of Hoodia were found. Unpublished data from two small trials reported promising results with no adverse events. However, this leaves many unanswered questions regarding the use of Hoodia for weight loss such as the appropriate dose and duration, short and long term safety and use in patients with concomitant diseases. Literature suggests that some commercial products may not actually contain Hoodia at all. Additionally, Hoodia is not yet listed in the Canadian Licensed Natural Health Products Database meaning products sold in Canada may not meet Canadian regulatory standards. Upon discussing this information, MH decided not to use Hoodia, and other evidence-based recommendations were discussed. [source] CASE REPORT: Hyperlipoproteinaemia(a): which is the optimal therapy?JOURNAL OF CLINICAL PHARMACY & THERAPEUTICS, Issue 5 2010A case report Summary This case report presents the clinical history of a patient with elevated lipoprotein(a) and small size isoform, associated with mixed hyperlipaemia, which was probably familial combined hyperlipaemia. After premature myocardial infarction, the subject was treated with fibrates. Niacin was started after recurrence. One year ago, after another episode of acute coronary syndrome, rosuvastatin was added to niacin. The atherogenicity of this lipid disorder, along with the different options for therapy is discussed. [source] CASE REPORT: CLONIDINE WITHDRAWAL AFTER ATYPICALLY HIGH-DOSE MAINTENANCE TREATMENTJOURNAL OF PAEDIATRICS AND CHILD HEALTH, Issue 11 2005Dr CA McDonald No abstract is available for this article. [source] CASE REPORT: Psychotic symptoms complicate the clinical differentiation of Parkinson's disease with major depressive disorder from dementia with Lewy bodiesPSYCHOGERIATRICS, Issue 2 2010Mitsuhiro MIYASHITA Abstract Dementia with Lewy bodies (DLB) is diagnosed clinically according to the diagnostic criteria in the Third Report of the DLB Consortium. However, psychotic symptoms, such as visual hallucinations, delusions, and stupor, may complicate the clinical diagnosis of DLB. The present study reports on a patient with Parkinson's disease that was difficult to distinguish from DLB because of the presence of various psychotic symptoms. In making a diagnosis of DLB, it is important to assess essential psychiatric features and to observe patients for any changes in these features. [source] CASE REPORT: The unrecognised difficult extubation: a call for vigilanceANAESTHESIA, Issue 9 2010J. Antoine Summary Tracheal extubation remains a critical and often overlooked period of difficult airway management. A 66-year-old man, scheduled for C5,C7 anterior fusion, with an easy view of the vocal cords, presented with a sublaryngeal obstruction that required a reduced tracheal tube size. Despite correct tube placement, intra-operative ventilation remained difficult. At the end of surgery a pulsatile tracheal compression was fibreopticially observed above the carina. After discussion with the attending otolaryngologist, neuromuscular blockade was antagonised and the patient was able to maintain normal minute volumes while spontaneously ventilating. With the otolaryngologist present, and with the patient conscious, the trachea was successfully extubated over an airway exchange catheter. A subsequent CT scan revealed an impingement of the trachea by the innominate artery and a mildly ectatic ascending and descending aorta that, in conjunction with tracheomalacia and neuromuscular blockade, could explain the observed signs and symptoms. [source] CASE REPORT: Dexmedetomidine for awake fibreoptic intubation and awake self-positioning in a patient with a critically located cervical lesion for surgical removal of infra-tentorial tumourANAESTHESIA, Issue 9 2010K. Sriganesh Summary Cervical lesions compressing the spinal cord pose a significant risk of exacerbating the existing neurological condition during tracheal intubation and subsequent positioning. Awake fibreoptic-assisted intubation is a suitable option in such situations. We describe how the use of dexmedetomidine for sedation during awake fibreoptic intubation also facilitated self-positioning before surgery in a patient with a cervical cord compressive lesion and raised intracranial pressure undergoing excision of a cerebellopontine angle lesion in the lateral position, without any adverse neurological outcome. [source] CASE REPORT: Maternal death after intrapartum saline amnioinfusion,report of two casesBJOG : AN INTERNATIONAL JOURNAL OF OBSTETRICS & GYNAECOLOGY, Issue 9 2005Gowri Dorairajan No abstract is available for this article. [source] CASE REPORT: Ischaemic gangrene of the scalp in the neonate: a complication of obstructed labourBJOG : AN INTERNATIONAL JOURNAL OF OBSTETRICS & GYNAECOLOGY, Issue 9 2005Sanjay Kulshrestha No abstract is available for this article. [source] CASE REPORT: Clinical application of mfERG/VEP in assessing superior altitudinal hemifield lossCLINICAL AND EXPERIMENTAL OPTOMETRY, Issue 4 2005Dr Henry Ho-lung Chan PhD FAAO Multifocal ERG (mfERG) and multifocal VEP (mfVEP) have been used widely in the investigation of pathological changes or functional variations in the visual system. Altitudinal hemifield loss is a visual field defect that is usually found in patients with ischaemic optic neuropathy (ION). Anterior ischaemic optic neuropathy (AION) is a complex multi-factorial disease and it is difficult to diagnose according to clinical symptoms and signs alone. AION is believed to be caused by an infarction of the optic nerve due to the occlusion of the posterior ciliary arteries. The current report presents a patient diagnosed with non-arteritic AION. In this report, the mfERG findings did not match the results of the visual field test but those of the mfVEP did. After consideration of the visual electrophysiological and visual field results, the defect arises from neither the retina nor the visual pathway behind the optic chiasma. Hence, the optic nerve is the most likely location of the lesion, causing the superior altitudinal hemi-field loss. This report shows that the mfERG and mfVEP techniques can be used for objective visual field assessment to supplement the conventional visual field testing. [source] CASE REPORTS: Trepopnea Associated with Paroxysmal Severe Tricuspid Regurgitation Triggered at Left Lateral Decubitus PositionECHOCARDIOGRAPHY, Issue 8 2010David Wolf M.D. A 78-year-old male patient was referred cardiovascular risk evaluation before elective resection of a bronchial carcinoma. A myocardial infarction with a subsequent coronary artery bypass revascularization and a mitral prosthetic valve surgery were known. Left lateral decubitus (LLD) was permanently avoided because of significant trepopnea since several years. No signs of heart failure were found in the physical examination. A mitral valve prosthesis presented normal characteristics at examination. Left ventricular dimensions and function were normal. A severe tricuspid regurgitation could be documented during examination in the LLD, with changing characteristics in dorsal decubitus, when it could be graded as moderate. Trepopnea associated with severe paroxysmal tricuspid regurgitation was never described before in the literature. Sympathetic/parasympathetic modulation of papillary muscles of the tricuspid valve can be proposed as a probable cause of this dynamic valvular dysfunction. (Echocardiography 2010;27:E77-E79) [source] CALL FOR ABSTRACTS & CASE REPORTSJOURNAL OF VETERINARY EMERGENCY AND CRITICAL CARE, Issue 1 2009Article first published online: 27 FEB 200 No abstract is available for this article. [source] CASE REPORTS: Abnormal Sexual Behavior During SleepTHE JOURNAL OF SEXUAL MEDICINE, Issue 12 2009Giacomo Della Marca MD ABSTRACT Introduction., Automatic, uncontrolled, and unaware sexual behaviors during sleep have occasionally been described. The clinical and polysomnographic features of nocturnal sexual behavior allow it to be considered a distinct parasomnia named "sexsomnia". Recently, abnormal sexual behaviors during sleep have been evaluated in the forensic medical context because violent behaviors can be associated with this parasomnia. Aim., To describe the clinical and polysomnographic findings in three patients who referred to our sleep laboratory for sleep disorders and who reported episodes of sleep-related sexual activation. Main Outcome Measures., We analyzed video-polysomnographic recordings, sleep structure, sleep microstructure, and sleep-related respiratory events. Methods., The patients were three males aged 42, 32, and 46 years. All had unremarkable medical, neurological, and psychiatric histories. All underwent full-night polysomnography. Results., Each patient presented a distinct sleep disorder: one had severe obstructive sleep apnea syndrome (OSAS), one presented clinical and polysomnographic features of non-rapid eye movement (NREM) sleep parasomnia (somnambulism), and the third presented clinical and polysomnographic features of rapid eye movement behavior disorder. Conclusions., In our patients, the clinical and polysomnographic findings suggest that abnormal nocturnal sexual behavior can occur in association with distinct sleep disorders, characterized by different pathophysiologic mechanisms and distinctive treatments. Abnormal sexual behaviors during sleep should be investigated with polysomnography in order to define their pathophysiology and to establish appropriate treatments. Della Marca G, Dittoni S, Frusciante R, Colicchio S, Losurdo A, Testani E, Buccarella C, Modoni A, Mazza S, Mennuni GF, Mariotti P, and Vollono C. Abnormal sexual behavior during sleep. J Sex Med 2009;6:3490,3495. [source] CASE REPORTS: Penile Constriction Devices: Case Report, Review of the Literature, and Recommendations for ExtricationTHE JOURNAL OF SEXUAL MEDICINE, Issue 7 2008Jonathan Silberstein ABSTRACT Introduction., Penile constriction devices often present significant challenges to urologic surgeons. Failure to remove such devices can lead to significant ischemia and loss of tissue. Patients often present after several days of ischemia and swelling have developed. Aim., This article reviews previously published data on penile constriction devices and strategies for their removal. Additionally, we present new methodologies for extrication. Methods., A comprehensive review of the English language literature was performed using MEDLINE. "Penile incarceration" and "penile strangulation" were used as search terms, and a manual bibliographic review of cross-referenced items was performed. Publications prior to 1970 were excluded from our search. Main Outcome Measures., Review of published literature on penile constriction devices and their removal. Results., Penile incarceration is frequently described in the literature as an isolated case report or small series describing the approach of a single physician or group of physicians for dealing with these problems. Penile incarceration has been reported in a wide spectrum of age groups, with the incarcerating object most frequently placed for erotic or autoerotic purposes. While the most commonly reported devices causing incarceration are metal rings, higher-grade penile injuries are more frequently sustained by nonmetallic objects. Patients who present with incarceration after 72 hours are more likely to sustain higher-grade injuries than those who seek more timely treatment. Strategies for extrication depend on the type of device used, the length of time of incarceration, the patient's ability to remain calm, and the tools available to the presenting physicians. Conclusion., Penile incarceration is a urologic emergency with potentially severe clinical consequences. With rapid intervention and removal of the foreign body, most patients do extremely well and need no further intervention. Removal of such devices can be challenging and often requires resourcefulness and a multidisciplinary approach. Silberstein J, Grabowski J, Lakin C, and Goldstein I. Penile constriction devices: Case report, review of the literature, and recommendations for extrication. J Sex Med 2008;5:1747,1757. [source] CASE REPORTS: Male Anorgasmia Treated with OxytocinTHE JOURNAL OF SEXUAL MEDICINE, Issue 4 2008FAPA, Waguih William IsHak MD ABSTRACT Introduction., This is a case report on male anorgasmia that was successfully treated with oxytocin. Oxytocin is increased during arousal and peaks during orgasm. More recently, a study on humans published in Nature has shown its value in social bonding, increasing trust, and enhancing the sense of well-being. Aim., To test the effectiveness of administering oxytocin in a case of treatment-resistant anorgasmia. Methods., The patient underwent a biopsychosocial evaluation by a psychiatrist trained in sexual medicine and sex therapy for male orgasmic disorder, acquired type. Medical conditions, effect of substances, and psychological issues were ruled out. The patient was properly consented to using oxytocin as an off-label trial. Oxytocin was administered using a nasal spray intracoitally because of its ultra-short half-life. Results., Oxytocin was effective in restoring ejaculation. Conclusions., A case of treatment-resistant male anorgasmia was successfully treated with intracoital administration of intranasal oxytocin. Ishak WW, Berman DS, and Peters A. Male anorgasmia treated with oxytocin. J Sex Med 2008;5:1022,1024. [source] CASE REPORTS: Xanthogranulomatous Inflammation of Corpus CavernosumTHE JOURNAL OF SEXUAL MEDICINE, Issue 6 2007Young Seo III MD ABSTRACT Introduction., Xanthogranulomatous inflammation is a rare, chronic destructive inflammatory lesion. The pathological finding is typically lymphocyte and plasma cell infiltration, surrounded by accumulating lipid-laden macrophages. Methods., A 65-year-old healthy man presented with a 3-week history of a painless palpable mass in the penis. Results., The patient underwent an excision of the mass with a tunica albuginea, and a graft from the tunica vaginaglis. Histopathological findings showed the diffuse xanthogranulomatous inflammation. Conclusions., Xanthogranulomatous inflammation of corpus cavernosum in old men is a rare condition. The inflammatory mass should be treated by complete excision and graft. Seo IY, Jo HJ, and Rim JS. Xanthogranulomatous inflammation of corpus cavernosum. J Sex Med 2007;4:1763,1765. [source] Clinicopathological Conference: Case Report,A Case of Anorexia and Weak ArmACADEMIC EMERGENCY MEDICINE, Issue 1 2007Jennifer L. Wiler MD Abstract The authors present the case of a 49-year-old female who presented to the emergency department with a chief complaint of "not eating well." She was found to have a heart murmur, a focal neurological deficit, and large mitral valve vegetation. The patient was later diagnosed with acute Pseudomonal endocarditis with septic emboli to the brain, liver, spleen, and kidneys. A discussion of the patient presentation, diagnostic evaluation, and outcome are reviewed. [source] Management of a Fetal Intrapericardial Teratoma: A Case Report and Review of the LiteratureCONGENITAL HEART DISEASE, Issue 1 2010Angela M. Fagiana MD ABSTRACT Intrapericardial teratomas are rare but potentially fatal. With prenatal ultrasound, early diagnosis and decision for treatment can be accomplished. However, the decision becomes to treat prenatally vs. waiting until the neonatal period for definitive surgical management. The most common sequelae of intrapericardial teratomas are pericardial effusion and often progression to hydrops. It is these sequelae that tend to guide management. Presented here is a case report of the diagnosis and management of a twin fetus with an intrapericardial teratoma, as well as a review of the literature. [source] Single Coronary Artery with Right Ventricular Fistula: Case Report and Literature ReviewCONGENITAL HEART DISEASE, Issue 1 2010Yoichiro Ishii MD ABSTRACT We report a rare case of a 6-year-old boy who was diagnosed with coronary artery fistulae communicating with the right ventricle and a left single coronary artery. Preoperative angiography showed a dilated and tortuous single coronary artery draining into the right ventricle. Two coronary artery fistulae draining into the right ventricle were detected at operation and both of these were ligated. Postoperative angiography showed that the single coronary artery diameter was almost normalized, although the vessel was still slightly tortuous. His clinical course was uneventful. In this report, we summarize cases of coronary artery fistula with single coronary artery that have been reported in the literature as well as our case. [source] A Case Report of Rapid Progressive Coarctation and Severe Middle Aortic Syndrome in an Infant with Williams SyndromeCONGENITAL HEART DISEASE, Issue 5 2009E. Kevin Hall MD ABSTRACT Williams syndrome is a genetic disorder caused by multiple contiguous gene deletions in chromosome 7. Presentation in early life is most often a result of luminal stenosis of right- and left-sided arterial vasculature. We report the case of a newborn infant who had a rapidly progressing diffuse form of arteriopathy that required two surgeries and one percutaneous balloon dilation within the first 2 months of her life. [source] Extrafacial Microcystic Adnexal Carcinoma: Case Report and Review of the LiteratureDERMATOLOGIC SURGERY, Issue 11 2009TIMOTHY HANSEN MD First page of article [source] Cutaneous Pancreatic Metastasis: A Case Report and Review of LiteratureDERMATOLOGIC SURGERY, Issue 11 2008HISHAM ZAYAN ABDEL-HAFEZ MD First page of article [source] Subungual Metastasis from a Rectal Primary: Case Report and Review of the LiteratureDERMATOLOGIC SURGERY, Issue 4 2006BARRY GALLAGHER MD BACKGROUND Subungual metastases from colorectal cancer are unusual and have mainly been reported in patients with lung, genitourinary, and breast cancer. OBJECTIVE We present the case of a 72-year-old man with rectal adenocarcinoma and a subungual metastasis to the left thumb 5 years later. METHODS A case report and a brief review of the literature of subungual metastases are given. RESULTS The thumb was amputated and the patient died 6 months later with extensive metastatic disease. CONCLUSION Metastatic carcinoma should be considered in the differential diagnosis of persistent subungual masses, particularly in patients with a history of cancer. The prognosis with such lesions is generally poor. [source] | ||||||||||||||||||||||||||||||||||||||||||||||