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Clinical Case Reports

Saverio Capodiferro, Luisa Limongelli, Angela Tempesta, Eugenio Maiorano, Gianfranco Favia
The diode laser promotes regression of the small venous lake of the lip by forced dehydration with induced photocoagulation of the lesions, with an uneventful postoperative course and anesthetic sequelae.
September 2018: Clinical Case Reports
Yoshito Kadoya, Kenji Yanishi, Satoaki Matoba
Peripheral artery disease has increased worldwide in recent years. Revascularization of severely calcified vessels is a technically challenging problem. Clinicians should recognize that excessive arterial calcification can occur even in nonelderly patients with less arteriosclerosis risk, leading to severe lower limb ischemia.
September 2018: Clinical Case Reports
Soulemane Pessinaba, Lantam Sonhaye, Komlavi Yayehd, Latif Amadou, Mohamed Kpelafia, Nsangou Nafissatou, Findibe Damorou
Pulmonary arterial aneurysm is a rare entity with a high mortality if left untreated. Pulmonary arterial hypertension is an important cause of PAAs although other infective and auto-immune causes must be excluded when an aneurysm is identified.
September 2018: Clinical Case Reports
Abhilash Koratala, Deepti Bhattacharya, Gajapathiraju Chamarthi
Hemodialysis catheters are associated with upper extremity deep vein thrombosis, and chronic venous occlusion leads to the formation of collateral pathways. Knowledge of these pathways aids in accurate interpretation of upper extremity venograms. Arteriovenous fistula is the preferred access for chronic hemodialysis, and long-term use of catheters should be avoided.
September 2018: Clinical Case Reports
Yoshimasa Oda, Masaki Tago, Naoko E Katsuki, Shu-Ichi Yamashita
When a patient complains of nausea, gastrointestinal endoscopy tends to be the first-choice diagnostic method. However, physicians must rule out the possibility of aneurysm rupture by careful physical assessment before performing gastrointestinal endoscopy, which can be extremely dangerous.
September 2018: Clinical Case Reports
Yuko Nishinaga, Shinichi Miyazaki, Ryo Yamashita, Takuya Ikeda
Foreign body aspiration is a potentially life-threatening event. The nature of the inhaled objects is highly variable, ranging from organic to inorganic material. Although most pills are radiolucent, lanthanum carbonate is radiopaque and may be identified on chest X-rays.
September 2018: Clinical Case Reports
Gregory Tsoucalas, Aliki Fiska
Stromal ossification has been reported in relation with gastrointestinal (GI) cancers. Heterotopic ossification of benign gastric polyps with bone formation is rarely documented and sometimes associated with calcification. Thus, the presence of foci of metaplastic bone (FMB) does not always imply GI cancer.
September 2018: Clinical Case Reports
Abhilash Koratala, Alejandra Mena Gutierrez, Gajapathiraju Chamarthi, Xu Zeng, Kawther F Alquadan
High index of suspicion is required for ischemic nephropathy in renal transplant recipients presenting with unexplained acute kidney injury, as it is potentially reversible. Carbon dioxide (CO2) angiogram is a good alternative to evaluate vasculature in patients with renal dysfunction where iodinated contrast is relatively contraindicated.
September 2018: Clinical Case Reports
Guido Carillio, Stefano Molica
Malignant melanoma is a very aggressive tumor. Immune and targeted therapy could prolong patient's clinical benefit and survival, but the correct sequence of therapies has still to be defined.
September 2018: Clinical Case Reports
Yuichiro Otani, Keishi Kanno, Ezekiel Wong Toh Yoon, Susumu Tazuma
Salicylate-induced acute respiratory syndrome (ARDS) is a well-known entity occurring in 35% of salicylate-intoxicated patient. Careful history taking, physical examination, arterial blood gas analysis, and measurement of serum salicylate concentration will lead to early recognition to initiate appropriate treatment.
September 2018: Clinical Case Reports
Vincent Zimmer, Frank Lammert
Gastrointestinal stromal tumors (GIST) tumors are a rare, though typical cause for upper GI bleeding. Excavated ulcerated lesions are common; however, a clear-cut visualization of the tumor surface (" GISToscopy ") itself has not yet been reported. In line, careful biopsy taking streamlines the diagnostic work-up by providing pathologic diagnosis.
September 2018: Clinical Case Reports
Gajapathiraju Chamarthi, Abhilash Koratala
End-stage renal disease (ESRD) patients are predisposed to bleeding diathesis in the setting of uremic platelet dysfunction and endothelial abnormalities. One should have high index of suspicion for spontaneous renal hemorrhage when these patients present with abdominal pain and/or unexplained drop in hemoglobin and appropriate imaging should be undertaken without delay.
September 2018: Clinical Case Reports
Junji Kohisa, Atsunori Tsuchiya, Masatoshi Ikemi, Shuji Terai
Autoimmune pancreatitis (AIP) with multiple pancreatic cysts is rare. The severe narrowing of the branched pancreatic ducts found in active AIP with a chronic pancreatitis background may have caused pancreatic juice outflow obstruction, resulting in multiple cysts. Oral steroid therapy resolved the stenosis, resulting in disappearance of the cysts.
September 2018: Clinical Case Reports
Youness Jabbour, Souhail Regragui
Congenital renal anomalies can stay asymptomatic even until adult age and be revealed by occurrence of complications. Clinicians should keep in mind this eventuality, especially in the countries where screening for congenital abnormalities is not adopted. Ultrasound in front of abdominal pain is useful and can sometimes rectify the diagnosis.
September 2018: Clinical Case Reports
Curtis Lachowiez, Kevin White, Stephen Spurgeon
Dermatologic reactions are commonly encountered in clinical practice. Providers must be aware of both the common and uncommon etiologies leading to these eruptions, particularly in patients with underlying malignancies. Establishing the appropriate etiology directs treatment of these conditions, which may be therapy directed at the malignancy itself.
September 2018: Clinical Case Reports
George Bazoukis, Victor Panagiotakopoulos, Michalis Tsamatsoulis, Athanasios Saplaouras, Eleni Konstantinidou, Konstantinos Tyrovolas, Angelos-Michail Kolokathis, Antigoni Sakellaropoulou, Panagiotis Kitsoulis, Ioannis Lakoumentas, Christos Charitos, Antonios Sideris
Lead perforation is a life-threatening rare complication of pacemaker or defibrillator lead implantation. Clinical examination, electrocardiogram, device interrogation, echocardiography, chest x-ray, and chest computed tomography scan can help in the diagnosis. Clinicians should be aware because early diagnosis and treatment are the cornerstones for achieving a better outcome.
September 2018: Clinical Case Reports
Juan Lacalzada-Almeida, Javier García-Niebla, María M Izquierdo-Gómez, Belén Marí-López, Ignacio Laynez-Cerdeña, Francisco Bosa-Ojeda
Coronary arteriovenous fistulas are congenital or acquired abnormalities characterized by abnormal communication between the coronary circulation and cardiac chambers or other vessels. Frequently, patients are asymptomatic and their diagnosis can be carried out incidentally by echocardiography. Knowing the echocardiographic findings characteristic of this malformation will prevent the diagnosis from going unnoticed.
September 2018: Clinical Case Reports
Wei Jia, Annakan Navaratnam, Ravi Kumar Lingam
It is important to examine the pharynx through nasoendoscopic examination in patients that present with dysphagia, to look for pharyngeal masses. Magnetic resonance imaging can accurately diagnose lipoma in the pharynx region.
September 2018: Clinical Case Reports
Marianna Papageorge, Abhijeet Waghray, Lilian Chen, James Yoo
Small bowel intussusception is a relatively uncommon cause of abdominal pain. The diagnosis is often delayed due to vague symptoms and limitations with current endoscopic and radiographic approaches to evaluate the small bowel lumen. Treatment often requires surgical resection, which can usually be performed in a minimally invasive fashion.
September 2018: Clinical Case Reports
Hideaki Tanaka, Kouji Masumoto, Tomohiro Aoyama, Youhei Sanmoto, Kentaro Ono, Naoya Sakamoto, Hajime Kawakami
Thoroughly planned labor with immediate postnatal resuscitation and percutaneous decompression is mandatory for a large mediastinal lymphangioma that compromises the cardiopulmonary function, and close observation with the administration of Eppikajutsuto (TJ-28), a Japanese herbal medicine, may be a reasonable treatment, especially when resection of the lesion seems technically challenging.
September 2018: Clinical Case Reports
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