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Clinical Case Reports

Ramesh Parajuli, Suman Thapa
CT scan is the most important investigation in patients with penetrating neck injury in which it can show the extent of internal injury which may be overlooked. Without CT scan being performed, one should not try to remove foreign body by just pulling blindly, as it can injure vital structures.
March 2017: Clinical Case Reports
Yohei Yamauchi, Akira Baba, Yumi Okuyama
Catheter-related bloodstream infection can be detected with CT. Although it is not mandatory for its diagnosis, it is strong evidence as a cause of fever if detected incidentally.
March 2017: Clinical Case Reports
Maddalena Zippi, Sara Ramponi, Carla Narduzzi, Antonio Maria Alberti
Herein, we present a rare complication of radio-chemotherapy. A young man presented with loss of urine from the posterior perineum that showed a massive disappearance. He underwent Hartmann procedure for rectal neoplasia, afterwards treated with intensity-modulated radiotherapy (IMRT) (until 67 Gy) and chemotherapy with FOLFOX protocol (Leucoverin calcium, Fluorouracil, Oxaliplatin).
March 2017: Clinical Case Reports
Stamatis S Papadatos, Stefanos Mylonas, Christos Zissis, Vasiliki Galani
Large multinodular goiters, obvious to the naked eye, are rarely confronted by clinicians nowadays; yet they do have a place in the differential diagnosis of the neck masses. Due to the fact that 80% of the neck masses in adults are related to malignancy, the later should be ruled out.
March 2017: Clinical Case Reports
Linda T Nguyen, Rachel Fleishman, Emilee Flynn, Rajeev Prasad, Achintya Moulick, Cesar Igor Mesia, Sue Moyer, Reena Jethva
This case report describes a patient with a 22q11.2 duplication. His features, which include VACTERL association with an esophageal atresia/tracheo-esophageal fistula and a vascular ring, expand the previously described phenotype for this duplication.
March 2017: Clinical Case Reports
Nicolas Gendron, Anne Laure Feral-Pierssens, Igor Jurcisin, Emmanuelle de Raucourt, Valerie Bouton, Anne Marie Fischer, Camille Lorenceau-Savale, Agnès Lillo-Le Louët, David M Smadja
Bleeding is a rare complication of direct oral anticoagulant potentially associated with high mortality rates. Biological monitoring is necessary for more than 24 h after idarucizumab antidote therapy in case of bleeding with dabigatran therapy.
March 2017: Clinical Case Reports
Arturo Cafolla, Giuseppe Gentile
The treatment with fondaparinux is the effective and safe anticoagulant therapy in liver transplant patient on immunosuppressive therapy with arterial thrombosis, and it seems able to reduce liver fibrosis. Although this treatment is not generalizable, further prospective large studies need to confirm this case report.
March 2017: Clinical Case Reports
Roya Dolatkhah, Mohammad Hossein Somi, Iraj Asvadi Kermani, Faris Farassati, Saeed Dastgiri
While the role of KRAS gene mutations has been widely accepted for predicting responses to anti-EGFR therapy in patients with colorectal cancer, although this study was based on observation of a single case it gives hope that some KRAS gene mutation may have favorable prognosis. More studies are required on patients with similar mutation to validate this finding.
March 2017: Clinical Case Reports
Michiya Kageyama, Shichiro Abe, Iwamatsu Koichi, Hiroaki Nishida, Satoshi Kiozumi, Takahisa Nasuno, Shuichi Yoneda, Masashi Sakuma, Teruo Inoue
If we had a case with angiographic peri-stent contrast staining(PSS)s after the first-generation sirolimus-eluting stent, we need a further observation using coronary imaging modalities to evaluate the risk of very late stent thrombosis due to PSSs and to continue or to resume the dual antiplatelet therapy if necessary.
March 2017: Clinical Case Reports
Hideki Izumi, Naoki Yazawa, Daisuke Furukawa, Yoshihito Masuoka, Misuzu Yamada, Taro Mashiko, Yohei Kawashima, Masami Ogawa, Yoshiaki Kawaguchi, Tetsuya Mine, Kenichi Hirabayashi, Toshio Nakagohri
The biological behavior of a cystic pancreatic endocrine neoplasm is less aggressive than that of pancreatic neuroendocrine neoplasms, and its prognosis is better. Limited surgery should be considered for cystic pancreatic endocrine neoplasms that are not accompanied preoperatively by lymph node or distant metastasis.
March 2017: Clinical Case Reports
Elysia Tjong, William McHugh, Yen-Yi Peng
We report a case of early-onset dementia with subclinical seizures. Aggressive seizure control improved the patient's cognition. Commonly, an EEG is only performed following overt behavioral seizures. Therefore, subclinical seizures tend to be underdiagnosed. Serial or extended EEG should be seriously considered in patients with early-onset dementia.
March 2017: Clinical Case Reports
Abdullah A Baothman, Enaam AlSobhi, Hassan A Khayat, Raed E Alsulami, Abdulaziz S Alkahtani, Abdelraheem A Al-Thobyani, Yousef I Marzouk, Mohammad A Abdelaal
Pediatric emergency visits with purpura fulminans should raise the suspicion of hereditary homozygous protein C deficiency even beyond the neonatal age. The absence of this classical finding does not role the diagnosis out as atypical presentation with isolated intraocular bleeding was observed. Premarital counseling should be offered when family history suggests.
March 2017: Clinical Case Reports
Yousef H Darrat, Morales X Gustavo, Cristen Kelly Waespe, John C Gurley, Claude S Elayi
The presence of a right ventricular (RV) lead may interfere with cavotricuspid isthmus (CTI) ablation. We present a new option of lifting the RV lead from the CTI allowing a successful ablation of a CTI-dependent flutter without compromising lead integrity and functionality.
March 2017: Clinical Case Reports
Christopher Konialis, Efstratios Assimakopoulos, Birgitta Hagnefelt, Sophia Karapanou, Alexandros Sotiriadis, Constantinos Pangalos
Fetal malformations detected through routine prenatal ultrasound examination comprise a heterogeneous group potentially associated with genetic disorders where the underlying cause is difficult to establish. We present the prenatal diagnosis of a rare X-linked myopathy involving a new VMA21 gene mutation, detected through a novel prenatal exome sequencing-based approach.
March 2017: Clinical Case Reports
Jessica E McDonald, Amy M Knollinger, Leandro B Teixeira, Richard R Dubielzig
A 4-year-old, female spayed Siberian husky with history of a uveal schwannoma presented for orbital swelling 9 months after enucleation. A second, malignant tumor developed in the same orbit. Therefore, uveal schwannomas may warrant early surgical intervention in the dog.
March 2017: Clinical Case Reports
Ahmad A Mirza, Atheer F Alsharif, Omar A Elmays, Osama A Marglani
A featured malignant-like granulation tissue can be the only preoperative clinical clue of a concealed foreign body in the nasal cavity. Thus, endoscopic Dacryocystorhinostomy (DCR) should be completed with intraoperative nasal exploration to reveal non-apparent foreign bodies that might be the underlying etiology of chronic dacryocystocele.
March 2017: Clinical Case Reports
Shingo Konno, Tomomi Imamura, Masashi Inoue, Mayumi Murata, Hideki Sugimoto, Toshiki Fujioka
An acute ileus and/or urinary retention are recognized as emergent complications requiring appropriate depressurizing treatments. Meningitis should be suspected as a cause of these autonomic disturbances.
March 2017: Clinical Case Reports
Hirokazu Nagasaki, Michihisa Narikiyo, Gota Nagayama, Seiya Nagao, Yoshifumi Tsuboi, Chisaku Kambayashi
Blood blister-like aneurysms of the supraclinoid portion of the internal carotid artery are rare, fragile, and thin-walled lesions with a higher rate of rebleeding. Our case underwent a hybrid procedure combining direct surgical and endovascular approach.
March 2017: Clinical Case Reports
Pushpa Raj Puri, Astha Sijapati
The artery of Percheron (AOP) infarction always manifests as paramedian bilateral thalamic infarcts and might present as paramedian midbrain infarcts. Despite the limited MRA evaluation, due to small size of the artery, careful evaluation of the patient's history, the clinical presentation with imaging findings can facilitate the proper diagnosis.
March 2017: Clinical Case Reports
Sheryl K Ramdass, Kah Poh Loh, Leslie M Howard
Congenital factor VII deficiency (FVIID) is a rare disorder with a wide range of bleeding manifestations. The disorder does not protect patients against occurrence of thrombosis, and deep vein thrombosis can occur in the setting of surgery and recombinant factor VIIa replacement.
March 2017: Clinical Case Reports
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