Articles

Leiomyosarcoma of the skin with osteoclast-like giant cells: a case report

Osteoclast-like giant cells have been noted in various malignant tumors, such as, carcinomas of pancreas and liver and leiomyosarcomas of non-cutaneous locations, such as, uterus and rectum. We were unable to ...

Authors: Deba P Sarma, Eric E Santos and Bo Wang

Linear scleroderma as a rare cause of enophthalmos: a case report

Enophthalmos is an important physical sign which can be easily missed.

Authors: Bertie S Fernando, Paul S Cannon, Krishna Tumuluri and Anne E Cook

Traumatic avulsion of kidney and spleen into the chest through a ruptured diaphragm in a young worker: a case report

Rupture of the diaphragm is almost always due to major trauma. Diaphragmatic injuries are rare (5–7%), usually secondary to blunt, or more rarely to penetrating, thoracic or abdominal trauma. No single investi...

Authors: Konstantinos Stamatiou, Georgios Ilias, Christos Chlopsios, Vasilissa Karanasiou, Nikolaos Kavouras, Fred Lebrun, John Heretis and Frank Sofras

Multiple microvessels extending from the coronary arteries to the left ventricle in a middle aged female presenting with ischaemic chest pain: a case report

Possible ischaemic chest pain presentations are exceedingly common. Angiographic triage of clinical, electrocardiographic or biomarker positive presentations is increasingly feasible with the expansion of card...

Authors: Robert J MacFadyen, Chetan Varma and Robert H Anderson

Complicated Crohn's-like colitis, associated with Hermansky-Pudlak syndrome, treated with Infliximab: a case report and brief review of the literature

Hermansky-Pudlak syndrome (HPS) is a rare autosomal recessive inherited disorder consisting of a triad of albinism, increased bleeding tendency secondary to platelet dysfunction, and systemic complications ass...

Authors: George Kouklakis, Eleni I Efremidou, Michael S Papageorgiou, Evdoxia Pavlidou, Konstantinos J Manolas and Nikolaos Liratzopoulos

Pancytopenia due to iron deficiency worsened by iron infusion: a case report

Iron deficiency anemia is commonly associated with thrombocytosis, although thrombocytopenia has been reported in occasional patients with iron-deficiency anemia. Much less common is the development of thrombo...

Authors: Apar Kishor Ganti, Nicole A Shonka and William D Haire

Neck fracture of a cementless forged titanium alloy femoral stem following total hip arthroplasty: a case report and review of the literature

Fractures of the neck of the femoral component have been reported in uncemented total hip replacements, however, to our knowledge, no fractures of the neck of a cementless forged titanium alloy femoral stem co...

Authors: Theodoros B Grivas, Olga D Savvidou, Spyridon A Psarakis, Pierre-Francois Bernard, George Triantafyllopoulos, Ioannis Kovanis and Panagiotis Alexandropoulos

A simple way to distinguish bed clothing contamination in a whole body bone scan: a case report

Whole body bone scan with Technetium-99m MDP (methylene diphosphate) can detect bony lesions due to altered osteoblastic activity.

Authors: Majid Assadi, Abdolali Ebrahimi, Mohammad Eftekhari, Armaghan Fard-Esfahani, Mojgan Nazar Ahari, Iraj Nabipour, Farshid Gheisari, Shabnam Shahbaz, Reza Baghaei and Sakineh Assadi

Topical latanoprost causes posterior movement of lens in a patient with exfoliation syndrome and subluxated lens: a case report

To report the effect of topical latanoprost on the position of a subluxated lens.

Authors: Takashi Kanamoto, Michiya Takamatsu and Yoshiaki Kiuchi

Bullet-induced synovitis as a cause of secondary osteoarthritis of the hip joint: A case report and review of literature

With increasing prevalence of gunshot injuries we are seeing more patients with retained bullet fragments lodged in their bodies. Embedded lead bullets are usually considered inert after their kinetic energy h...

Authors: Muhammad A Rehman, Masood Umer, Yasir J Sepah and Muhammad A Wajid

Giant cutaneous horn in an African woman: a case report

A cutaneous horn is a conical projection of hyperkeratotic epidermis. Though grossly resembling an animal horn, it lacks a bony core. These lesions have been well described in Caucasian patients, as well as in...

Authors: Peter M Nthumba

Recurrence of hepatitis C virus during leucocytopenia and spontaneous clearance after recovery from cytopenia: a case report

There is little information about the risk of HCV recurrence in immunosuppressed patients. Although the presence of antibodies to HCV and the absence of HCV-RNA is usually considered to indicate viral eliminat...

Authors: Norbert H Gruener, Bijan Raziorrouh and Maria-Christina Jung

Technical challenges to surgical clipping of aneurysmal regrowth with coil herniation following endovascular treatment – a case report

In recent years, technical developments have made endovascular procedures attractive therapeutic options and enabled the endovascular surgeon to redefine the management of cerebral aneurysms. However, as the n...

Authors: Promod Pillai, Aftab Karim and Anil Nanda

Seizures as the first manifestation of chromosome 22q11.2 deletion syndrome in a 40-year old man: a case report

The microdeletion of chromosome 22q11.2 is the most common human deletion syndrome. It typically presents early in life and is rarely considered in adult patients. As part of the manifestations of this conditi...

Authors: Adriano R Tonelli, Kalyan Kosuri, Sainan Wei and Davoren Chick

Recurrence of suicidal ideation due to treatment with antidepressants in anxiety disorder: a case report

This report describes a patient suffering from panic disorder who developed repeated suicidal ideation specifically due to the treatment with Venlafaxine. A first suicide attempt years ago occurred while being...

Authors: Doron Todder and Bernhard T Baune

Therapy-refractory Panton Valentine Leukocidin-positive community-acquired methicillin-sensitive Staphylococcus aureus sepsis with progressive metastatic soft tissue infection: a case report

We report a case of fulminant multiple organ failure including the Acute Respiratory Distress Syndrome (ARDS), haemodynamic, and renal failure due to community-acquired methicillin-sensitive Panton Valentine Leuk...

Authors: Joerg C Schefold, Fabrizio Esposito, Christian Storm, Dagmar Heuck, Anne Krüger, Achim Jörres, Wolfgang Witte and Dietrich Hasper

Hypercalcemia after transplant nephrectomy in a hemodialysis patient: a case report

Hypercalcemia is a complication often seen in chronic hemodialysis patients. A rare cause of this condition is sarcoidosis. Its highly variable clinical presentation is challenging. Especially in patients suff...

Authors: Ivo Quack, Magdalena Woznowski, Gisela Schieren, Stefan M Weiner, Guido Winnekendonk, Faruk Tokmak, Lars C Rump and Dirk Rattensperger

Postoperative phlegmasia caerulea dolens: a case report and consideration of potential iatrogenic factors

While the haemorrhagic consequences of anti-coagulants are well and frequently described in the surgical literature, the paradoxical prothrombotic tendencies of these drugs tend to be under-recognised due, per...

Authors: Ronan A Cahill and HP Redmond

Localised pericardial tamponade diagnosed by computed tomography: a case presentation

Authors: Hunaid A Vohra, Hazem Khout, Deepashree Bapu and Qamar Abid

Primary mediastinal liposarcoma: a case report

Liposarcoma is the most commonly diagnosed soft tissue sarcoma in adults and occurs predominantly in the lower limbs and retroperitoneum. Primary mediastinal liposarcomas are rare.

Authors: Nikolaos Barbetakis, Georgios Samanidis, Elpida Samanidou, Efthimios Kirodimos, Anastasia Kiziridou, Theodoros Bischiniotis and Christodoulos Tsilikas

Esophageal cancer in a young woman with bulimia nervosa: a case report

Adenocarcinoma of the esophagus has increased dramatically within the United States and continues to have a poor prognosis despite aggressive treatment. Identifying potential risk factors is critical for the e...

Authors: Eric T Shinohara, Samuel Swisher-McClure, Michael Husson, Weijing Sun and James M Metz

Large bowel obstruction due to sesame seed bezoar: a case report

We report a case of a 79 year old man with a known benign anastomotic stricture presenting with large bowel obstruction. At laparotomy the obstruction was found to be caused by a large sesame seed bezoar. Seed...

Authors: Aidan G Shaw, Oliver Peacock, Jonathan N Lund, Gillian M Tierney, Mike Larvin and William Speake

Ocular pathology of uncommon hematologic malignancies: a case series

In general, ocular complications of hematologic malignancies such as leukemia are well documented. However, reports of ocular involvement in such diseases as lymphomatoid granulomatosis and chronic myelomonocy...

Authors: James E Head, Defen Shen, Maribel Santiago-Maysonet, Rachel J Bishop and Chi-Chao Chan

Jejunal perforation in gallstone ileus – a case series

Gallstone ileus is an uncommon complication of cholelithiasis but an established cause of mechanical bowel obstruction in the elderly. Perforation of the small intestine proximal to the obstructing gallstone i...

Authors: Louise E Browning, Jeremy D Taylor, Sue K Clark and Nariman D Karanjia

Acute isolated acetabular fracture following a game of squash: a case report

Although hip injuries do not account a large amount of the Sports Physician's workload they can result in significant morbidity. We present a case where an acetabular fracture was sustained in a relatively you...

Authors: Neil D Patel and Ravi K Trehan

Vitamin C-induced hyperoxaluria causing reversible tubulointerstitial nephritis and chronic renal failure: a case report

Vitamin C is a precursor of oxalate and promoter of its absorption, potentially causing hyperoxaluria. Malabsorption causes Calcium (Ca) chelation with fatty acids, producing enteric hyperoxaluria.

Authors: Shradha Rathi, William Kern and Kai Lau

Acute hepatitis associated with Q fever in a man in Greece: a case report

Coxiella burnetii is the causative agent of Q fever. Q fever is a worldwide zoonosis that is responsible for various clinical manifestations. However, in Greece hepatitis due to Coxiella is rarely encountered....

Authors: Magdalini Pape, Andreas Xanthis, Apostolos Hatzitolios, Kalliopi Mandraveli, Christos Savopoulos and Stella Alexiou-Daniel

Successful removal of a telephone cable, a foreign body through the urethra into the bladder: a case report

The variety of foreign bodies inserted into or externally attached to the genitourinary tract defies imagination and includes all types of objects. The frequency of such cases renders these an important additi...

Authors: Ravi K Trehan, Athar Haroon, Shaukat Memon and Derek Turner

Anterior chest wall tuberculous abscess: a case report

The granulomatous inflammation of tuberculosis usually involves the lungs and the hilar lymph nodes. Musculoskeletal tuberculosis (TB) occurs in 1–3% of patients with TB, while TB of the chest wall constitutes...

Authors: Theodossis S Papavramidis, Vassilis N Papadopoulos, Antonis Michalopoulos, Daniel Paramythiotis, Stamatia Potsi, Georgia Raptou, Anna Kalogera-Foutzila and Nick Harlaftis

An uncommon presentation and course of metastatic malignant melanoma: a case report

Most patients with brain metastases from malignant melanoma are diagnosed after treatment for known extracranial metastases and have a poor outcome despite various local and systemic therapeutic approaches. He...

Authors: Astrid Dalhaug, Adam Pawinski, Jan Norum and Carsten Nieder

Immunohistochemical identification of primary peritoneal serous cystadenocarcinoma mimicking advanced colorectal carcinoma: a case report

Primary peritoneal cystadenocarcinoma is a rare tumor of similar histogenic origin as primary ovarian carcinoma. We present a case of primary peritoneal serous cystadenocarcinoma mimicking advanced colorectal ...

Authors: Wesley B von Riedenauer, Sumbul A Janjua, David S Kwon, Ziying Zhang and Vic Velanovich

Chylous ascites associated with chylothorax; a rare sequela of penetrating abdominal trauma: a case report

We present the case of a patient with the rare combination of chylous ascites and chylothorax resulting from penetrating abdominal injury. This patient was successfully managed with total parenteral nutrition....

Authors: Joseph M Plummer, Michael E McFarlane and Arhcibald H McDonald

Tissue is the issue-sarcoidosis following ABVD chemotherapy for Hodgkin's lymphoma: a case report

Thirty two year old Caucasian female presented 2 months post partum with fevers, cough and shortness of breath. CT scan of the chest to rule out pulmonary embolism revealed mediastinal lymphadenopathy. Biopsy ...

Authors: Vivek Subbiah, Uyen K Ly, Amer Khiyami and Timothy O'Brien

Down syndrome with microgranular variant of acute promyelocytic leukemia in a child: a case report

Acute promyelocytic leukemia (APL) accounts for less than 10% of pediatric AML. Cases of APL in Down syndrome (DS) have been described in the literature rarely and it is rarer still to find the microgranular v...

Authors: Deepali Jain, Tejinder Singh and Prerna Arora

Traumatic quadriceps rupture in a patient with patellectomy: a case report

Acute traumatic, unilateral, quadriceps rupture after patellectomy is rare.

Authors: Chezhiyan Shanmugam and Nicola Maffulli

Multiple jejuno-jejunal fistulae of uncertain origin: a case report

A 43 year-old male patient presented with small bowel obstruction while being treated for cervical tuberculous lymphadenopathy. Laparotomy revealed multiple adhesions and multiple jejuno-jejunal fistulae. Abse...

Authors: Iraklis E Katsoulis, Shirley Y Chan and Emin A Carapeti

Brucella bacteremia in patients with acute leukemia: a case series

Brucellosis may cause serious infections in healthy individuals living in countries that are endemic for the infection. However, reports of brucella infections in immunocompromised hosts are relatively rare.

Authors: Khalid Ahmed Al-Anazi and Asma Marzouq Al-Jasser

Spontaneous corneal melting in pregnancy: a case report

To report a case of spontaneous corneal melting in pregnancy. We reviewed the literature on corneal melting and the effect of pregnancy on cornea and collagen containing tissues.

Authors: Sudesh K Arya, Archana Malik, Sonika Gupta, Hemlata Gupta and Sunandan Sood

Distinctive spinal changes in two patients with unusual forms of autosomal dominant endosteal hyperostosis: a case series

Endosteal hyperostosis was encountered in a 26-year-old-man and his 6-month-old daughter. Both the father and his daughter presented with fractures. Odontoid process hyperplasia, and progressive sclerosis of t...

Authors: Ali Al Kaissi, Franz Varga, Shahin Zandieh, Klaus Klaushofer and Franz Grill

Pelvic actinomycosis presenting with a large abscess and bowel stenosis with marked response to conservative treatment: a case report

Pelvic actinomycosis is a rare disease that can result in abscess formation, bowel obstruction, and other serious complications. Moreover, the correct diagnosis can seldom be established before radical surgery...

Authors: Hiroaki Nozawa, Yoshinao Yamada, Yasuhiko Muto, Shirane Arita and Kohzo Aisaka

Intestinal neuroendocrine tumor in a patient with pituitary adenoma. A case report and review of the current screening recommendations

Multiple endocrine neoplasia type 1 (MEN-1) patients are prone to develop carcinoid tumors. Few cases report the development of gastrointestinal carcinoid tumors in patients with MEN-1 syndrome related tumors....

Authors: Cherif Boutros, Diana Cheng-Robles and Robert Goldenkranz

Parathyroid adenoma apoplexy as a temporary solution of primary hyperparathyroidism: a case report

The natural history of patients with spontaneous parathyroid necrosis is unknown. In this case report we describe the clinical course, laboratory, radiographic, bone densitometry tests, parathyroid ultrasonogr...

Authors: Francisco A Pereira, Daniel F Brandão, Jorge Elias Jr and Francisco JA Paula

Readministration of gefitinib in a responder after treatment discontinuation due to gefinitib-related interstitial lung disease: a case report

Gefitinib is a new molecular-targeted agent for the treatment of patients with advanced non-small cell lung cancer that fail to respond to conventional chemotherapy. Gefitinib is considered to be well tolerate...

Authors: Kazuya Takamochi, Kazuya Suzuki, Abul Hasan Muhammad Bashar, Kiyoshige Yajima, Takahiro Mochizuki, Toru Itaya and Kazuhito Funai

Enterobius vermicularis in the male urinary tract: a case report

Enterobius vermicularis is an intestinal nematode of humans. Adults usually have low worm burdens and are asymptomatic. Ectopic infections in the pelvic area or urinary tract rarely occur in women. We report a...

Authors: Athanasios Zahariou, Maria Karamouti and Polyanthi Papaioannou

Role of hemoclips in the management of acute bleeding from a gastric stromal tumor: a case report and review of the literature

Though gastrointestinal stromal tumors (GISTs) frequently present with gastrointestinal bleeding, the guidelines for the management and control of bleeding are unclear especially in patients who are not approp...

Authors: Mouen A Khashab, Harvey M Cramer and Suthat Liangpunsakul

Chondroblastoma of the cuboid with an associated aneurysmal bone cyst: a case report

We report the case of a young adult who presented with a painful foot due to chondroblastoma associated with an aneurismal bone cyst.

Authors: Yasir Jamal Sepah, Masood Umer, Khurram Minhas and Kamran Hafeez

A fatal case of recurrent amiodarone-induced thyrotoxicosis after percutaneous tracheotomy: a case report

Amiodarone is a widely used antiarrythmic drug, which may produce secondary effects on the thyroid. In 14–18% of amiodarone-treated patients, there is overt thyroid dysfunction, usually in the form of amiodaro...

Authors: Vasilios Papaioannou, Irene Terzi, Christos Dragoumanis, Dimitrios Konstantonis, Vassiliki Theodorou and Ioannis Pneumatikos

Simultaneous medullary and papillary thyroid cancer: two case reports

Papillary thyroid carcinoma (PTC) and medullary thyroid carcinoma (MTC) have always been considered different from each other; in their incidence, their cell origin and their histopathological features.

Authors: Gianlorenzo Dionigi, Patrizia Castano, Valentina Bertolini, Luigi Boni, Francesca Rovera, Maria Laura Tanda, Carlo Capella, Luigi Bartalena and Renzo Dionigi

Solitary caecal diverticulitis as an unusual cause of a right iliac fossa mass: a case report

Inflammation of a solitary caecal diverticulum is an uncommon pathological condition. Preoperatively the condition is almost indistinguishable from appendicitis, and is often confused with carcinoma of the cae...

Authors: Mohamed A Kurer

Rhabdomyolysis due to the additive effect of statin therapy and hypothyroidism: a case report

We describe a patient with previously undiagnosed hypothyroidism who developed rhabdomyolysis while taking a statin. He had no other precipitating factors. The statin was stopped, intravenous fluids were start...

Authors: Ekrem Yeter, Telat Keles, Tahir Durmaz and Engin Bozkurt