Asymptomatic cardiac tumour with premature ventricular contraction in an athlete: case report

Cardiology in the Young ◽

10.1017/s1047951121003334 ◽

2021 ◽

pp. 1-4

Author(s):

Deniz Eriş ◽

Feyza Ayşenur Paç

Keyword(s):

Case Report ◽

Primary Tumour ◽

Premature Ventricular Contraction ◽

Competitive Sports ◽

Premature Ventricular Contractions ◽

Low Cardiac Output ◽

Cardiac Tumours ◽

Cardiology Department ◽

Increased Risk ◽

Life Threatening

Abstract Cardiac fibromas are the second most common benign primary tumour of the heart in the children; the clinical features include chest pain, arrhythmia, low cardiac output due to outflow tract obstruction, and sudden cardiac death. Sports are associated with an increased risk for sudden death in athletes who are affected by cardiovascular conditions predisposing to life-threatening arrhythmias. We present a case report of 10-year-old asymptomatic boy who was referred to the paediatric cardiology department by his general practitioner for cardiac examination before participation in competitive sports. The electrocardiogram showed premature ventricular contractions originated from inferior of left ventricle. A mass was detected by 2D transthoracic echocardiography, and it was found to be compatible with fibroma on MRI. In some cases, cardiac tumours are asymptomatic as in our patient. Electrocardiogram abnormalities require detailed cardiac imaging with echocardiogram, and if necessary CT/MRI. In this article, we emphasise that detailed cardiac examination of individuals before participating in competitive sports is vital.

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Idarucizumab to revert the anticoagulant effect of dabigatran in traumatic acute subdural haematoma: a case report of first use in Latin America

European Heart Journal - Case Reports ◽

10.1093/ehjcr/ytz098 ◽

2019 ◽

Vol 3 (2) ◽

Cited By ~ 1

Author(s):

Raúl Izaguirre Ávila ◽

José Eduardo Bahena López ◽

Evelyn Cortina de la Rosa ◽

Miguel Ángel Hernández Márquez

Keyword(s):

Latin America ◽

Case Report ◽

Emergency Surgery ◽

Subdural Haematoma ◽

Vitamin K Antagonists ◽

Attractive Alternative ◽

Venous Disease ◽

First Case ◽

Increased Risk ◽

Life Threatening

Abstract Background Direct oral anticoagulants (DOAC) are an attractive alternative over vitamin K antagonists. They have several advantages in primary and secondary prevention of thromboembolisms due to atrial fibrillation, as well as in prevention and treatment of thromboembolic venous disease. They have fast onset action, do not need laboratory controls in patients with normal renal function, and they have practically no interference with the patient’s diet or medications. The strongest objection to their use was the lack of reversal agents that could be used in case of life-threatening haemorrhage or the need for emergency surgery. Dabigatran was the first DOAC to have its own specific reversal agent: idarucizumab, a monoclonal antibody. Case summary We report here the case of a patient undergoing treatment with dabigatran that suffered an expansive subdural haematoma secondary to a cranial injury. The condition was life-threatening and required emergency surgery. Anticoagulation was successfully reversed with idarucizumab. Discussion Emergency surgery in patients in treatment with DOAC is associated with an increased risk of bleeding. With the use of a specific antidote to block the action of the anticoagulant, as in the case of idarucizumab with dabigatran, the risk of complications during and after emergency surgery is reduced. This is the first case report with which the successful use of idarucizumab in Latin America is documented.

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Giant Squamous Cell Carcinoma on Chronic Lichen Planus on the Ankle - A Case Report and Short Literature Review

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2019.553 ◽

2019 ◽

Vol 7 (18) ◽

pp. 3061-3063 ◽

Cited By ~ 1

Author(s):

Uwe Wollina ◽

Claudia Krönert ◽

Jacqueline Schönlebe ◽

Aleksandra Vojvodic ◽

Torello Lotti

Keyword(s):

Squamous Cell Carcinoma ◽

Case Report ◽

Literature Review ◽

Cell Carcinoma ◽

Lichen Planus ◽

Squamous Cell ◽

Caucasian Woman ◽

Increased Risk ◽

Life Threatening ◽

Threatening Situation

BACKGROUND: Cutaneous squamous cell carcinoma (SCC) is the second most common malignancy of skin. Although a major risk factor is a chronic exposure to ultraviolet radiation, preexistent chronic inflammatory disorders may also possess an increased risk for SCC. That is not the case for cutaneous lichen planus in contrast to oral lichen planus and oral SCC. CASE REPORT: We report the case of an 87-year-old Caucasian woman presenting with a giant verrucous tumour on the left ankle. She suffered from long-standing disseminated lichen planus. Histology confirmed the diagnosis of SCC on partly verrucous lichen planus. The course was complicated due to sepsis. An emergency transfemoral amputation became necessary. The patients survived and could be released into her nursery. A literature review underlined the rarity of SCC on lichen planus of the skin. Most of these rare cases were in patients in their second half of life on the lower legs. Hypertrophic lichen plnaus was overrepresented. CONCLUSIONS: Although very rare by number, SCC can complicate lichen planus and lead to the life-threatening situation. Atypical verrucous lesions on lichen planus warrant a histologic analysis. Surgery is the treatment of choice for cutaneous SCC.

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Tranexamic Acid in a Case Report of Life-threatening Nontraumatic Hemorrhage in Immune Thrombocytopenic Purpura

Clinical Practice and Cases in Emergency Medicine ◽

10.5811/cpcem.2020.5.46955 ◽

2020 ◽

Vol 4 (3) ◽

pp. 421-423

Author(s):

Melanie Randall ◽

Jason Nurse ◽

Karan Singh

Keyword(s):

Case Report ◽

Tranexamic Acid ◽

Immune Thrombocytopenic Purpura ◽

The Body ◽

Thrombocytopenic Purpura ◽

Increased Risk ◽

Life Threatening ◽

Traditional Therapies ◽

Effective Adjunct ◽

Uncontrolled Bleeding

Introduction: Immune thrombocytopenic purpura (ITP) is an autoimmune-mediated disorder in which the body produces antibodies that destroy platelets, causing an increased risk of bleeding and bruising. Tranexamic acid (TXA) is a medication that prevents clot breakdown and is used to treat uncontrolled bleeding. Case Report: We present the case of an 11-year-old female with significant epistaxis and hypotension in the emergency department. Traditional therapies were initiated; however, the patient continued to have bleeding and remained hypotensive, so intravenous TXA was given. The patient’s bleeding then resolved. Conclusion: TXA may be a safe and effective adjunct to traditional therapies for the treatment of life-threatening hemorrhage in ITP patients.

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Deep Venous Thrombosis and Bilateral Pulmonary Embolism Revealing Silent Celiac Disease: Case Report and Review of the Literature

Case Reports in Gastrointestinal Medicine ◽

10.1155/2017/5236918 ◽

2017 ◽

Vol 2017 ◽

pp. 1-8 ◽

Cited By ~ 3

Author(s):

Igor Dumic ◽

Scott Martin ◽

Nadim Salfiti ◽

Robert Watson ◽

Tamara Alempijevic

Keyword(s):

Celiac Disease ◽

Case Report ◽

Venous Thrombosis ◽

Deep Venous Thrombosis ◽

Deficiency Anemia ◽

Increased Risk ◽

Disease Case ◽

Wide Range ◽

Life Threatening ◽

Work Up

Celiac disease (CD) is a systemic, chronic autoimmune disease that occurs in genetically predisposed individuals following dietary gluten exposure. CD can present with a wide range of gastrointestinal and extraintestinal manifestations and requires lifelong adherence to a gluten-free diet [GFD]. Venous thromboembolism (VTE) as a presentation of celiac disease is unusual and rarely reported. We present a case of a 46-year-old man who was admitted for shortness of breath and pleuritic chest pain and was found to have iron deficiency anemia, deep venous thrombosis, and bilateral pulmonary emboli (PE). After work-up for his anemia, the patient was diagnosed with CD. Comprehensive investigation for inherited or acquired prothrombotic disorders was negative. It is becoming increasingly recognized that CD is associated with an increased risk for VTE. PE, however, as a presentation of CD is exceedingly rare and to the best of our knowledge this is the third case report of such an occurrence and the only case report of a patient from North America. It is important to recognize that the first symptoms or signs of celiac disease might be extraintestinal. Furthermore, VTE as a presentation of CD is rare but life-threatening.

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Atypical Presentation of Systemic Arthritis in a Toddler with Down Syndrome

Case Reports in Pediatrics ◽

10.1155/2021/6567770 ◽

2021 ◽

Vol 2021 ◽

pp. 1-4

Author(s):

Emily Worley ◽

Weijie Li ◽

Jordan T. Jones

Keyword(s):

Down Syndrome ◽

Case Report ◽

Broad Spectrum ◽

Systemic Juvenile Idiopathic Arthritis ◽

Chronic Inflammatory Disease ◽

Atypical Presentation ◽

Increased Risk ◽

Macular Rash ◽

Life Threatening ◽

Atypical Presentations

Systemic juvenile idiopathic arthritis (sJIA) is a chronic, inflammatory disease of childhood, which is characterized by the combination of arthritis, serositis, daily, high-spiking fevers, and evanescent macular rash and can present with the life-threatening complication of macrophage activation syndrome (MAS). Children with Down syndrome (DS) have complex medical challenges related to abnormalities in their immune system, which can cause a broad spectrum of disease manifestations, which can occur atypically. Children with DS are at increased risk for arthritis and interstitial lung disease (ILD) associated with sJIA that has high mortality. This case report outlines an atypical presentation of sJIA in a 21-month-old male with DS in which fever was not part of the initial presentation of sJIA and then later developed MAS and ILD. Due to broad spectrum of disease and atypical presentation in children with DS, this case report was created to increase awareness of atypical presentations of rheumatic disease in children with DS.

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COVID-19 Infection Post-Laparoscopic Sleeve Gastrectomy: A Case Report and Review of Literature

International Journal of Clinical Research ◽

10.38179/ijcr.v2i1.66 ◽

2021 ◽

Vol 2 (1) ◽

pp. 37-44

Author(s):

Obey Albaini ◽

Achraf Jardaly ◽

Rola Husni ◽

Bassem Safadi

Keyword(s):

Sleeve Gastrectomy ◽

Case Report ◽

Laparoscopic Sleeve Gastrectomy ◽

Elective Surgery ◽

Surgical Patients ◽

Published Data ◽

Symptomatic Therapy ◽

Review Of Literature ◽

Increased Risk ◽

Life Threatening

Background: COVID-19 caused the suspension of elective surgeries in several hospitals around the world, in an attempt to help contain the spread of the virus. However, a safe resumption of such surgeries is warranted to reduce further burden on patients. It is important to understand when, how and where to resume elective surgeries, as published data suggested that peri-operative COVID-19 infection incurred an increased risk of morbidity and mortality to surgical patients. Case Report: A 25-year-old patient presented for fever 5 days post Laparoscopic Sleeve Gastrectomy. He was diagnosed with COVID-19 using a PCR test. The patient was managed at home with symptomatic therapy. No life-threatening complications were reported during or after his infection. Conclusion: Based on available data, our literature review regarding peri-operative COVID-19 complications, bariatric surgeons have to balance between the risk of undergoing an elective surgery like metabolic bariatric surgeries and the risk of postponing this procedure and thus delaying the resolution of obesity along with its comorbidities.

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Presentation of Gall Stone Ileus as Gut Obstruction

JMS SKIMS ◽

10.33883/jms.v21i2.328 ◽

2019 ◽

Vol 21 (2) ◽

pp. 117-119

Author(s):

Munir Ahmad Wani ◽

Mubarak Ahmad Shan ◽

Syed Muzamil Andrabi ◽

Ajaz Ahmad Malik

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Ct Scan ◽

Bowel Obstruction ◽

Emergency Surgery ◽

Gallstone Ileus ◽

Gall Stone ◽

Life Threatening ◽

Life Threatening Complication ◽

Gall Stone Ileus

Gallstone ileus is an uncommon and often life-threatening complication of cholelithiasis. In this case report, we discuss a difficult diagnostic case of gallstone ileus presenting as small gut obstruction with ischemia. A 56-year-old female presented with abdominal pain and vomiting. A CT scan was performed and showed an evolving bowel obstruction with features of gut ischemia with pneumobilia although no frank hyper density suggestive of a gallstone was noted. The patient underwent emergency surgery and a 60 mm obstructing calculus was removed from the patient's jejunum, with a formal tube cholecystostomy. JMS 2018: 21 (2):117-119

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A rare primary tumour of the urinary bladder: Case report

10.26226/morressier.596dfd5bd462b80292388312 ◽

2017 ◽

Author(s):

Oana-Maria Andreoiu

Keyword(s):

Case Report ◽

Urinary Bladder ◽

Primary Tumour

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CLINICAL CHALLENGES FOR ANESTHESIOLOGIST FACING PATIENT WITH ACROMEGALY. CASE REPORT

10.35988/sm-hs.2020.069 ◽

2020 ◽

Vol 30 (3) ◽

pp. 56-59

Author(s):

Jūratė Gudaitytė ◽

Justina Jermolajevaitė ◽

Martynas Judickas

Keyword(s):

Atrial Fibrillation ◽

Case Report ◽

General Population ◽

Metabolic Disorders ◽

Upper Airway ◽

Cardiovascular Complications ◽

Case Presentation ◽

Increased Risk ◽

Fluid Regulation ◽

Class Iv

Background and objectives: Acromegaly is endocrinal disorder which results in changes involving general appearance as well as upper airway abnormalities, cardiovascular and metabolic disorders which can aggravate the anesthesia and can lead to complications. We aim to discuss the challenges for anesthesiologist that occurs facing patient with acromegaly and are necessary to investigate before performing any kind of intervention. Case Presentation: 79 years old male patient presented the hospital with recently diagnosed acromegaly for rectal prolapse surgery. From anamnesis he had NYHAIII with cardiomyopathy, atrial fibrillation and arterial hypertension, also multiple old compressive fractures Th10 – L5. He was graded with Mallampati score IV and ASA class IV. The complementary examinations were made to assess the possible complications. In induction of general anesthesia the intubation was performed using fibro- bronchoscope and anesthesia went without complications except hypotension which was managed. After surgery the patient was leaded to the postoperative room for further monitoring. Discussion and Conclusion: Acromegalic patients have an increased risk of difficulty during anesthesia compared to general population due to difficult intubation, cardiovascular complications , OSA , alteration in intraoperative glucose intolerance and fluid regulation. Therefore profound investigation and assessment are necessary to predict and prepare for possible difficulties in the surgery room.

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