scholarly journals Asymptomatic Cholecystocolonic Fistula: A Diagnostic and Therapeutic Dilemma

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Nicola Antonacci ◽  
Giovanni Taffurelli ◽  
Riccardo Casadei ◽  
Claudio Ricci ◽  
Francesco Monari ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Preoperative Imaging ◽  
Diagnostic Tools ◽  
Review Of The Literature ◽  
Imaging Studies ◽  
Common Site ◽  
Biliary Tract Surgery ◽  
Cholecystocolonic Fistula ◽  
Multiple Episodes ◽  
Variable Clinical Presentation

Cholecystocolonic fistulas (CCF) are rare complications of gallstones with a variable clinical presentation. Despite modern diagnostic tools, cholecystocolonic fistulas are often asymptomatic and it is difficult to diagnose them preoperatively. Biliary-enteric fistulae have been found in 0.9% of patients undergoing biliary tract surgery. The most common site of communication of the fistula is the cholecystoduodenal (70%), followed by the cholecystocolic (10–20%), and the least common is the cholecystogastric fistula. Herein, we report a case of female patient with multiple episodes of acute recurrent cholangitis due to common bile duct and gallbladder stones in which preoperative imaging studies were negative for cholecystocolonic fistula that was incidentally discovered and treated during surgery and was appropriately treated. A review of the literature is reported too.

scholarly journals Cholecystocolic Fistula: A Diagnostic Dilemma

2014 ◽  
Vol 13 (3) ◽  
pp. 329-331
Author(s):  
Narayan Swarop Sharma ◽  
Ram Gopal Sharma ◽  
Narender Sing ◽  
Kiran Singal ◽  
Kunal Chowdhary
Keyword(s):  
Clinical Presentation ◽  
Medical Science ◽  
Diagnostic Tools ◽  
Diagnostic Dilemma ◽  
Abdominal Ultrasonography ◽  
Biliary Tract Surgery ◽  
Biliary Enteric Fistula ◽  
High Degree ◽  
Variable Clinical Presentation ◽  
Cholecystocolic Fistula

Cholecystocolic fistula is a rare biliary-enteric fistula with a variable clinical presentation. Despite modern diagnostic tools a high degree of suspicion is required to diagnose it preoperatively1,2. Biliary-enteric fistulae have been found in 0.9% of patients undergoing biliary tract surgery. The most common site of communication of the fistula is a cholecystoduodenal (70%), followed by cholecystocolic (10-20%), and the least common is the cholecystogastric fistula accounting for the remainder of the cases. Even a case of choledochocolonic fistula through a cystic duct remnant has been reported3. These fistulae are treated by open as well as laparoscopic surgery with no difference in intraoperative and postoperative complications. We report a case of obstructive jaundice, which was relieved by itself and was investigated with abdominal ultrasonography and routine investigations but none of these gave us any clue to the presence of the fistula which was discovered incidentally during an open surgery and was appropriately treated. DOI: http://dx.doi.org/10.3329/bjms.v13i3.19156 Bangladesh Journal of Medical Science Vol.13(3) 2014 p.329-331

scholarly journals Osteomyelitis of the Patella in a 10-Year-Old Girl: A Case Report and Review of the Literature

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Matthias Sperl ◽  
Michael Novak ◽  
Daniela Sperl ◽  
Martin Svehlik ◽  
Georg Singer ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Female Patient ◽  
Clinical Presentation ◽  
Delayed Diagnosis ◽  
Diagnostic Procedures ◽  
Long Bones ◽  
Review Of The Literature ◽  
Present Case Report ◽  
Variable Clinical Presentation

The incidence of osteomyelitis constantly declines. While the disease most commonly affects the long bones, involvement of the patella is rarely seen. Due to this rarity and the variable clinical presentation, diagnosis is often delayed. The present case report describes a 10-year-old female patient with a delayed diagnosis of patella osteomyelitis. The diagnostic procedures and the treatment regimen are described. Additionally, a detailed literature review of the available publications reporting osteomyelitis of the patella in children is presented.

scholarly journals Repeated recurrence of thoracic spine stenosis following decompression alone for ossification of the ligamentum flavum: case report

2019 ◽  
Vol 30 (3) ◽  
pp. 332-336
Author(s):  
Abhijeet S. Barath ◽  
Osmond C. Wu ◽  
Mohit Patel ◽  
Manish K. Kasliwal
Keyword(s):  
Clinical Presentation ◽  
Ligamentum Flavum ◽  
Surgical Intervention ◽  
Review Of The Literature ◽  
Thoracic Myelopathy ◽  
Posterior Decompression ◽  
Instrumented Fusion ◽  
Intervertebral Level ◽  
Multiple Recurrences ◽  
Variable Clinical Presentation

Ossification of the ligamentum flavum (OLF) is a well-recognized but rare cause of thoracic myelopathy. Its subtle and variable clinical presentation often makes the diagnosis challenging. The treatment of symptomatic OLF requires surgical intervention, with the most common surgical procedure being a posterior decompression with or without instrumentation. Recurrence of ossification and stenosis after surgery is rare and usually occurs at the same intervertebral level. Multiple recurrences of ossification and stenosis are exceptionally rare. The authors report the case of OLF in a 60-year-old man who experienced recurrence of ossification and stenosis twice after posterior decompression surgeries alone. The patient was ultimately treated with revision decompression and instrumented fusion. The authors also present a pertinent review of the literature.

scholarly journals Anaesthetic management of a patient with non compaction cardiomyopathy for implantable cardioverter defibrillator lead replacement

2020 ◽  
Vol 8 (8) ◽  
pp. 3095
Author(s):  
Kritika Sharma ◽  
Deepak Koli ◽  
Swati Daftary ◽  
Hemant Mehta
Keyword(s):  
Implantable Cardioverter Defibrillator ◽  
Cardiac Death ◽  
Clinical Presentation ◽  
Anaesthetic Management ◽  
Diagnostic Tools ◽  
Complete Understanding ◽  
Cardioverter Defibrillator ◽  
Uncommon Condition ◽  
Defibrillator Lead ◽  
Variable Clinical Presentation

Non compaction cardiomyopathy (NCM) is a rare, primary genetically derived cardiomyopathy with a variable clinical presentation ranging from absence of symptoms to congestive heart failure, systemic thromboembolism, arrythmias and sudden cardiac death. Being an uncommon condition, the perioperative concerns in a patient with NCM have not been studied much. With increasing awareness and improved diagnostic tools including high resolution echocardiography and cardiac MRI, there has been an increase in the reporting of cases which stresses on the need for a complete understanding of this form of cardiomyopathy and its perioperative anaesthetic management. Authors report the case of a 24 years old female, with NCM who underwent prophylactic Implantable cardioverter defibrillator (ICD) insertion 5 years ago and was now posted for ICD removal and replacement in view of inappropriate ICD functioning.

scholarly journals Isolated pilomatricoma of the arm: A case and a review of the literature

2022 ◽  
Vol 13 (1) ◽  
pp. 86-88
Author(s):  
Sara Bouabdella ◽  
Afaf Khouna ◽  
Siham Dikhaye ◽  
Nada Zizi
Keyword(s):  
Head And Neck ◽  
Clinical Presentation ◽  
Surgical Excision ◽  
Upper Extremities ◽  
Rare Tumor ◽  
Basal Cells ◽  
Review Of The Literature ◽  
Hair Matrix ◽  
Low Incidence ◽  
Variable Clinical Presentation

Pilomatricoma is a relatively rare tumor of the skin derived from primitive basal cells of the epidermis that differentiate into hair matrix cells. These tumors appear as solitary, firm nodules, showing a normal to pearl white epidermis. Its most frequent locations are the head and neck, while involvement of the upper extremities is relatively uncommon. Herein, we present the case of a seventeen-year-old female with pilomatricoma of the arm and review the literature regarding pilomatricomas of the upper extremities. The diagnosis of pilomatricoma is confirmed histologically and its treatment is based on surgical excision. Because of the low incidence and variable clinical presentation, pilomatricoma is a tumor not commonly suspected preoperatively. This presentation may help clinicians to diagnose this entity more effectively and decrease the rate of misdiagnosis.

scholarly journals Management of a Buccal Space Mass: A Clinical Case Report

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Alexander Karatzanis ◽  
Stylianos Velegrakis ◽  
Georgia Liva ◽  
Dionysios Kyrmizakis ◽  
Emmanuel Prokopakis
Keyword(s):  
Head And Neck ◽  
Clinical Presentation ◽  
Surgical Excision ◽  
Review Of The Literature ◽  
Imaging Studies ◽  
Anterior Border ◽  
Tertiary Center ◽  
Buccal Space ◽  
Painless Mass ◽  
The Right

Background. Buccal space tumors constitute rare pathologies with significant histological diversity. They may pose serious diagnostic and therapeutic challenges for the head and neck surgeon. Methods. A case of buccal space tumor diagnosed and treated in a tertiary center is presented. Clinical presentation, imaging, and surgical approach are discussed, followed by review of the literature. Results. A 79-year-old male patient with a slowly growing painless mass on the right cheek presented to a head and neck reference center. Imaging revealed a tumor of the right buccal space with nonspecific characteristics. Imaging studies revealed extended infiltration of the masseter muscle as well as the anterior border of the parotid gland. FNA biopsy was performed but was nondiagnostic. The decision of surgical excision with a modified parotidectomy incision was taken. The lesion was completely excised with preservation of neighboring facial nerve branches and ipsilateral Stensen’s duct. The postoperative course was uneventful. Histological examination showed CLL/Lymphoma, and the patient was referred to the hematology department for staging and further management. Conclusion. Differential diagnosis of buccal space masses is very diverse. Despite challenges in the diagnostic and therapeutic approach, these entities may be managed surgically with minimal morbidity.

scholarly journals A Case Report on Chylolymphaticus Variety of Mesenteric Cyst

2019 ◽  
Vol 37 (2) ◽  
pp. 83-85
Author(s):  
Shahanaj Sharmin ◽  
Didarul Alam ◽  
Md Moklesur Rahman ◽  
Seheli Nargis
Keyword(s):  
Cystic Lesion ◽  
Clinical Presentation ◽  
Abdominal Cavity ◽  
Mesenteric Cyst ◽  
Preoperative Imaging ◽  
Lower Abdomen ◽  
Diffuse Abdominal Pain ◽  
Surgical Exploration ◽  
Chocolate Cyst ◽  
Variable Clinical Presentation

Mesenteric cyst is rare with a variable clinical presentation. The clinical presentation is not characteristic and the preoperative imaging although suggestive but not diagnostic. In most cases, the diagnosis is confirmed following surgical exploration. We report a case of chylolymphaticus variety of mesenteric cyst in18-year-old girl, who was presented to us with diffuse abdominal pain and lump in the lower abdomen for 14 days. Ultrasonography (USG) of the abdomen revealed large cystic lesion(12x10.8x11.4cm, volume77cc) in the abdominal cavity containing dense echogenic debris within, with no obvious flow in the wall-suggestive of twisted chocolate cyst. Exploration of the abdomen revealed a solitary cyst containing milky fluid about 55 cm distal to dudenojejunal flexure and twisted cyanosed coils of intestine. Histopathology of the excised cyst was consistent with chylolymphaticus cyst (Mesenteric cyst) J Bangladesh Coll Phys Surg 2019; 37(2): 83-85

scholarly journals Gestione del Covid-19 in età pediatrica: documento di consenso

2021 ◽  
Vol 40 (2) ◽  
pp. 85-101
Author(s):  
Keyword(s):  
Clinical Presentation ◽  
Psychological Effects ◽  
Diagnostic Tools ◽  
Educational Services ◽  
Prevention Measures ◽  
Review Of The Literature ◽  
School Closures ◽  
Consensus Document ◽  
Emilia Romagna Region ◽  
Practical Recommendations

Coronavirus disease 2019 (COVID-19) caused by SARS-CoV-2 has rapidly spread, becoming the first pandemic of the 21st century by death toll. Children appear to be less affected than adults, with a milder clinical presentation and a significantly lower mortality rate. However, serious complica-tions can occur in childhood, such as COVID-19 temporally related multisystem inflammatory syn-drome (MIS-C). Some aspects of SARS-CoV-2 infection in children and adolescents remain un-clear and the optimal treatment has not been defined. The Working Group on COVID-19 in Paediatrics of the Emilia-Romagna Region (RE-CO-PED) has produced a consensus document with practical recommendations based on a systematic review of the literature and on the clinical experi-ence of the expert group. Evidence is reported regarding prevention measures, diagnostic tools as well as home and hospital therapeutic management of complicated cases (MIS-C). The educational and psychological effects of the pandemic in the paediatric and adolescent age are reported, with the need to define coordinated interventions (between paediatricians, neurospychiatrists, psycholo-gists and educational services) for the prevention and treatment of documented emotional, relational and educational consequences caused by the lockdown, school closures and social distances.

Hydrocephalus in Spinal Muscular Atrophy: A Case Report and Review of the Literature

2020 ◽  
Author(s):  
Jeetendra P. Sah ◽  
Aaron W. Abrams ◽  
Geetha Chari ◽  
Craig Linden ◽  
Yaacov Anziska
Keyword(s):  
Spinal Muscular Atrophy ◽  
Clinical Characteristics ◽  
Clinical Presentation ◽  
Muscular Atrophy ◽  
Communicating Hydrocephalus ◽  
Type I ◽  
Review Of The Literature ◽  
Radiographic Findings ◽  
Comprehensive Review ◽  
The Relationship

AbstractIn this article, we reported a case of spinal muscular atrophy (SMA) type I noted to have tetraventricular hydrocephalus with Blake's pouch cyst at 8 months of age following intrathecal nusinersen therapy. The association of hydrocephalus with SMA is rarely reported in the literature. Development of hydrocephalus after intrathecal nusinersen therapy is also reported in some cases, but a cause–effect relationship is not yet established. The aim of this study was to describe the clinical characteristics of a patient with SMA type I and hydrocephalus, to review similar cases reported in the literature, and to explore the relationship between nusinersen therapy and development of hydrocephalus. The clinical presentation and radiographic findings of the patient are described and a comprehensive review of the literature was conducted. The adverse effect of communicating hydrocephalus related to nusinersen therapy is being reported and the authors suggest carefully monitoring for features of hydrocephalus developing during the course of nusinersen therapy.

scholarly journals Erythromelanosis Follicularis Faciei et Colli: A Case Report in a Caucasian Male and Brief Review of the Literature

2020 ◽  
Vol 12 (3) ◽  
pp. 231-235
Author(s):  
Carl Maximilian Thielmann ◽  
Wiebke Sondermann
Keyword(s):  
Case Report ◽  
Family History ◽  
Clinical Presentation ◽  
Rare Condition ◽  
Unknown Etiology ◽  
Review Of The Literature ◽  
Caucasian Male

Erythromelanosis follicularis faciei et colli, a rare condition of unknown etiology, was first described by Kitamura et al. from Japan in 1960. It is characterized by a triad consisting of well-demarcated erythema, hyperpigmentation, and follicular papules. We report the case of a 50-year-old Caucasian male, who had asymptomatic symmetrical facial lesions since the age of 42. His family history was unremarkable. Published erythromelanosis follicularis faciei et colli cases of the last 10 years are summarized in this report to demonstrate the variability and differences in the clinical presentation of this uncommon diagnosis.

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