scholarly journals An Atypical Cause of Atypical Chest Pain

2014 ◽  
Vol 25 (5) ◽  
pp. 253-254
Author(s):  
Ahmad Zaheen ◽  
Reed A Siemieniuk ◽  
Patrick Gudgeon
Keyword(s):  
Chest Pain ◽  
Septic Arthritis ◽  
Surgical Intervention ◽  
Present Report ◽  
Hiv Positive ◽  
Resonance Imaging ◽  
Rare Presentation ◽  
Atypical Chest Pain ◽  
Present Case Report ◽  
Manubriosternal Joint

The present report describes a case involving a 57-year-old HIV-positive man who presented with acute retrosternal chest pain accompanied by 24 h of fever. Septic arthritis of the manubriosternal joint was diagnosed based on magnetic resonance imaging findings in addition toStaphylococcus aureusbacteremia. To the authors’ knowledge, the present case is only the 12th reported case of manubriosternal septic arthritis, and the first in an HIV-positive patient. Early diagnosis and treatment can circumvent the need for surgical intervention. Based on the present case report and review of the literature, the authors summarize the epidemiology, appropriate imaging and suggestions for antibiotic therapy for this rare presentation.

scholarly journals Septic arthritis of the manubriosternal joint presenting as a chest-wall swelling in an immunocompetent patient

2019 ◽  
Vol 2019 (11) ◽  
Author(s):  
Adam O’Connor ◽  
Sanjay Furtado
Keyword(s):  
Chest Pain ◽  
Conservative Treatment ◽  
Septic Arthritis ◽  
Chest Wall ◽  
Immunocompetent Patient ◽  
Good Recovery ◽  
Manubriosternal Joint ◽  
Pain Symptoms

Abstract Septic arthritis of the manubriosternal joint is a rare pathology, often mistaken for other disease processes given its location and chest pain symptoms. We present a case of a 58-year-old man presenting with a dull ache in his chest after returning from a holiday. Initially under the care of the physicians locally, he was investigated for respiratory and cardiac causes of chest pain with no findings. Eventually, a lump was noted on examination of the chest prompting further imaging, which confirmed a diagnosis of manubriosternal septic arthritis. He was discussed and referred to tertiary cardiothoracics, who recommended conservative treatment with 6 weeks of antibiotics. To date, there has been a good recovery. We present this case alongside a discussion of the limited literature, in particular highlighting how difficult a diagnosis it is to make but one that surgeons and medics alike should be aware of.

Pregnancy luteoma: a rare presentation and expectant management

2018 ◽  
Vol 7 (2) ◽  
Author(s):  
Sinem Ayse Duru Coteli ◽  
Gokcen Orgul ◽  
Mehmet Coskun Salman
Keyword(s):  
Surgical Intervention ◽  
Hormone Secretion ◽  
Expectant Management ◽  
Clinical Findings ◽  
Resonance Imaging ◽  
Successful Management ◽  
Rare Presentation ◽  
Pathological Evaluation ◽  
Magnetic Resonance Imaging Mri

AbstractPregnancy luteoma (PL) is a rare cause of non-neoplastic masses in pregnancy. PLs are usually asymptomatic. However, general symptoms like pelvic pain, lumbalgia, constipation or virilization due to active hormone secretion can be detected as the clinical findings of these benign cysts. The definitive diagnosis of PL is most commonly possible with a pathological evaluation after surgical intervention. Therefore, we present a successful management of PL with close follow-up until delivery. Beside the suspicion of malignancy by ultrasonography and magnetic resonance imaging (MRI), the cytological evaluation of ascites revealed benign cells which was helpful to decide expectant management.

scholarly journals Large sub-mitral aneurysm compressing the left circumflex coronary artery presenting with atypical chest pain – Rare presentation

2020 ◽  
Vol 21 (5) ◽  
pp. 193-196
Author(s):  
Senthilraj Thangasami ◽  
Sibasis Shasikant Sahoo ◽  
Ananthanarayanan Chandrasekaran ◽  
Pratik Raval ◽  
Parth Shaniswara
Keyword(s):  
Chest Pain ◽  
Coronary Artery ◽  
Circumflex Coronary Artery ◽  
Rare Presentation ◽  
Atypical Chest Pain ◽  
Left Circumflex Coronary Artery

scholarly journals Enterocolic Fistula: A Rare Presentation of Cytomegalovirus Infection

2012 ◽  
Vol 23 (2) ◽  
pp. e41-e43 ◽  
Author(s):  
Richdeep S Gill ◽  
Geoffrey Taylor ◽  
Robert M Penner ◽  
Sarvesh Logsetty
Keyword(s):  
Cytomegalovirus Infection ◽  
Surgical Intervention ◽  
Present Report ◽  
Rare Complication ◽  
Immunocompromised Patients ◽  
Cmv Infection ◽  
Rare Presentation ◽  
Common Presentation ◽  
Colocutaneous Fistula ◽  
Cmv Colitis

In the present report, the first reported case of cytomegalovirus (CMV)-associated enterocolic fistula in an HIV/AIDS patient is described. CMV colitis is the second most common presentation of CMV infection in immunocompromised patients. CMV-associated enteric fistulae are an exceedingly rare complication, with only four previous cases described: a gastrocolic, an enterocutaneous, a rectovaginal and a colocutaneous fistula. Management of these patient demonstrates the importance of treating the precipitating viral infection before considering surgical intervention of the enterocolic fistula.

scholarly journals TRANSCATHETER AORTIC VALVE IMPLANTATION IN 80-YEAR OLD PATIENT WITH CRITICAL AORTIC STENOSIS

2013 ◽  
Vol 4 (4) ◽  
pp. 29-37
Author(s):  
A V Chupin ◽  
D V Puzenko ◽  
D P Lebedev ◽  
E A Zvezdkina ◽  
Y M Alekseeva ◽  
...  
Keyword(s):  
Chest Pain ◽  
Aortic Valve ◽  
Aortic Stenosis ◽  
Surgical Intervention ◽  
Present Report ◽  
Shortness Of Breath ◽  
Critical Aortic Stenosis ◽  
Transcatheter Aortic Valve ◽  
Aortic Valve Implantation ◽  
Valve Implantation

The present report describes a 80-year old female suffering from shortness of breath, chest pain and weakness by reason of critical aortic stenosis. The patient with high risk open surgical intervention successfully underwent miniinvasive treatment – transcateter aortic valve implantation (TAVI).

scholarly journals Cardiac hydatid cyst: A rare presentation of echinococcal infection

2019 ◽  
Vol 11 (1) ◽  
pp. 75-77 ◽  
Author(s):  
Ata Firouzi ◽  
Mohsen Neshati Pir Borj ◽  
Alireza Alizadeh Ghavidel
Keyword(s):  
Chest Pain ◽  
Left Ventricle ◽  
Hydatid Cyst ◽  
Cystic Mass ◽  
Organ System ◽  
Enzyme Linked Immunosorbent Assay ◽  
Serologic Test ◽  
Rare Presentation ◽  
Atypical Chest Pain ◽  
Cardiac Surgeon

A 57–year-old man presented with atypical chest pain. Transthoracic echocardiography was performed and revealed a very large and well defined intra-myocardial multicystic mass in the posterolateral and basal inferoseptal segments of left ventricle suggestive of hydatid cyst. Although the echocardiographic diagnosis was straightforward, serologic test (hydatid cyst antibody) with enzyme-linked immunosorbent assay (ELISA) was performed which was positive for echinococcal infection. Other works up showed no involvement of other organ system. Albendazol was started for him and he referred to cardiac surgeon for resection of cystic mass.

Clinical relevance of myocardial bridging detected by coronary CT angiography in patients with atypical chest pain

2019 ◽  
Vol 67 (1) ◽  
Author(s):  
Ludovico La Grutta ◽  
Roberto Malagò ◽  
Patrizia Toia ◽  
Giulia Tabacco ◽  
Tommaso Smeraldi ◽  
...  
Keyword(s):  
Chest Pain ◽  
Ct Angiography ◽  
Clinical Relevance ◽  
Coronary Ct Angiography ◽  
Myocardial Bridging ◽  
Atypical Chest Pain ◽  
Coronary Ct

Atypical Chest Pain in ACS: A Trap Especially for Women

2016 ◽  
Vol 22 (25) ◽  
pp. 3877-3884 ◽  
Author(s):  
Beatrice Ricci ◽  
Edina Cenko ◽  
Elisa Varotti ◽  
Paolo Emilio Puddu ◽  
Olivia Manfrini
Keyword(s):  
Chest Pain ◽  
Atypical Chest Pain

scholarly journals A rare presentation of ovarian fibrothecoma: a diagnosing dilemma

2018 ◽  
Vol 7 (4) ◽  
pp. 1654
Author(s):  
Kalaivani Logesh ◽  
Latha Prasanna
Keyword(s):  
Postmenopausal Woman ◽  
Stromal Cell ◽  
Surgical Intervention ◽  
Pelvic Mass ◽  
Accurate Diagnosis ◽  
Female Gonad ◽  
Rare Presentation ◽  
Ovarian Tumours ◽  
Benign Tumours

Ovarian Fibrothecoma are uncommon tumors of gonadal stromal cell origin accounting for 3-4% of all ovarian tumours. Ovarian fibrothecoma are composed of an admixture of fibrous and the comatous elements. The stromal cell tumors are probably the most inaccurately diagnosed tumor of the female gonad, clinically and histologically. Rarely benign tumours can present with elevated CA125. Here we discuss a rare presentation of Ovarian Fibrothecoma in a 52 years postmenopausal woman with large pelvic mass with ascites and elevated CA125 which we mistook for malignancy. Hence accurate diagnosis is more important before extensive surgical intervention.

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