scholarly journals Occult Cranial Cervical Dislocation: A Case Report and Brief Literature Review

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Joshua B. Shatsky ◽  
Timothy B. Alton ◽  
Carlo Bellabarba ◽  
Richard J. Bransford
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Correct Diagnosis ◽  
Soft Tissue Injuries ◽  
Careful Consideration ◽  
Subsequent Treatment ◽  
Retrospective Case ◽  
Radiographic Findings ◽  
Delay In Diagnosis ◽  
Cervical Dislocation

Study Design. Retrospective case report and review.Objective. Cranial cervical dislocation (CCD) is commonly a devastating injury. Delay in diagnosis has been found to lead to worse outcomes. Our purpose is to describe a rare case of occult cranial cervical dislocation (CCD) and use it to highlight key clinical and radiographic findings to ensure expedited diagnosis and proper management avoiding delays and subsequent neurologic deterioration.Method. Case report with literature review.Results. We describe a unique case of occult cranial cervical dislocation where initial imaging of the cervical spine failed to illustrate displacement of the occipital-cervical (O-C1) articulation or C1-C2 articulation. Careful evaluation of subtle radiographic clues suggested a more severe injury than initial review. Additional imaging was obtained due to these subtle clues confirming true cranial cervical dislocation allowing subsequent treatment with no neurologic sequelae.Conclusion. A high index of suspicion of CCD may prevent injury in select patients who present without gross cord compromise. Careful consideration of associated fractures, soft tissue injuries, and mechanism of injury are essential clues to the correct diagnosis and management of injuries to the craniocervical junction (CCJ).

scholarly journals Management of tubal ectopic pregnancy with methotrexate in the setting of symptomatic Coronavirus disease 2019 (COVID-19): A case report

2021 ◽  
Vol 13 (3) ◽  
pp. 277-281
Author(s):  
N.M. Millan ◽  
J Morano ◽  
L Florez ◽  
J Carugno ◽  
C.A. Medina
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Supportive Care ◽  
Medical Management ◽  
Patient Management ◽  
Therapeutic Option ◽  
Careful Consideration ◽  
Management Options ◽  
Tubal Ectopic Pregnancy ◽  
Ectopic Pregnancies

Background: Coronavirus Disease 2019 (COVID-19) represents a complex therapeutic challenge. As the pandemic progresses, patients are presenting with ectopic pregnancies (EPs) and symptomatic COVID-19. Objective: We present the management of a patient with multiple medical comorbidities and tubal EP in the setting of severe symptomatic COVID-19 infection where all management options were precluded. Methods: Case report with literature review of management of tubal EP in the setting of severe symptomatic COVID-19 infection. Result: After careful consideration of options, the patient underwent successful medical management with methotrexate while receiving supportive care for COVID-19. Conclusions: Methotrexate proved to be the safest therapeutic option in this patient. Management of patients with severe COVID-19 and gynaecologic emergencies should be individualised and carefully reviewed with evolving knowledge of COVID-19.

scholarly journals Locked Wrist: A Case Report and Literature Review on Pisotriquetral Loose Bodies

2020 ◽  
Vol 9 (06) ◽  
pp. 518-522
Author(s):  
R. Gil Thompson ◽  
George C. Poulis ◽  
Gary M. Lourie
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Imaging Techniques ◽  
Case Reports ◽  
Loose Body ◽  
Radiographic Imaging ◽  
Loose Bodies ◽  
Advanced Imaging ◽  
Radiographic Findings ◽  
Magnetic Resonance Imaging Mri

Abstract Background Pisotriquetral (PT) loose bodies have been described in the literature only a few times as case reports. While PT pathology remains the differential for ulnar-sided wrist pain, it can often be difficult to diagnose, as symptoms can be variable and radiographic imaging may be negative for any findings. Case Description A 24-year-old major league baseball player presented with pain and locking of his wrist during follow through of his bat swing. Plain radiographic imaging, as well as computed tomography (CT) imaging, was negative for any pathology. Dynamic magnetic resonance imaging (MRI) demonstrated a loose body which entered the PT joint when the wrist was moved into a flexed position. This caused entrapment of the loose body and locking of the wrist. Literature Review A total of 17 reported patients in the literature have been diagnosed with a PT loose body. The clinical examination findings, radiographic findings, and surgical findings are reviewed. Case Relevance PT loose bodies can present a challenging clinical picture to diagnose. The purpose of this case report is to review the appropriate clinical workup, including common examination findings and advanced imaging techniques, to help the clinician with the diagnosis.

scholarly journals An Ambiguous Entity-A Case Report

2021 ◽  
Vol 7 (2) ◽  
pp. 01-06
Author(s):  
Rinisha Sinha
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Bone Regeneration ◽  
Male Patient ◽  
Panoramic Radiograph ◽  
Guided Bone Regeneration ◽  
Radiographic Findings ◽  
Management Method

Purpose: This report discusses the literature review in comparison with the current case’s findings in detail as well as the indications for guided bone regeneration to be done in the same patient after a follow-up of 6 months. We reported this case due to its uniqueness in terms of the etiology, clinical and radiographic findings, and management. Method: We account a case of 24-year-old male patient who reported significant swelling in the upper right region of the mouth that slowly increased to the present size. On evaluating the panoramic radiograph, there was well-defined radiolucency seen. Result: Complete enucleation of the cyst along with the extraction of the involved teeth was done and the healing was satisfactory.

scholarly journals Erythema Multiforme versus Herpes Simplex Virus, what is the diagnosis? A review and a case report.

2019 ◽  
Vol 12 (04) ◽  
pp. 2123-2132
Author(s):  
Sura Ali Ahmed Fuoad ◽  
Fadia Michel Kusairy ◽  
Walid Shabban Al-Sayed ◽  
Prabhu M. N. ◽  
Pooja Narain Adtani
Keyword(s):  
Case Report ◽  
Oral Cavity ◽  
Erythema Multiforme ◽  
Clinical Presentation ◽  
Correct Diagnosis ◽  
Subsequent Treatment ◽  
Patient History ◽  
Oral Ulceration ◽  
Simplex Virus ◽  
Oral Involvement

One of the commonly encountered lesions in oral cavity is oral ulceration. They arise from various etiology, being associated with discomfort or pain, rarely results in complications and scarring. The nonspecific clinical presentation of oral ulceration in the oral cavity, will made their diagnosis crucial, however a detailed patient history, comprehensive clinical examination together with background knowledge of possible causes will lead to correct diagnosis and subsequent treatment, moreover distinguishing between erythema multiforme (EM) and herpes simples viral infection (HSV) when there is only oral involvement is of a great importance as the treatment of EM is contra indicated for HSV.

scholarly journals Bilateral Killian-Jamieson Diverticula: A Case Report and Literature Review

2010 ◽  
Vol 24 (3) ◽  
pp. 173-174 ◽  
Author(s):  
René D Boisvert ◽  
Drew CG Bethune ◽  
David Acton ◽  
Denis R Klassen
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Clinical Management ◽  
Clinical Presentation ◽  
Present Report ◽  
Lateral Wall ◽  
Cervical Esophagus ◽  
Zenker’S Diverticulum ◽  
Radiographic Findings ◽  
Zenker's Diverticulum

A Killian-Jamieson diverticulum is an outpouching from the lateral wall of the proximal cervical esophagus. These diverticula are rare and are distinct from the more commonly known Zenker’s diverticulum. Literature regarding Killian-Jamieson diverticula and its suggested management is scarce. The present report describes a patient with symptomatic bilateral Killian-Jamieson diverticula. The patient had both diverticula excised and an esophagomyotomy performed. Following surgery, the patient’s symptoms resolved and he recovered well. A literature review and discussion of the etiology, clinical presentation and radiographic findings of Killian-Jamieson diverticulum follow, as do recommendations for clinical management.

scholarly journals Chronic idiopathic intestinal pseudo-obstruction treated with jejunostomy: case report and literature review

2007 ◽  
Vol 125 (6) ◽  
pp. 356-358 ◽  
Author(s):  
Carlos Renato dos Reis Lemos ◽  
Pedro Popoutchi ◽  
Rogério Serafim Parra ◽  
Omar Féres ◽  
José Joaquim Ribeiro da Rocha
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Intestinal Obstruction ◽  
Clinical Improvement ◽  
Surgical Procedure ◽  
Laboratory Tests ◽  
Correct Diagnosis ◽  
Rare Condition ◽  
Mechanical Factors ◽  
Intestinal Pseudo Obstruction

CONTEXT: Chronic idiopathic intestinal pseudo-obstruction is a very rare condition. CASE REPORT: This study describes a male patient who had presented obstructive symptoms for 24 years. He had been treated clinically and had undergone two previous operations in different services, with no clinical improvement or correct diagnosis. He was diagnosed with intestinal obstruction without mechanical factors in our service and underwent jejunostomy, which had a significant decompressive effect. The patient was able to gain weight and presented improvements in laboratory tests. Jejunostomy is a relatively simple surgical procedure that is considered palliative but, in this case, it was resolutive.

scholarly journals Madelung Deformity - A Case Report with Literature Review.

2014 ◽  
Vol 27 (2) ◽  
pp. 101-104
Author(s):  
Md. Rafiqul Islam ◽  
Mohammad Najim Uddin ◽  
Hasan Zahidur Rahman
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Female Patient ◽  
Functional Impairment ◽  
Wrist Joint ◽  
Epiphyseal Growth Plate ◽  
Radiological Findings ◽  
Radiographic Findings ◽  
Joint Deformity ◽  
Madelung Deformity

Madelung deformity (MD) is a rare autosomaldominant disordercharacterized by epiphyseal growth plate disturbance in distal ulnar sidewhereina progressive ulnar and volar tilt of itsarticular surface occurs in associationwith a dorsal subluxation of the distalulna.Diagnosis of the diseaseis by correlation of clinical data with radiological findings and genetic transmission.In this study, radiographic findings ofa 16 years old female patient progressive bilateral wrist joint deformity and bowing of distal end of forearm without significant functional impairment and systemic complaints and diagnosed as Primary Madelung deformity, is reported. Bangladesh Journal of Neuroscience 2011; Vol. 27 (2) : 101-104 DOI: http://dx.doi.org/10.3329/bjn.v27i2.17577

scholarly journals Primary Cutaneous T-Cell Lymphoblastic Lymphoma: Case Report and Literature Review

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Sharad Khurana ◽  
Manuel Beltran ◽  
Liuyan Jiang ◽  
Ernesto Ayala ◽  
Vivek Roy
Keyword(s):  
Case Report ◽  
T Cell ◽  
Literature Review ◽  
Cell Lymphoma ◽  
Lymphoblastic Leukemia ◽  
Lymph Node Involvement ◽  
Lymphoblastic Lymphoma ◽  
T Cell Lymphoma ◽  
Delay In Diagnosis ◽  
T Cell Lymphomas

Cutaneous involvement by precursor T-cell lymphoblastic leukemia/lymphoma (T-ALL/LBL) is rare, and almost all cases are seen in association with bone marrow, blood, and/or lymph node involvement. Presentation with isolated skin involvement is very rare. Literature review revealed only one case report of primary cutaneous T-cell LBL. We discuss here another patient diagnosed with primary cutaneous T-cell LBL at our institute. This patient was initially misdiagnosed as having peripheral T-cell lymphoma NOS. Cytogenetic analysis showed the CDKN2A deletion (−9p21×2) in addition to three intact copies of ABL1 (+9q34). Although she failed multiple lines of intensive chemotherapy, her disease remained confined to the skin. We believe that this presentation of T-LBL is underreported, and many patients are likely misdiagnosed as having high-grade cutaneous T-cell lymphomas. With this case and literature review, we would like to highlight the importance of keeping lymphoblastic lymphoma on the differential diagnosis of cutaneous T-cell lymphoma-like lesions to avoid delay in diagnosis and inappropriate treatment of this aggressive disease.

scholarly journals Refractory Celiac Disease Type II: A Case Report and Literature Review

2020 ◽  
Vol 7 ◽  
Author(s):  
Richa Chibbar ◽  
Jordan Nostedt ◽  
Dana Mihalicz ◽  
Jean Deschenes ◽  
Ross McLean ◽  
...  
Keyword(s):  
Celiac Disease ◽  
Case Report ◽  
Literature Review ◽  
Unusual Case ◽  
Disease Type ◽  
Atypical Presentation ◽  
Type Ii ◽  
Delay In Diagnosis ◽  
Refractory Celiac Disease ◽  
Ulcerative Jejunitis

We present an unusual case of 68-year-old male, who presented with acute abdomen, ulcerative jejunitis with perforation, and 2 months later with perforation of the sigmoid colon. We will also discuss difficulties in the delay in diagnosis of refractory celiac disease (RCD), specifically the atypical presentation, multiple surgeries, the consecutive failure of distinct therapeutic options, and multiple complications that occurred within the 3 months since first presentation.

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