scholarly journals Sporadic Insulinoma as a Rare Cause of Recurrent Hypoglycemia in Children

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Hedyeh Saneifard ◽  
Ahmad Khaleghnejad Tabari ◽  
Maryam Kazemi Aghdam ◽  
Mohadese Musavi Khorshidi ◽  
Ali Sheikhy
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Children And Adolescents ◽  
Pancreatic Tumor ◽  
Signs And Symptoms ◽  
Final Diagnosis ◽  
Clinical Presentations ◽  
Recurrent Hypoglycemia

Insulinoma is a rare pancreatic tumor in children and adolescents. As a result of insulin hypersecretion, signs and symptoms are more commonly consequences of the pathophysiologic responses to hypoglycemia. According to rarity of this tumor in children and nonspecificity of clinical presentations, diagnosis of insulinoma in this group of patients is usually delayed. Early diagnosis is very important for preventing neurologic damage. In this case report, we present the case of a 10-year-old boy with signs and symptoms of hypoglycemia and final diagnosis of insulinoma.

scholarly journals An unusual presentation of acute myocardial infarction in physiotherapy direct access: findings from a case report

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Lorenzo Storari ◽  
Valerio Barbari ◽  
Fabrizio Brindisino ◽  
Marco Testa ◽  
Maselli Filippo
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Case Report ◽  
Visceral Pain ◽  
Signs And Symptoms ◽  
Final Diagnosis ◽  
Outpatient Setting ◽  
Direct Access ◽  
Life Threatening ◽  
Medical Referral

Abstract Background Shoulder pain (SP) may originate from both musculoskeletal and visceral conditions. Physiotherapists (PT) may encounter patients with life-threatening pathologies that mimic musculoskeletal pain such as Acute Myocardial Infarction (AMI). A trained PT should be able to distinguish between signs and symptoms of musculoskeletal or visceral origin aimed at performing proper medical referral. Case presentation A 46-y-old male with acute SP lasting from a week was diagnosed with right painful musculoskeletal shoulder syndrome, in two successive examinations by the emergency department physicians. However, after having experienced a shift of the pain on the left side, the patient presented to a PT. The PT recognized the signs and symptoms of visceral pain and referred him to the general practitioner, which identified a cardiac disease. The final diagnosis was acute myocardial infarction. Conclusion This case report highlights the importance of a thorough patient screening examination, especially for patients treated in an outpatient setting, which allow distinguishing between signs and symptoms of musculoskeletal from visceral diseases.

An Unusual Case of Pelvic Appendicitis

PEDIATRICS ◽  
1976 ◽  
Vol 58 (2) ◽  
pp. 292-293
Author(s):  
Michael A. LaCombe
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Early Diagnosis ◽  
Unusual Case ◽  
Signs And Symptoms ◽  
Memorial Hospital ◽  
Pubic Bone ◽  
Bowel Habit ◽  
Gross Hematuria ◽  
Misleading Interpretation

The atypical signs and symptoms, the misleading interpretation of symptoms by the patient's family, and the remarkable radiograph in the following case emphasize the difficulty in early diagnosis of pelvic appendicitis. CASE REPORT A 10-year-old boy came to the Emergency Department of Community Memorial Hospital, Toms River, New Jersey, complaining of pain in the pubic bone of four hours' duration. His mother thought he might have fallen on the cross-bar of his bike and was concerned about a possible fracture of the pelvis. The boy denied any nausea, vomiting, anorexia, or change in bowel habit and had no pain elsewhere. He had noticed no gross hematuria.

scholarly journals Peritoneal Tuberculosis Presenting as Chronic Ascites With Scrofula: A Case Report

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Galina Bogoslovskaya ◽  
Jose Zaldivar
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Extrapulmonary Tuberculosis ◽  
Young Female ◽  
Ca 125 ◽  
Test Results ◽  
Peritoneal Tuberculosis ◽  
Clinical Presentations ◽  
High Index Of Suspicion ◽  
Diagnostic Delays

Peritoneal tuberculosis (PTB) is a common type of extrapulmonary tuberculosis; however, due to variety of clinical presentations, diagnostic challenges do occur. The nonspecific features of this disease can lead to diagnostic delays and the development of complications. In addition, PTB can mimic a malignancy, especially in women who present with ascites and elevated cancer antigen (CA) 125 levels. A high index of suspicion is an important factor in an early diagnosis. Moreover, an early diagnosis and the initiation of antituberculous therapy are essential for preventing morbidity and mortality. Fortunately, most of these patients respond very well to standard antituberculous therapy.Here, we have reported the case of a young female patient who presented with chronic ascites, mild abdominal tenderness, and later, scrofula. Ultimately, she was diagnosed with PTB based on her test results. We expect that this case report will contribute to the existing literature on this subject.

Pink Spot – Literature Review and Case Report

2016 ◽  
Vol 40 (5) ◽  
pp. 353-355 ◽  
Author(s):  
Roy Petel ◽  
Anna Fuks
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Literature Review ◽  
Diagnosis And Treatment ◽  
Rare Occurrence ◽  
Central Incisor ◽  
Successful Management ◽  
Pathologic Process ◽  
Clinical Presentations ◽  
Subsequent Loss

Background: Pink spots in teeth were first described by Mummery in 1920, and were related to resorption. Resorption is a pathologic process that often eludes the clinician with its varied etiologic factors and diverse clinical presentations. Resorption can be generally classified as internal and external resorption. Internal resorption has been described as a rare occurrence as compared to external resorption. Case report: This article describes a pink spot that was diagnosed as a progressing resorption process. Early diagnosis enabled a successful management of the lesion. Conclusion: Early diagnosis and treatment of an internal resorption, clinically seen as a pink spot, in a primary central incisor may prevent its fast progress and subsequent loss.

Diagnostic challenges in tuberculous otitis media

2010 ◽  
Vol 124 (8) ◽  
pp. 913-915 ◽  
Author(s):  
I P Tang ◽  
N Prepageran ◽  
C A Ong ◽  
P Puraviappan
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Antibiotic Therapy ◽  
Otitis Media ◽  
Surgical Intervention ◽  
Clinical Suspicion ◽  
Middle Ear Infection ◽  
Clinical Presentations ◽  
Tuberculous Otitis Media ◽  
Systemic Antibiotics

AbstractObjectives:To demonstrate the different clinical presentations of tuberculous otitis media and the management of selected cases.Case report:We report four cases of tuberculous otitis media with different clinical presentations, encountered between 1998 and 2002. None of the cases showed improvement with local or systemic antibiotics. The diagnosis, complications and management of these cases are discussed.Conclusions:A high index of clinical suspicion of tuberculous otitis media is required in patients who do not respond to standard antibiotic therapy for (nontuberculous) chronic middle-ear infection. Early diagnosis and treatment of tuberculous otitis media is important to avoid irreversible complications, surgical intervention and propagation of the disease.

scholarly journals Cerebellar Abscess Mimicking Recurrent Pilocytic Astrocytoma: A Case Report

2016 ◽  
Vol 12 (2) ◽  
pp. 85-87
Author(s):  
Harihar Devkota ◽  
Rajiv Jha
Keyword(s):  
Case Report ◽  
Children And Adolescents ◽  
Pilocytic Astrocytoma ◽  
Preoperative Diagnosis ◽  
Rare Condition ◽  
Final Diagnosis ◽  
Cerebellar Abscess ◽  
Septic Focus ◽  
Operative Findings ◽  
Space Occupying Lesion

Cerebellar abscess is a rare condition occurring more commonly in children and adolescents usually caused by otitis media. They can occur following trauma or surgery or from septic focus directly or hematologically. It is sometime hard to distinguish from other space occupying lesion clinically or by imaging modalities. We report a case of an eight year boy who had undergone craniotomy and excision of a pilocytic astrocytoma two years back and now presented with headache and preoperative diagnosis of recurrent pilocytic astrocytoma was made. But, to our surprise, the operative findings showed an abscess which was confirmed with histopathology. The final diagnosis of cerebellar abscess was made.Nepal Journal of Neuroscience 12:85-87, 2015

scholarly journals An Unusual Early Oral Presentation of Acromegaly: A Case Report

2021 ◽  
Vol 16 (2) ◽  
pp. 253-258
Author(s):  
Ayat Gamal-AbdelNaser
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Oral Cavity ◽  
Male Patient ◽  
Progressive Disease ◽  
Alveolar Bone ◽  
Signs And Symptoms ◽  
Pituitary Tumour ◽  
Clinical Suspicion ◽  
Early Sign

Acromegaly is a devastating chronic slowly progressive disease. Its early diagnosis is a challenging issue that necessitates clinical suspicion of signs and symptoms as a first step. This report introduces an unusual early sign in the oral cavity that lead to the early diagnosis of an acromegaly case. A case of a healthy 40-year-old male patient presented with progressively growing multiple hard swellings in the upper and lower jaws. Clinical examination revealed bony hard multiple small spiky exostosis-like swellings, located at the maxillary and mandibular alveolar bones. An array of investigations revealed a 2-mm diameter pituitary tumour in MRI of sella. To the best of the author’s knowledge, this is the first report of spiky exostosis-like growths in the alveolar bone as an early sign of acromegaly. In this case, thorough examination of oral signs and symptoms was the first step for early diagnosis and hence, better prognosis for acromegaly.

scholarly journals A Case of Colonic Ischaemia Masquerading as a Colonic Mass

2020 ◽  
pp. 1-3
Author(s):  
Vikrant Parihar ◽  
K. Van Der Merwe ◽  
O. Fagan ◽  
P. Armstrong ◽  
D. Crosnoi ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Early Diagnosis ◽  
Blood Supply ◽  
Rectal Bleeding ◽  
Invasive Carcinoma ◽  
Intestinal Ischaemia ◽  
Diagnostic Dilemma ◽  
Raising Awareness ◽  
Clinical Presentations

Intestinal ischaemia is an uncommon vascular syndrome resulting from an acute or chronic drop in blood supply to the bowel, with varied clinical presentations. Intestinal ischaemia can present similarly to other conditions, leaving the clinician with a diagnostic dilemma. In this case report, we present a 69-year-old male who presented with abdominal pain, distention, anorexia and per rectal bleeding. Endoscopy showed a left-sided mass-like, ulcerated lesion, endoscopically thought to be colonic carcinoma. Histology later revealed this mass to be intestinal ischaemia, with no features of invasive carcinoma. This was confirmed at an interval endoscopy, which showed a largely healed mucosa and nil evidence of a mass. Raising awareness of this disease and its ability to mimic other presentations, both clinically and endoscopically, is key to establishing an early diagnosis and intervention.

scholarly journals Management of Giant Retroperitoneal Liposarcoma: A Case Report

2021 ◽  
Author(s):  
Alper Bitkin ◽  
Mustafa Aydın ◽  
İnci Yavuz ◽  
Ramazan İnan ◽  
Lokman İrkilata
Keyword(s):  
Overall Survival ◽  
Case Report ◽  
Local Recurrence ◽  
Early Diagnosis ◽  
Surgical Resection ◽  
Important Predictor ◽  
Rare Tumor ◽  
Retroperitoneal Liposarcoma ◽  
Clinical Presentations ◽  
Complete Surgical Resection

Retroperitoneal liposarcoma (RPLS) is a rare tumor. Early diagnosis and treatment are difficult due to absence of specific clinical presentations. We report a case of a 66-years-old woman who succesfully underwent complete surgical resection for a giant retroperitoneal liposarcoma. The complete surgical resection is the most important predictor of local recurrence and overall survival. We believe that complete surgical resection involving adjacent organs is a curative treatment to increase overall survival, especially in the presence of invasion of large tumors.

scholarly journals Renal Endometriosis Tends to Be Misdiagnosed as Renal Tumor: A Rare Case Report

2015 ◽  
Vol 100 (2) ◽  
pp. 376-380 ◽  
Author(s):  
Jie Yang ◽  
Ri-jin Song ◽  
Chen Xu ◽  
Shi-qing Zhang ◽  
Wei Zhang
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Case History ◽  
Rare Case ◽  
Renal Tumor ◽  
Final Diagnosis ◽  
Histopathologic Examination ◽  
Menstrual Cycles ◽  
Appropriate Treatment ◽  
Rare Case Report

Renal endometriosis is a rare disease for which the mechanisms of pathogenesis are still unclear. As such, early diagnosis and an appropriate treatment are often delayed because of the tendency to be misdiagnosed as a renal tumor. In October 2013 we performed a radical nephrectomy for a 37-year-old woman with renal endometriosis who was preoperatively misdiagnosed as having a right renal tumor. Avoiding the misdiagnosis of renal endometriosis requires a detailed case history, especially regarding whether the cyclicity of lumbodorsal pain and hematuria correlates with patients' menstrual cycles. Imaging examinations are commonly helpful for localization, whereas relieving symptoms with drugs to create a hypoestrogenic state is useful for clinical diagnosis. However, a final diagnosis for renal endometriosis still must depend on histopathologic examination.

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