Professional Background and Themes Used in Clinical Case Description

Introduction Leiomyomas are rare benign tumors that can occur in the male urinary tract. We present a unique case of leiomyoma of the vas deferens. Case Description We present the clinical case of a 69-year-old patient with a suspected bulk close to the right epididymis, which turned out to be a leiomyoma of the vas deferens. To our knowledge, it is the fourth case in literature. Conclusions A proper identification and the knowledge of this pathology, even if it is a very unusual event, is necessary to avoid a surgical over treatment and preserve the testicle, by removing only the tumor.

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Risk Factors of Ischemic Stroke in Children with Head and Neck Tumors: A Clinical Case Description with a Literature Review

American Journal of Pediatrics ◽

10.11648/j.ajp.20210703.24 ◽

2021 ◽

Vol 7 (3) ◽

pp. 163

Author(s):

Anastasia D. Rodina ◽

Vladimir Sh. Vanesyan ◽

Tatiana V. Gorbunova ◽

Natalia V. Ivanova ◽

Vladimir G. Polyakov

Keyword(s):

Risk Factors ◽

Ischemic Stroke ◽

Literature Review ◽

Head And Neck ◽

Clinical Case ◽

Head And Neck Tumors ◽

Case Description ◽

Neck Tumors

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Spinal and bulbar muscular atrophy (Kennedy’s disease): case description

The Scientific Notes of the I P Pavlov St Petersburg State Medical University ◽

10.24884/1607-4181-2019-26-3-86-93 ◽

2020 ◽

Vol 26 (3) ◽

pp. 86-93

Author(s):

A. V. Gavrichenko ◽

A. I. Kulyakhtin ◽

A. A. Yakovlev ◽

M. G. Sokolova ◽

A. G. Smochilin ◽

...

Keyword(s):

Physical Activity ◽

Clinical Case ◽

Muscular Atrophy ◽

Genetic Defect ◽

Cag Repeats ◽

Walking Distance ◽

Case Description ◽

Limb Weakness ◽

Disease Case ◽

Abnormal Increase

Kennedy’s X-linked spinal and bulbar muscular atrophy is a rare hereditary lower motoneuron neurodegenerative disease, which is based on the genetic defect of the androgen receptor’s first exon (AR), characterized by an abnormal increase of CAG-repeats. This article describes a clinical case of a patient with complaints about low limb weakness, walking distance shortening to 400–500 meters, coordination disturbances, and moderate polyneuropathy. According to complaints, neurological examination and patient’s family history, a genetic study was performed confirming the proposed diagnosis. Following neurometabolic, vitamin, physical therapy, physiotherapy and acupuncture were performed and the patient’s physical activity increasing and intensity of symptoms reduction was achieved. The article also highlights the features of pathogenesis and the prospects for pathogenetic treatment of this disease.

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Foeto-foetal transfusion syndrome in dichorionic diamniotic twins: a clinical case

Kuban Scientific Medical Bulletin ◽

10.25207/1608-6228-2021-28-2- ◽

2021 ◽

Vol 28 (2) ◽

pp. 120-134

Author(s):

E. K. Gordeeva ◽

A. V. Pomortsev ◽

I. B. Vasina ◽

M. A. Asriants ◽

T. A. Sadovnikova

Keyword(s):

Diabetes Mellitus ◽

Clinical Case ◽

Monozygotic Twins ◽

The Other ◽

Multiple Gestation ◽

Doppler Velocimetry ◽

Case Description ◽

Patient History ◽

Extremely Preterm ◽

Extremely Preterm Birth

Background. Management of multiple gestation complicated by the foeto-foetal transfusion syndrome is among most intricate modern obstetric issues. The syndrome develops in 10–20% of monochorionic diamniotic twins leading to 80–100% mortality in one or both twins if left uncorrected, especially in early syndrome cases. Although foeto-foetal transfusion usually develops with monochorionic placentae, there are notable exceptions of vascular placental anastomoses reported with dichorionic monozygotic twins. The disease supposedly entails from an imbalanced blood interflow between dichorionic twins due to placental vascular anastomoses.Clinical Case Description. Patient S., 32 yo, visited perinatal diagnostics at the Territorial Perinatal Centre of the Children’s Territorial Clinical Hospital with a preliminary diagnosis: 22 weeks and 5 days’ pregnancy. Dichorionic diamniotic twins. Threat of extremely preterm birth. Two caesarean uterine scars. Gestational diabetes mellitus.Medical files: patient history, pregnancy calendar. Pregnancy was regularly monitored with main ultrasound foetometry, foeto-foetal transfusion dynamics control and Doppler velocimetry.Ultrasonographic signs of abnormal haemodynamics underlying the foeto-foetal transfusion syndrome were detected at the first scan at 11–13 weeks 6 days’ term as collar space thickening in one foetus. Hydramnios in one foetus and oligohydramnios in the other were diagnosed at 28 weeks’ gestation conclusively indicating the foeto-foetal transfusion syndrome. This evidence suggested the formation of placental anastomoses, which was confirmed morphologically in placenta examination.Conclusion. A timely diagnosis and correction of emerging complications allowed prolongation of pregnancy in hospital conditions to 33–34 weeks. Both boys were live-born with Apgar score 7–8.

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