scholarly journals Case Report: Can we differentiate mesothelioma from inflammatory pericardial constriction preoperatively?

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 513
Author(s):  
Syed Shahmeer Raza ◽  
Irfan Ullah ◽  
Saira Kainat Awan ◽  
Muhammad Daniyal Nadeem ◽  
Gulsam Bashir
Keyword(s):  
Case Report ◽  
Lower Extremity ◽  
Cardiac Tamponade ◽  
Cardiac Tumor ◽  
Watery Diarrhea ◽  
Lower Extremity Edema ◽  
Quadrant Pain ◽  
Pericardial Mesothelioma ◽  
History Of ◽  
Level 1

Primary malignant pericardial mesothelioma (PMPM) is a rare cardiac tumor. The patient usually presents with pericardial constriction, usually misdiagnosed and wrongly managed. We present the case of a 21-year-old woman with a history of pericarditis and cardiac tamponade. The patient was referred from a clinic due to nausea, vomiting and ascites with lower extremity edema, soft and watery diarrhea, and right upper quadrant pain. Surgery (sternotomy and partial pericardiectomy) was proposed after looking at the different relevant investigations; it was not until that the patient was operated on that it was established that this wasn't a mere constriction but a malignancy. The patient shortly died after the operation. Pathology made a diagnosis of PMPM. Along with the classical symptoms those who present with level 1 thoracic adenopathy a decision to operate should be very carefully made, this may lead to a misdiagnosis of PMPM which postoperatively results in patient's death.

Gallbladder Paraganglioma: A Case Report With Review of the Literature

2005 ◽  
Vol 129 (4) ◽  
pp. 523-526 ◽  
Author(s):  
Shveta Mehra ◽  
Moonja Chung-Park
Keyword(s):  
Case Report ◽  
Retrospective Study ◽  
Family History ◽  
Gastrointestinal Bleeding ◽  
Biliary System ◽  
Rare Tumor ◽  
Review Of The Literature ◽  
Quadrant Pain ◽  
Endocrine Neoplasia ◽  
History Of

Abstract We report a case of gallbladder paraganglioma that was discovered during nonrelated surgery. Retrospective study disclosed a family history of pheochromocytoma. The occurrence of gallbladder paraganglioma in the presence of family history of endocrine neoplasia supports that gallbladder paraganglioma may indeed occur as a part of the multiple endocrine neoplasm syndrome. Gallbladder paraganglioma is a rare tumor, and so far to our knowledge only 6 cases have been reported in the literature. Three cases were discovered incidentally during cholecystectomy for cholelithiasis, 2 presented with right upper quadrant pain, and 1 manifested with gastrointestinal bleeding. We herein review all reported cases of paraganglioma of gallbladder and biliary system.

Arterial Thrombosis and Gangrene Secondary to Arachnidism

Vascular ◽  
2009 ◽  
Vol 17 (4) ◽  
pp. 239-242
Author(s):  
Jan M. Eckermann ◽  
Theodore H. Teruya ◽  
Christian Bianchi ◽  
Ahmed M. Abou-Zamzam
Keyword(s):  
Case Report ◽  
Lower Extremity ◽  
Vascular Disease ◽  
Tissue Damage ◽  
Arterial Thrombosis ◽  
Progressive Necrosis ◽  
Life Threatening ◽  
History Of ◽  
Spider Bites ◽  
Spider Bite

Spider bites can cause local tissue damage as well as life-threatening complications. This is a case report of a female with no history of lower extremity vascular disease who presented with a spider bite on the dorsum of her foot. She developed progressive necrosis and eventually suffered limb loss despite attempts at revascularization.

scholarly journals Dermatomyositis Sine Myositis with Membranoproliferative Glomerulonephritis

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Mohammad Bagher Owlia ◽  
Roya Hemayati ◽  
Shokouh Taghipour Zahir ◽  
Mohammad Moeini Nodeh
Keyword(s):  
Mycophenolate Mofetil ◽  
Autoimmune Disease ◽  
Lower Extremity ◽  
Renal Biopsy ◽  
Membranoproliferative Glomerulonephritis ◽  
Pathological Examination ◽  
Lower Extremity Edema ◽  
History Of

Dermatomyositis (DM) is an autoimmune disease that is characterized by involvement of proximal musculature and skin. We report a 52-year-old woman with a 6-year history of dermatomyositis sine myositis, who developed lower extremity edema and proteinuria. Pathological examination of renal biopsy showed membranoproliferative glomerulonephritis. She received steroid, cyclophosphamide, and mycophenolate mofetil. Over the 9 to 10 months after the beginning of treatment, the proteinuria was improved.

scholarly journals Hypothyroidism in a five-year-old boy with rhabdomyolysis and recent history of cardiac tamponade: a case report

2011 ◽  
Vol 5 (1) ◽  
Author(s):  
Juan José Delgado Hurtado ◽  
Waleska Guevara ◽  
Evelyn Ramos ◽  
Claudia Lorenzana ◽  
Susana Soto
Keyword(s):  
Case Report ◽  
Cardiac Tamponade ◽  
Recent History ◽  
History Of

Juvenile Rheumatoid Arthritis Sparing the Lower Extremities in a Girl with Myelodysplasia

PEDIATRICS ◽  
1984 ◽  
Vol 73 (3) ◽  
pp. 400-400
Keyword(s):  
Rheumatoid Arthritis ◽  
Case Report ◽  
Lower Extremity ◽  
Motor Neuron ◽  
Juvenile Rheumatoid Arthritis ◽  
Upper Limb ◽  
Joint Disease ◽  
Joint Involvement ◽  
History Of ◽  
History Of Pain

It is well recognized that a paralyzed limb may be spared from the effects of joint disease in patients with rheumatoid arthritis (RA),1 osteoarthritis,2,3 and gout.4 The paralysis may result from upper or lower motor neuron lesions.5-7 The striking freedom from lower extremity joint involvement in a child with polyarticular juvenile rheumatoid arthritis (JRA) represents a further example of this association, the first reported in a child. CASE REPORT An 8½-year-old girl had a 2-year history of pain in the metacarpophalangeal joints, hands, neck, and shoulders. She had noted decreased upper limb strength, inability to extend her elbows fully, and a recent diminution of range of motion in her wrists and shoulders.

scholarly journals Canadian-Acquired Hydatid Disease: A Case Report

2001 ◽  
Vol 12 (3) ◽  
pp. 178-182 ◽  
Author(s):  
Mohammed Al Saghier ◽  
Mark C Taylor ◽  
Howard M Greenberg
Keyword(s):  
Case Report ◽  
Lower Extremity ◽  
Percutaneous Drainage ◽  
Hepatic Cyst ◽  
Aboriginal Woman ◽  
Lower Extremity Edema ◽  
Hydatid Cysts ◽  
Management Options ◽  
One Year

Echinococcal cysts are unusual in Canada, and most cases seen are in immigrants. In northern Canadian communities,Echinococcus granulosisinfection occasionally is acquired from dogs that feed on the entrails of caribou or moose. Seventeen patients with Canadian-acquired hydatid cysts were seen over an 11-year period. One challenging case is described in detail. An 18-year-old aboriginal woman presented with jaundice, pain, lower extremity edema and coagulopathy from a 26 cm echinococcal hepatic cyst. She was successfully treated with a combination of oral albendazole, percutaneous drainage and surgery. One-year follow-up showed no recurrence of disease. The management options for echinococcal cysts are extensively reviewed.

scholarly journals Improvement of Refractory Peripheral Edema With Multilayered Compression Bandaging: A Case Report

2018 ◽  
Vol 98 (9) ◽  
pp. 763-766 ◽  
Author(s):  
Jegy M Tennison ◽  
Jack B Fu ◽  
Eduardo Bruera
Keyword(s):  
Lower Extremity ◽  
Diuretic Therapy ◽  
Compression Therapy ◽  
Lower Extremity Edema ◽  
Compression Stockings ◽  
Peripheral Edema ◽  
Compression Bandaging ◽  
History Of ◽  
Artery Disease

Abstract Background and Purpose Lower extremity edema, which can be caused by several factors, is often poorly managed with commonly prescribed compression stockings and diuretics. Diuretics are often erroneously given in all forms of edema and may cause problems because their long-term application may induce chronicity of the edema due to disturbance of the renin-angiotensin relationship. Compression therapy, although effective against venous edema, is widely underused. Case Description A 64-year-old man with a history of hypertension, coronary artery disease, psoriasis, and multiple myeloma was admitted to the hospital for neutropenic fever, right lower extremity (RLE) cellulitis, bilateral lower extremity (BLE) weakness, RLE pain, and significant BLE edema. The patient was referred to a lymphedema-certified therapist to apply lower extremity multilayered compression bandaging and document serial limb circumference measurements. Outcomes The patient's weight decreased from 94.5 kg on day 1 of compression bandaging to 86.3 kg on day 7. The circumferences of the affected limbs also decreased. Discussion This case demonstrates the utility of multilayered compression bandaging, typically used in the management of lymphedema, in the control of peripheral edema that is refractory to diuretic therapy.

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