scholarly journals Relato de Caso: Hérnia de Spiegel / Case Report: Spigelian Hernia

2021 ◽  
Vol 15 (57) ◽  
pp. 864-871
Author(s):  
Andrezza Gomes da Rocha ◽  
George Wallisson Severo de Sá ◽  
Ana Beatriz Callou Sampaio Neves ◽  
Estela Máris Amorim Cruz ◽  
Antonio Marlos Duarte de Melo ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Ventral Hernia ◽  
Clinical Case ◽  
Diagnostic Methods ◽  
Abdominal Hernia ◽  
Abdominal Pressure ◽  
Single Patient ◽  
The Face ◽  
Hernia Abdominal

Resumo: A hérnia de Spiegel é uma entidade cirúrgica benigna que se mostra pelo defeito da aponeurose spigeliana, cuja apresentação pode ser congênita devido à fraqueza da parede muscular ou adquirida pelo aumento da pressão intra-abdominal. Essa hérnia ventral lateral representa apenas 0,1 a 2% de todas as hérnias da parede abdominal, com incidência predominante em adulto, podendo se manifestar em ambos os sexos, contudo, alguns estudos mostram, preferencialmente, o sexo feminino. Objetivo: Relatar o caso clínico de uma paciente portadora de Hérnia de Spiegel, bem como métodos diagnósticos e tratamento cirúrgico definitivo empregado. Metodologia: Trata-se de um estudo de caso do tipo retrospectivo, descritivo e documental. A amostra foi composta por uma única paciente. Resultados: descrever e enfatizar a existência desse tipo de hérnia incomum e, assim, abranger a visão dos cirurgiões diante de diagnóstico diferencial de dor abdominal a esclarecer. Assim como oferecer estudo com ênfase em perspectiva morfológica, epidemiológica, diagnóstica, terapêutica e pós-operatória da Hérnia de Spiegel. Palavras-chave: Cirurgia; Hérnia ventral; Hérnia abdominal Abstract:Spiegel hernia is a benign surgical entity that is manifested by the defect of the spigelian aponeurosis, whose presentation can be congenital due to muscle wall weakness or acquired by increased intra-abdominal pressure. This ventral lateral hernia represents only 0.1 to 2% of all hernias in the abdominal wall, with a predominant incidence in adults, and may manifest in both sexes, however, some studies show preferentially the female sex. Objective: To report the clinical case of a patient with Spiegel's hernia, as well as diagnostic methods and definitive surgical treatment employed. Methodology: This is a retrospective, descriptive and documentary case study. The sample consisted of a single patient. Results: to describe and emphasize the existence of this type of uncommon hernia and, thus, cover the view of surgeons in the face of a differential diagnosis of abdominal pain to be clarified. As well as offering a study with an emphasis on the morphological, epidemiological, diagnostic, therapeutic and postoperative perspective of Spiegel's hernia Keywords: surgery, ventral hernia, abdominal hernia 

Congenital optic disc coloboma

2021 ◽  
pp. 33-39
Author(s):  
A.O. Nazarenko ◽  
◽  
E.E. Sidorenko ◽  
D.V. Miguel ◽  
A.S. Smartsev ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Optic Nerve ◽  
Clinical Picture ◽  
Clinical Case ◽  
Charge Syndrome ◽  
Diagnostic Methods ◽  
Newly Diagnosed ◽  
Optic Nerve Atrophy ◽  
Optic Disc Coloboma ◽  
Optic Nerve Coloboma

A clinical case of observation of a 3-year-old child with a newly diagnosed optic nerve coloboma and multiple malformations is considered. The clinical picture and diagnostic methods necessary for the diagnosis are reflected. On the example of this child, the differential diagnosis with Charge syndrome is considered. Key words: coloboma, optic nerve coloboma, partial optic nerve atrophy, astigmatism, Charge syndrome.

Diagnostic Challenges and Surgical Strategies in Ossification of the Posterior Longitudinal Ligament. Case Study

2021 ◽  
Vol 23 (2) ◽  
pp. 129-137
Author(s):  
Mateusz Pawłowski ◽  
Andrzej Bojda ◽  
Piotr Morasiewicz ◽  
Bogdan Czapiga
Keyword(s):  
Female Patient ◽  
Cervical Myelopathy ◽  
Clinical Case ◽  
Treatment Options ◽  
Posterior Longitudinal Ligament ◽  
European Population ◽  
Diagnostic Methods ◽  
Surgical Strategies

This article presents the case of a female patient suffering from cervical myelopathy due to ossification of the posterior longitudinal ligament (OPLL) which was undiagnosed for a number of years. Besides presenting the clinical case, we describe the pathophysiology, symptoms, diagnostic methods and treatment options related to this condition, which is unusual in the European population.

Autism-plus spectrum disorders: Interfaces with psychosis

2016 ◽  
Vol 33 (S1) ◽  
pp. S356-S356
Author(s):  
I. Peixoto ◽  
R. Velasco Rodrigues ◽  
C. Marques
Keyword(s):  
Autism Spectrum Disorder ◽  
Differential Diagnosis ◽  
Clinical Case ◽  
Psychotic Disorders ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Case Vignette ◽  
The Face ◽  
Competing Interest ◽  
Definition Of

IntroductionDespite categorical differentiation, autistic and psychotic disorders are historically related diagnostic entities and there is still much controversy regarding their limits and developmental course. Particularly in children, the presence of idiosyncratic fears, difficulties in the social sphere and thought disorder are important factors in the differential diagnosis. There are some research-derived clinical constructs that operationalize symptomatology aiming to highlight the interfaces and the overlap between such disorders. Their clinical implications can be extremely relevant in the face of the limits of current nosology.ObjetivesTo phenomenologically describe differentiating parameters and high-risk clinical profiles for the development of psychosis in children with autism spectrum disorder.MethodsSelective review of the literature in PubMed (MEDLINE). Illustration with a clinical case vignette.ResultsThe clinical case reflects well the difficulties posed in the differential diagnosis due to the multiple interfaces between autism and psychosis. Constructs such as “multiple complex developmental disorder” or “multidimensionally impaired syndrome” allow a clearer and more practice-friendly characterization of such individuals.ConclusionThe constelation of symptoms identified in these criteria may become useful through the definition of subgroups of autism spectrum disorder individuals with complex psychopathology. Studies in this regard are still scarce, but the validation and reproduction of the positive results observed in the near future can help optimize the clinical approaches in these children.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Fuchs Syndrome: Medical Treatment of 1 Case and Literature Review

2017 ◽  
Vol 9 (1) ◽  
pp. 114-120 ◽  
Author(s):  
Rémy Gossart ◽  
Eve Malthiery ◽  
Fanny Aguilar ◽  
Jacques-Henri Torres ◽  
Marie-Alix Fauroux
Keyword(s):  
Differential Diagnosis ◽  
Literature Review ◽  
Treatment Program ◽  
Erythema Multiforme ◽  
Clinical Case ◽  
Multiple Drug ◽  
Clinical Case Study ◽  
Ocular Symptoms ◽  
Erythema Multiforme Major

Fuchs syndrome is a particular type of erythema multiforme major; the lesions are only found on the mucosae and specifically affect oral, ocular, and genital mucosae. The cause is not always immediately apparent, which is why this pathology requires a rigorous, detailed clinical examination to eliminate a differential diagnosis. The severity of the symptoms, particularly of oral and ocular symptoms, requires immediate treatment. The treatment of this pathology requires a multiple-drug regime. Through a clinical case study, the objective of this work is to help guide practitioners when diagnosing and treating this pathology as no current consensus exists on these 2 subjects. The authors present the case of a 29-year-old patient who was suffering from a recurring outbreak of Fuchs syndrome, suspected of having been triggered by Mycoplasma pneumoniae. After completing the treatment program based on colchicine and prednisolone, the patient was relieved from pain and has not suffered from any further periodic eruptions of erythema multiforme.

scholarly journals AMYLOIDOSIS HEART IN ELDERLY

2015 ◽  
pp. 28-36
Author(s):  
L. I. Dvoretsky ◽  
O. Yu. Karpova ◽  
E. N. Alexandrova ◽  
S. Yu. Petrova
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Differential Diagnosis ◽  
Clinical Case ◽  
Clinical Presentation ◽  
The Elderly ◽  
Diagnostic Methods ◽  
Different Types

The data on the incidence, clinical presentation, diagnostic methods amyloidosis of the heart in different types of amyloidosis. The features of the current heart amyloidosis, highlights the difficulty of diagnosis and differential diagnosis in the elderly. As an illustration, describes a clinical case of amyloidosis of the heart in 83-year-old patient, the main manifestation of which was congestive heart failure.

A rare case of oculocutaneous melanosis (nevus of Ota) at Ophthalmologist's appointment

2021 ◽  
pp. 39-43
Author(s):  
E.E. Sidorenko ◽  
◽  
A.O. Nazarenko ◽  
I.V. Suhanova ◽  
A.P. Shavaleeva ◽  
...  
Keyword(s):  
Risk Factors ◽  
Differential Diagnosis ◽  
Clinical Picture ◽  
Rare Case ◽  
Clinical Case ◽  
Diagnostic Methods ◽  
Skin Melanoma ◽  
Nevus Of Ota ◽  
Melanoma Patients ◽  
Eye Melanoma

A rare clinical case of nevus of Ota in a 6-year-old child is described. The clinical picture and diagnostic methods used in this case are reflected. On the example of the patients presented in this article, differential diagnosis with alkaptonuria is fully described. Given the risk of transition to skin melanoma and ocular melanoma, patients with nevus of Ota should be observed by Dermatologist and Ophthalmologist annually. Such patients should also strictly avoid exposition to any ultraviolet radiation and exclude possible risk factors traumatizing the nevus. Key words: nevus, Ota nevus, alkaptonuria, skin melanoma, eye melanoma.

scholarly journals A clinical case of pulmonary and hepatic echinococcosis

2017 ◽  
Vol 98 (2) ◽  
pp. 261-266
Author(s):  
M L Gorbunova ◽  
S N Volkova ◽  
G V Shestakova ◽  
E L Spiridonova
Keyword(s):  
Differential Diagnosis ◽  
Clinical Case ◽  
Clinical Presentation ◽  
Final Diagnosis ◽  
Primary Diagnosis ◽  
Diagnostic Methods ◽  
X Ray ◽  
Chest X Ray ◽  
Pulmonary Echinococcosis ◽  
Hepatic Echinococcosis

The article presents а description of our personal case of pulmonary and hepatic echinococcosis in a 38-years-old patient. Literature data on clinical presentation, laboratory and instrumental diagnostic methods of the disease are presented. Different variants of clinical presentation of pulmonary echinococcosis and its possible complications are described. The problems of differential diagnosis, surgical and conventional methods of treatment are analyzed. The presented clinical case confirms the wide spread opinion that the diagnosis of pulmonary echinococcosis based on only the results of chest X-ray is extremely challenging. Frequent diagnostic mistakes are associated with the primary diagnosis of pneumonia based on chest X-ray. Use of high-pitch spiral computed tomography implemented recently into clinical practice provides early differential diagnosis of pulmonary lesions with parasitic diseases, in particular, with echinococcosis. The final diagnosis is confirmed by serologic methods of echinococcosis diagnosis with the use of enzyme immunoassays.

scholarly journals Patient with anemia (clinical case study)

2021 ◽  
Vol 2 (2) ◽  
pp. 28-31
Author(s):  
Leonid I. Dvoretsky ◽  
Keyword(s):  
Differential Diagnosis ◽  
Laboratory Test ◽  
Female Patient ◽  
Clinical Case ◽  
Clinical Problem ◽  
Test Results ◽  
Clinical Case Study ◽  
Laboratory Test Results ◽  
Future Direction

For physicians, every new case of anemia is a clinical problem with multiple unknowns. The case of female patient K. aged 40 with clinical and laboratory manifestations of anemia is reported. Pathogenetic variants of anemia have been studied; each variant characterized by specific laboratory test results determines future direction of diagnosis aimed at search for the cause of anemia (nosological diagnosis). Differential diagnosis has been developed.

The Variable Nature of Stuttering: A Clinical Case Study

1995 ◽  
Vol 22 ◽  
pp. 29-35
Author(s):  
Jennifer Gutierrez ◽  
Anthony Caruso
Keyword(s):  
Clinical Case ◽  
Clinical Case Study ◽  
Variable Nature

Acute mesenteric ischemia with necrosis of entire small intestine

2019 ◽  
Vol 98 (4) ◽  
pp. 174-177
Keyword(s):  
Small Intestine ◽  
Mesenteric Ischemia ◽  
Severe Disease ◽  
Acute Mesenteric Ischemia ◽  
Diagnostic Methods ◽  
Entire Small Intestine ◽  
Common Etiology

The case study describes a case of a patient with acute mesenteric ischemia with necrosis of entire small intestine. In following text there is an overview of the incidence of acute mesenteric ischemia, its most common etiology, diagnostic methods and treatment of this severe disease.

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