scholarly journals Congenital myopia complicating pregnancy: A rare case and mini-review of the literature

2021 ◽  
Vol 12 (3) ◽  
pp. 153-155
Author(s):  
Chrisostomos Sofoudis ◽  
Papamargaritis Eftimios ◽  
Papadaki Maria ◽  
Yperifanou Kyriaki
Keyword(s):  
Rare Case ◽  
Review Of The Literature ◽  
Third Trimester ◽  
Increased Risk ◽  
Elevated Intraocular Pressure ◽  
Good Clinical Condition ◽  
History Of ◽  
Proper Diagnosis ◽  
Fundoscopic Examination ◽  
Macular Hemorrhage

A highly myopic 35-year-old female patient (P0, G1) with reduced visual acuity R 3/10 l 3/10 due to bilateral choroidal neovascularization (CNV) admitted at our Department. The patient had atomic history of congenital myopia firstly diagnosed at the age of 2-y-old. The initial diagnosis established a refractive error over 8 diopters (high grade myopia) progressively increased. During third trimester of gestation her vision was acutely diminished. The fundoscopic examination depicted elevated intraocular pressure and deterioration of myopia to -30D bilaterally. (Fruoresceinangiography revealed active CNV). Patient underwent selected caesarean section due to increased risk of macular hemorrhage. She discharged from hospital the 4th pod in good clinical condition. Assiduous ocular and obstetrical monitoring appeared mandatory in order to insure optimal therapeutic mapping. Objective of our study remains proper diagnosis and treatment of such a rare case.

scholarly journals IgG4-Related Hashimoto's Thyroiditis of the Thyroid Gland

2017 ◽  
Vol 102 (5-6) ◽  
pp. 222-226
Author(s):  
Sang Yull Kang ◽  
Yo Na Kim ◽  
Seon Kwang Kim ◽  
Hyun Jo Youn ◽  
Sung Hoo Jung
Keyword(s):  
Hashimoto’S Thyroiditis ◽  
Rare Case ◽  
Thyroid Dysfunction ◽  
Past History ◽  
Hashimoto's Thyroiditis ◽  
Neck Swelling ◽  
Comprehensive Understanding ◽  
Anterior Neck ◽  
History Of ◽  
Proper Diagnosis

Immunoglobulin (Ig) G4-related Hashimoto's thyroiditis is a newly discovered subtype of Hashimoto's thyroiditis and characterized by thyroid inflammation and marked fibrosis. IgG4-related Hashimoto's thyroiditis is very rare and there has been relatively little information available to date. A 46-year-old woman with a past history of thyroid dysfunction visited our outpatient clinic for severe anterior neck swelling. She complained of swallowing discomfort and pain due to severe goiter and was successfully treated with total thyroidectomy. Immunohistochemistry showed thyroid invasion by IgG4-positive cells and an IgG4/IgG ratio over 40%. The patient was diagnosed with IgG4-related Hashimoto's thyroiditis. We report a very rare case of IgG4-related Hashimoto's thyroiditis with severe goiter. A more comprehensive understanding of the IgG4-related Hashimoto's thyroiditis may help physicians to allow proper diagnosis and treatment of patients with severe goiter.

scholarly journals Acute Type A Aortic Dissection in a 36-Week Pregnant Patient

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Erol Kohli ◽  
Sharhabeel Jwayyed ◽  
Gary Giorgio ◽  
Mary Colleen Bhalla
Keyword(s):  
Aortic Dissection ◽  
Early Recognition ◽  
Type A ◽  
Pregnant Patient ◽  
Acute Type ◽  
Third Trimester ◽  
Type A Aortic Dissection ◽  
Increased Risk ◽  
History Of ◽  
Aortic Dissections

Aortic dissection is a relatively rare yet often fatal condition. Early recognition and treatment are crucial for survival. While the majority of patients who present with aortic dissection are older than 50 years of age and have a history of hypertension, younger patients with connective tissue disease, bicuspid aortic valves, and a family history of aortic dissection are also at an increased risk for developing this condition. A review of the literature revealed a paucity of published cases describing the successful, emergent repair of acute type A aortic dissections in third- trimester gravid patients. We present the case of the successful diagnosis and surgical repair of a 41-year-old female who presented to the emergency department with an acute type A aortic dissection at 36 weeks of gestation.

Salivary gland pathology in the paediatric population: implications for management and presentation of a rare case

2014 ◽  
Vol 128 (1) ◽  
pp. 104-106 ◽  
Author(s):  
L Jablenska ◽  
A Trinidade ◽  
V Meranagri ◽  
P Kothari
Keyword(s):  
Salivary Gland ◽  
Pleomorphic Adenoma ◽  
Rare Case ◽  
Paediatric Population ◽  
Review Of The Literature ◽  
Resonance Imaging ◽  
Superficial Parotidectomy ◽  
History Of ◽  
Painless Mass ◽  
Salivary Gland Pathology

AbstractIntroduction:Salivary gland pathology in the paediatric population is rare and can present management challenges regarding both investigation and treatment.Method:Case report and review of available literature.Results:A seven-year-old, fit, well girl presented with a two-month history of a painless mass over the left parotid area. Ultrasonography confirmed the presence of a well-defined, 1.5 × 2 cm, predominantly solid lesion with minor internal cystic spaces arising from the superficial part of the gland. Magnetic resonance imaging showed no invasion of the deep lobe or skeletal erosion. Superficial parotidectomy was performed via a facelift incision. Histopathology confirmed a diagnosis of pleomorphic adenoma. Review of the literature emphasised important differences in managing this pathology in the paediatric population when compared with adults.Conclusion:We present the youngest reported case of a pleomorphic adenoma of the parotid gland, detail its management, and discuss the general approach to parotid pathology management in the paediatric population.

scholarly journals Stridor and respiratory failure due to tracheobronchomalacia: case report and review of the literature

2012 ◽  
Vol 130 (1) ◽  
pp. 61-64 ◽  
Author(s):  
Ramon Andrade de Mello ◽  
Adriana Magalhães ◽  
Abílio José Vilas-Boas
Keyword(s):  
Case Report ◽  
Respiratory Failure ◽  
Rare Case ◽  
Rigid Bronchoscopy ◽  
Chronic Obstructive ◽  
Review Of The Literature ◽  
Cross Sectional ◽  
Obstructive Pulmonary Disease ◽  
Copd Patients ◽  
History Of

CONTEXT: Tracheobronchomalacia (TBM) results from structural and functional abnormalities of the respiratory system. It is characterized by excessive collapse: at least 50% of the cross-sectional area of the trachea and main bronchi. In this paper, we present a rare case of a patient with TBM who first presented with stridor and respiratory failure due to exacerbation of chronic bronchitis. CASE REPORT: An 81-year-old Caucasian man was admitted presenting coughing, purulent sputum, stridor and respiratory failure. He had a medical history of chronic obstructive pulmonary disease (COPD) and silicosis and was a former smoker. Axial computed tomography on the chest revealed marked collapse of the trachea in its middle third. Bronchoscopy showed characteristics compatible with TBM. He was treated with noninvasive ventilation, without any good response. Subsequently, a Dumon Y stent was placed by means of rigid bronchoscopy. After the procedure, he was discharged with a clinical improvement. CONCLUSION: TBM is fatal and often underdiagnosed. In COPD patients, stridor and respiratory failure may be helpful signs that should alert physicians to consider TBM as an early diagnosis. Thus, these signs may be important for optimizing the treatment and evolution of such patients.

scholarly journals Renal Metastases of a Femur Osteosarcoma: A Case Report and a Review of the Literature

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Yousra Akasbi ◽  
Samia Arifi ◽  
Karim Lahlaidi ◽  
Tarik Namad ◽  
Nawfel Mellas ◽  
...  
Keyword(s):  
Case Report ◽  
Rare Case ◽  
English Literature ◽  
Renal Involvement ◽  
Review Of The Literature ◽  
Metastatic Osteosarcoma ◽  
History Of ◽  
Renal Metastases

This paper discusses a rare case of renal metastatic osteosarcoma. A 25-year-old man with a history of metastatic osteosarcoma involving his right kidney was referred to our institution for treatment. He was managed with chemotherapy. An exhaustive review of the English literature pertaining to this disease was performed. To our knowledge, this case represents only the sixteenth. The literature suggests that the incidence of renal involvement in osteosarcoma is significant and that the treatment should be multidisciplinary in such patients.

scholarly journals Metastasis of Colorectal Adenocarcinoma to the Thyroid: A Case Report and Review of the Literature

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
C. Goatman ◽  
P. J. Goldsmith ◽  
V. Antonopoulos ◽  
B. Ali
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Colorectal Adenocarcinoma ◽  
Review Of The Literature ◽  
Thyroid Lesion ◽  
Acute Presentation ◽  
History Of ◽  
Thyroid Metastases ◽  
Colorectal Tumours ◽  
Metastasis To The Thyroid

Purpose. We present a rare case of colorectal metastasis to the thyroid five years following primary colonic resection. This case highlights the need to be cognisant of unusual sites of metastasis from colorectal neoplasms.Case Report. An 82-year-old male patient had a panproctocolectomy for synchronous colorectal tumours. Five years later he was found to have lung and thyroid metastases found incidentally on imaging for an acute presentation with small bowel obstruction.Conclusion. Metastases to the thyroid should be considered in the differential diagnosis of the thyroid lesion with any history of malignancy, particularly with increasing patient age and when renal cell carcinoma or lung, colon, or breast primaries are involved.

Cystic Falcine Chondroma: Case Report and Review of the Literature

Neurosurgery ◽  
1991 ◽  
Vol 29 (6) ◽  
pp. 909-912 ◽  
Author(s):  
Karim Hadadian ◽  
Hossein Abtahii ◽  
Zahra T. Asil ◽  
Mohammad Rakhshan ◽  
Parvin Vessal
Keyword(s):  
Case Report ◽  
Microscopic Examination ◽  
Rare Case ◽  
Cystic Degeneration ◽  
Review Of The Literature ◽  
Resected Tumor ◽  
History Of

Abstract A rare case of falcine chondroma in a 25-year-old woman with an 8-year history of headache and a recent generalized seizure is presented. Microscopic examination of the resected tumor revealed that it was a falcine chondroma with chondrocytes and central cystic degeneration.

scholarly journals A rare case of high-grade serous ovarian epithelial carcinoma presenting as an isolated cystic mediastinal mass: a case report and brief review of the literature

2010 ◽  
Vol 92 (5) ◽  
pp. e57-e58
Author(s):  
Marco Scarci ◽  
Rizwan Attia ◽  
Tom Routledge ◽  
Juliet King
Keyword(s):  
Rare Case ◽  
Cystic Lesion ◽  
Mediastinal Mass ◽  
High Grade ◽  
Review Of The Literature ◽  
Right Thoracotomy ◽  
Ovarian Epithelial Carcinoma ◽  
History Of ◽  
The Right ◽  
Primary Presentation

A 70-year-old woman presented with a 2-year history of increasing breathlessness. Computed tomography (CT) of the chest confirmed a well-defined cystic lesion abutting the mediastinum in the right hemi thorax measuring 8 × 6 cm. She underwent a right thoracotomy to excise the cystic lesion. Biopsies for histology demonstrated metastatic serous ovarian epithelial carcinoma. We report a very unusual primary presentation of ovarian epithelial carcinoma as a single cystic mediastinal mass. We also include a brief review of the literature.

scholarly journals Adderall Induced Acute Liver Injury: A Rare Case and Review of the Literature

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Rohini R. Vanga ◽  
Bikram Bal ◽  
Kevin W. Olden
Keyword(s):  
Liver Injury ◽  
Rare Case ◽  
Acute Liver Injury ◽  
Past History ◽  
English Literature ◽  
Review Of The Literature ◽  
Intensive Monitoring ◽  
Hyperactivity Disorder ◽  
History Of ◽  
Time Of Presentation

Adderall (dextroamphetamine/amphetamine) is a widely prescribed medicine for the treatment of attention-deficit/hyperactivity disorder (ADHD) and is considered safe with due precautions. Use of prescribed Adderall without intention to overdose as a cause of acute liver injury is extremely rare, and to our knowledge no cases have been reported in the English literature. Amphetamine is an ingredient of recreational drugs such as Ecstacy and is known to cause hepatotoxicity. We describe here the case of a 55-year-old woman who developed acute liver failure during the treatment of ADHD with Adderall. She presented to the emergency room with worsening abdominal pain, malaise, and jaundice requiring hospitalization. She had a past history of partial hepatic resection secondary to metastasis from colon cancer which was under remission at the time of presentation. She recovered after intensive monitoring and conservative management. Adderall should be used carefully in individuals with underlying liver conditions.

scholarly journals Increased Angiogenesis and Lymphangiogenesis in the Placental Villi of Women with Chronic Venous Disease during Pregnancy

2020 ◽  
Vol 21 (7) ◽  
pp. 2487 ◽  
Author(s):  
Miguel A Ortega ◽  
Miguel A Saez ◽  
Oscar Fraile-Martínez ◽  
Ángel Asúnsolo ◽  
Leonel Pekarek ◽  
...  
Keyword(s):  
Protein Expression ◽  
Periodic Acid ◽  
Chronic Venous Disease ◽  
Venous Disease ◽  
Third Trimester ◽  
Increased Risk ◽  
Gene And Protein Expression ◽  
Placental Villi ◽  
History Of ◽  
Polymerase Chain

Pregnancy is a period in a woman’s life associated with an increased risk of developing lower extremity chronic venous disease (CVD). Pregnancy-associated CVD is associated with changes in placental villi. We investigated angiogenesis and lymphangiogenesis in the placental villi of women with CVD during pregnancy compared with healthy controls with no history of CVD (HC). An observational, analytical, and prospective cohort study was conducted on 114 women in their third trimester of pregnancy (32 weeks). Sixty-two participants were clinically diagnosed with CVD. In parallel, 52 controls with no history of CVD (HC) were studied. Gene and protein expression of CD31, podoplanin (D2-40), Flt-1, and placental growth factor (PIGF) was analysed by real-time polymerase chain reaction (RT-qPCR) and immunohistochemistry. CD31 and D2-40 gene expression was significantly greater in the placental villi of women with CVD, as were the numbers of vessels positive for CD31 and D2-40. Significantly higher gene and protein expression of Flt-1 and PIGF was observed in the placental villi of women with CVD. Histological analysis showed more placental villi with periodic acid of Schiff (PAS)-positive material in women with CVD. Our results show a connection between pregnancy-associated CVD and leading to higher proangiogenic and lymphangiogenic activity in placental villi.

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