Omohyoid muscle syndrome

Omohyoid muscle syndrome is a rare cause of a bulging lateral neck mass that occurs on swallowing that often a worrisome observation because of the concern of malignancy and cosmetic deformity. The first case has been documented on 1969. A 12 years old male came to Surgical Oncology Outpatient Clinic with chief complaint a protruding right lateral neck mass during swallowing. He noticed this complaint since three months prior. He had no previous history of medical illness. He had history of multiple chokehold trauma when playing with his friend 6 months ago. He had no symptoms besides the mass occurring on his right neck. The patient went through the cervical radiograph and neck ultrasonography examination. There were inconclusive results. The patient was informed that the implication of these findings was strictly cosmetic and did not pose any risk of long-term consequence. Corrective cosmetic surgery was recommended as an option if he was concerned about the cosmetic appearance and conservative management was recommended to observe any pain or dysphagia he might experience in the near future. He denied surgery and did not seek further care for his condition. Omohyoid muscle syndrome is a rare condition that might occur after trauma such as chokehold to the neck. Imaging on this syndrome quite challenging especially when there were no other symptoms experienced. If it is proven to be strictly cosmetic, most patients will choose to have a conservative therapy.

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Subsequent Development of Desmoid Tumor after a Resected Gastrointestinal Stromal Tumor

Case Reports in Pathology ◽

10.1155/2018/1082956 ◽

2018 ◽

Vol 2018 ◽

pp. 1-5

Author(s):

Areen Abdulelah Murshid ◽

Hatim Q. Al-Maghraby

Keyword(s):

Gastrointestinal Stromal Tumor ◽

Desmoid Tumor ◽

Case Reports ◽

Previous History ◽

Subsequent Development ◽

Stromal Tumor ◽

Desmoid Tumors ◽

Mesenchymal Tumors ◽

First Case ◽

History Of

Desmoid tumors (deep fibromatosis) of the mesentery are rare mesenchymal tumors. They are often misdiagnosed, especially with a previous history of resection for gastrointestinal stromal tumor (GIST). Immunohistochemistry can help differentiate between these two tumors. In this article, we present a case we had encountered: a Desmoid tumor developing in a patient with a history of GIST 3 years ago. It is the first case of GIST with subsequent development of Desmoid tumor to be reported in Saudi Arabia. We discuss the two entities of Desmoid tumor and GIST by comparing their definitions, clinical presentations, histological features, immunohistochemistry stains, molecular pathogenesis, prognosis, and treatment. We also discuss the relationship between GIST and the subsequent development of Desmoid tumors and compare our case with case reports in literature.

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Case Report: Two Cases of Subacute Thyroiditis Following SARS-CoV-2 Vaccination

Frontiers in Medicine ◽

10.3389/fmed.2021.737142 ◽

2021 ◽

Vol 8 ◽

Cited By ~ 1

Author(s):

Catherine Bornemann ◽

Katharina Woyk ◽

Caroline Bouter

Keyword(s):

Viral Infections ◽

Clinical Laboratory ◽

Previous History ◽

Subacute Thyroiditis ◽

Clinical Test ◽

Thyroid Disorders ◽

Thyroid Disorder ◽

Lateral Neck ◽

Test Results ◽

History Of

Subacute thyroiditis is an inflammatory thyroid disorder associated with viral infections. Rare cases of subacute thyroiditis have also been described following vaccination. Recently, a few cases of subacute thyroiditis following SARS-CoV-2 vaccination have also been reported. Here, we present two cases of cytological proven subacute thyroiditis after receiving the first dose of a SARS-CoV-2 vaccination. We describe clinical, laboratory, imaging and cytological findings in two cases of subacute thyroiditis that presented in our department 2 weeks after SARS-CoV-2 vaccination with Spikevax (Moderna Biotech, Spain) and Vaxzevria (AstraZeneca; Sweden). Both cases did not have a previous history of thyroid disorders and presented with anterior and lateral neck pain. Clinical test results as well as cytological findings were consistent with subacute thyroiditis. Subacute thyroiditis may develop following a SARS-CoV-2 vaccination and should be considered as a possible side effect in cases that present with thyroid pain.

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Self-Induced Traumatic Macroglossia: Case Report and Literature Review

Case Reports in Otolaryngology ◽

10.1155/2019/6040354 ◽

2019 ◽

Vol 2019 ◽

pp. 1-4

Author(s):

Abdullah A. Alarfaj ◽

Ali R. AlHayek ◽

Rashid Alghanim ◽

Nasser A. Al-Jazan

Keyword(s):

Endotracheal Intubation ◽

Trisomy 21 ◽

Rare Case ◽

Rare Condition ◽

Laryngeal Edema ◽

Bite Block ◽

Distress Symptoms ◽

First Case ◽

Tongue Swelling ◽

History Of

Traumatic macroglossia is an extremely rare condition characterized by a sudden edematous swelling of the tongue due to trauma. We report a rare case of traumatic macroglossia in a 37-year-old male with known trisomy 21 and epilepsy who presented to the emergency room with a huge protruded tongue due to aggressive behavior and a history of multiple tongue tractions, leading to sudden severe tongue swelling without any respiratory distress symptoms. The examination was unremarkable; fixable nasolaryngoscopy relieved bilateral vocal cord movement, and there was no laryngeal edema. The patient was managed immediately by endotracheal intubation to secure the airway, and corticosteroids were used to diminish and stop the tongue swelling. We describe the clinical management for such patients, highlighting the different causes of traumatic macroglossia. A few cases have been reported in the literature, but this is the first case to report self-induced traumatic macroglossia in a seizure-free patient managed successfully by endotracheal intubation, corticosteroids, a bite block, and warm wet dressing.

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SURGICAL MANAGEMENT OF PAINFUL OS SUBFIBULARE: A CASE REPORT

Journal of Musculoskeletal Research ◽

10.1142/s0218957720720021 ◽

2020 ◽

Vol 23 (01) ◽

pp. 2072002

Author(s):

Kunal A. Shah ◽

Ajay C. Shah

Keyword(s):

Ligament Reconstruction ◽

Ankle Instability ◽

Previous History ◽

Rare Condition ◽

Surgical Excision ◽

Ossification Center ◽

Anterior Talofibular Ligament ◽

Ankle Pain ◽

Avulsion Fractures ◽

History Of

Separated ossicle at the tip of lateral malleolus, a rare condition called os subfibulare, sometimes is a cause of ankle pain. There are two theories regarding the origin of os subfibulare. One theory proposes that it is caused by an avulsion fracture attributable to pull of the anterior talofibular ligament, whereas the other theory proposes that it is the result of an accessory ossification center. Accessory bones may be stable or may sustain injuries and become avulsed. Most cases have described the surgical treatment of avulsion fractures with excision of the fragment and anterior talofibular ligament reconstruction. We describe a rare case of a symptomatic Os subfibulare caused by an accessory ossification center in a 27-year-old female with no previous history of trauma. Surgical excision was done without ligament reconstruction and the symptoms resolved completely after the surgery and there was no residual ankle instability.

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Type 1 Diabetes, ACTH Deficiency, and Hypothyroidism Simultaneously Induced by Nivolumab Therapy in a Patient with Gastric Cancer: A Case Report

Case Reports in Oncology ◽

10.1159/000510044 ◽

2020 ◽

Vol 13 (3) ◽

pp. 1185-1190

Author(s):

Shoko Marshall ◽

Aki Kizuki ◽

Tadashi Kitaoji ◽

Hiroshi Imada ◽

Hayato Kato ◽

...

Keyword(s):

Gastric Cancer ◽

Type 1 Diabetes ◽

Blood Glucose Control ◽

Previous History ◽

Rare Condition ◽

Outpatient Setting ◽

Acth Deficiency ◽

History Of ◽

Low Cortisol

Nivolumab, a fully human IgG4 immune checkpoint inhibitor (ICI) antibody, has been approved for a variety of cancers. Several endocrine-associated immune-related adverse events have been reported, but the incidence rate is relatively low. This is a case of a patient with gastric cancer who underwent nivolumab therapy, leading to type 1 diabetes as well as adrenocorticotropic hormone (ACTH) deficiency and hypothyroidism almost simultaneously. A 70-year-old man with no previous history of diabetes was treated with nivolumab monotherapy for gastric cancer in November 2018. After 8 courses of nivolumab, he was diagnosed with type 1 diabetes associated with ICI; consequently, insulin therapy was initiated in March 2019. In April 2019, he was transported to hospital due to suffering from prolonged hypoglycemia, disturbed consciousness, and fever. He frequently experienced episodes of hypoglycemia, with poor controlled glycemia. His disturbed consciousness and fever also sustained. Further investigation of his hormones revealed low cortisol and ACTH levels, as well as hypothyroidism. His blood glucose control was improved after the introduction of hydrocortisone and thyroid hormone; he became alert and afebrile. In January 2020, he received a followed-up in an outpatient setting under insulin, hydrocortisone, and thyroid replacement therapy. Endocrine defect associated with ICIs, especially type 1 diabetes or ACTH deficiency, is a rare condition. To the best of our knowledge, this is the 1st case of multiple endocrinopathies simultaneously induced by nivolumab. Various endocrine concomitant defects should be taken into consideration when treating with nivolumab.

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Thyrotoxic periodic paralysis in new-onset hyperthyroidism – a case report and review of the literature

Revista de Ciências Médicas e Biológicas ◽

10.9771/cmbio.v12i4.9207 ◽

2014 ◽

Vol 12 (4) ◽

pp. 531

Author(s):

Joaquim Custódio da Silva Junior ◽

Helton Estrela Ramos

Keyword(s):

Case Report ◽

Previous History ◽

Rare Condition ◽

Periodic Paralysis ◽

Emergency Physicians ◽

Review Of The Literature ◽

Font Size ◽

Thyrotoxic Periodic Paralysis ◽

History Of ◽

New Onset

Thyrotoxic periodic paralysis (TPP) is a rare condition related to hyperthyroidism, with specific clinical and physiopathological features. In this article, we discuss a case report of a patient that develops TPP with no previous history of thyroid illness, highlighting semiological characteristics that can help Emergency physicians to suspect of this condition. Subsequently, we review the recent articles about TPP, with focus in the molecular basis of ion channelopathies and predisposing factors, and discuss the therapeutic approach at acute phase of TPP and prevention of crisis recurrence.

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Unexplained Pancytopenia in a Patient with 5q35.2-q35.3 Microduplication Encompassing NSD1: A Case Report

International Journal of Hematology-Oncology and Stem Cell Research ◽

10.18502/ijhoscr.v12i4.103 ◽

2018 ◽

Author(s):

Sungwoo Park ◽

Gyeong-Won Lee ◽

Eun-Ha Koh ◽

Hyun-Young Kim

Keyword(s):

Mental Retardation ◽

Chromosomal Abnormality ◽

Previous History ◽

Severe Bleeding ◽

Axillary Lymph ◽

Periodic Patterns ◽

Distinctive Features ◽

Cell Counts ◽

First Case ◽

History Of

The 5q35.2-q35.3 duplication phenotype is characterized by growth delay, microcephaly, mental retardation and delayed bone aging. However, there has been no reports on the occurrence of pancytopenia as a consequence of 5q35.2-q35.3 duplication. A 42-year-old male visited the emergency room due to multiple trauma. He had been diagnosed with mental retardation in the past. No previous history of severe bleeding symptom was also reported. Complete blood cell counts were leukocyte 3.51×109/L, neutrophil 0.19×109/L, hemoglobin 8.3 g/dL, hematocrit 25.0%, and platelet 4.0×109/L. There was no relevant history of any medication intake and there were no other haematological parameters leading to the persistent pancytopenia. A bone marrow biopsy revealed hypercellular marrow with increased trilineage hematopoiesis. The uptake of fluorodeoxyglucose was increased in multiple lymph nodes, bone and spleen in positron emission tomography–computed tomography. A biopsy of the right axillary lymph node was performed and histologic findings were unremarkable. The chromosomal microarray revealed a 3.46 Mb microduplication at the 5q35.2-q35.3 site including NSD1. The patient had distinctive features related to atypical pancytopenia. Various managements for pancytopenia had no effect on the patient. However, there were no complications such as massive bleeding or serious infection compared to the severity of pancytopenia during a follow-up of 3 months. In addition, periodic patterns of deterioration and improvement in pancytopenia appeared spontaneously. Since it is rare for these distinctive features of pancytopenia and chromosomal abnormality to coexist, it is important to investigate the association. In the current study, we describe the first case of 5q35.2-q35.3 microduplication encompassing NSD1 with unexplained pancytopenia. Keywords: Pancytopenia, Chromosomal abnormality, Microarray

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Strangulated obturator hernia: Report of 2 Cases

10.22541/au.162102505.53416799/v1 ◽

2021 ◽

Author(s):

Nizar Kardoun ◽

Zied Hadrich ◽

Abderrahmen Masmoudi ◽

Houssem Harbi ◽

Salah Boujelben ◽

...

Keyword(s):

Abdominal Surgery ◽

Previous History ◽

Rare Condition ◽

Obturator Hernia ◽

Female Patients ◽

History Of

Obturator hernia is a rare condition. It is more commun in women than men owing to their greater width of the pelvis and larger obturator canal. We report 2 cases of strangulated obturator hernia, which were preoperatively diagnosed, in 2 female patients without previous history of abdominal surgery.

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Acute presentation of an intraoral dermoid cyst causing airway compromise in a young child

BMJ Case Reports ◽

10.1136/bcr-2018-228421 ◽

2019 ◽

Vol 12 (4) ◽

pp. e228421 ◽

Cited By ~ 5

Author(s):

Sanjana Bhalla ◽

Vikas Acharya ◽

Munira Ally ◽

Ali Taghi

Keyword(s):

Oral Cavity ◽

Dermoid Cyst ◽

Previous History ◽

Airway Compromise ◽

Floor Of Mouth ◽

First Case ◽

Swallowing Difficulties ◽

History Of ◽

Rare Diagnosis ◽

Histology Report

A 4-month-old boy presented with a cystic swelling at the floor of the mouth causing acute airway compromise. The only previous history of note, was a tongue tie release at 3 days old. CT scan suggested a dermoid cyst with extensive floor of mouth abscess. He had an excision of the cyst and drainage of the superimposed abscess and made a good recovery. The histology report revealed a dermoid cyst which is a rare diagnosis in a child, particularly within the oral cavity. Early treatment is required to remove these lesions especially when they cause airway compromise or swallowing difficulties. This is the first case to our knowledge which suggests tongue tie release procedures causes a predisposition to the development of dermoid cysts in the oral cavity.

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A Case of Isolated Cecal Necrosis Preoperatively Diagnosed with Perforation of Cecum

Medicina ◽

10.3390/medicina55010009 ◽

2019 ◽

Vol 55 (1) ◽

pp. 9 ◽

Cited By ~ 1

Author(s):

Atsushi Kohga ◽

Kiyoshige Yajima ◽

Takuya Okumura ◽

Kimihiro Yamashita ◽

Jun Isogaki ◽

...

Keyword(s):

Abdominal Pain ◽

Preoperative Diagnosis ◽

Previous History ◽

Lower Abdominal Pain ◽

Rare Condition ◽

Ileocecal Resection ◽

Urgent Surgery ◽

Ischemic Change ◽

History Of ◽

Laparoscopic Assisted

Isolated cecal necrosis (ICN) is a rare condition which is developed under decreased mesenteric perfusion. Only a few dozen cases of ICN have been reported previously. The patient was a 59-year-old male with a previous history of atrial fibrillation. He presented to our emergency room with the chief complaint of lower abdominal pain. Computed tomography imaging revealed a dilated cecum and presence of free air. With a preoperative diagnosis of perforation of the cecum; an urgent surgery was conducted. Intraoperative findings revealed an ischemic change of the cecum and a laparoscopic-assisted ileocecal resection was performed. The pathological findings showed transmural ischemic change on the anti-mesenteric side of the cecum, and the diagnosis of ICN was achieved. Preoperative diagnosis of ICN is difficult because of its non-specific radiological features. In patients with right lower abdominal pain, ICN should be considered as a differential diagnosis especially if the patient has a comorbidity causing hypotension attack.

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