scholarly journals Relentless placoid chorioretinitis: A case report

2016 ◽  
Vol 144 (9-10) ◽  
pp. 527-530
Author(s):  
Ljiljana Obradovic ◽  
Svetlana Jovanovic ◽  
Nenad Petrovic ◽  
Suncica Sreckovic ◽  
Zorica Jovanovic
Keyword(s):  
Case Report ◽  
Clinical Laboratory ◽  
Clinical Course ◽  
Laboratory Diagnostics ◽  
Intermediate Form ◽  
Serpiginous Choroiditis ◽  
Clinical Center ◽  
Retinal Distribution ◽  
The Right ◽  
Relentless Placoid Chorioretinitis

Introduction. Relentless placoid chorioretinitis is an entity which belongs to the group of an atypical intermediate form of primary inflammatory choriocapillaropathies, resembling both acute posterior multifocal placoid pigment epitheliopathy and serpiginous choroiditis, but the retinal distribution and clinical course are not the same. Because of this similarity this entity was termed ?AMPPiginous?. This entity was first described by Jones et al. in 2000. The aim of our case report is to present a very specific case where the clinical course was progressive, with loss of vision in the affected eye. Case Outline. A 31-year-old man, with no previous ophthalmic diseases, was hospitalized at the Clinic of Ophthalmology, Clinical Center Kragujevac, because of a reduction of vision in the right eye, and scotoma and metamorphopsia in the left eye. The clinical course of retinal lesions in the left eye resembled the changes observed in acute posterior multifocal placoid pigment epitheliopathy, and the right eye changes were between acute posterior multifocal placoid pigment epitheliopathy and serpiginous choroiditis. The diagnosis of relentless placoid chorioretinitis was confirmed after clinical, laboratory, immunological, virological, and angiography examinations. Conclusion. The progressive clinical course of the disease, complemented by multimodal imaging and extensive laboratory diagnostics, has led us to the diagnosis of relentless placoid chorioretinitis. The combined anti-inflammatory and immunomodulatory therapy led to the stabilization of visual acuity of the left eye as opposed to the right, where there has been no recovery.

scholarly journals Pseudophacocele following a Bicycle Handle Injury: A Case Report

2018 ◽  
Vol 10 (1) ◽  
pp. 94-97
Author(s):  
Sahil Thakur ◽  
Parul Ichhpujani ◽  
Suresh Kumar
Keyword(s):  
Visual Acuity ◽  
Case Report ◽  
Blunt Trauma ◽  
Surgical Management ◽  
Clinical Course ◽  
Rare Complication ◽  
Vitreous Haemorrhage ◽  
Visual Outcomes ◽  
Subconjunctival Space ◽  
The Right

Background: Pseudophacocele is a rare complication of blunt trauma in pseudophakic eyes.Case: We present a case of 60-year-old male who presented with pseudophacocele after injury from a bicycle handle. On presentation, visual acuity in the right eye was perception of light (PL) in 2 quadrants (superior and temporal) and left eye was 20/20. A PCIOL was seen superonasally in the right subconjunctival space with total hyphaema. Ultrasound demonstrated vitreous haemorrhage with membranes in right eye. We describe the surgical management and further clinical course of the patient.Conclusion: It is imperative to surgically manage these challenging cases. Despite optimum care visual outcomes are guarded in patients with severe blunt trauma.

scholarly journals Adnexal Torsion after Isolated Salpingeal Torsion: An Undesired Complication of Conservative Management: A Case Report

2020 ◽  
Author(s):  
Eniola R. Ibirogba ◽  
Faheema Abduljalil Alshehabi ◽  
Afeefa Ashfaq Konchwalla ◽  
Mohammed Sobhy Badr Sobei ◽  
Amal Hassan Hassan Ismail
Keyword(s):  
Case Report ◽  
Fallopian Tube ◽  
Conservative Management ◽  
Clinical Laboratory ◽  
Reproductive Age ◽  
Adnexal Torsion ◽  
Lower Quadrant ◽  
Radiographic Findings ◽  
Clinically Significant ◽  
The Right

Objective: Isolated salpingeal torsion (IST) is a rare cause of acute abdomen in women of the reproductive age group. The lack of pathognomonic clinical, laboratory or radiographic findings makes early diagnosis a challenge. We describe a case of IST in a 13-year-old who suffered from a repeat torsion following initial conservative management. Case Report: A 13-year-old girl presented with acute right lower quadrant abdominal pain of insidious onset. Her past medical history was non-contributory and her initial workup was unremarkable. Exploratory laparoscopy subsequently revealed isolated torsion of the right fallopian tube which was detorted. She presented 10 months later with similar complaints and further workup demonstrated right adnexal torsion which was confirmed by laparoscopy; salpingo-oophorectomy was necessary due to gangrenous necrosis. Conclusion: Conservative management of fallopian tube torsion confers the advantage of fertility preservation but the risk of repeat torsion remains clinically significant.

scholarly journals Mesenchymal hamartoma of the liver in adults: Case report

2014 ◽  
Vol 67 (11-12) ◽  
pp. 399-403 ◽  
Author(s):  
Tanja Lakic ◽  
Mirjana Zivojinov ◽  
Milivoje Vukovic ◽  
Jelena Ilic-Sabo ◽  
Tamara Boskovic
Keyword(s):  
Case Report ◽  
Cystic Lesion ◽  
Benign Lesion ◽  
Abdominal Mass ◽  
Surgical Excision ◽  
Cystic Neoplasm ◽  
Mesenchymal Hamartoma ◽  
Transplantation Surgery ◽  
Clinical Center ◽  
The Right

Introduction. Mesenchymal hamartoma of the liver is a benign lesion presenting as an enlarging abdominal mass in children less than 2 years of age. Fewer than 5% cases are present in individuals over 5 years of age, and this lesion is extremely rare in adults. It may affect the left or the right lobe of liver as a cystic or solid mass or both components may be present. The pathogenesis remains incompletely understood, but these lesions have generally been considered to represent a development abnormality in the bile duct plate formation. Case Report. In this report, we present a case of a 44-year-old man who was surgically treated at the Department of Abdominal, Endocrine and Transplantation Surgery of the Clinical Center of Vojvodina due to cystic lesion in the liver segment IV that had been verified by computed tomography imaging diagnostics. The patient was sent from a smaller health center with the diagnosis of echinococcosis. After the adequate preparation of the patient, surgical excision of the liver cystic lesion was done. Once a thorough histological examination had been performed, the diagnosis of mesenchymal hamartoma was made. Conclusion. Mesenchymal hamartoma of the liver is a benign tumor resulting from abnormal, intra-uterine development of bile ducts and has a delayed clinical manifestation, thus this lesion appears to be related to the processes of maturation. It is potentially premalignant lesion presenting as a solid and/or cystic neoplasm. Symptoms, laboratory results and radiographic imaging are nonspecific and inconclusive, so surgical excision of the whole lesion is the imperative for the definitive diagnosis.

scholarly journals Cholestatic hepatitis associated with nimesulide: A case report

2009 ◽  
Vol 137 (9-10) ◽  
pp. 550-553 ◽  
Author(s):  
Snezana Lukic ◽  
Miodrag Krstic ◽  
Nemanja Damjanov ◽  
Ivan Boricic ◽  
Dragan Popovic ◽  
...  
Keyword(s):  
Case Report ◽  
Liver Biopsy ◽  
Liver Failure ◽  
Acute Hepatitis ◽  
Clinical Laboratory ◽  
Fatal Outcome ◽  
European Medicines Agency ◽  
Clinical Centre ◽  
Inflammatory Drugs ◽  
The Right

Introduction A toxic effect of drugs, including non-steroidal anti-inflammatory drugs, may be one of aetiological factors for the occurrence of acute hepatitis. Nimesulide is a selective cyclooxygenase-2 inhibitor, whose adverse effects on the liver range from acute hepatitis to more serious conditions, involving the development of acute liver failure and fatal outcome. Case Outline A female patient, aged 73, was admitted to the Gastroenterology and Hepatology Clinic of the Clinical Centre of Serbia in Belgrade because of liver failure. Due to the pain in the right knee, she received a therapy of 100 mg nimesulide in tablets, two times a day, for two months before admission to the Clinic. The analysis of the results of clinical, laboratory and radiographic examinations, and of histopathological findings of the liver biopsy showed that acute hepatitis was associated with the administration of nimesulide. Once the patient discontinued the intake of this drug, she fully convalesced. Conclusion The patient who received nimesulide over a period of two months developed acute hepatitis. In view of the similar cases described in literature and the fact that the use of nimesulide has been discontinued in a number of European countries and restricted by the European Medicines Agency, restriction or ban on the use of nimesulide on the Serbian market should be considered.

scholarly journals AN UNANTICIPATED CAUSE OF INTRAMUSCULAR MASS – A CASE REPORT

2014 ◽  
Vol 04 (01) ◽  
pp. 118-119
Author(s):  
Rekha Rai ◽  
Vimal Kumar Karnaker ◽  
Janardhan Naik
Keyword(s):  
Case Report ◽  
Dirofilaria Immitis ◽  
Clinical Course ◽  
Southern India ◽  
Zoonotic Infection ◽  
Sole Purpose ◽  
Dead End ◽  
Human Dirofilariasis ◽  
The Right

Abstract:Dirofilaria are natural parasites of various species of carnivores. Man is an accidental dead end host. Human Dirofilariasis has been reported in certain parts of Southern India and is considered as an emerging zoonotic infection. A nematode extracted from an intramuscular swelling of the right forearm was identified as Dirofilaria immitis based on the morphological and microscopic characters.The sole purpose of this article was to review the clinical course and management of an intramuscular mass.

scholarly journals Camptodactyly Caused by an Anomalous Origin of the Flexor Digitorum Superficialis Tendon: A Case Report and Review of the Literature

2019 ◽  
Vol 05 (04) ◽  
pp. e177-e180
Author(s):  
Shkelzen B. Duci
Keyword(s):  
Case Report ◽  
Excellent Result ◽  
Flexion Contracture ◽  
Proximal Interphalangeal Joint ◽  
Variable Expression ◽  
Flexible Form ◽  
Clinical Center ◽  
The Right ◽  
Flexor Digitorum ◽  
Little Finger

AbstractCamptodactyly is a flexion contracture of the proximal interphalangeal joints and is known as an isolated malformation that affects 1 in 300 in the population and can be inherited as an autosomal dominant trait with variable expression.A 17-year-old female was referred to the Clinic of Plastic Surgery, University Clinical Center of Kosovo, Prishtina, for the first time with camptodactyly of the little finger in the right hand. She was presented with a progressive flexion contracture of the proximal interphalangeal joint greater than 110 degrees of her right little finger.According to our observations from outpatient consultations, we concluded that the case of camptodactyly in the little finger in the flexible form (>110 degrees), which underwent surgical treatment, presented excellent result. Therefore, we think that the surgical technique used in our case report will contribute to treating this complicated deformity.

scholarly journals Spontaneous urinoma diagnosed before radical cystectomy: A case report

2018 ◽  
Vol 71 (7-8) ◽  
pp. 257-260
Author(s):  
Tomislav Pejcic ◽  
Vladimir Vasic ◽  
Vladan Dimitrijevic ◽  
Milomir Tufegdzic ◽  
Tihomir Vejnovic ◽  
...  
Keyword(s):  
Case Report ◽  
Ureteral Obstruction ◽  
Bladder Tumor ◽  
Transitional Cell ◽  
Rare Condition ◽  
Urinary System ◽  
Clear Fluid ◽  
Clinical Center ◽  
Carcinoma Of The Bladder ◽  
The Right

Introduction. Rupture of the urinary collecting system, associated with perirenal or retroperitoneal extravasation of the urine, is a rare condition usually associated with the obstruction of the urinary system. A urinoma is a localized collection of urine in the retroperitoneum, outside the urinary tract, and occurs after injury to the wall of the urinary system. Ureteral obstruction caused by a bladder tumor is a rare cause of urinoma. Case Report. We report a case of a 62-year-old patient who was admitted to the Clinic of Urology of the Clinical Center of Serbia, due to an invasive bladder cancer. A computerized tomography scan of the abdomen and pelvis revealed a massive bladder tumor dominant on the left side, invading the vagina, uterus and significantly obstructing both kidneys. Intraoperatively, a mass of 18 cm in diameter was identified in the right retroperitoneal space and it was dissected from the peritoneum. Two liters of clear fluid were aspirated from the mass, and the walls of urinoma were resected. The site of perforation was not identified. The patient underwent anterior pelvic exenteration. The pathohistological analysis revealed a high grade transitional cell carcinoma of the bladder. The treatment is individual and involves surgical and interventional radiology treatment. Conclusion. A spontaneous retroperitoneal urinoma is a very rare condition. In this case report it appeared most likely due to right ureteral obstruction and perforation. The growth of urinoma was slow, due to the absence of acute symptoms and the thickness of the urinoma wall.

scholarly journals Right ovarian vein thrombophlebitis complicated by an inferior endocaval floating thrombus revealed by postpartum pyrexia: a case report

2021 ◽  
Author(s):  
Clément Faidherbe
Keyword(s):  
Case Report ◽  
Clinical Course ◽  
Thromboembolic Disease ◽  
Atypical Presentation ◽  
Ovarian Vein ◽  
Rare Entity ◽  
Floating Thrombus ◽  
The Right

The clinical course of our patient highlights an atypical presentation of thromboembolic disease related to pregnancy, a thrombophlebitis of the right ovarian vein with endocaval floating thrombus in the postpartum. The diagnosis remains difficult since it is a rare entity with an atypical presentation but with serious medical consequences.

scholarly journals The evolution of an active solitary idiopathic choroiditis (focal scleral nodule): a case report of the natural course and a review of the literature

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yilin Feng ◽  
Christopher D. Conrady ◽  
Hakan Demirci
Keyword(s):  
Case Report ◽  
Clinical Course ◽  
Subretinal Fluid ◽  
Rare Condition ◽  
Natural Course ◽  
Central Scotoma ◽  
Granulomatous Reaction ◽  
Case Presentation ◽  
The Right ◽  
New Onset

Abstract Background To describe the clinical course of an active solitary idiopathic choroiditis (focal scleral nodule) that nearly resolved over six weeks without intervention. Case presentation An 18-year-old man presented to the emergency department with headaches and new onset central scotoma in the right eye. Visual acuity was 20/20 in both eyes. Fundus examination revealed an amelanotic choroidal lesion with associated shallow subretinal fluid. It measured 6.1 × 6.3 × 1.4mm on A- and B-scan. Evaluation for systemic inflammatory and infectious diseases was negative. A week later, the lesion remained stable, and a month later, there was improvement of the lesion with a decrease in size on OCT and exam and resolution of the subretinal fluid suggesting that the lesion had become inactive. Conclusions Solitary idiopathic choroiditis (Focal scleral nodule) is a rare condition characterized by inflammatory granulomatous reaction. This case report sheds light on the unknown natural course of a solitary idiopathic choroiditis (focal scleral nodule).

scholarly journals A case report of wrist synovial infection due to Mycobacterium jacuzzii, Iran

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Fatemeh Sakhaee ◽  
Morteza Masoumi ◽  
Farzam Vaziri ◽  
Seyed Davar Siadat ◽  
Abolfazl Fateh
Keyword(s):  
Case Report ◽  
Clinical Laboratory ◽  
White Blood Cells ◽  
Breast Implants ◽  
C Reactive Protein ◽  
Case Presentation ◽  
Reactive Protein ◽  
Wbc Count ◽  
The Right ◽  
Very High

Abstract Background Mycobacterium jacuzzii (M. jacuzzii) was first isolated in 2003 by insertion of breast implants in Tel Aviv, Israel. In this case report, we describe our experience in detection of M. jacuzzii using phenotypic and genotypic test of wrist synovial sample. Case presentation A 73-year-old woman complained of pain and swelling in the right wrist for 4 months. Her body temperature was 37–38 °C, and symptoms, such as pain, swelling, and some movement limitation, were reported. Clinical laboratory parameters showed an elevated C-reactive protein (CRP) level, erythrocyte sedimentation rate (ESR), and white blood cells (WBC) count. The sequences of hsp65, rpoB, 16S rDNA, and sodA genes indicated very high homology to M. jacuzzii. Conclusion We report a case of synovial infection caused by M. jacuzzii in a patient with severe wrist pain in Iran, who was treated with amikacin, levofloxacin, and ethambutol. The outcomes of treatment after 8 months were positive, and no recurrence of infection was reported in the patient.

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