Post traumatic painful shoulder – a delayed clinical feature of upper lobe lung cancer in a 74 year-old male. - case report -

ABSTRACT A 74 year old Caucasian man, presents with a 6 week history of right sided chest pain including traumatic related painful right shoulder. Shoulder minor contusion was diagnosed and partial managed by symptomatic treatment associated to rehabilitation. The pain was initially eased with nonsteroidal anti-inflammatory drug (NSAID) use and finally changed worsening. He has evidence of moderate COPD on spirometry and has been commenced on inhalers. An invasive primitive adenocarcinoma lung cancer was confirmed by chest CT scan and lymphnode biopsy through mediastinoscopy

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Epithelioid Choroidal Melanoma in a Middle-Aged Filipino: A Case Report

Journal of Ophthalmology & Clinical Research ◽

10.24966/ocr-8887/100079 ◽

2021 ◽

Vol 8 (1) ◽

pp. 1-4

Author(s):

Jo Michael M Maniwan ◽

Keyword(s):

Case Report ◽

Ct Scan ◽

Choroidal Melanoma ◽

Chest Ct ◽

Middle Aged ◽

Eye Pain ◽

Ocular Ultrasound ◽

History Of ◽

Chest Ct Scan ◽

Multiple Nodules

49-year-old male presented with an eight-month history of gradual blurring of vision of the left eye accompanied by eye pain, left-sided headache, eye redness, gradual proptosis and opacification of the cornea. Ocular ultrasound revealed a homogenous echodensities with moderate echogenicity and intermittent loculation occupying the whole vitreous cavity. Chest CT-scan with contrast showed multiple nodules on both lung fields evident of metastasis

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Association of post-traumatic communication of endocranium and nasal cavity with recurrent meningoencephalitis without rhinorrhea

Vojnosanitetski pregled ◽

10.2298/vsp1011945d ◽

2010 ◽

Vol 67 (11) ◽

pp. 945-948 ◽

Cited By ~ 1

Author(s):

Djula Djilvesi ◽

Petar Vulekovic ◽

Tomislav Cigic ◽

Zeljko Kojadinovic ◽

Vladimir Papic ◽

...

Keyword(s):

Case Report ◽

Head Injury ◽

High Resolution ◽

Ct Scans ◽

Direct Impact ◽

Skull Base Fracture ◽

Therapeutic Procedures ◽

History Of ◽

Post Traumatic ◽

Transnasal Endoscopic Surgery

Introduction. A gunshot head injury, characterized by a huge intensity of mechanical force, in addition to the direct tissue damage at the location of direct impact, may cause a skull and skull base fracture, distant from the the point of direct impact, which could be further complicated by creating a communication between endocranium and nasal/paranasal cavities. Such cases pose a great diagnostic and therapeutic challenge for every clinician. Case report. The patient is presented with the history of a perforating gunshot head injury six years ago, with recurrent attacks of meningoencephalitis subsequently, without rhinorrhea. By using high resolution CT scans, previous traumatic skull injury was verified and a fissure in the frontoethmoidal region, far from the point of direct impact, was detected. The patient underwent transnasal endoscopic surgery, in order to seal the communication on skull basis. The patient did not suffer from meningoencephalitis during the next two years. Conclusion. In the cases with late occurrence of posttraumatic meningoencephalitis with no signs of rhinorrhea, a possibility of an existing communication between intracranial and nasal cavities should be considered, as well. By applying modern diagnostic and therapeutic procedures such communication should be precisely located and sealed.

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Congenital total absence of the pericardium: A case report

Open Medicine ◽

10.2478/s11536-009-0018-5 ◽

2010 ◽

Vol 5 (3) ◽

pp. 315-317

Author(s):

Arezou Zoroufian ◽

Shapour Shirani ◽

Behareh Eslami ◽

Mohammad Sahebjam

Keyword(s):

Physical Activity ◽

Case Report ◽

Chest Pain ◽

Congenital Heart ◽

Axial Tomography ◽

Atypical Chest Pain ◽

Total Absence ◽

History Of ◽

Computerized Axial Tomography ◽

Tomography Scan

AbstractWe report the case of a 52-year-old woman who presented with a several-year history of palpitation (exacerbated by emotional stress and physical activity) and recent development of atypical chest pain. An investigation was undertaken to diagnose the patient’s problem and to recommend the best possible therapy. Transthoracic echocardiography and a computerized axial tomography scan showed evidence of complete absence of the pericardium, which is a rare congenital heart defect.

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Neonatal COVID-19 Pneumonia: Report of the First Case in a Preterm Neonate in Mayotte, an Overseas Department of France

Children ◽

10.3390/children7080087 ◽

2020 ◽

Vol 7 (8) ◽

pp. 87

Author(s):

Soumeth Abasse ◽

Laila Essabar ◽

Tereza Costin ◽

Voninavoko Mahisatra ◽

Mohamed Kaci ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Case Report ◽

Respiratory Distress ◽

Neonatal Intensive Care ◽

Preterm Neonate ◽

Chest Ct ◽

First Case ◽

Chest Ct Scan

We report the first case of COVID-19 pneumonia in a preterm neonate in Mayotte, an overseas department of France. The newborn developed an acute respiratory distress by 14 days of life with bilateral ground glass opacities on a chest CT scan and a 6-week-long stay in the neonatal intensive care unit (NICU). This case report emphasizes the need for a cautious and close follow-up period for asymptomatic neonates born to mothers with COVID-19 infection. Vertical transmission cannot be excluded in this case.

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Postoperative follow-up of lung cancer: Randomized trial comparing two follow-up programs in completely resected non-small cell lung cancer (IFCT-0302).

Journal of Clinical Oncology ◽

10.1200/jco.2012.30.15_suppl.tps7111 ◽

2012 ◽

Vol 30 (15_suppl) ◽

pp. TPS7111-TPS7111

Author(s):

Virginie Westeel ◽

Fabrice Barlesi ◽

Jean Domas ◽

Philippe Girard ◽

Pascal Foucher ◽

...

Keyword(s):

Lung Cancer ◽

Physical Examination ◽

Ct Scan ◽

Fiberoptic Bronchoscopy ◽

Chest Ct ◽

Small Cell Lung ◽

X Ray ◽

Chest X Ray ◽

Chest Ct Scan

TPS7111 Background: There are no robust data published on the follow-up after surgery for non-small cell lung cancer (NSCLC). Current international guidelines are informed by expert opinion. Most of them recommend regular follow-up with clinic visit and thoracic imaging, either chest X-ray of Chest CT-scan. The IFCT-0302 trial addresses the question whether a surveillance program with chest CT-scan and fiberoptic bronchoscopy can improve survival compared to a follow-up only based on physical examination and chest x-ray. There is no such trial ongoing over the world. Methods: The IFCT-0302 trial is a multicenter open-label controlled randomized phase III trial. The objective of the trial is to compare two follow-up programs after surgery for stage I-IIIa NSCLC. The primary endpoint is overall survival. Patients are randomly assigned to arm 1, minimal follow-up, including physical examination and chest x-ray; or arm 2, a follow-up consisting of physical examination and chest x-ray plus chest CT scan and fiberoptic bronchoscopy (optional for adenocarcinomas). In both arms, follow-up procedures are performed every 6 months during the first two postoperative years, and every year between the third and the fifth years. The main eligibility criteria include: completely resected stage I-IIIA (6th UICC TNM classification) or T4 (in case of nodules in the same lobe as the tumor) N0 M0 NSCLC, surgery within the previous 8 weeks. Patients who have received and/or who will receive pre/post-operative chemotherapy and/or radiotherapy are eligible. Statistical considerations: 1,744 patients is required. Accrual status: 1,568 patients from 119 French centers had been included. The end of accrual can be expected for September 2012. Ancillary study: Blood samples are collected in 1000 patients for genomic high density SNP micro-array analysis. This collection will contribute to the French genome wide association study (gwas) of lung cancer gene susceptibility, and the genetic factors predictive of survival and lung cancer recurrence will be analyzed.

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Extensive Subcutaneous Emphysema and Pneumomediastinum after Ecstasy Ingestion

Case Reports in Otolaryngology ◽

10.1155/2013/795867 ◽

2013 ◽

Vol 2013 ◽

pp. 1-3 ◽

Cited By ~ 1

Author(s):

A. Gungadeen ◽

J. Moor

Keyword(s):

Case Report ◽

Chest Pain ◽

Young Adult ◽

Conservative Management ◽

Subcutaneous Emphysema ◽

Rare Case ◽

Relevant Literature ◽

Radiological Imaging ◽

Neck Swelling ◽

History Of

Objective. To present a rare case of extensive subcutaneous emphysema and spontaneous pneumomediastinum following ingestion of Ecstasy in a young adult. We also review the relevant literature and discuss how this case supplements it.Case Report. We report a case of a 19-year-old man with a history of painless neck and chest swelling, and no chest pain or breathlessness, after consuming Ecstasy tablets. Radiological imaging showed evidence of pneumomediastinum and extensive subcutaneous emphysema. The patient remained well under observation and his symptoms improved with conservative management.Conclusions. Subcutaneous emphysema and pneumomediastinum after Ecstasy ingestion is uncommon. Cases are often referred to the otolaryngologist as they can present with neck and throat symptoms. Our case showed that the severity of symptoms may not correlate with severity of the anatomical abnormality and that pneumomediastinum should be suspected in Ecstasy users who present with neck swelling despite the absence of chest symptoms. Although all cases reported so far resolved with conservative management, it is important to perform simple investigations to exclude coexisting serious pathology.

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Improvement with Infliximab of a Disseminated Sarcoidosis in a Patient with Crohn’s Disease

Case Reports in Pulmonology ◽

10.1155/2014/368780 ◽

2014 ◽

Vol 2014 ◽

pp. 1-4 ◽

Cited By ~ 2

Author(s):

Nader Chebib ◽

Fabrice Piégay ◽

Julie Traclet ◽

François Mion ◽

Jean-François Mornex

Keyword(s):

Crohn’S Disease ◽

Crohn's Disease ◽

Ct Scan ◽

Rare Case ◽

Intestinal Tract ◽

Chest Ct ◽

Steroid Resistant ◽

Abnormal Chest ◽

History Of ◽

Chest Ct Scan

Sarcoidosis and Crohn’s disease are systemic granulomatous disorders affecting the lung and the intestine, respectively, with variable involvement of other organs and are seldom associated. While anti-TNFαis a recognized treatment of Crohn’s disease, its usage is discussed in sarcoidosis. A 42-year-old man presented with an 11-year-long history of Crohn’s disease; upon discovery of an abnormal chest CT scan the diagnosis of multivisceral sarcoidosis was made and, later, a treatment with an anti-TNFαagent, infliximab, was started, because of worsening Crohn’s disease recurrences. CT scan demonstrated net regression of pulmonary opacities and hepatosplenic lesions. Pathologies obtained from the intestinal tract and the bronchi of the patient were, respectively, characteristic of Crohn’s disease and sarcoidosis leading to the diagnosis of both diseases. We report a rare case of steroid resistant Crohn’s disease associated with multivisceral sarcoidosis, treated successfully by an anti-TNFαagent, infliximab.

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A Case Report: Euglycemic Diabetic Ketoacidosis Presenting as Chest Pain in a Patient on a Low Carbohydrate Diet

Current Diabetes Reviews ◽

10.2174/1573399816666200316112709 ◽

2020 ◽

Vol 16 ◽

Cited By ~ 3

Author(s):

Brenda Dorcely ◽

Juliana Nitis ◽

Arthur Schwartzbard ◽

Jonathan Newman ◽

Ira Goldberg ◽

...

Keyword(s):

Case Report ◽

Chest Pain ◽

Emergency Room ◽

Sglt2 Inhibitor ◽

Carbohydrate Diet ◽

Low Carbohydrate Diet ◽

Low Carbohydrate ◽

Patients With Diabetes ◽

History Of ◽

Euglycemic Diabetic Ketoacidosis

Introduction: Sodium-glucose cotransporter-2 [SGLT2] inhibitors reduce cardiovascular events and mortality in patients with diabetes, particularly patients with established cardiovascular disease. Euglycemic diabetic ketoacidosis [euDKA], a complication of SGLT2 therapy, can be exacerbated by a low carbohydrate diet. Case Report: A 61-year-old man with a history of type 2 diabetes, taking a SGLT2 inhibitor empagliflozin 10 mg orally daily, presented to the emergency room with a 2-day history of nausea and chest pain. A week prior to presentation, he had started a ketogenic diet. He was initially admitted with a diagnosis of acute coronary syndrome. On initial assessment in the emergency room, his cardiac enzymes were normal and there were no ischemic changes in his ECG. As there was concern for unstable angina, he underwent cardiac catheterization, which showed a known total occlusion with collaterals and arteries with non-obstructive disease without evidence of acute plaque rupture. His baseline laboratory assessments revealed an elevated anion gap of 17, increased urinary and plasma ketones, and metabolic acidosis. His plasma glucose level was 84 mg/dL. The diagnosis of euDKA was made, and treatment with intravenous fluids and insulin was initiated. His chest pain and nausea subsequently resolved. Conclusion: We present a case of euDKA triggered by a ketogenic diet while on SGLT2 inhibitor therapy presenting as chest pain. The recognition of euDKA is important in the context of increased SGLT2 use for management of cardiovascular risk for patients with diabetes.

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Mediastinum Lymph Node Hydatidosis.

Journal of Medical and Surgical Research ◽

10.46327/msrjg.1.000000000000009 ◽

2014 ◽

pp. 28-28

Author(s):

Yassine Ouadnouni ◽

Marouane Lakranbi ◽

Mohamed Smahi

Keyword(s):

Lymph Node ◽

Cystic Lesion ◽

Chest Ct ◽

Cystic Lesions ◽

Surgical Exploration ◽

Left Chest ◽

History Of ◽

One Year ◽

Chest Ct Scan ◽

Mediastinum Lymph Node

A 55 year old woman, presented to our hospital with a one year history of coughing and left chest pain. A chest CT-scan showed mediastinal, pleural and pulmonary cystic lesions evoking hydatidosis. Surgical exploration found a cystic lesion of the aorta-pulmonary window.

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