Endoscopic dacryocystorhinostomy. Case report

The authors present the case of a 58-year-old female patient with a history of multiple episodes of acute dacryocistitis, treated by irrigation of the lacrimal punctum. She is admitted to our clinic for swelling of the lacrimal sac and mucopurulent discharge on applying pressure over the lacrimal sac. In spite of several irrigations, patients’ symptoms persisted and thus surgical treatment was decided. We performed a dacryocystorhinostomy with a lacrimal stent which was inserted by endonasal approach to reestablish the nasolacrimal connection. The patient didn’t require nasal packing and was discharged three days after surgery.

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Ulnar Nerve Compression in Guyon’s Canal by Ulnar Artery Cystic Adventitial Disease: A Case Report

Case Reports in Orthopedic Research ◽

10.1159/000512321 ◽

2021 ◽

pp. 33-38

Author(s):

João Ribeiro Afonso ◽

João Carvas ◽

Miguel Quesado ◽

João Vasconcelos ◽

José Vidoedo ◽

...

Keyword(s):

Case Report ◽

Female Patient ◽

Ulnar Nerve ◽

Upper Limb ◽

Popliteal Artery ◽

Ulnar Artery ◽

Work Activities ◽

Ulnar Nerve Compression ◽

History Of ◽

Mucinous Cyst

Cystic adventitial disease is a condition where mucinous cyst(s) develop within the adventitia of blood vessels, especially arteries. The most affected vessel is the popliteal artery while the upper limb vasculature is seldom involved. To our knowledge, there are only 2 articles reporting this disease in the ulnar artery. We present a case of a 52-year-old female patient, a manual worker in a clothing factory, with a month history of increasing pain in her right wrist and gradual weakness that incapacitated her for work activities. She was finally treated surgically and an adventitial cyst of the ulnar artery compressing the ulnar nerve was diagnosed.

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Cervical thymoma

Sao Paulo Medical Journal ◽

10.1590/s1516-31801999000300008 ◽

1999 ◽

Vol 117 (3) ◽

pp. 132-135 ◽

Cited By ~ 4

Author(s):

Abrão Rapoport ◽

Claudiane Ferreira Dias ◽

João Paulo Aché de Freitas ◽

Ricardo Pires de Souza

Keyword(s):

Case Report ◽

Thyroid Gland ◽

Rare Disease ◽

Female Patient ◽

Thallium 201 ◽

Accurate Diagnosis ◽

Nuclear Resonance ◽

Histological Findings ◽

History Of ◽

Iodine 131

CONTEXT: Cervical thymoma is a primitive thymic neoplasia. It is very rare. This disease presents higher incidence in female patients in their 4th to 6th decade of life. We present a case report of a cervical thymoma CASE REPORT: 54-year-old female patient, caucasian, with no history of morbidity, presenting a left cervical nodule close to the thyroid gland. During the 30 months of investigation a left cervical nodule grew progressively next to the thyroid while the patient showed no symptoms, making accurate diagnosis difficult. Tests on her thyroid function did not show changes, nor were there changes in any subsidiary tests. The diagnosis of the disease was made intra-operatively through total thyroid individualization. The results were confirmed by the histological findings from the ressected material. Cervical thymoma is a very rare disease, with difficult preoperatory diagnosis. Some additional study methods which are employed today are thallium 201, technetium 99 and iodine 131 scintigraphy, magnetic nuclear resonance and especially histopathological findings and classification.

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External fixator for the treatment of narrowed pelvic canal in a cat

Veterinární Medicína ◽

10.17221/173/2020-vetmed ◽

2021 ◽

Author(s):

S Pinna ◽

C Tassani ◽

M Rossini ◽

F Lanzi

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Clinical Examination ◽

External Fixator ◽

Invasive Procedure ◽

Sacral Fracture ◽

Minimally Invasive Procedure ◽

Canal Stenosis ◽

Applied Tension ◽

History Of

The aim of this study was to report the outcome of the use of an external fixator to treat a pelvic canal stenosis in a 5-month-old female cat. The cat was referred with a history of 3 weeks of intermittent signs of constipation refractory to the medical management, occurring after surgical treatment for a bilateral sacroiliac luxation and sacral fracture. The clinical examination revealed instability of the pelvis and a radiograph showed a pelvic canal stenosis and megacolon. External fixator was the method of choice to be used in this case. The manually applied tension on an external fixator resulted in a widening of the pelvic canal. At 45 days after surgery, there were no signs of constipation, and the radiological examination showed progressive bone healing. At 18 months post-op, the cat had no abnormalities both on the clinical examination and on the radiography. In conclusion, the use of an external fixator led to the widening of the pelvic canal using a minimally invasive procedure. To the authors’ knowledge, this case report represents the first surgical description and clinical outcome of the widening of the pelvic canal in cats using an external skeletal fixator.

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RETRIEVING BROKEN INSTRUMENT IN HALF OF THE APIKAL ON CANINES TEETH WITH H-FILE BRAIDING TECHNIQUE

ODONTO Dental Journal ◽

10.30659/odj.8.2.146-150 ◽

2021 ◽

Vol 8 (2) ◽

pp. 146

Author(s):

Yunita Styaningrum ◽

Yoanita Dwi Andina ◽

Yulita Kristanti

Keyword(s):

Case Report ◽

Female Patient ◽

Root Canal ◽

Composite Resin ◽

Cost Effective ◽

Class I ◽

Root Section ◽

History Of ◽

Composite Resin Restorations ◽

Initial Root

ABSTRACTBackground: Broken instruments affect the outcome and prognosis. A broken instrument will prevent the procedure of cleaning and shaping, irrigation and obturation of the root canal on the obstructed root section causing failure in endodontic treatment. There are some treatments for broken instrument including retrieving a broken fragment file and bypassing it on the root canal. the aim of the case report aims to provide an alternative for retrieving broken instruments using the H-file braiding technique. Method: A 38-year-old female patient came to the Dental Conservation Clinic RSGM Prof. Soedomo FKG UGM. A patient got a history of initial root canal treatment in a clinic, which ended with a separated file on canine teeth left upper. No complain pain, from the investigation radiographic there is an instrument broken in half apical. The teeth 23 seen temporary restoration cavity class I is still in good. Retrieving broken instruments using the H-file braiding technique, preparation with step back techniques, obturation with warm vertical condensation technique and class I composite resin restorations with fiber-reinforced retention. Result: No complain pain after 2 weeks retrieving broken instrument.Conclusion: The technique of the H-file braiding technique is one technique to retrieve a broken instrument, this procedure is simple, cost-effective, harmless to the teeth and gives root canal sealing.

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Alkaptonuria with extensive ochronotic degeneration of the Achilles tendon and its surgical treatment: a case report and literature review

Asian Biomedicine ◽

10.2478/abm-2021-0016 ◽

2021 ◽

Vol 15 (3) ◽

pp. 129-136

Author(s):

Nesrin Mwafi ◽

Ali Alasmar ◽

Monther Al-Momani ◽

Sattam Alazaydeh ◽

Omar Alajoulin ◽

...

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Achilles Tendon ◽

Tendon Repair ◽

Functional Results ◽

Sudden Onset ◽

Flexor Hallucis Longus ◽

History Of ◽

Complete Disruption ◽

Collagenous Tissues

Abstract Background Alkaptonuria is a rare genetic metabolic disorder due to deficiency of homogentisate 1,2-dioxygenase (HGD), an enzyme catalyzing the conversion of homogentisate to 4-maleylacetoacetate in the pathway for the catabolism of phenylalanine and tyrosine. HGD deficiency results in accumulation of homogentisic acid and its pigmented polymer. Ochronosis is a bluish-black discoloration due to the deposition of the polymer in collagenous tissues. Extensive ochronotic involvement of the Achilles tendon in alkaptonuria and its surgical treatment is rarely reported. Case report A 43-year-old man presented to our clinic in March 2019 with sudden onset of left Achilles tendon pain with no history of prior trauma. Surgical exploration revealed a complete disruption of the tendon at its attachment to the calcaneus. Black pigmentation was extensive and reached the calcaneal tuberosity, extending about 7 cm from the insertion. Discussion Achilles reconstruction was performed using flexor hallucis longus tendon transfer. The patient experienced uncomplicated healing with satisfactory functional results. Conclusion Orthopedic surgeons should be aware of the progressive nature of alkaptonuria. Extensive degenerative changes of the ruptured tendon should be suspected so that physicians can plan tendon repair and facilitate prompt surgical intervention.

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Bone Remineralization around Dental Implants following Conservative Treatment after Peri-Implantitis

Case Reports in Dentistry ◽

10.1155/2019/7210837 ◽

2019 ◽

Vol 2019 ◽

pp. 1-6

Author(s):

Algirdas Puisys ◽

Viktorija Auzbikaviciute ◽

Renata Simkunaite-Rizgeliene ◽

Dainius Razukevicius ◽

Rokas Linkevicius ◽

...

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Conservative Treatment ◽

Dental Implants ◽

Dental Implant ◽

Posterior Part ◽

Treatment Method ◽

Color Changes ◽

Implant Placement ◽

History Of

The aim of this case report is to show that bone remineralization around dental implants with a history of peri-implantitis is possible after irritant factors are removed and only conservative treatment is performed. Patient came to the clinic after three years of dental implant placement complaining about swelling, sensitivity and gingiva color changes at the posterior part of the maxilla. During radiographic and intraoral examinations peri-implantitis of the #24 implant site was diagnosed. The surgical treatment method was rejected and performed conservative treatment instead. The outcome is promising; periapical radiographs three months later showed bone remineralization as well as stable bone after 10 years. A key clinical message: Bone remineralization around dental implants with a history of peri-implantitis is possible after irritant factors are removed and conservative treatment performed.

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Treatment of Fraley’s syndrome by upper-pole nephrectomy

Sao Paulo Medical Journal ◽

10.1590/s1516-31802007000600010 ◽

2007 ◽

Vol 125 (6) ◽

pp. 354-355

Author(s):

Thaís Bandeira Cerqueira ◽

Natalia Bacellar Costa Lima ◽

Romeu Magno Baptista Neto ◽

José Cohim Moreira Filho ◽

Luiz Eduardo Café

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Emergency Care ◽

Lumbar Pain ◽

Vascular Compression ◽

The Past ◽

Renal Arteriography ◽

History Of ◽

The Right

CONTEXT: Fraley’s syndrome is characterized by vascular compression on the superior infundibulum with secondary dilatation of the upper pole calyx, mostly located on the right side. CASE REPORT: We present the case of a 22-year-old woman with vascular compression of the upper-pole infundibulocalyceal system (Fraley’s syndrome). The patient had a history of frequent hospitalizations for emergency care due to lumbar pain over the past twelve months. The diagnosis was obtained following renal arteriography. Since the surgical treatment by means of upper-pole nephrectomy, the patient has not had any further symptoms.

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A case-report of migraine “sine headache”

Cephalalgia ◽

10.1177/0333102417690892 ◽

2017 ◽

Vol 38 (3) ◽

pp. 592-594

Author(s):

Arens Taga ◽

Marco Russo ◽

Antonio Genovese ◽

Gian Camillo Manzoni ◽

Paola Torelli

Keyword(s):

Case Report ◽

Female Patient ◽

Migraine Without Aura ◽

Nausea And Vomiting ◽

Cyclic Vomiting Syndrome ◽

Full Spectrum ◽

Abdominal Migraine ◽

Associated Symptoms ◽

History Of ◽

Cyclic Vomiting

Background and objectives We describe a case of a female patient whose otherwise “typical” migraine attacks turned into episodes with a full spectrum of associated symptoms but without headache. Case report We evaluated a 53-year-old woman with a long history of migraine without aura. In concomitance with premenopausal menstrual dysregulation, she reported episodes of nausea and vomiting, associated with photophobia, phonophobia and osmophobia, but without headache; these episodes were responsive to oral triptans. Alternative diagnoses were excluded through extensive examinations. Discussion To date, no reports have been published in the literature on otherwise typical migraine attacks that are not accompanied by headache, nor did our case seem comparable to cases of abdominal migraine and cyclic vomiting syndrome. Conclusion Pathophysiologically, we hypothesize that functional dysregulation of the hypothalamus-brainstem connectivity may generate migraine attacks with a full spectrum of associated symptoms but without pain.

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Self-Monitoring, Competing Response and Response Cost in the Treatment of Trichotillomania: A Case Report

Behavioural and Cognitive Psychotherapy ◽

10.1017/s1352465800018579 ◽

1997 ◽

Vol 25 (3) ◽

pp. 281-290 ◽

Cited By ~ 1

Author(s):

Paul Rogers ◽

Simon Darnley

Keyword(s):

Case Report ◽

Female Patient ◽

Successful Treatment ◽

Response Cost ◽

Hair Pulling ◽

Self Monitoring ◽

History Of ◽

Competing Response

Self-monitoring, a competing response and response cost were used in the successful treatment of a 49 year old female patient with a 19 year history of trichotillomania. Self-monitoring and a competing response produced significant decreases in hair-pulling, but still continued as the patient found it pleasurable at times of stress. The addition of response cost procedures overcame this.

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Clozapine-induced rabbit syndrome: a case report

Mental Illness ◽

10.4081/mi.2009.e1 ◽

2009 ◽

Vol 1 (1) ◽

pp. 1-3 ◽

Cited By ~ 3

Author(s):

Cicek Hocaoglu

Keyword(s):

Case Report ◽

Female Patient ◽

Case History ◽

Atypical Antipsychotics ◽

Paranoid Schizophrenia ◽

Background Information ◽

Clozapine Treatment ◽

History Of ◽

Typical Antipsychotics

Rabbit syndrome (RS) is an antipsychoticinduced rhythmic motion of the mouth/lips resembling the chewing movements of a rabbit. The movement consists of a vertical-only motion, at about 5 Hz, with no involvement of the tongue. Long-term exposure to typical antipsychotics has clearly been associated with RS, but little is known of the risk of RS due to exposure to newer atypical antipsychotics. There have been isolated reports of RS in patients treated with the atypical agents risperidone, aripiprazole, olanzapine, and clozapine. We present the case history of a 44-year old female patient treated for paranoid schizophrenia for 22 years and RS during her last 10-month clozapine treatment. Background information from the literature is also discussed.

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