scholarly journals Acute Hepatitis in Pregnancy: A Case Report

2020 ◽  
Vol 3 (3) ◽  
pp. 225-233
Author(s):  
Sarmento AMP ◽  
Oliveira ACT ◽  
Barbosa APXP ◽  
Campos CS ◽  
Porto JAS ◽  
...  
Keyword(s):  
Case Report ◽  
Hepatitis A ◽  
Correct Diagnosis ◽  
Liver Steatosis ◽  
Infectious Agents ◽  
Portal Thrombosis ◽  
Damage Marker ◽  
Support Treatment ◽  
Satisfactory Recovery

Introduction: Several changes occur in women’s body during pregnancy, as well as several pathologies can arise at this period, such as hepatitis. It is very important to have the correct diagnosis and proper treatment for pregnant women because liver diseases can increase maternal and/or fetal morbidity and mortality rates. Case Report: Patient in the age group 32 years, G2P0A1, thrombophilic, using ASA, enoxaparin, folate, and B-complex, reported jaundice, low fever, and pruritus in the 32nd week of pregnancy. Laboratory exams showed high levels of direct hyperbilirubinemia and aminotransferases, with negative serology results for the most common viruses and autoimmunity markers. Hypervitaminosis B12 was an additional finding; it was canceled. The patient had a satisfactory recovery after support treatment. Discussion: Hepatitis has several etiologies; it is caused by infections, medications, or triggered by the immune system. The main infectious agents causing hepatitis A, B, C, and E; Dengue, Zika, HTLV, cytomegalovirus, toxoplasmosis, rubella, and brucellosis were screened in the reported case – the patient was negative for all of them. Other possible diagnoses, such as acute liver steatosis of pregnancy, portal thrombosis, and autoimmune hepatitis were excluded. Hepatitis caused by medicines was not confirmed because clinical and laboratory exams showed improvement in the patient’s clinical condition even with ASA and enoxaparin administration. The patient had high vitamin B12 level, which can be a liver damage marker. Transaminases and bilirubin showed a progressive decrease after the treatment; both patient and newborn had a satisfactory recovery. The reported condition was caused by a combination of factors, such as pregnancy hormone levels, unidentified infection, and possible predisposition to develop the disease. The patient remains under hematological and hepatological follow up, but there is no record of relapse, so far.

scholarly journals Uncommon bilateral maxillary exostosis: case report

2020 ◽  
Vol 68 ◽  
Author(s):  
Ana Luiza Lataliza COSTA ◽  
Ana Luísa Machado BATISTA ◽  
Sara Ferreira dos Santos COSTA ◽  
Juliana Vilela BASTOS ◽  
Roselaine Moreira Coelho MILAGRES ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Oral Cavity ◽  
Clinical Characteristics ◽  
Genetic Factors ◽  
Correct Diagnosis ◽  
Cone Beam ◽  
Panoramic Radiographs ◽  
Dental Radiographs

ABSTRACT Exostoses or hyperostoses are benign bony outgrowths originating from the cortical bone and depend on their location for a more precise designation. The most common types found in the oral cavity are the torus palatinus and the torus mandibularis. Buccal and palatal exostoses are located along the buccal aspect of the maxilla and/or the mandible (commonly in the premolar and molar areas) and on the palatal aspect of the maxilla (usually in the tuberosity area), respectively. The etiology of exostoses still hasn’t been enlightened but an interaction between environmental and genetic factors is accredited. They are usually asymptomatic, unless the mucosa becomes ulcerated. The frequency of exostoses increases with age, having their biggest prevalence from 60 years old, being more common in men and suffering ethnic influences. A thorough evaluation is important for the correct diagnosis since other lesions have similar clinical characteristics to the exostoses such as osteomas. The majority of exostoses are diagnosed clinically along with radiographic interpretations, making the biopsy dispensable and the treatment is usually unnecessary. The aim of this article was to describe a case report of bilateral maxillary exostosis, unusual, in a female patient. If an excessive amount of bone is present the exostoses may exhibit a relative radiopacity on dental radiographs. Initially, periapical and panoramic radiographs were performed to evaluate the alterations. Due to the size of the exostoses a concomitant Cone Beam Computed Tomography was performed to confirm the diagnosis. The patient is in follow-up.

scholarly journals Treatment of oral hemangioma with sclerotherapy: case report

2014 ◽  
Vol 13 (3) ◽  
pp. 249-253 ◽  
Author(s):  
Salomão Israel Monteiro Lourenço Queiroz ◽  
Gleysson Matias de Assis ◽  
Valéria Damasceno Silvestre ◽  
Adriano Rocha Germano ◽  
José Sandro Pereira da Silva
Keyword(s):  
Case Report ◽  
Oral Cavity ◽  
Clinical Characteristics ◽  
Correct Diagnosis ◽  
Functional Results ◽  
Benign Neoplasms ◽  
Common Site ◽  
Upper Lip ◽  
Precise Diagnosis

Hemangiomas are benign neoplasms that are common in the head and neck, but relatively rare in the oral cavity. They can cause esthetic and functional impairment, depending on location. The most common site is the upper lip, but they can occur in other areas, such as the tongue, buccal mucosa and palate. Treatment is primarily dependent on correct diagnosis of the lesion and on its anatomic location. The purpose of this article is to provide a description of a case of a hemangioma on the upper lip, treated by therapeutic sclerosis with monoethanolamine oleate (Ethamolin®), covering clinical characteristics and methods for diagnosing these lesions. Precise diagnosis and appropriate therapeutic management resulted in satisfactory esthetic and functional results, with total regression of the lesion and no signs of relapse at 1-year follow-up.

scholarly journals Significance of Correct Diagnosis of Odontogenic Extraoral Sinus: A Report Of Two Cases

2018 ◽  
Vol 1 (11) ◽  
pp. 334-338
Author(s):  
Shweta Bansal ◽  
Ruchi Juneja ◽  
Gyanendra Mishra ◽  
Akshay Nambiar
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Antibiotic Therapy ◽  
Clinical Course ◽  
Correct Diagnosis ◽  
Sinus Tract ◽  
Short Term ◽  
Diagnostic Challenge ◽  
Odontogenic Origin

Cutaneous draining sinus tracts of odontogenic origin often are a diagnostic challenge. A delay in correctly diagnosing these types of lesions can result in unnecessary antibiotic therapy and surgical treatment. This case report presents the clinical course of two cases with extra-oral sinus tract formation, from diagnosis and treatment to short-term follow-up and evaluation. These facial lesions were initially misdiagnosed as lesions of non-odontogenic origin. Later on an odontogenic cause was identified and endodontic intervention resulted in resolution of the problem, confirming the initial misdiagnosis.

scholarly journals Foetal vascular lesion-Case report

2018 ◽  
Vol 5 (2) ◽  
pp. 1
Author(s):  
Natalija Vedmedovska ◽  
Svetlana Polukarova ◽  
Sarmite Dzelzite
Keyword(s):  
Case Report ◽  
Pregnant Woman ◽  
Magnetic Resonance Image ◽  
Correct Diagnosis ◽  
Maternity Hospital ◽  
Vascular Lesion ◽  
Accurate Diagnosis ◽  
Structural Abnormality ◽  
Foetal Head

Frequency and preciseness of prenatal detection of foetal tumours increases due to improvement of sophisticated imaging methods. As correct diagnosis impacts the course of care in utero, it is essentially to improve diagnostic workout in a case of detected foetal anomalies. Here we report the case of partly involuting congenital haemangioma of foetus, which antenataly caused foetal secondary cardiomegaly. Pregnant woman was referred to Riga Maternity Hospital with unexplained tumour on the surface of foetal head at 24+2 weeks of gestation. Ultrasound exam revealed tubular structure without solid components between calvarium and skin under the left ear with very rich vascularization. Magnetic Resonance Image demonstrated enhancing multi-cystic lobulated mass. Hypertrophic secondary cardiomegaly was present without any additional structural abnormality. The foetus remained stable until 36+4 weeks of gestation, when the size of tumour succeeded 85 mm × 46 mm. Haemangioma was confirmed after delivery as round raised and infiltrating vascular lesion. After birth MRI demonstrated its connection with a. carotis externa. Propranolol was recommended with continuing follow-up. At 2 years and 3 months of age the lesion decreased by size noticeably, but still persists. Accurate diagnosis lets obstetricians to optimize antenatal care by providing an opportunity for planning deliveries, preparing family and medical staff for appropriate postpartum therapy and management.

Acute Rupture of the Tibialis Anterior Tendon: A Case Report

Foot & Ankle ◽  
1991 ◽  
Vol 12 (3) ◽  
pp. 176-177 ◽  
Author(s):  
Reynold L. Rimoldi ◽  
Michael A. Oberlander ◽  
John I. Waldrop ◽  
Stephen C. Hunter
Keyword(s):  
Case Report ◽  
Tibialis Anterior ◽  
Correct Diagnosis ◽  
Medial Aspect ◽  
Tibialis Anterior Tendon ◽  
Normal Gait ◽  
Acute Rupture

Acute rupture of tendons on the dorsum of the foot is rare and the diagnosis can be difficult. We present the case of a 51-year-old man who sustained an acute rupture of the tibialis anterior tendon. Pain about the medial aspect of the midfoot and ambulation with a steppage gait were the keys to formulating a correct diagnosis. The tendon was repaired primarily 10 days after injury. At his final follow-up examination 6 months after surgery, the patient was asymptomatic and ambulated with a normal gait.

scholarly journals Supernumerary Ovary: A Case Report

2017 ◽  
Vol 1 (1) ◽  
pp. 1-4
Author(s):  
D. Kavitha Yogini ◽  
Devi Balasubramaniam ◽  
Malathi Ezhil ◽  
Kodeeswari Periyasamy ◽  
Chinnusamy Palanivelu
Keyword(s):  
Decision Making ◽  
Case Report ◽  
Correct Diagnosis ◽  
Rare Condition ◽  
Malignant Potential ◽  
Clinical Implications ◽  
Incidental Diagnosis ◽  
The Third ◽  
Serous Cystadenocarcinoma

Supernumerary Ovary is a rare incidental diagnosis, which is on the rise due to modern imaging modalities and advent of laparoscopy in Gynecology. It has various clinical implications. It can present like Endometrioma, Fibroma or as papillary serous cystadenocarcinoma. Removal of this additional ovary tends to stay in dilemma, because its follicles can be used in the treatment of infertility and it has malignant potential. Hence, correct diagnosis and prompt decision making is necessary based on the patient age and parity. As in our case, a nulligravida presented with torsion of the ovarian cyst. During Laparoscopic procedure, we noticed that this pathology was from the third ovary as in this case Supernumerary ovary. The removal of the ovary was not done as this patient was undergoing treatment for infertility. Weighing the benefits over risks, patient was counselled for proper follow-up and removal of this Supernumerary ovary following completion of family. All gynecologists should be aware of this rare condition due to its clinical implications and its appropriate management. Keywords: Supernumerary Ovary, Ovarian Torsion, Malignant potential, Fertility, Incidental diagnosis

scholarly journals Solitary Fibrous Tumor of Adrenal Gland and Review of the Literature

PRILOZI ◽  
2021 ◽  
Vol 42 (3) ◽  
pp. 63-69
Author(s):  
Martina Ambardjieva ◽  
Skender Saidi ◽  
Rubens Jovanovic ◽  
Josif Janculev ◽  
Viktor Stankov ◽  
...  
Keyword(s):  
Case Report ◽  
Adrenal Gland ◽  
Solitary Fibrous Tumor ◽  
English Language ◽  
Correct Diagnosis ◽  
Tumor Patients ◽  
Histopathologic Analysis ◽  
Fibrous Tumor ◽  
Pleural Lesion

Abstract Solitary fibrous tumor (SFT) is a rare and still controversial entity. This type of tumor first appeared in the literature as a pleural lesion, but, over the last decades, it has been reported in many extrathoracic sites. As a tumor of the adrenal gland, SFT is still rare and very uncommon, thus extensive research among the English language literature has been performed. We present here a case report of an adrenal SFT which is compared to 11 other known cases. Our case report is from a patient with SFT on the left adrenal gland, followed by mild symptoms of abdominal discomfort and hypertension. Physical examination, laboratory, and radiological tests were performed. The patient underwent surgery and the material was sent for histopathologic analysis for a definite diagnosis. Regular follow up appointments were performed over the course of two years. No recurrence of the tumor has been detected. We explain the symptoms, diagnosis, treatment, and additionally we describe the results and implications of the findings reported in the literature. Correct diagnosis is mandatory for optimal management of solitary fibrous tumor patients.

scholarly journals Multiple Supernumerary Teeth in a Nonsyndromic 12-Year-Old Female Patient - A Case Report

2014 ◽  
Vol 25 (1) ◽  
pp. 79-82
Author(s):  
Thiago de Santana Santos ◽  
Erick Ricardo Silva ◽  
Ana Célia Faria ◽  
Francisco Veríssimo de Mello Filho ◽  
Samuel Porfírio Xavier
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Imaging Techniques ◽  
Correct Diagnosis ◽  
Radiographic Examination ◽  
Dental Arch ◽  
Cleidocranial Dysplasia ◽  
Supernumerary Teeth ◽  
Radiographic Images

Supernumerary teeth (ST) are uncommon alterations of development that may appear in either of the dental arches and that are frequently associated with syndromes such as cleidocranial dysplasia and Gardner syndrome. Multiple ST in individuals with no other disease or syndrome are very rare. In view of this situation, correct diagnosis, treatment and evaluation of ST with the use of appropriate imaging techniques are highly important. This case report presents radiographic images of a nonsyndromic 12-year-old female patient who presented with 14 supernumerary teeth and was treated under general anesthesia, with the extraction of all ST in a single surgical intervention. During the postoperative period, the patient did not complain of pain nor did she present any signs or symptoms of infection. During late follow-up period, due to difficulty in traction of the maxillary right canine and mandibular left first premolar towards the dental arch, it was necessary to extract these teeth under local anesthesia. Radiographic examination 3 years after surgery revealed the absence of ST and of diseases related to the existence of these teeth.

Intensive Stuttering Therapy With Telepractice Follow-up: A Case Study

2011 ◽  
Vol 21 (1) ◽  
pp. 11-21 ◽  
Author(s):  
Farzan Irani ◽  
Rodney Gabel
Keyword(s):  
Case Report ◽  
Therapeutic Intervention ◽  
Intensive Therapy ◽  
Positive Outcome ◽  
Eclectic Approach

This case report describes the positive outcome of a therapeutic intervention that integrated an intensive, residential component with follow-up telepractice for a 21 year old male who stutters. This therapy utilized an eclectic approach to intensive therapy in conjunction with a 12-month follow-up via video telepractice. The results indicated that the client benefited from the program as demonstrated by a reduction in percent stuttered syllables, a reduction in stuttering severity, and a change in attitudes and feelings related to stuttering and speaking.

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