scholarly journals Repeated hydrocephalus in recurrent intraventricular neurocysticercosis: An uncommon presentation

2013 ◽  
Vol 04 (01) ◽  
pp. 87-89 ◽  
Author(s):  
Krishna C Joshi ◽  
Hukum Singh ◽  
Puja Sakhuja ◽  
Daljit Singh
Keyword(s):  
Lateral Ventricle ◽  
Rare Case ◽  
Rare Condition ◽  
Similar Lesion ◽  
Uncommon Presentation

ABSTRACTA rare case of a 42-years old man presented with repeated hydrocephalus due to the neurocysticercosis cyst (NCC) in the lateral ventricle. Patient was operated previously 2½ years back for a similar lesion at same site. Both times he was treated endoscopically with removal of the cyst. Interestingly there was no parenchymatous lesion at any stage of follow up. Isolated recurrent intraventricular NCC is a rare condition that has never been reported in the literature.

Bowel ischemia caused by a giant thrombus in the ascending aorta. A case report

Vascular ◽  
2014 ◽  
Vol 23 (6) ◽  
pp. 641-644 ◽  
Author(s):  
Hua-Dong Li ◽  
Tu-Cheng Sun
Keyword(s):  
Rare Case ◽  
Rare Condition ◽  
Ascending Aorta ◽  
Bowel Ischemia ◽  
Synthetic Graft ◽  
Aortic Thrombosis ◽  
Coagulation Therapy ◽  
Aortic Thrombus ◽  
Organized Thrombus

Although an ascending aortic thrombus is a rare condition, it can cause serious complications of thromboembolism. Here we present a rare case of a patient who was hospitalized due to ileal arteries embolization caused by emboli from a giant thrombus in the ascending aorta. After 10 days anti-coagulation therapy, we performed a surgery to replace the ascending aorta containing the strip organized thrombus with a synthetic graft. During two years of postoperative follow-up, no recurrence of aortic thrombosis was found. Although the exact cause of this thrombus remains unclear, we believe that it is important to perform a surgery as soon as the presence of an ascending aortic thrombus is confirmed, which could help preventing the major recurrent embolic events.

scholarly journals Persistent genital arousal disorder: always look beyond the surface - a case report

2021 ◽  
Vol 10 (4) ◽  
pp. 1691
Author(s):  
Rita Sarabando ◽  
Natacha Sousa ◽  
Ana C. Borges ◽  
Cristina Nogueira-Silva
Keyword(s):  
Endometrial Cancer ◽  
Rare Case ◽  
Case Reports ◽  
Rare Condition ◽  
Specific Context ◽  
Comprehensive Review ◽  
Genital Arousal ◽  
Arousal Disorder ◽  
Multiple Diagnosis

Persistent genital arousal disorder is a rare condition characterized by unwanted intrusive symptoms of sexual arousal without specific context. Their possible aetiologies and treatments are multiple and mostly based on case reports. We aim to do a comprehensive review of persistent genital arousal disorder and describe a case of a postmenopausal woman who developed this disease and, during the follow-up, was diagnosed with advanced endometrial cancer, reminding physicians to keep in mind the possibility of multiple diagnosis in the same patient, including malignancy. Although there is no description of this association in the literature, the possible aetiologies of persistent genital arousal disorder are diverse, and we sought this rare case should be disclosed.

scholarly journals Neuroendoscopic surgery for unilateral hydrocephalus due to inflammatory obstruction of the Monro foramen

2011 ◽  
Vol 69 (2a) ◽  
pp. 227-231 ◽  
Author(s):  
Francisco A. Vaz-Guimarães Filho ◽  
Clauder O. Ramalho ◽  
Ítalo C. Suriano ◽  
Samuel T. Zymberg ◽  
Sérgio Cavalheiro
Keyword(s):  
Cerebrospinal Fluid ◽  
Lateral Ventricle ◽  
Rare Condition ◽  
Common Symptom ◽  
Fluid Circulation ◽  
Foramen Of Monro ◽  
Clinical Recurrence ◽  
Cerebrospinal Fluid Circulation ◽  
Neuroendoscopic Surgery

OBJECTIVE: Unilateral hydrocephalus (UH) is characterized by enlargement of just one lateral ventricle. In this paper, the authors will demonstrate their experiences in the neuroendoscopic management of this uncommon type of hydrocephalus. METHOD: The authors retrospectively reviewed a serie of almost 800 neuroendoscopic procedures performed from September 1995 to July 2010 and selected seven adult patients with UH. Clinical and radiological charts were reviewed and analyzed. RESULTS: Six patients had intraventricular neurocysticercosis and one patient had congenital stenosis of the foramen of Monro. Headaches were the most common symptom. A septostomy restored cerebrospinal fluid circulation. During follow-up period (65.5 months, range 3-109) no patient has presented clinical recurrence as well as no severe complications have been observed. CONCLUSION: UH is a rare condition. A successful treatment can be accomplished through a neuroendoscopic approach avoiding the use of ventricular shunts.

scholarly journals A Rare Case of Pregnancy Complicated by Bladder Exstrophy and Uterine Prolapse

2021 ◽  
Author(s):  
Leila Pourali ◽  
Hamidreza Ghorbani ◽  
Atiyeh Vatanchi ◽  
Sedigheh Ayati ◽  
Ghazal Ghasemi ◽  
...  
Keyword(s):  
Rare Case ◽  
Uterine Prolapse ◽  
Bladder Exstrophy ◽  
Perinatal Outcomes ◽  
Rare Condition ◽  
Labor Pain ◽  
Uterine Contractions ◽  
History Of ◽  
Emergent Cesarean Section

Uterine prolapse and bladder exstrophy (BE) during pregnancy is a rare condition. The aim of this study was to present a rare case of pregnancy complicated by both bladder exstrophy and uterine prolapse. A 39-year-old pregnant woman (gravida 2, para 1) presented to the maternity department at 39 weeks of gestation with labor pain. Physical examination showed regular uterine contractions; the cervix was completely out of the vaginal opening with dilatation of 3 cm and effacement of 30%. She had a history of multiple surgeries for correction of bladder exstrophy and also suffered from uterine prolapse. In active labor, abnormal fetal heart rate tracing happened, so an emergent cesarean section was planned, and a healthy neonate with the normal Apgar score was born. At regular follow-up until four months after delivery, there was no sign or symptom of uterine proplase. Multidisciplinary management of patients with BE and uterine prolapse may result in optimal perinatal outcomes. Uterine prolapse may disappear after delivery, even in the complicated case of bladder exstrophy.

A Rare Case of Parietal Skull Fibrosarcoma: Reconstruction with Free Myocutaneous Flap and Infrared Thermography Monitoring

2019 ◽  
Vol 80 (05) ◽  
pp. 387-390
Author(s):  
Roman Romansky ◽  
Emanuil Naydenov ◽  
Stefan Komitski
Keyword(s):  
Infrared Thermography ◽  
Male Patient ◽  
Latissimus Dorsi ◽  
Rare Case ◽  
Myocutaneous Flap ◽  
Rare Condition ◽  
Tumor Excision ◽  
Aesthetic Result ◽  
Good Aesthetic Result

AbstractFibrosarcoma of the skull is an extremely rare condition. We report a case of a male patient surgically treated by radical tumor excision and plastic reconstruction with a free myocutaneous latissimus dorsi flap. Revascularization on the side of the intervention was verified intraoperatively by using an infrared thermography camera in the follow-up period to evaluate flap vitality in addition to standard clinical monitoring. We observed no complications and achieved a good aesthetic result.

scholarly journals P836 Long-term survival of a rare case of pseudoaneurysm of the mitral-aortic intervalvular fibrosa as a complication of endocarditis of a bicuspid aortic valve

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
M Al Shehadat ◽  
E Khalifa ◽  
S Mohamed ◽  
A Ghareep ◽  
M Gomaa ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Bicuspid Aortic Valve ◽  
Rare Case ◽  
Rare Condition ◽  
Left Ventricular ◽  
Color Flow ◽  
Term Survival ◽  
Surgery Patient

Abstract Introduction This is a case report of a rare condition of pseudoaneurysm of the mitral-aortic intervalvular fibrosa (P-MAIVF). Case presentation The patient was a 42-year-old Filipino gentleman. He first presented to us in 2014, for routine echocardiographic examination as a part of a preoperative assessment for a non-cardiac surgery. Patient was asymptomatic and had a history of bicuspid aortic valve, which was complicated by endocarditis in 2006, and was treated with antibiotics. Echocardiography findings: Transthoracic echocardiography (TTE) showed a bicuspid aortic valve of no hemodynamic significance . A P-MAIVF was noted by Transesophageal echocardiography as a cavity expanding posteriorly into the left atrium from the left ventricular outflow tract, with a narrow neck at the junction of the aortic posterior cusp and the anterior mitral leaflet (Figure A). The cavity showed the characteristic expansion during ventricular systole, and collapse in diastole. Color flow showed the flow through the neck in systole and emptying during diastole (Figures C,D). There was mild mitral incompetence and no fistula was detected. Diagnosis was confirmed by cardiac magnetic resonance (Figure B). Follow up Because of the known complications of this condition, some of which are potentially fatal (such as rupture into the pericardium and tamponade), he was offered a surgical repair, which he had refused. Alternative conservative follow-up strategy was implemented and we had the opportunity to follow him for more than 5 years. During these years he was asymptomatic and uncomplicated. There was no change in the size of the pseudoaneurysm or its flow pattern. Conclusion This report demonstrates a rare case of P-MAIF as a complication of bicuspid aortic valve endocarditis and a long-term patient survival of a potentially fatal condition without corrective surgery. Abstract P836 Figures A,B,C,D

scholarly journals Unexpected bony structure in tonsillar fossa during tonsillectomy

2017 ◽  
Vol 74 (4) ◽  
pp. 371-373
Author(s):  
Ljiljana Cvorovic ◽  
Milan Jovanovic ◽  
Dragoslava Djeric ◽  
Nenad Arsovic
Keyword(s):  
Computed Tomography ◽  
Rare Case ◽  
Anatomic Variation ◽  
Rare Condition ◽  
Styloid Process ◽  
Rare Clinical Entity ◽  
Tonsillar Fossa ◽  
Bony Structure ◽  
Elongated Styloid Process

Introduction. The elongated styloid process is a very rare clinical entity. In most cases it is asymptomatic, but also could cause Eagle?s syndrome. We presented a rare case of the anatomic variation of styloid process and its clinical implication. Case report. In the left tonsillar fossa an unexpected bony structure was found during the routine tonsillectomy on a 16-year-old female patient. Computed tomography showed the elongated styloid process. No further treatment was necessary because it was asymptomatic in the follow-up period. Conclusion. The elongated styloid process is a very rare condition, but physicians should be aware of it and keep it in mind in order to make the diagnosis in patients with suggestive symptoms.

An Uncommon Presentation of Polycythemia Vera as Ischemic Stroke—A Rare Case Report

2012 ◽  
Vol 3 (5) ◽  
pp. 455-457
Author(s):  
Dr .KOUSHIK GUDAVALLI ◽  
◽  
Dr .SHILPA CHIKATI ◽  
Dr .MOHAN RAO JAKKAMPUTI ◽  
Dr .KAMAL LOCHAN BEHERA ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Case Report ◽  
Polycythemia Vera ◽  
Rare Case ◽  
Uncommon Presentation ◽  
Rare Case Report

Autoimmune Pancreatitis – Diagnosis, Management and Longterm Follow-up

2014 ◽  
Vol 23 (2) ◽  
pp. 179-185 ◽  
Author(s):  
Suvadip Chatterjee ◽  
Kofi W. Oppong ◽  
John S. Scott ◽  
Dave E. Jones ◽  
Richard M. Charnley ◽  
...  
Keyword(s):  
Autoimmune Pancreatitis ◽  
Rare Condition ◽  
Team Approach ◽  
Diagnostic Challenge ◽  
Multisystem Disorder ◽  
North East ◽  
The North ◽  
Work Up ◽  
Igg4 Level

Background & Aims: Autoimmune pancreatitis (AIP) is a fibroinflammatory condition affecting the pancreas and could present as a multisystem disorder. Diagnosis and management can pose a diagnostic challenge in certain groups of patients. We report our experience of managing this condition in a tertiary pancreaticobiliary centre in the North East of England.Methods: Patients were identified from a prospectively maintained database of patients diagnosed with AIP between 2005 and 2013. Diagnosis of definite/probable AIP was based on the revised HISORt criteria. When indicated, patients were treated with steroids and relapses were treated with azathioprine. All patients have been followed up to date.Results: Twenty-two patients were diagnosed with AIP during this period. All patients had pancreatic protocol CT performed while some patients had either MR or EUS as part of the work up. Fourteen out of 22 (64%) had an elevated IgG4 level (mean: 10.9 g/L; range 3.4 - 31 g/L). Four (18%) patients underwent surgery. Extrapancreatic involvement was seen in 15 (68%) patients, with biliary involvement being the commonest. Nineteen (86%) were treated with steroids and five (23%) required further immunosuppression for treatment of relapses. The mean follow up period was 36.94 months (range 7 - 94).Conclusion: Autoimmune pancreatitis is being increasingly recognized in the British population. Extrapancreatic involvement, particularly extrahepatic biliary involvement seems to be a frequent feature.Diagnosis should be based on accepted criteria as this significantly reduces the chances of overlooking malignancy. Awareness of this relatively rare condition and a multi-disciplinary team approach will help us to diagnose and treat this condition more efiectively thereby reducing unnecessary interventions.

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