scholarly journals Delayed postpartum regression of theca lutein cysts with maternal virilization: A case report

2021 ◽  
Author(s):  
Sanghwa Kim ◽  
Inha Lee ◽  
Eunhyang Park ◽  
Yeo Jin Rhee ◽  
Kyeongmin Kim ◽  
...  
Keyword(s):  
Case Report ◽  
Conservative Treatment ◽  
Chorionic Gonadotropin ◽  
Rare Case ◽  
Patient Management ◽  
Surgical Intervention ◽  
Clinical Signs ◽  
The Self ◽  
Adnexal Torsion ◽  
Benign Lesions

Theca lutein cysts are rare, benign lesions responsible for gross cystic enlargement of both ovaries during pregnancy. This condition is also termed hyperreactio luteinalis. Elevated human chorionic gonadotropin (hCG) levels or states of hCG hypersensitivity seem to promote these changes, which in up to 30% of patients produce clinical signs of hyperandrogenism. Given the self-limiting course of theca lutein cysts, which are subject to spontaneous postpartum resolution, conservative treatment is the mainstay of patient management. Described herein is a rare case of theca lutein cysts with maternal virilization that failed to regress by 9 months after childbirth. Surgical intervention was eventually undertaken, necessitated by adnexal torsion.

scholarly journals Spinal dysraphism with tripedus morphology: A case report

2021 ◽  
pp. 509-511
Author(s):  
Mohd Monis ◽  
Shagufta Wahab ◽  
Divyashree Koppal ◽  
Aiman Ibbrahim
Keyword(s):  
Case Report ◽  
Spina Bifida ◽  
Vertebral Column ◽  
Rare Case ◽  
Surgical Intervention ◽  
Spinal Dysraphism ◽  
Tethered Cord ◽  
Lower Back ◽  
Rare Case Report ◽  
Spinal Mri

This is a rare case report of a 5-month-old child with a complex spinal dysraphic state, and an accessory limb (tripedus morphology), accessory genitalia, and anal dimple. The child was brought to the hospital with an accessory limb arising from the back. On clinical examination, an accessory limb arising from the lower back with a partially developed foot with the presence of toes and nails was noted. Spinal MRI was advised which revealed dysraphic features including spina bifida with the low lying and posteriorly tethered cord with diastematomyelia along with a supernumerary appendage attached to the vertebral column having rudimentary bones resembling those of extremities. The presence of an accessory limb with spinal dysraphism is quite a rare anomaly. The condition can be treated by surgical intervention and involves excision of the accessory limb with adequate dural and paraspinal muscle cover.

scholarly journals Reactivation of Latent Toxoplasmosis in a Schizophrenia Patient: A Case Report

2021 ◽  
Author(s):  
Wathiqah Wahid ◽  
Anis Safirah Mohammad Zahariluddin ◽  
Zuri Shahidii Kadir ◽  
Shalisah Sharip ◽  
Zulkarnain Md Idris ◽  
...  
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Patient Management ◽  
Schizophrenia Patient ◽  
Psychiatric Treatment ◽  
Auditory Hallucination ◽  
Type I ◽  
Molecular Tools ◽  
Treatment Resistant ◽  
Serology Test

Schizophrenia is a serious mental disorder characterized by chronic relapsing episodes of psychosis. The disease is multifactorial, where infections, genetic vulnerability and environmental factors are involved in the development of the illness. Toxoplasma gondii is one of the parasites that has long been known associated with schizophrenia in many studies. To date, there is growing evidence of association between T. gondii infections and schizophrenia. Herein we report a rare case of reactivated toxoplasmosis in a schizophrenia individual. This patient was incidentally diagnosed with reactivated T. gondii infection. He denied any symptoms of toxoplasmosis but experienced a mild psychiatric auditory hallucination. Serology test for T. gondii immunoglobulin antibodies measured a high positive IgG titer (135.9 IU/ml) and negative for IgM. Interestingly, nested PCR exhibited a positive result for the type I strain of T. gondii dense granular (GRA) 7 gene (GRA7). This case highlights the detection of probable reactivation of toxoplasmosis in an immunocompetent schizophrenic patient without psychiatric treatment-resistant and remains asymptomatic for toxoplasmosis. Both serology and molecular tools have been a helpful aid in establishing the diagnosis. Nonetheless, early detection as in this case may aid the patient management in the future.

scholarly journals A rare case report of aplasia cutis congenita of the scalp with triplet skin defects in non-syndromic newborn

2021 ◽  
Vol 8 (3) ◽  
pp. 997
Author(s):  
Naim Sulaiman Abuzarifa ◽  
Wan Azman Wan Sulaiman
Keyword(s):  
Case Report ◽  
Gestational Age ◽  
Rare Case ◽  
Surgical Intervention ◽  
Skin Condition ◽  
Skin Defect ◽  
Aplasia Cutis Congenita ◽  
Skin Defects ◽  
Rare Case Report ◽  
Aplasia Cutis

Aplasia cutis congenita is an uncommon localized or widespread congenital skin condition characterized by the absence of the skin, and occasionally underlying tissues occurs in about one every 10.000 birth mostly in the scalp as single or more than one lesion and sometimes occurs in extremities and trunk with an uncertain cause and can be associated with numerous syndromes or can be sporadic which is diagnosed clinically and usually conservatively managed but sometimes surgical intervention needed. In this literature, we present nonsyndromic newborn Malay girl normally delivered with 35 weeks gestational age with triplet skin raw areas at the vertex of the scalp with well-demarcated defect round in shape measured about 0.5 in radius covered with a noninflammatory, necrotic patch. To our knowledge, many works of literatures presented Aplasia cutis congenita at the scalp with solitary single or occasionally more than one skin defect. In contrast, in our case, we present an infrequent rare case of triplet skin defect of aplasia cutis congenita for nonsyndromic newborns. 

scholarly journals RARE CASE OF FETAL MIDGUT VOLVULUS DETECTED BY WHIRPOOL SIGN ON ROUTINE ANTENATAL ULTRASOUND.

2021 ◽  
pp. 66-67
Author(s):  
Meghna Barmase
Keyword(s):  
Case Report ◽  
Poor Prognosis ◽  
Rare Case ◽  
Surgical Intervention ◽  
Midgut Volvulus ◽  
Antenatal Ultrasound ◽  
Caesarean Section Delivery ◽  
Threatening Condition ◽  
Life Threatening ◽  
Mesenteric Vessels

Fetal midgut volvulus is an extremely rare life threatening condition with poor prognosis. It often remains undiagnosed on antenatal ultrasound and manifest as intestinal obstruction in both antenatal and post natal period. Following is the case report of intrauterine midgut volvulus causing proximal obstruction of stomach and duodenum. The infant survived postnatally after caesarean section delivery with prompt and appropriate surgical intervention. Twisting of bowel loops around the mesenteric vessels suggestive of whirpool sign was the most signicant clue leading to the diagnosis of volvulus.

scholarly journals An Asymptomatic Pointed Foreign Body in the Hypopharynx-A Rare Case Report

2016 ◽  
Vol 24 (2) ◽  
pp. 100-105
Author(s):  
Jyotiranjan Das ◽  
Debangshu Ghosh ◽  
Jayanta Saha ◽  
Sumit Kumar Basu
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Postoperative Period ◽  
Rare Case ◽  
Surgical Intervention ◽  
Magill Forceps ◽  
The Past ◽  
Rare Case Report ◽  
Significant Symptom ◽  
Surgical Option

Introduction Foreign body ingestion is an ENT emergency frequently encountered in both children and adults. Case Report A case of an open safety pin in the hypopharynx in a fifteen year old boy is reported, which remained impacted there for the past 15 days without any significant symptom or complication. CT scan, performed before surgical intervention, did not show any migration of this foreign body from its intraluminal site. This was removed by ‘Magill forceps technique’. Postoperative period was uneventful. Conclusion Pointed foreign body may present with negligible symptoms and that too may stay in the cricopharynx for long without migration. Magill forceps technique can be a good surgical option in such cases.

scholarly journals Eosinophilic Polymyositis: A Rare Cause of Atraumatic Compartment Syndrome of the Forearm

2019 ◽  
Vol 12 (S 01) ◽  
pp. S67-S69
Author(s):  
Michael K. Boyajian ◽  
Lauren O. Roussel ◽  
Galam Khan ◽  
Edward Stopa ◽  
Reena Bhatt
Keyword(s):  
Case Report ◽  
Connective Tissue ◽  
Compartment Syndrome ◽  
Rare Case ◽  
Chart Review ◽  
Surgical Intervention ◽  
Retrospective Chart Review ◽  
Definitive Diagnosis ◽  
Pertinent Literature ◽  
Case Summary

Abstract Background Eosinophilic polymyositis is a rare disorder in which eosinophils infiltrate muscle and supporting connective tissue structures, resembling autoimmune or immunologically mediated disease. This disorder can be associated with muscle inflammation and death, and can be a cause of atraumatic compartment syndrome. Methods This is a retrospective chart review of a case report as well as review of pertinent literature. Results This report presents a rare case of atraumatic compartment syndrome of the forearm caused by eosinophilic polymyositis. It provides a case summary and histological examination of this patient. Conclusion This is an important case to report because it highlights eosinophilic polymyositis as a unique etiology of compartment syndrome. In appropriate clinical situations where patients do not improve despite standard interventions, one should consider the rare and unusual etiology of compartment syndrome due to eosinophilic polymyositis. Furthermore, primary surgical intervention should not be delayed while waiting to ascertain a definitive diagnosis.

scholarly journals A rare case of symphalangism of bilateral interphalangial joint of thumbs: a case report

2020 ◽  
Vol 7 (4) ◽  
pp. 1307
Author(s):  
Anil Kumar
Keyword(s):  
Case Report ◽  
Functional Impairment ◽  
Rare Case ◽  
Surgical Intervention ◽  
Rare Condition ◽  
Congenital Disorder ◽  
Rare Congenital Disorder ◽  
Hands And Feet

Symphalangism is rare congenital disorder characterised by ankylosis of interphalangeal joints of hands and feet. The fusion can involve the proximal or the distal joints; however, involvement of the proximal interphalangeal joints is more common. There may other associated skeletol and non-skeletol abnormalities. Here the author reports a 14 year old girl with symphalangism involving the interphalangeal joints of the thumbs of bilateral hand. She did not have any functional impairment and hence no medical or surgical intervention was performed. As involvement of thumbs is very rare condition, author would like to report it. 

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