Subtotal cholecystectomy with omental pedicle plug for the challenging gallbladder: A case report and review of the literature
Key Clinical MessageIf patient anatomy or disease does not allow for a traditional or partial cholecystectomy, an omental pedicle plug may be a viable option to limit the risk of postoperative uncontrolled bile leak from the cystic duct and to control patient symptoms. (Source: Clinical Case Reports)
Source: Clinical Case Reports - April 15, 2024 Category: General Medicine Authors: Michael A. Stellon,
Cullen J. Fleming,
John E. Scarborough Tags: CASE REPORT Source Type: research
Chest pain in a patient with transthyretin cardiac amyloidosis: A case report
Key Clinical MessagePatients with transthyretin cardiac amyloidosis (ATTR-CM) commonly present with dyspnea, fatigue, and edema. In our case, the main presentation was exertional angina, which was atypical in patients with ATTR-CM and should be paid more attention to.AbstractA 54-year-old woman was admitted with a complaint of exertional chest pain, and she had a history of hypertension. The results of the electrocardiogram and echocardiography revealed the clues of cardiac amyloidosis, and the patient was finally diagnosed with transthyretin cardiac amyloidosis, then she received tafamidis, and the symptoms improved signi...
Source: Clinical Case Reports - April 15, 2024 Category: General Medicine Authors: Linfeng Xie,
Suxin Luo,
Bi Huang Tags: CASE REPORT Source Type: research
Exploring subungual onycholemmal cysts: A rare case report and comprehensive literature review
In this report, we describe a 54-year-old man with unilateral second right finger nail onychodystrophy and onycholysis for 1 year. He did not have any history of recent trauma, pain, or bleeding. It was completely resected by surgery. Nail biopsy can contribute to the early diagnosis of SOC and improvement of treatment outcomes. (Source: Clinical Case Reports)
Source: Clinical Case Reports - April 13, 2024 Category: General Medicine Authors: Toktam Safari Giv,
Mahdiyeh Movahedi,
Sahar Dadkhahfar,
Farsad Biglari,
Azadeh Rakhshan,
Ghazal Mardani,
Meisam Jafari Kafiabadi Tags: CASE REPORT Source Type: research
Tertiary hyperparathyroidism masking an atypical parathyroid tumor
Key Clinical MessageAtypical parathyroid tumors represent a group of parathyroid neoplasms of uncertain malignant potential. In view of preoperative diagnostic difficulties, suspicious features for malignancy may guide the surgeon to perform a radical surgical approach. (Source: Clinical Case Reports)
Source: Clinical Case Reports - April 13, 2024 Category: General Medicine Authors: Styliani Laskou,
Ismini Kountouri,
Eleni Paschou,
Christos Topalidis,
Paraskevi Axi,
Georgios Petrakis,
Christoforos Kosmidis,
Konstantinos Sapalidis Tags: CASE REPORT Source Type: research
First ‐trimester exposure to tofacitinib in ulcerative colitis: A case report of a healthy newborn and literature review
We present a patient with ulcerative colitis on tofacitinib who had an unplanned pregnancy. Tofacitinib was ceased, switched to vedolizumab, and she gave birth to a healthy newborn at term. Case reports of reassuring outcomes provide real-world data that assists decision-making for future patients. (Source: Clinical Case Reports)
Source: Clinical Case Reports - April 13, 2024 Category: General Medicine Authors: Arteen Arzivian,
Eva Zhang,
Robyn Laube,
Rupert Leong Tags: CASE REPORT Source Type: research
Can lithium be used in the setting of clozapine commencement in patients with COVID ‐19 associated neutropenia: A case report
Key Clinical MessageCOVID-19 infection may increase the likelihood of neutropenia in patients already on clozapine. In clozapine treated patients experiencing COVID-19 associated neutropenia, adjunct therapy with lithium can be considered. (Source: Clinical Case Reports)
Source: Clinical Case Reports - April 13, 2024 Category: General Medicine Authors: Jin Quan Eugene Tan,
Jessica L. Dawson,
Tarun Bastiampillai Tags: CASE REPORT Source Type: research
A case report of malignant struma ovarii with papillary thyroid carcinoma
In this report, we present the case of a 64-year-old woman experiencing abdominal pain and diagnosed with SO, accompanied by papillary thyroid carcinoma. We thoroughly discuss the evaluation and management of this rare condition. (Source: Clinical Case Reports)
Source: Clinical Case Reports - April 13, 2024 Category: General Medicine Authors: Yekta Rahimi,
Soghra Rabizadeh,
Sara Seifouri,
Kiana Seifouri,
Samane Salarvand,
Manouchehr Nakhjavani Tags: CASE REPORT Source Type: research
Neuropsychiatric disorder as early clinical presentation of marantic endocarditis in patient with newly diagnosed poorly differentiated esophago ‐gastric junction adenocarcinoma: A case report
Transesophageal cardiac echocolor-Doppler: large package of endocardial vegetations encompassing the posterior mitral leaflet, especially at P2-P3 level; similar lesions also at the free edge of the anterior mitral flap in A2. Key Clinical MessageNeuropsychiatric symptoms, depression, and progressive mental confusion should not be overlooked as onset symptoms of multiple cerebral ischemic lesions due to cardiac embolization. Comprehensive clinical evaluation due to progressive anemia led to the diagnosis of poorly differentiated adenocarcinoma of the esophagogastric junction as cause of embolizing nonbacterial mitral endoc...
Source: Clinical Case Reports - April 13, 2024 Category: General Medicine Authors: Filomena Ferrentino,
Sara Campana,
Marco Torri,
Carlo Rostagno Tags: CASE REPORT Source Type: research
Leukocytoclastic vasculitis in a patient with ankylosing spondylitis: A case report
Key Clinical MessageAlthough the concurrent occurrence of vasculitis with AS is uncommon, when patients diagnosed with AS exhibit symptoms including skin petechiae, purpura, abdominal discomfort, malaise, elevated ESR, and reduced complement levels, vigilant monitoring for vasculitis is advisable following the exclusion of secondary vasculitis triggers such as malignancies, infections, and pharmaceutical agents.AbstractThe primary characteristic of ankylosing spondylitis (AS) involves inflammation occurring within the sacroiliac joint and the spine, leading to destruction and eventual ankylosis. A notably infrequent compli...
Source: Clinical Case Reports - April 12, 2024 Category: General Medicine Authors: Alireza Khabbazi,
Sepideh Tahsini Tekantapeh,
Cyrus Asadzadeh,
Amir Vahedi Tags: CASE REPORT Source Type: research
Delayed diagnosis of pemphigus vulgaris in rural Nepal due to healthcare inaccessibility and harmful traditional practices: A case report
Key Clinical MessageEarly intervention is imperative for potentially fatal dermatologic diseases such as pemphigus vulgaris. In rural Nepal, limited public awareness, home remedies, and delays in healthcare access lead to poor outcomes. Although biopsy confirms the diagnosis, experienced dermatologists can make an accurate clinical diagnosis when characteristic skin lesions are present. (Source: Clinical Case Reports)
Source: Clinical Case Reports - April 12, 2024 Category: General Medicine Authors: Amisha Adhikari,
Jameel Akhtar Mikrani,
Samata Nepal,
Ashish Rauniyar,
Manish Chaudhary,
Alok Atreya Tags: CASE REPORT Source Type: research
A young woman with Mycobacterium chelonae complex infection caused by facial stem cell injection
A female patient who underwent cosmetics injections and contracted with Mycobacterium chelonae complex. Key Clinical MessageIn outpatient settings,Mycobacterium chelonae complex infection brought on by cosmetic injections are rather uncommon. We came across a case of infection brought on by a commercial stem cell injection. (Source: Clinical Case Reports)
Source: Clinical Case Reports - April 12, 2024 Category: General Medicine Authors: Kun ‐Jie Li,
Song‐Fa Lin,
Yan‐Ni Guo,
Tian‐Xing Xu,
Chao Ji Tags: CASE REPORT Source Type: research
Acute intestinal obstruction secondary to ingested foreign body in an adult with autism spectrum disorder: A rare case report and review of literature
Key Clinical MessageForeign body ingestion is common in pediatric age group however can be found in any age group with intellectual disability and neurodevelopmental delay. There is usually a delay in presentation and interventions following foreign body ingestion in patients with neurodevelopmental delay, leading to increased morbidity, mortality, and complications owing to inability of such patients giving relevant history. Most ingested foreign bodies naturally pass through the digestive tract without untoward effects. Only a few patients may require surgical interventions. Principle of management should be to reduce an...
Source: Clinical Case Reports - April 12, 2024 Category: General Medicine Authors: Suraj KC,
Rakesh Kumar Gupta,
Abhijeet Kumar,
Bhawani Khanal,
Samiksha Lamichhane,
Amrit Buhusal,
Vijay Pratap Sah,
Sanjok Bartaula,
Injmamul Haque Raki,
Raghav Jindal Tags: CASE REPORT Source Type: research
Concurrent myocardial infarction in the setting of thrombotic thrombocytopenic purpura secondary to systemic lupus erythematosus: A case report
Key Clinical MessageIn acute thrombotic thrombocytopenic purpura (TTP), apart from urgent treatment, assessing the patient's medical history, especially conditions like systemic lupus erythematosus that could trigger TTP, is crucial. Rarely, TTP patients may experience cardiac conditions as severe as a myocardial infarction.AbstractA 45-year-old woman manifested severe and acute thrombotic thrombocytopenic purpura (TTP) of unknown origin. The patient's symptoms, the laboratory data, the detection of the reduction in ADAMTS13 activity, and the presence of schistocytes on the peripheral smear confirmed the diagnosis. The pat...
Source: Clinical Case Reports - April 12, 2024 Category: General Medicine Authors: Saleh Azadbakht,
Bardia Amidi,
Narges Naderi,
Anwar Sharifaskari,
Mahtab Hatami Tags: CASE REPORT Source Type: research
Candida endophthalmitis and Candida pneumonia after trans ‐urethral lithotripsy: A case report
Key Clinical MessageInvasive candidiasis may be one of the serious complications of transurethral lithotripsy. Candiduria before this procedure should be assessed, and antifungals should be prescribed.AbstractThis case is about a 44-year-old diabetic female patient who, after trans-urethral lithotripsy with double-J stent insertion, was diagnosed withCandida pneumonia andCandida endophthalmitis. (Source: Clinical Case Reports)
Source: Clinical Case Reports - April 10, 2024 Category: General Medicine Authors: Atousa Hakamifard,
Farzin Khorvash,
Somayeh Hajiahmadi,
Yasaman Eskandari Tags: CASE REPORT Source Type: research
Neglected Fungating Giant basal cell carcinoma: A case report and literature review
We present a giant BCC case in an old female from a rural area with a poor socioeconomic profile. (Source: Clinical Case Reports)
Source: Clinical Case Reports - April 10, 2024 Category: General Medicine Authors: Susmin Karki,
Asmita Parajuli,
Bhawesh Bhattarai,
Khusbu Kumari,
Kayleigh Anjali Harrylal,
Pramish Bhatta,
Milan K. C.,
Samit Sharma Tags: CASE REPORT Source Type: research
