Choledochal cyst as an incidental finding during acute cholecystitis: A case report
Key Clinical MessageThis case demonstrates an atypical presentation of choledochal cysts (CDCs) and elaborates on the diagnostic challenges encountered when presented with CDCs in adulthood, as it principally presents in children.AbstractAcholedochal cyst is a rare congenital anomaly characterized by cystic dilations in the extrahepatic and intrahepatic biliary trees. These cysts are classified according to their location and characteristics. This case study aims to demonstrate how nonspecific clinical features can pose a diagnostic dilemma when presented in adults. Additionally, the case report provides an overview of dia...
Source: Clinical Case Reports - February 10, 2024 Category: General Medicine Authors: Ryan Isaac Sia Zu Wern, Pravallika Venna, Akash Sarkar, Marwa Abdul ‐Haque, Saachi Bhattessa Tags: CASE REPORT Source Type: research

Disseminated tuberculosis presented with explicit hypercalcemia: A clinical case report
Key Clinical MessageTuberculosis (TB) is a rare but known reason for hypercalcemia usually in those with underlying conditions such as renal failure, diabetes, or severe anemia. It is essential to consider TB in those with refractory or resistant hypercalcemia.AbstractHypercalcemia or a calcium level above 10.5  mg/dL can be a manifestation of TB that only became symptomatic in a small percentage of the patients. Patients with underlying diseases such as renal failure are more prone to poor prognosis. It is essential to use anti-TB drugs besides hypercalcemia standard treatment to maintain a normal calci um level in TB-r...
Source: Clinical Case Reports - February 10, 2024 Category: General Medicine Authors: Seyed Ali Dehghan  Manshadi, Nahid Shafiee, Seyed Mohammad Piri, Erfan Naghavi, Maryam Moradi Tags: CASE REPORT Source Type: research

Apraxia of speech due to the left postcentral gyrus lesion
Key Clinical MessageApraxia of speech (AOS) due to a postcentral infarction differs from conventional precentral AOS with respect to phonemic errors (phoneme substitution) which are more common than phonetic errors (phoneme distortion) and preserved accent and intonation.AbstractClinical features of apraxia of speech caused by lesions in the postcentral gyrus have not yet been elucidated. Here, we report a patient with this lesion and show how postcentral apraxia of speech differs from the hitherto known precentral apraxia of speech. A 54-year-old man developed Broca's aphasia with apraxia of speech that resolved into pure...
Source: Clinical Case Reports - February 10, 2024 Category: General Medicine Authors: Naoko Mitani, Yasuhisa Sakurai Tags: CASE REPORT Source Type: research

Spinal muscular atrophy type 1: A fatal case in a 1 ‐year‐old girl with delayed diagnosis
Key Clinical MessageSpinal muscular atrophy (SMA) is a growing clinical concern, necessitating higher awareness and early detection. This case study focuses on the difficulties and advances in detecting and treating SMA. It emphasizes the value of early detection, interdisciplinary care, genetic testing, and novel therapeutics in terms of improving outcomes.AbstractSpinal muscular atrophy type 1 (SMA Type 1) is a rare genetic neuromuscular disease characterized by muscle atrophy and weakness. This case report presents the fatal outcome of a 1-year-old girl with delayed diagnosis of SMA Type 1. The child exhibited symptoms ...
Source: Clinical Case Reports - February 10, 2024 Category: General Medicine Authors: Saira Batool Rizvi, Hafsa Ahmed, Arbaz Zaman, Ameenudeen Mohammed Nushrath Ali, Hussain Haider Shah, Sameer Abdul Rauf, Tirth Dave Tags: CASE REPORT Source Type: research

Congenital diaphragmatic hernia in patient with 1p36 deletion
Key Clinical MessageThis case underscores the atypical presentation of late-onset congenital diaphragmatic hernia in a 9-old with 1p36 deletion syndrome. Recognition of respiratory distress and abdominal symptoms is crucial for intervention.AbstractCongenital Diaphragmatic Hernia (CDH) is a condition characterized by the protrusion of abdominal contents into the thoracic cavity due to a defect in the diaphragm. While typically observed in the neonatal period, CDH can present in later life. This case report describes the presentation, diagnosis, and management of a nine-year-old boy with 1p36 deletion syndrome who presented...
Source: Clinical Case Reports - February 10, 2024 Category: General Medicine Authors: Midhat Zihra, Ibad Rehmaan, Saman Amjed, Khawar Abbass, Ata ullah Khan, Anwaar ul Haq, Hashim Talib Hashim, Khadija Iqbal, Ahmed Dheyaa Al ‐Obaidi, Ahmed Qasim Mohammed Alhatemi, Ali Talib Hashim Tags: CASE REPORT Source Type: research