Infected femoral artery pseudoaneurysm ligation and revascularisation: A case report
Key Clinical MessageAlthough ligating femoral pseudoaneurysm is a safe procedure, some cases require revascularization, and the appropriate treatment should be tailored to the patient.AbstractIn this case report, we highlight the challenge in treating infected femoral artery pseudoaneurysm. The patient, a 37-year-old male intravenous drug abuser, presented to the emergency department with a 2-month history of a progressively growing lump over his right groin. Two days before the presentation the swelling became hot and painful. After physical examination, it was revealed that the localized swelling is about 15  × 15...
Source: Clinical Case Reports - March 22, 2024 Category: General Medicine Authors: Mohammed Alsagheer Alhewy, Ehab Abd Elmoneim Ghazala, Hassan Gado, Wael Abdo Abdo Abd ‐Elgawad, Ahmed Atef Khamis Tags: CASE REPORT Source Type: research

Urethral meatus edema with peno ‐scrotal edema in a patient with transfusion‐dependent beta‐thalassemia major
Key Clinical MessageUrethral meatus edema is a rare finding and may infer a more severe form of volume overload. Management of patients with thalassemia vary in terms of the severity of the kidney injury due to transfusion, chronicity, and severity of volume overload. (Source: Clinical Case Reports)
Source: Clinical Case Reports - March 22, 2024 Category: General Medicine Authors: Oussama G. Nasrallah, Jana H. Mahdi, Bassel G. Bachir Tags: CASE IMAGE Source Type: research

Management of an undetectable Diverticular Bleed: A Case Report and Literature review
Key Clinical MessageDiverticular bleeding is the most common cause of lower gastrointestinal bleeding and accounts for 20.8% –41.6% of cases in the Western world. Management involves initial resuscitation followed by diagnostic assessment. Colonoscopy is the investigation of choice as it localizes the bleed and has the potential to effectively deliver therapeutic interventions. Other diagnostic modalities include flexib le sigmoidoscopy, a tagged red blood cell scan, or angiography. In cases where the bleeding source cannot be identified, intraoperative enteroscopy has emerged as a valuable tool for investigating obscure...
Source: Clinical Case Reports - March 22, 2024 Category: General Medicine Authors: Zubir S. Rentiya, Lokeshwar Raaju Addi Palle, Sanni Emmanuel, Heeya Shah, Abiodun Adegbite, Carlo Kristian Chu  Carredo, Ronald Mauricio Blanco Montecino, Ummul Z. Asfeen, Akbar Hussain, Ogbonnaya Akuma, Aadil Mahmood Khan, Anasonye Emmanuel Tags: CASE REPORT Source Type: research

Abdominal migraine with acute watery diarrhea and dehydration: Successful treatment with Valproic acid in a pediatric case
Key Clinical MessageAbdominal migraine (AM) is a prevalent pediatric condition that rarely affects adults. Multiple diagnostic criteria have been established, but in general, AM is characterized by unprovoked episodes of acute central abdominal pain with migrainous characteristics and periods of respite. Recurrent stomach pain is a prevalent symptom globally, with a significant portion of cases falling under the category of functional gastrointestinal disorders (FGIDs) due to the absence of identified biological causes. There is a notable prevalence of migraines among individuals with a family history of the condition, ind...
Source: Clinical Case Reports - March 22, 2024 Category: General Medicine Authors: Mohammad Ashraful Amin, Ridwana Maher Manna, Sabrina Nahin, Mohammad Delwer Hossain Hawlader Tags: CASE REPORT Source Type: research

Spontaneous bilateral superficial femoral artery pseudoaneurysms and a unilateral posterior tibial artery aneurysm in an immunocompromised patient
We present the rare case of bilateral superficial femoral artery pseudoaneurysms, of unknown etiology and a concurrent posterior tibial artery saccular aneurysm in a patient with Human Immunodeficiency Virus (HIV) infection and multiple comorbidities. This was managed using a combination of endovascular covered stent grafts and open surgical repair technique. The patient is doing well on follow-up a year later with no post-operative infections. A literature review of the existing reports of superficial femoral artery pseudoaneurysms and posterior tibial artery aneurysms and their management is also reported. (Source: Clinical Case Reports)
Source: Clinical Case Reports - March 21, 2024 Category: General Medicine Authors: Jonathan Crisp, Manal Ahmad, Stephen Crockett, Abdulla Mohamed, Mohamad Hamady, Ondina Bernstein, Joseph Shalhoub Tags: CASE REPORT Source Type: research

Primary glioblastoma multiform (GBM) of the optic nerve and chiasma: A case report and systematic review of the literature
We present a case of GBM of the optic chiasma diagnosed through an open biopsy at our centre. Following the PRISMA statement, we also conducted a systematic review after protocol registration in PROSPERO (CRD42021285855). We searched Medline and Embase through Ovid from inception until December 31, 2021. Two reviewers independently screened the studies. Studies were eligible for inclusion if they reported cases of primary GBM confined to the optic nerve or chiasma as the initial radiological diagnosis. A 77-year-old female was referred for progressive visual loss lasting 8  weeks. MRI revealed a suspected lesion in the l...
Source: Clinical Case Reports - March 21, 2024 Category: General Medicine Authors: Ali Mulhem Tags: CASE REPORT Source Type: research

Cerebrofacial arteriovenous metameric syndrome type I  + II + III: An unusual case
Key Clinical MessageCerebrofacial arteriovenous Metameric syndrome (CAMS) typically manifests as types I, II, or III, occasionally presenting as dual types. Our unique case underscores the coexistence of all three CAMS types in one patient. Furthermore, the concurrent acute cerebellar infarct underscores the need to consider CAMS in the differential diagnosis of adolescents experiencing neurological events. (Source: Clinical Case Reports)
Source: Clinical Case Reports - March 21, 2024 Category: General Medicine Authors: Shahroze Ahmed, Digbijay Kunwar, Muhammad Hamza Khan, Anum Akbar, Asra Yasin, Abdul Sattar Anjum Tags: CASE REPORT Source Type: research

Morel ‐Lavallée lesion of the lumbosacral region: A rare case report and comprehensive review of the literature
Deep subcutaneous fluid collection in the lumbosacral region suggesting Morel-Lavall ée lesion, a rarely encountered location for this uncommon entity. Key Clinical MessageThe presentation of a Morel-Lavall ée lesion in the lumbosacral region following a road traffic accident is an uncommon clinical entity. Knowledge of this rare site of occurrence can help in early diagnosis and proper management. (Source: Clinical Case Reports)
Source: Clinical Case Reports - March 21, 2024 Category: General Medicine Authors: Samiksha Lamichhane, Shritik Devkota, Suraj K.C, Arif Hussain Sarmast Tags: CASE REPORT Source Type: research

A less common case of anti ‐MDA5 and anti‐Ro52 antibody‐positive juvenile dermatomyositis complicated with macrophage activation syndrome
(Source: Clinical Case Reports)
Source: Clinical Case Reports - March 21, 2024 Category: General Medicine Authors: Li Zhang, Haiqing Zhang, Shanshan Liu, Ning Zhang, Yun Wang Tags: CASE IMAGE Source Type: research

Serrated adenocarcinoma of sigmoid colon with mismatch repair protein ‐proficient phenotype: Histopathological recognition of a new subtype of colorectal adenocarcinoma
Key Clinical MessageSerrated adenocarcinoma is a distinct subtype of colorectal carcinoma characterized by unique histological and molecular features. Here we present a case study of a 58-year-old female patient who presented with generalized weakness, abdominal discomfort, and per-rectal bleeding. This case report highlights the importance of understanding the histopathological features of serrated adenocarcinoma for accurate diagnosis which has impact on further management. (Source: Clinical Case Reports)
Source: Clinical Case Reports - March 20, 2024 Category: General Medicine Authors: Diksha Karki, Sajan Ngakhusi Tags: CASE REPORT Source Type: research

Accidental finding prior to rhinoplasty: Rhinolith —A rare case report
Key Clinical MessageThrough this case report, we review a rare radiographic finding within the nasal cavity and its histopathological findings in order to emphasize the importance of familiarizing oneself with all radiographic findings, regardless of their rarity. (Source: Clinical Case Reports)
Source: Clinical Case Reports - March 20, 2024 Category: General Medicine Authors: Mehdi Heidarizadeh, Arash Sarrafzadeh, Maryam Mohebiniya, Soheila Jadidi Tags: CASE REPORT Source Type: research

Superfetation and heterotopic pregnancy: Case report of two rare phenomena coexisting and implications in the era of assisted reproductive technologies
We report a case where both coexisted, challenges in diagnosis and management and association with the widespread use of assisted reproductive technologies (ARTs). A 32-year-old woman, who previously underwent ovulation induction therapy, presented with abdominal pain at 8  weeks pregnancy according to her last menstrual period. The patient had high quantitative serum beta-human chorionic gonadotropin (b-hCG) (30,883 mIU/mL). She was vitally stable and not anemic. Transvaginal ultrasound (TVUS) revealed two pregnancies at different gestational ages: an intrauterine pregnancy at 5 weeks and 3 days, and a right intact ...
Source: Clinical Case Reports - March 19, 2024 Category: General Medicine Authors: Merhan Badran, Mazed Labib, Omar Abouali, Prakriti Pokhrel Tags: CASE REPORT Source Type: research

Salmonella hvittingfoss, a rare case of postoperative endometritis: A case report and review of the literature
We present a case of postoperative endometritis in a patient with incomplete miscarriage, who underwent dilatation and curettage. Blood, cervical and stool cultures revealed the presence of Salmonella hvittingfoss. Gynecological postoperative infections with Salmonella spp. are rare according to the current literature. (Source: Clinical Case Reports)
Source: Clinical Case Reports - March 19, 2024 Category: General Medicine Authors: Sarah Ba ïli, Sascha Vereeck, Yves Jacquemyn Tags: CASE REPORT Source Type: research

CHARGE syndrome with early fetal ear abnormalities: A case report
We report a fetus with fetal external ear abnormality detected by ultrasound at 22nd week of gestation. Postnatal examination revealed an external ear abnormality, a mild atrial septal defect, and other clinical signs of CHARGE syndrome. A de novo pathogenic nonsense mutation in theCHD7 gene (c.406C  >  T, p.Q136X in exon 2) was identified to cause the disorder. Our study demonstrated that prenatal diagnosis and genetic testing were recommended to obtain a solid diagnosis of CHARGE syndrome when fetal external ear abnormality was detected by ultrasound examination. (Source: Clinical Case Reports)
Source: Clinical Case Reports - March 19, 2024 Category: General Medicine Authors: Yu Liang, Sijie He, Liuqiao Yang, Tao Li, Lijian Zhao, Cong ‐xin Sun Tags: CASE REPORT Source Type: research

Intra ‐biliary hydatid cyst rupture: A rare case report with superinfection
Abdominal CT (coronal) scan demonstrating elongated left lobe of the liver mimicking a beaver's tail (blue arrow) with the normal right lobe of the liver (red arrow); a beaver tail appearance liver. Key Clinical MessageHydatid cysts, primarily found in the liver (70%), are caused by parasitic infections and can lead to severe complications such as cyst rupture. This case report describes a unique instance of a hydatid liver cyst occupying the right lobe with a communicating part with the biliary tree that ruptured showing a concurrent superinfection.AbstractHydatid cysts are a clinical pathology resulting from parasitic in...
Source: Clinical Case Reports - March 18, 2024 Category: General Medicine Authors: Hanan Al ‐Asbahi, Jaber H. Jaradat, Mohammad Abu‐Jeyyab, Ruba Al‐Dwairi, Bara'a W. Tailakh, Rand A. Almadadha, Ibraheem M. Alkhawaldeh, Abdulqadir J. Nashwan Tags: CASE REPORT Source Type: research