A Case of Acute Pancreatitis without Enzyme Elevation - A Rare Presentation of a Common Condition
Edupuganti Mohan Mallikarjuna Rao, Vjayanthi Ganga, Michael Moore and Srikanth Medarametla
Article Type: Case Report | First Published: October 30, 2015
Acute Pancreatitis is most often diagnosed based on a threefold elevation of amylase and lipase in the appropriate clinical setting. Very rarely the enzyme levels may be completely normal casting a doubt on the diagnosis. We present a case of acute pancreatitis without elevation of enzymes, review the literature, enlist the situations where serum enzyme levels are not elevated, discuss the diagnostic criteria, enzyme kinetics and briefly delve into the newer biomarkers of acute pancreatitis....
Steal Syndrome in a Patient with Heart and Kidney Transplantation Caused by Arterio-Venous Fistula
Lugo-Baruqui Jose A, Burke George W, Guerra Giselle, Salsamendi Jason and Ciancio Gaetano
Article Type: Case Report | First Published: October 28, 2015
Steal syndrome is an infrequent complication of arteriovenous fistulas (AV) graft for patients on hemodialysis. We report a case of a patient with history of orthotopic heart transplant with end-stage renal disease that subsequently underwent real transplant from a living donor that developed delayed graft function due to steal syndrome of a thigh AV fistula. We discuss the presentation, diagnosis and treatment....
Isolated Ovarian Metastasis in a Woman with Prior History of Superficial Bladder Cancer
Kathleen Mahoney, Mamta Gupta and Akash Patnaik
Article Type: Case Report | First Published: October 12, 2015
Primary transitional cell carcinoma of the ovary is a rare form of ovarian cancer, which has many features in common with transitional cell carcinoma of the bladder. Here we describe a case of metastatic transitional cell carcinoma to the ovary in a patient with a remote history of primary superficial urothelial carcinoma. Metastasis from a superficial urothelial carcinoma is exceedingly rare. CK7/CK20 positivity is not typical of transitional cell carcinoma (TCC) of the ovary, thus co-expressio...
Ultra-High Resolution Optical Coherence Tomography Imaging of Unilateral Drusen in a 31 Year Old Woman
Talisa E de Carlo, Mehreen Adhi, Chen D Lu, Jay S Duker, James G Fujimoto and Nadia K Waheed
Article Type: Case Report | First Published: October 10, 2015
We report a case of widespread unilateral drusen in a healthy 31 year old Caucasian woman using multi-modal imaging including ultra-high resolution optical coherence tomography (UHR-OCT). Dilated fundus exam multiple drusen-like lesions in the posterior pole without heme or fluid. Fundus auto fluorescence demonstrated hyper auto fluorescence at the deposits. Fluoresce in angiography revealed mild hyper fluorescence and staining of the lesions....
A Rare Case of Bilaterale Ureterohydronephrosis due to Cystitis Cystica Et Glandularis and Review of the Literature
Zafer Demirer, Ali Guragac, Burak Kopru, Bilal Firat Alp and Ibrahim Yildirim
Article Type: Case Report | First Published: October 05, 2015
Cystitis Cystica Et Glandularis (CCEG) is a metaplastic lesion of the bladder mucosa with a characteristic histopathologic appearance. CCEG are commonly found in specimens taken from the bladder wall of patients with cancer and other diseases or at autopsy. In most cases the course of CCEG is asymptomatic. Some patients complain of hematuria, symptoms associated with the obstruction of the upper urinary tract, or lower urinary tract symptoms. The main symptoms of CCEG accompanied with upper urin...
Untreated Chiari 1 Malformation in Adulthood with Massive Hydrosyringomyelia and Hydrocephalus
Carlo Nicola De Cecco, Davide Bellini, Elisa Porretta, Francesca Cortese, Andrea Laghi and Gianluca Coppola
Article Type: Case Report | First Published: October 1, 2015
We describe a case of untreated Chiari I malformation in adulthood. It is characterized by displacement of the cerebellar tonsils caudally through the foramen magnum, associated with massive hydrosyringomyelia and tetraventricular hydrocephalum. Magnetic Resonance (MR) imaging provides excellent visualization of intracranial and intraspinal malformations, and thus contributes greatly to their correct diagnosis and treatment....