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Case Report Open Access

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
Clin Med Rev Case Rep Volume 2, Issue 10

Abstract: 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.

PDF   | Full Text   DOI: 10.23937/2378-3656/1410066

Case Report Open Access

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
Clin Med Rev Case Rep Volume 2, Issue 10

Abstract: 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.

PDF   | Full Text   DOI: 10.23937/2378-3656/1410065

Case Report Open Access

Isolated Ovarian Metastasis in a Woman with Prior History of Superficial Bladder Cancer

Kathleen Mahoney, Mamta Gupta and Akash Patnaik
Clin Med Rev Case Rep Volume 2, Issue 10

Abstract: 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-expression of CK7 and CK20 may distinguish metastatic urothelial carcinoma to the ovary from primary ovarian cancer.

PDF   | Full Text   DOI: 10.23937/2378-3656/1410064

Case Report Open Access

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
Clin Med Rev Case Rep Volume 2, Issue 10

Abstract: 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.

PDF   | Full Text   DOI: 10.23937/2378-3656/1410063

Case Report Open Access

Spondyloepiphyseal Dysplasia Tarda with Progressive Arthropathy Associated with Osteoporosis and Cataract: A Case was Misdiagnosed as Juvenile Idiopathic Arthritis

Fatma Gul Yurdakul, Rezan Kocak, Filiz Sivas, Aysegul Altun Guvenir and Hatice Bodur
Clin Med Rev Case Rep Volume 2, Issue 10

Abstract: Spondyloepiphyseal dysplasia tarda with progressive arthropathy (SEDT-PA) is rare hereditary disorder with autosomal recessive, X-linked recessive or autosomal dominant inheritance. Because of joint involvement SEDT-PA may be confused with juvenile idiopathic arthritis and SEDT-PA also called progressive pseudorheumatoidarthropathy of childhood. The present case had been misdiagnosed as juvenile arthritis and received unnecessary treatments for years.

PDF   | Full Text   DOI: 10.23937/2378-3656/1410062

Case Report Open Access

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
Clin Med Rev Case Rep Volume 2, Issue 10

Abstract: 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 urinary tract obstruction are renal colic and abdominal pain, and the symptoms in most CCEG without upper urinary tract obstruction are frequency, urgency, dysuria, hematuria and fever.

PDF   | Full Text   DOI: 10.23937/2378-3656/1410061

Case Report Open Access

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
Clin Med Rev Case Rep Volume 2, Issue 10

Abstract: 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.

PDF   | Full Text   DOI: 10.23937/2378-3656/1410060

Volume 2
Issue 10