Open Access DOI:10.23937/2378-3656/1410041
Challenges of Fertility Sparing Ovarian Surgery Imposed by Krukenberg Tumors in Pregnancy
Michael H. Bloch, Ramey Z. Elsarrag, Mazin Z. Elsarrag and Sana M. Salih
Article Type: Case Report | First Published: June 29, 2015
Fertility sparing surgery is advocated for reproductive-age women with benign and borderline ovarian tumors. The hormonal milieu of pregnancy may, however, complicate the decision making process. The patient presented in the third trimester with a rapidly growing tumor that was diagnosed as benign steroid cell tumor by intraoperative frozen section. Fertility-sparing surgery with right oophorectomy and partial left oophorectomy was performed....
Open Access DOI:10.23937/2378-3656/1410040
Acute Ovarian Insufficiency and Uterine Infarction Following Uterine Artery Embolization for Postpartum Hemorrhage
Sarah Z. Elsarrag, Abigail R. Forss, Susan Richman and Sana M. Salih
Article Type: Case Report | First Published: June 29, 2015
Uterine artery embolization for intractable postpartum hemorrhage saves lives while preserving fertility. The procedure-related risks of uterine infarction and ovarian insufficiency are rare. A primparous patient underwent bilateral internal hypogastric artery embolization to control severe postpartum hemorrhage following primary cesarean section. The bleeding continued, and a repeat aortogram demonstrated significant filing of the uterus from an anomalous proximal take off of the right uterine ...
Open Access DOI:10.23937/2378-3656/1410039
Adult with Ileocolic Intussusceptions
Steven Lee-Kong and Herbert Irving Pavilion
Article Type: Case Report | First Published: June 27, 2015
The patient is a 32 year old man whose only past medical or surgical history includes an appendectomy presented to our emergency room with diffuse abdominal pain. Th pain had been present for approximately 3 days, and was characterized by episodes of diffuse, intense cramping followed by long intervals of relative relief. It was accompanied by intermittent nausea and vomiting, as well as diarrhea that at least twice included bright red blood....
Open Access DOI:10.23937/2378-3656/1410038
Intercostal Lung Hernia: A Case for Conservative Treatment
Edupuganti Mohan Mallikarjuna Rao, Sarah Patterson Mitchell, Janina Fordyce and Vyjayanthi Ganga
Article Type: Case Report | First Published: June 26, 2015
Lung herniation, defined as the protrusion of the lung beyond the thorax, is rarely encountered in the clinical setting. Most pulmonary hernias are caused by congenital defects and thoracic trauma. Spontaneous hernias are uncommon. We present a 70 year old patient with spontaneous intercostal lung herniation following a bout of bronchitis and several days of vigorous coughing....
Open Access DOI:10.23937/2378-3656/1410037
Descending Necrotizing Mediastinitis due to the Third Branchial Sinus: A Case Report
Jiang Xiuwen, Shao Jinyan, Hou Tiening, He Lina and Tang Jianguo
Article Type: Case Report | First Published: June 25, 2015
Descending Necrotizing Mediastinitis (DNM) is uncommon infection of mediastinum arising from neck or oral cavity. Despite improvements in diagnostic imaging and treatment, its mortality rate remains relatively high. We describe a unique case of descending necrotizing mediastinitis secondary to the third branchial sinus. The patient was successfully treated with antibiotics and transcervical surgical drainage....
Open Access DOI:10.23937/2378-3656/1410036
Intravenous Immunoglobulins Efficacy in a Case of ALS with Myasthenic Symptoms
Giovanni Piccirillo, Francesca Trojsi, Maria Rosaria Monsurro, Bernardo Maria De Martino, Francesco Habetswallner and Gioacchino Tedeschi
Article Type: Case Report | First Published: June 23, 2015
Myasthenia Gravis (MG) is a neuromuscular junction disease, for which the most specific test is an increase in anti-acetylcholine receptor antibodies (anti-ACHR-Abs) titer. Myasthenic symptoms are rarely detected in patients with Amyotrophic Lateral Sclerosis (ALS). We report the case of a patient with sporadic ALS who presented at onset clinical and instrumental features suggestive of a disorder of the neuromuscular junction....
Open Access DOI:10.23937/2378-3656/1410035
Lymphoma or Pseudolymphoma, that is the Question
Yasar Albushra Ahmed and Mohamed Fatani
Article Type: Case report | First Published: June 23, 2015
Drug-induced pseudolymphoma syndrome refers to a benign, drug induced lymphocytic infiltrate in the skin that mimics malignant lymphoma histologically, clinically, or both. At times, exposure to medication may result in cutaneous inflammatory patterns that resemble lymphoma. These pseudolymphomatous drug eruptions may resemble either T-cell or B-cell lymphomas....
Open Access DOI:10.23937/2378-3656/1410034
Giant Cell Arteritis of the Lower Limb Presenting as Peripheral Arterial Disease and Mantle Cell Lymphoma Two Years Later
Sophia Corsava, Savvas Psarelis and Elena Nikiphorou
Article Type: Letter to Editor | First Published: June 09, 2015
A 55-year-old man with a two-year history of peripheral arterial disease (PAD) was urgently referred to rheumatology via the vascular clinic. He was scheduled for a balloon-angioplasty due to bilateral aortoiliac and femoro-popliteal disease and occlusion of the iliac arteries. His past medical history included stent revascularisation of the left external iliac artery, endarterectomy of both right common superficial and deep femoral arteries and a polytetrafluroethylene patch (PTFE) graft....
