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Case Report  |   Volume 2, Issue 6

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
Abstract

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.

  PDF   |    Full Text | DOI: 10.23937/2378-3656/1410041

Case Report  |   Volume 2, Issue 6

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
Abstract

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 artery and from the left ovarian artery.

  PDF   |    Full Text | DOI: 10.23937/2378-3656/1410040

Case Report  |   Volume 2, Issue 6

Adult with Ileocolic Intussusceptions

Steven Lee-Kong and Herbert Irving Pavilion
Abstract

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.

  PDF   |    Full Text | DOI: 10.23937/2378-3656/1410039

Case Report  |   Volume 2, Issue 6

Intercostal Lung Hernia: A Case for Conservative Treatment

Edupuganti Mohan Mallikarjuna Rao, Sarah Patterson Mitchell, Janina Fordyce and Vyjayanthi Ganga
Abstract

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.

  PDF   |    Full Text | DOI: 10.23937/2378-3656/1410038

Case Report  |   Volume 2, Issue 6

Descending Necrotizing Mediastinitis due to the Third Branchial Sinus: A Case Report

Jiang Xiuwen, Shao Jinyan, Hou Tiening, He Lina and Tang Jianguo
Abstract

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.

  PDF   |    Full Text | DOI: 10.23937/2378-3656/1410037

Case Report  |   Volume 2, Issue 6

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
Abstract

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.

  PDF   |    Full Text | DOI: 10.23937/2378-3656/1410036

Case report  |   Volume 2, Issue 6

Lymphoma or Pseudolymphoma, that is the Question

Yasar Albushra Ahmed and Mohamed Fatani
Abstract

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.

  PDF   |    Full Text | DOI: 10.23937/2378-3656/1410035

Letter to Editor  |   Volume 2, Issue 6

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
Abstract

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.

  PDF   |    Full Text | DOI: 10.23937/2378-3656/1410034