Open Access DOI:10.23937/2378-3656/1410114
Acute Diarrhea Secondary to Pseudomembranous Colitis in the Adulthood, a Diagnostic Challenge: Case Report
Freddy A. Rodriguez-Hernandez, Giselle Blanco-Lamont, Cinthia Patricia Vargas-Chavez, Maria Valeria Jimenez-Baez, Cristian Alejandro Aguirre-Alva, Luis Sandoval-Jurado and Luis A. Medina-Andrade
Article Type: Case Report | First Published: June 30, 2016
An 84 years-old female presented at emergency room with abdominal pain and diarrhea. Pathological background include arterial hypertension treated with losartan 100 mg/24h, cardiac arrhythmia treated with propafenona 75 mg/24h, osteoarthritis treated with non-steroidal anti-inflammatories (COX-2) and chronic diarrhea for the last three months treated with quinolones....
Open Access DOI:10.23937/2378-3656/1410113
Three-Vessel Spontaneous Coronary Artery Dissection in an Old Woman
Huseyin Bozbas, Tugba Kayhan Altuner, Ezgi Polat Ocakli, Mehmet Sanser Ates, Murat Kurtoglu and Mehmet Emin Korkmaz
Article Type: Case Report | First Published: June 27, 2016
Spontaneous coronary artery dissection (SCAD) is one of the rare causes of acute coronary syndrome. Regarding the etiology, it is classified broadly into 2 groups: atherosclerotic and non-atherosclerotic. It is more common in females and left anterior descending coronary artery is the most commonly involved artery. Optimal therapy for SCAD is not well-defined. Treatment options include a conservative approach, percutaneous intervention, and bypass grafting surgery. We present an old woman with t...
Open Access DOI:10.23937/2378-3656/1410112
Successful Treatment of Insomnia with Melatonin in a Patient with Malignant Glioma after Radiotherapy-Involving the Pineal Gland
Andrea Reim, David Strobl, Gerda Saletu-Zyhlarz, Matthias Preusser, Maria Theresia Schmook, Karin Dieckmann, Christoph C Zielinski and Christine Marosi
Article Type: Case Report | First Published: June 25, 2016
A recent survey reported on conspicuous prevalence and severity of sleep disorders in patients with cancer. Insomnia is defined as difficulty falling asleep, difficulty staying asleep - with wake episodes of more than half an hour, unintended early awakening and/or non restorative sleep. This symptom complex qualifies as insomnia when it occurs at least three times a week, results in distress and impairs day time functioning. In cancer patients, especially in patients complaining about fatigue, ...
Open Access DOI:10.23937/2378-3656/1410110
Primary Epiploic Appendagitis
Neha Gupta, Tony A Abdel Maseeh, Leyden Standish-Parkin and Yekaterina Sitnitskaya
Article Type: Case Report | First Published: June 10, 2016
Epiploic appendagitis is a rare diagnosis in pediatric population. It is a benign, self-limiting condition caused by infarction, torsion or thrombosis of the fatty appendages on the serosal surface of the colon. It can be a diagnostic dilemma as it can mimic acute appendicitis or diverticulitis, depending on its location. We report a case of a teenage girl who presented with right lower quadrant abdominal pain without any associated vomiting, fever, and diarrhea. Laboratory work up was non-contr...
Open Access DOI:10.23937/2378-3656/1410109
The Biliary Sinus: A Rare Late-Stage Complication of Cholecystectomy
Ihsan Yildiz, Yavuz Savas Koca and Ibrahim Barut
Article Type: Case Report | First Published: June 03, 2016
A 53-year-old female patient who had undergone open cholecystectomy due to cholelithiasis 6 years earlier was admitted to hepatobiliary surgery unit with a painful mass in the right upper quadrant and fever. Ultrasonography showed that a 3-cm fluid-filled mass in the right upper quadrant subcutaneously, in computed tomography a fluid-filled tubular lesion extending from the right lobe of liver to right upper quadrant, and percutaneous cholangiography showed that a radio-opaque density communicat...