Open Access DOI:10.23937/2474-3682/1510246
Verrucous Carcinoma: An Underdiagnosed Tumor
I. Chikhaoui, S. Nejjari, G. Basri, FZ. Agharbi and S. Chiheb
Article Type: Case Report | First Published: 2024/11/15
Verrucous carcinoma is a rare, low-grade, well-differentiated squamous cell carcinoma. The diagnosis of this condition is often delayed due to its slow evolution, we report a case of a Verrucous carcinoma diagnosed after 2 years of evolution....
Open Access DOI:10.23937/2474-3682/1510245
Safeguarding Patient Care: Why Pre-Use Anesthesia Equipment Checks are Essential
Sanjay Aamat, MD and Abhishek Singh, MD
Article Type: Clinical Image | First Published: 2024/11/08
Given the increasing emphasis on quality standards in healthcare, a structured, comprehensive checklist aligns with guidelines from professional organizations like the American Society of Anaesthesiologists (ASA) and the World Health Organization (WHO). Not only does it improve patient outcomes, but it also streamlines workflow, enhances team communication, and helps build patient confidence in the safety of anesthesia practices. In light of these benefits, implementing a thorough pre-use anesth...
Open Access DOI:10.23937/2474-3682/1510244
Idiopathic Calcinosis of the Scrotum
Youssef Zemmez, Amine Ennaciri, Abdourahman Moussa, Rachid Frikh and Naoufal Hjira
Article Type: Image Article | First Published: 2024/11/06
This was a 35-year-old patient with no previous pathological history who had been presenting with a pruritic, painless, progressively enlarging scrotal swelling since the age of 30. On examination, the lesions were multiple, nodular, mobile in relation to the deep plane, confluent, non-inflammatory and overall measuring 4 cm/1 cm (Figure 1). The nodules contained a thick, whitish fluid. The testicles and epididymides were clinically normal. Surgical excision was performed under local anaesthetic...
Open Access DOI:10.23937/2474-3682/1510243
Historical Cutaneous Squamous Cell Carcinoma with Pulmonary Metastasis
S. Nejjari, I. Chikhaoui, G. Basri and S. Chiheb
Article Type: Case Report | First Published: 2024/09/22
The history of the disease dates to 1989, with the appearance of a small nodular lesion measuring a few millimeters above the pubic bone, for which the patient had never consulted a doctor. He was referred in 2022 with an erythematous, oozing, vegetating ulcerative-bourgeous lesion, bleeding on contact, measuring 7 cm*5 cm, soft consistency in some areas and indurated in others, located on healthy skin (Figure 1)....
Open Access DOI:10.23937/2474-3682/1510242
Fibroepithelioma of Pinkus, a Case for Diagnosis
S. Nejjari, I. Chikhaoui, G. Basri and S. Chiheb
Article Type: Case Report | First Published: 2024/09/22
A 65-year-old hypertensive man followed up in dermatology for papulo pustular rosacea. On clinical examination, a well-limited, centimetric, asymptomatic, pinkish nodular lesion was found in the right occipital region, which had been evolving for several months (Figure 1)....
Open Access DOI:10.23937/2474-3682/1510241
Effectiveness and Outcome of Uterine Embolization with Methotrexate in Treatment of Scar Ectopic Pregnancy in Comparison with Methotrexate and KCL Treatment
Maher Alanazi, Hatim Saad Alobaidi, Mohammed Saeed Alshulayyil, Abdulaziz Ali Almat'hami, Faisal Mohammed Alahmari, Sultan Nasser Alammari, Ehab Faiz Wahbah, Abdulwahed Abdullah Alruhaimi, Hassan Mosa Alshehri, Othman Zayed Alshehre and Mohammed Saeed Altolub
Article Type: Retrospective Cross-Sectional Study | First Published: 2024/09/14
Scar ectopic pregnancy has become one of the common medical conditions around the world. CSP could lead to severe complications including excessive hemorrhage, shock and uterine rupture with the potential necessity for hysterectomy as well as maternal mortality in a very severe case with CSP. However, there are no general guidelines for CSP management. The objective of this study is to compare the therapeutic effects and follow-up results among 3 different treatments and to identify the most eff...
Open Access DOI:10.23937/2474-3682/1510240
Confluent and Reticulated Papillomatosis of Gougerot and Carteaud
Jawad El-Azhari, Youssef Zemmez, Mohamed El Amraoui, Rachid Frikh and Naoufal Hjira
Article Type: Case Report | First Published: 2024/07/22
A 39-year-old patient, with a history of allergic rhinitis, presenting asymptomatic papular lesions for several years, starting in the pre-sternal region, then confluent in plaques and secondarily centrifugally extensive to the entire trunk. The patient received several antifungal treatments; especially ketoconazole; without any improvement. Clinical examination revealed brownish papulo-keratotic plaques of the pre-sternal, epigastric, interscapular and cervical regions, covered in palces with p...
Open Access DOI:10.23937/2474-3682/1510239
Eosinophilic Pustular Folliculitis (EPF) or Ofuji Disease: Case Report
Jawad El-Azhari, Mohamed El Amraoui, Youssef Zemmez, Rachid Frikh and Naoufal Hjira
Article Type: Case Report | First Published: 2024/07/22
Eosinophilic pustular folliculitis (EPF) or Ofuji disease is a rare chronic disease, described in 1970 by the latter and whose etiopathogeny remains unclear. EPF is clinically presented as pruriginous follicular papulo-pustules predominating the seborrheic regions; namely the face, the upper trunk and the extension face of the upper limbs, associated with blood eosinophilia, without systemic involvement. Histologically, it is characterized by an inflammatory infiltrate rich in eosiniphiles affec...
Open Access DOI:10.23937/2474-3682/1510238
Eruptive Hypomelanosis: A Little-Known Paraviral Exanthem
Jawad El-Azhari, Youssef Zemmez, Mohamed El Amraoui, Rachid Frikh and Naoufal Hjira
Article Type: Case Report | First Published: 2024/07/22
We report the case of a 07-year-old child, with no notable history, who consulted for an acute cutaneous eruption made up of hypochromic, non-pruritic macules, which began 10 days ago, preceded by a transient flu-like syndrome 08 days before its onset. The rash began on the arms and spread to the rest of the integument within a few days. Clinical examination revealed well-limited macular lesions, 0.1 to 0.5 cm in size, covered with pityriasiform scales, confluent in places, symmetrical, involvin...
Open Access DOI:10.23937/2474-3682/1510237
Right Atrium Thrombus Extending from IVC in a Patient of Renal Cell Carcinoma
Sudeb Mukherjee, MBBS, MD, DM
Article Type: Clinical Image | First Published: 2024/04/26
46-year-old gentleman admitted with shortness of breath and chest discomfort for last 6 months. He had no history of chest pain. He had history of flank pain for last few months along with occasional hematuria. He was taking self medications (analgesics) for these symptoms. On initial examination there was pallor and bipedal oedema. SpO2 was 96% in room air. Cardiovascular examinations revealed mid diastolic murmur in the mitral area without any radiation. Chest examinations revealed normal vesi...
Open Access DOI:10.23937/2474-3682/1510236
Not a Simple Aneurysm
Ian Latimer, Budresh Joshi and Jen-Li Looi
Article Type: Medical Image | First Published: 2024/04/26
50-year-old woman with end-stage renal failure on haemodialysis presented with chest pain. She was recently treated with methicillin-resistant Staphylococcus aureus bacteraemia secondary to tunnel line infection. Transthoracic echocardiogram demonstrated a linear structure in the descending thoracic aorta suspicion for an aortic dissection (Figure 1). Computed tomography (CT) thoracic aorta (Figure 2) showed a large descending thoracic aortic aneurysmat the T7/T8 level. Because of her comorbidit...
Open Access DOI:10.23937/2474-3682/1510235
Cerebral Fat Embolism Syndrome
Aayush Kulshrestha, Yudhyavir Singh, Abhishek Singh and Richa Aggarwal
Article Type: Clinical Image | First Published: 2024/04/06
A 33-year-old man admitted to the emergency department after being involved in road traffic accident. On evaluation and radiological imaging, he sustained closed subtrochanteric fracture in the right femur and a bilateral pelvic. Following primary survey and initial resuscitation, the patient was haemodynamically stable, so the patients shifted to a ward for further management. After 24 hours, the patient exhibited changes in mental status, including drowsiness, confusion, and restlessness with ...
Open Access DOI:10.23937/2474-3682/1510234
Unilateral Renal Agenesis, Think in Zinner Syndrome
Marta Pelicano, Margarida Serôdio and Paula Nunes
Article Type: Clinical Image | First Published: 2024/02/25
Zinner syndrome is indeed a rare congenital condition characterized by urogenital system malformation, specifically involving abnormalities of the mesonephric/Wolffian duct. It typically presents with the triad of unilateral renal agenesis, ipsilateral seminal vesicle cyst, and ipsilateral ejaculatory duct obstruction. We present a case of an 8-year-old male child with a prenatal diagnosis of solitary kidney (right renal agenesis) and the subsequent identification of a globose right seminal vesi...
Open Access DOI:10.23937/2474-3682/1510233
Verrucous Epidermal Hyperplasia in the Lower Lip
Edgar Bedang Mone Keby da Costa, El khalil El Bakali, Rachid Frikh, Naoufal Hjira and Youssef Zemmez
Article Type: Clinical Image | First Published: 2024/02/17
Verrucous hyperplasia is a pre-neoplastic lesion that inevitably progresses to verrucous carcinoma or squamous cell carcinoma. Diagnosis is histological; this lesion may exist alone or as part of the spectrum of lesions described in verrucous leukoplakia. The distinction is based on the endophytic and exophytic growth aspects of the epithelial proliferation: In verrucous carcinoma, in addition to surface projections, there are also extensions of the lesion into the underlying connective tissue t...
Open Access DOI:10.23937/2474-3682/1510232
Posterior Segment Flail Chest: A Radiological Diagnosis
Yudhyavir Singh, Baby Pegu and Kapil Dev Soni
Article Type: Clinical Image | First Published: 2024/02/12
A 35-year-old male reported to the emergency department after a road traffic accident with complaints of chest pain on the left side and breathing difficulty. On the primary survey, his GCS was full, his airway was patent, breathing spontaneously with a respiratory rate of 28/min with paradoxical movement on the left of the chest, heart rate of 102/min, and blood pressure of 116/78 mmHg. On further evaluation, the chest compression test was positive on the left side, but FAST and eFAST scan were...
Open Access DOI:10.23937/2474-3682/1510231
Neonatal Hemangioma: Key Role of Physical Assessment
Marta Figueiredo, Leonor Aires Figueiredo, Filipa Cirurgião, Joana Soares, Cristina Claro and Marta Aguiar
Article Type: Medical Image | First Published: 2024/01/31
A male newborn with a gestational age of 39 weeks and 2 days, with appropriate weight for gestational age, was born by eutocic delivery. Pregnancy surveillance was unremarkable, with maternal serologies and obstetric ultrasounds considered normal. In the delivery room, an adherent red-violaceous rounded lesion in the left gluteal region, with hard consistency, peripheral pale halo and telangiectasias, measuring approximately 5 cm, was observed (Figure 1). ...
Open Access DOI:10.23937/2474-3682/1510230
Squamous Cell Carcinoma of the Inter-Toe Space: A Case Report
Elkhalil El Bakali, Edgar Keby, Youssef Zemmez, Rachid Frikh and Naoufal Hjira
Article Type: Clinical Image | First Published: 2024/01/25
A 73-year-old female patient, without any notable pathological history, who presented with an intertrigo of the 4th inter-toe space of the right foot for 6 years and refractory to antifungal treatment, evolving to a protruding lesion. Clinical examination revealed a bulging nodular lesion, filling the entire 4th inter-toe space, 2 × 1.5 cm in size, with a small ulceration and crusts on the surface and the lesion associated with deep cracking of the inter-toe space (Figure 1a, Figure 1b and Figu...
Open Access DOI:10.23937/2474-3682/1510229
Recurrent Tongue Hyperpigmentation in Hidradenitis Suppurativa
Palmeiro AG and João Teles-Sousa
Article Type: Clinical Image | First Published: 2024/01/21
The authors present the case of a non-smoker, 40-year-old woman, with hidradenitis suppurativa (IHS4 9). When she presented for deroofing surgery she complained of an asymptomatic dark pigmentation of her tongue. She recalled three similar self-limited episodes, that coincided with doxycycline cycles, but denied a similar reaction when she took minocycline. A diagnosis of hairy black tongue induced by doxycycline was made and the patient was reassured (Figure 1)....
Open Access DOI:10.23937/2474-3682/1510228
Cutaneous Lymphangioma Circumscriptum: Seeing Closer
Marcela de Oliveira Pires, Leonor Aires Figueiredo and Cristina Amaro
Article Type: Clinical Image | First Published: 2023/12/24
A previously healthy seven-year-old female presented to the Pediatric Dermatology clinic with multiple, grouped, red fluid-filled lesions on the left side of the torso, that appeared about one month earlier. No other symptoms, such as pain, pruritus or fever were present....
Open Access DOI:10.23937/2474-3682/1510227
Mycobacterium abscessus Lung Infection Mimicking Lady Windermere Syndrome
Xin Ya See, MD, Yu-Cheng Chang, MD and Kuan-Yu Chi, MD
Article Type: Clinical Image | First Published: 2023/2/21
A 60-year-old non-smoking, slender woman without significant medial history presented with a 6-month history of intermittent low-grade fever, dyspnea, and productive cough with greenish sputum. Physical examination revealed crackles in both lung fields. Laboratory tests showed a white cell count of 21,700/μL (reference range 3,200 to 9,200). Chest radiography revealed multiple linear, nodular opacities, and infiltrates inboth lung fields (Figure 1). ...
Open Access DOI:10.23937/2474-3682/1510226
Uterine Adenomyosis: An Uncommonly Oversized Uterus in a 30-Year-Old Patient
Fernanda Alves, Zélia Gomes, Yida Fan, Ana Moreira and Osvaldo Moutinho
Article Type: Image - New Technique | First Published: 2023/12/17
Uterine adenomyosis is a disorder in which endometrial glands and stroma are present within the myometrium, resulting in hypertrophy of the surrounding myometrium [1,2]. Its exact epidemiology is uncertain as data regarding this condition has often relied on the assessment of the uterus following hysterectomy. However, studies have reported that it seems to be present in a wide range of individuals undergoing hysterectomy (9-62%)....
Open Access DOI:10.23937/2474-3682/1510225
Two-Finger Technique and No-Finger Technique of Holding a Face Mask
Bokinala Naveen, MBBS, MD
Article Type: Image - New Technique | First Published: 2023/12/11
The Figure 1 shown above depicts the method of holding a face mask in a paralyzed patient. The middle finger is used to lift the chin and thumb is used to hold the mask with direction of force towards the angle of mandible (arrow direction) making sure that the lower side of mask is in contact with the patient....
Open Access DOI:10.23937/2474-3682/1510224
Emphysematous Pyelonephritis on Lithiasis Obstruction Complicated by Subcapsular Hematoma: A Double Urological Emergency
Nedjim A Saleh, Hagguir Hissein, Fadoul Achta, Moataz Amine, Dakir Mohamed, Debbagh Adil and Aboutaieb Rachid
Article Type: Clinical Image | First Published: 2023/09/04
Emphysematous pyelonephritis is a necrotizing infection of the renal parenchyma and surrounding tissues, characterized by the presence of gas. It is a serious infection whose main complications are septic shock, acute renal failure and disseminated intravascular coagulation [1]. Subcapsular haematoma secondary to pyelonephritis is an extremely rare complication whose clinical manifestations vary considerably according to terrain and severity [2]....
Open Access DOI:10.23937/2474-3682/1510222
Progression and Resolution of a Post-Traumatic Pleurocutaneous Fistula
Benjamin O'Brien, BS, Aidan Farrell, BS and Pranav N Shah, MD
Article Type: ESSENTIAL IMAGES | First Published: 2023/08/02
A 45-year-old female with no known past medical history presented to the trauma unit as an unrestrained passenger in a motor vehicle accident. On arrival, her GCS was 8 and she was intubated. Focused Assessment with Sonography for Trauma (FAST) exam was negative, but initial chest imaging (Figure 1A and Figure 1B) revealed right-sided fractures of the first through seventh ribs, a fracture of the left first rib with bilateral consolidations, and a small right-sided hemopneumothorax. ...
Open Access DOI:10.23937/2474-3682/1510221
Primary Aortoesophageal Fistula: A Rare Cause of Upper Gastrointestinal Bleeding
Ahmet Bozer, MD
Article Type: Clinical Image | First Published: 2023/07/31
Aortoesophageal fistula (AEF) is a rare but life-threatening condition characterized by a communication between the aorta and the esophagus. It is often associated with aortic aneurysm rupture and can present with gastrointestinal bleeding. Rapid diagnosis and treatment are crucial for optimal patient outcomes. Here, we present a case of AEF in a 73-year-old female patient who presented with bloody vomiting....
