Pancreatic Lymphoepithelial Cysts (PLECs) are very rare and benign lesions of the pancreas. They are commonly detected incidentally during radiological examinations. Proper diagnosis of Pancreatic Cystic Lesions (PCLs) is very important, and physicians should be aware of the different types of cystic lesions and their characteristics before the treatment choice.
Urinary Bladder Hamartoma (UBH) is one of the rarest entities reported in Urology, with, as far as we know, only fourteen cases reported in the literature. Otherwise, similar in presentation, imaging findings and macroscopic appearance as other bladder lesions, such as urothelial bladder carcinoma, UBH can solely be distinguished by histopathological examination. Therefore, we report an additional case of this rare tumour and provide a brief review of the current literature.
Conventional complete denture is the best treatment for edentulous arches. There is resorbption of bone in both maxilla and mandible. There is more bone resorption in mandible than maxilla, due to which mandibular dentures loose retention and stability. Neutral zone implies that the forces applied by the muscles are in harmony with the denture, therefore providing the denture optimum stability and retention.
Tobacco cigarette contents are associated with inflammatory conditions. To our knowledge, this is the first case reporting of electronic cigarette-induced panuveitis. A 41-year-old gentleman with no known comorbid presented with a two-day history of sudden blurring of vision in the left eye, associated with mild photophobia. He was well, with no similar episodes prior.
Mesonephric Adenocarcinoma (MNA) is a rare malignant tumor to arise from mesonephric remnants occurring in the uterine cervix and, less likely the corpus. Only about 30 cases of MNA arising from uterine corpus had been reported in the literature and its clinical symptoms, treatment method were not known very well. So we reported our case, MNA of uterine corpus, and reviewed clinical symptoms of it.
Recent epidemiological studies have reported that hypercoagulopathy is a well-documented symptom of SARS-CoV-2 infection, particularly in more severe cases requiring admission to the critical care unit. We report here the clinical and imaging features of three patients with SARS-CoV-2 infection who developed acute thrombosis of the abdominal aorta, the superior mesenteric artery and cerebral arteries, respectively.
A 74-year-old white gentleman with a history of colon polyps presented for surveillance colonoscopy. On digital rectal examination he had dark perianal lesions noted. Upon insertion of colonoscope images of perianal lesions and normal appearing anus were taken. Colonoscopy was completed without difficulty and showed normal.
A 52 year old woman having bronchiectasis, presented to us with worsening cough which was productive with profuse, foul smelling sputum of a week’s duration. A clinical diagnosis of infective exacerbation of bronchiectasis was made. She was started on antibiotics based on her previous sputum culture sensitivity reports.
As the COVID-19 pandemic continues, the number of patients presenting to dermatology clinics with hair loss is increasing. Little is known about the specifics of telogen effluvium affecting this patient population. We aimed to discover patterns in patient characteristics and clinical course in those with telogen effluvium secondary to COVID-19 infection.
Intramedullary Osteosclerosis (IMOS) is a rare idiopathic dysplasia of the long bones shafts. IMOS remain an un known diagnosis because of its rarity and the absence of specific features. Indeed, the diagnosis of IMOS can be confirmed only after excluding other differential diagnosis of osteosclerotic lesions. We report here a case of IMOS of the tibia shafts, diagnosed in a 53-year-old man.
A standard CBCT image lacks localization accuracy in the complex registration of a moving target. The 4D Cone Beam Computed Tomography (4D CBCT) is a useful tool for treating moveable tumors because it allows us to precisely pinpoint the location of the tumors during treatment and provide a guide during adaptive treatment strategy. This study evaluates the accuracy of 4D CBCT over a wide range of target motion scenarios.
ROHHAD is an acronym for rapid-onset obesity with hypoventilation, hypothalamic, and autonomic dysregulation. It is a rare disorder that presents with rapidly onset obesity with multiorgan disorders during early childhood. There are less than 100 cases reported. In this paper, we aimed to present a case of ROHHAD syndrome with rare neurologic symptoms. We also discuss our treatment regimen for this specific patient.
Bullous hemorrhagic dermatosis is a rare and benign adverse effect happening on days 5-21 of treatment with heparin and Enoxaparin. It can be localized or generalized and occur in places adjacent to and distant from the subcutaneous injection site. It is mostly happening in the extremities, followed by the trunk and abdomen, and is very rare on the head and neck. Our reported case had lesions on the forehead, neck, trunk, abdomen, and extremities.
R.R.M., female, 40 years old, presenting with severe symptoms of Temporomandibular Joint disorder, underwent Head Computed Tomography (CT) during its investigation. It revealed an incidental finding of asymptomatic pedunculated bone lesion of approximately 0,51 x 0,55 mm, originating in the inferior portion of the right Internal Auditory Canal (IAC), adjacent to the cerebellopontine angle.
A 32-year old woman, gravida 1 para 0, was referred to Seoul St. Mary’s Hospital for fetal cardiac mass by ultrasound at 38 weeks of gestation from a local obstetric office. Detailed fetal echocardiogram was performed and the presence of multiple cardiac tumors was observed, suggesting rhabdomyoma. After birth, fetal echocardiography and genetic screening were performed.
Fungal sinusitis, with passage of time, has become one of the common entities among a long list of inflammatory diseases involving mucosa of the sinonasal tract. By definition, AFS is a collection of cellular debris and mucus in result of an allergic response to fungal colonization in sinus mucosa.
A 23 years old lady presented with lower abdominal vague pain and fullness for 6 months. Physical examination revealed a lump in the left lumbar region extending into the pelvis. The upper border was palpable, but the lower limit was not palpable. Computerized tomography of the abdomen revealed a multiloculated cystic lesion with minimal enhancement probably arising from the left adnexa.
Cancer associated thrombosis is well known in patients with cancer. Following proximal DVT, post thrombotic syndrome is prevalent. Our patient with history of colon cancer presented with proximal DVT with extreme swelling of the leg and treated successfully with Angio Jet Zelante DVT catheter, a procedure which is safe and effective.
Endocarditis is an entity witch severity and outcome are time related. Sometimes its presentation is linear, such as the one we present on this image, and the echocardiogram is not needed to do the diagnosis. However sometimes this isn’t possible. With this image we pretend to show some typical findings of objective exam and CT scans, so if this appears on emergency department, endocarditis diagnosis is assumed, and prompt treatment is started in order to achieve a good outcome.
Supplemental over-the-counter high-dose curcumin preparations are in widespread use for inflammatory conditions. We describe a case of a 74-years old male that presented to the emergency department complaining on left thigh pain and spontaneous large hematoma. His medical history was notable for hypertension, diabetes mellitus, hyperlipidemia, atrial fibrillation, ischemic heart disease, status post renal transplantation, and benign prostatic hyperplasia.
Constrictive Pericarditis (CP) is a type of diastolic heart failure that occurs because the inelastic pericardium inhibits the filling of the heart. The true population prevalence is unknown, but among those with viral pericarditis, it is estimated to occur in less than 0.5% of cases. Although the causes of CP can be different (idiopathic, post-viral, tuberculosis, post-surgery, radiation-induced, etc).
Each year, about 6 million cataract surgeries with Intraocular Lens (IOL) implantation are accomplished; IOL implantation into the human eye during this surgery has been an enormously successful procedure. IOL opacification is a rare condition, it could happen intraoperatively or postoperatively. Up to now, IOL opacifications are described in different IOL materials and designs such as silicone, poly-methyl-methacrylate, hydrophilic acrylic.
Brucellosis is an endemic infection in Iran, affecting different parts of human body. However, less attention has been paid to accidental injuries among rural inhabitants. Here, we report a rare case of Brucella melitensis infection on a left leg wound following a tibia surgery caused by an accident over 13 years. Therefore, in brucellosis endemic countries, Brucella spp. should be considered as one of the possible causes of further infections as accident consequences.
Vasa praevia is an uncommon but very serious condition that is characterized by the presence of vessels belonging to the fetal circulation in the amniotic membranes surrounding the internal cervical os below the fetal presenting part. These vessels are at risk of rupture in active labor, or when the membranes spontaneously or artificially rupture, which can result in an acute fetal exsanguination and death.
Hydatid cyst is a zoonotic disease with various clinical presentations based on the affected organ. The human spine is the most commonly affected part of the body, which presents as back pain and subsequent neurological manifestations depending on the cyst’s location and size. The surgical management of removable cysts is a common therapeutic approach but may provide life-threatening complications for patients.
Cardiac gunshot wounds, despite being rare, have a high mortality rate, and their proper management and prompt decision-making are critical.Here we present a case of cardiac gunshot woundin a young male who was shot at close range in the left shoulder from behind. The patient admitted at hospital with stable vital signs, but after a while, shortness of breath was begun and pneumothorax was diagnosed.
We present a case report of a middle aged post menopausal female with a huge pelvic mass for last 15 years that was previously misdiagnosed as chronic dermatitis. Based on its uncanny appearance, it was decided to do complete excision of the vulval mass to rule out any soft tissue tumour. The histopathology came out to be a rare benign lesion i.e, angiomyofibroblastoma with the immunohistochemistry report favouring the diagnosis.
Hypertrophic Olivary Degeneration (HOD) is a rare degenerative disease that causes hypertrophy rather than atrophy. The classical presentation of HOD is palatal myoclonus but HOD may also present with tremor, and stiffness in the extremities. In this paper, case report 1 was a man aged 46 years with HOD and Holmes tremor spreading to the head, trunk and bilateral upper and lower extremities after pontine hemorrhage.
A Left Ventricular Pseudoaneurysm (LVP) forms when cardiac rupture is contained by pericardium or scar tissue . Ventricular pseudoaneurysms differ from true aneurysms since they do not contain the endocardium or myocardium. LVPs can result from myocardial infarction, cardiac surgery, infection, or trauma.
Intussusception is the most common cause of bowel obstruction in the children. However, it is rare in the adults, accounting for only 5% of all cases of bowel obstruction. In Adult Intussusception (AI), an underlying pathology can be demonstrated in majority of the cases. Malignancy is the most common cause of colonic intussusception. We present a case of colonic intussusception due to an underlying primary malignancy in a young female.
The limited efficacy of first-line treatment of Posttraumatic Stress Disorder (PTSD) with selective serotonergic reuptake inhibitors commonly leads to the use of multiple medications that still fail to achieve symptomatic remission. VA/DOD guidelines identify trauma-focused psychotherapies as the evidence-based treatment for PTSD, but overall effectiveness is limited by reduced levels of patient engagement.