Articles

A 34 year old women consulted in emergency in our department for intense headache with vomiting, and bilateral papilledema in the ophtalmologic examination, in front of these symptoms a brain CT-scan was performed.

In Protein-losing enteropathy (PLE), proteins are lost from the gastrointestinal system exceeding their synthesis by other organs. Proteins entering the gut are degraded into amino acids and reabsorbed but conditions causing inflammation or erosion of the gastrointestinal tract increase mucosal permeability with excessive leakage and poor reabsorption.

Chronic large bowel intussusception in adults in rare with literature limited to scattered case reports. The majority of intussusception occurs in pediatric populations and in the small bowel with etiologies ranging from malignancy to polyps.

Ping-pong fractures are rare congenital skull depressions that occur spontaneously or secondary to birth trauma. We report a case of a neonate born via cesarean section with suction assistance at 39 weeks. A 4 cm left parietal depression was noted at birth.

Interrupted aortic arch (IAA) is a relatively rare congenital vascular malformation, with an incidence of less than 1% among congenital heart diseases (CHD). This condition is classified as a duct- dependent anomaly, wherein blood from the left ventricle fails to flow adequately through the descending aorta, compelling reliance on the right ventricle for perfusion to the lower extremities via the ductus arteriosus.

A 74-year-old female presented with mild exertional shortness of breath and pain between her shoulder blades on a background of chronic cough and occasional haemoptysis. Chest radiography demonstrated an abnormal bulge over the left heart border and subsequent dedicated cardiac computed tomography.

This case describes persistent mediastinal chylothorax following bioprosthetic aortic valve replacement and concomitant pulmonary vein isolation for atrial fibrillation. The chylothorax persisted for more than 30 days after surgery and resolved after lymphangiography.

Localized cervical lymphadenopathy is a rare manifestation of diffuse cutaneous Systemic Sclerosis (dcSSc), and its diagnosis can be challenging given the wide range of diseases associated with this complaint. Clinical, laboratory, imaging and histological assesment are fundamental for accurate clinical reasoning.

Hydatid disease, caused by Echinococcus species, primarily affects the liver and lungs but can occasionally involve unusual anatomical locations. We report a rare case of disseminated hydatidosis in a middle-aged female with an atypical hydatid cyst embedded within the posterior uterine wall.

A 70-year-old man with parkinsonism presented with al- tered sensorium of 3 days duration. He had a history of fever and cough one week back and was admitted in local hospital and had several intravenous fluid infusions. There was no history of alcohol intake.

Infraorbital nerve injury is a common consequence of facial trauma, particularly in zygomatic fractures. The severity of the injury varies, with mild neuropraxia being one of the most common presentations.

Patent Ductus Arteriosus (PDA) is a congenital heart defect that, if left untreated, can lead to serious complications, including infective endocarditis. Although infective endocarditis primarily affects the left side of the heart, cases involving the right side, particularly the pulmonary valve, are exceedingly rare.

Cameron lesion is an under-recognized cause of bleeding from the upper gastrointestinal tract especially in sub-Saharan Africa. Ulcers and/or erosions are the culprits which are seen around hiatal hernias in patients with upper gastrointestinal haemorrhage.

Salicylate toxicity can involve multiple organ systems, particularly the central nervous system, the pulmonary system, and the gastrointestinal system. Cardiac dysrhythmias and heart blocks are rarely seen with salicylate toxicity.

Myxedema coma represents a severe form of hypothyroidism seen in patients with long-standing, untreated, or poorly controlled hypothyroidism. Myxedema coma has a high mortality, so immediate treatment is necessary based on clinical symptoms before the confirmation of diagnosis.

A 62-year-old man with a history of Chronic Obstructive Pulmonary Disease (COPD) presented to the emergency department with an eight-hour history of dyspnea and vomiting coffee-colored substance following heavy alcohol consumption (200 ml Baijiu and 2500 ml beer).

Neonatal cholestasis is a dysfunction of hepatic cells and/ or capillary bile secretion in newborns, leading to impaired bile flow and the accumulation of fatty acids, bilirubin, and other substances in the liver and bloodstream. Typically observed within the first two weeks of life, neonatal cholestasis can be caused by both congenital and acquired viral infections.

Common to Myalgic encephalomyelitis, chronic fatigue syndrome and so-called long Covid is the panoply of complaints, with Post Exertional Malaise (PEM) as the most typical symptom. Added to that are permanent feeling of fatigue, decreased capacity to concentrate, so-called brain fog, non restorative sleep, diffuse pain, and – in case of long Covid – respiratory distress.

Paraneoplastic Stiff-Person Syndrome (SPS) usually occurs in patients with breast cancer, ovarian cancer, or small-cell lung cancer [1]. It is often characterized by proximal muscle spasms, muscle stiffness and muscle rigidity. Axial muscles of the trunk and proximal muscles of the limbs are often involved, but facial muscles can be involved as well [2].

The aim of this case study was to see if multi frequency Bioimpedance and Acoustic Myography, both non-invasive and easily applicable methods, could be used to follow patients with nerve injuries during the long healing process following surgery.

A 50 year old postmenopausal lady, presented in July 2024, with non-itchy hyperpigmented and erythematous cutaneous lesions on all limbs from 2months, pain with morning stiffness in small joints of hands and feet and large joints of ankle, elbow and knees from 1 and 1/2 months with no history of fever.

A 71 year-old male underwent right eye retinal detachment repair with pars plana vitrectomy and C3F8 gas. Three months later, the visual acuity was 20/25, and the retina was attached. However, the patient mildly complained of a “glint” in his right eye vision when in bright light.

Swyer syndrome is seen in females with primary amenorrhea, unambiguous female genital appearance, normal vagina and cervix but XY karyotype. It is characterized by bilateral streaky ovaries, hypoplastic infantile uterus, normally developed Mullerian structures, hypergonadotropic hypogonadism.

To describe the rehabilitation, including the use of neural gliding, on pain, impaired range of motion, strength, and function of a high school American football player suffering from a stinger injury.

Kohler’s disease is a rare condition and describes an avascular necrosis of navicular bone. A 4-years-old female child came to emergency department limping, with intermittent left foot pain, with a month of evolution, refusing to bear weight, without history of trauma, fever or any illness.

There are a wide range of dermatological presentations seen in haemato-oncology patients. Correctly identifying and diagnosing skin pathology can be additionally complex, as cutaneous reactions can be secondary to an immunocompromised state, exposure to a wide range of drugs including chemotherapy agents, or an infiltration of an underlying malignancy.

Chemotherapy-induced pulmonary toxicity is a rare but potentially life-threatening complication, encompassing a broad spectrum of manifestations, including interstitial pneumonitis. Docetaxel, a taxane-based chemotherapy agent widely used in the treatment of various malignancies, is known to cause interstitial pneumonitis, particularly in patients with breast carcinoma.

Fat Emboli Syndrome (FES) represents an uncommon cause of coma in acute trauma patients. Given nonspecific clinical findings, diagnosis is frequently dependent on MRI. We present a case of FES leading to severe cerebral ischemia and refractory intracranial hypertension, where MRI could not be safely pursued.

A 71-year-old G2P2 female with a history of HIV, hypertension, pre diabetes, obesity, and sleep apnea presents with multiple episodes of vaginal bleeding, abdominal pain and unintentional weight loos for two months.

Combined unilateral hypoplasia of the pulmonary artery and veins is an extremely rare congenital anomaly, mostly described in children and exceptionally seen in adults. It is usually manifested by ipsilateral lung hypoplasia, reduced lung vascularization, and compensatory contralateral vessel hyperplasia.

Anti-Immunoglobulin-Like Cell Adhesion molecule-5 (IgLON5) disease is an enigmatic and rare neurological disorder characterized by diverse and complex clinical presentations. First elucidated in a seminal study by the group at IDIBAPS, Barcelona.

The role of endoscopic ultrasonography (EUS) in managing acute cholangitis has not been established. The aim of this study was to evaluate the usefulness of EUS for acute cholangitis where common bile duct (CBD) stones could not be detected via other imaging methods.

Heterotopic mucosa is defined as morphologically normal tissue found in a different anatomical site and separated from its organ of origin. Heterotopic Gastric Mucosa (HGM) is a rare finding and it’s the most frequent type of heterotopia.

Rhabdomyolysis is caused by skeletal muscle destruction, potentially lethal, and requiring correct diagnosis and appropriate management to prevent acute renal failure and subsequent multiorgan failure. Although cardiomyopathy leading to heart failure and arrhythmia are the main cardiac complications of symptomatic inherited skeletal myopathies.