Clinical Medical

Image LibraryISSN: 2474-3682


 Open Access DOI:10.23937/2474-3682/1510202

Transcranial Color-Coded Duplex Ultrasonography in the Diagnosis of Brain Aneurysm

Issac Cheong, MD

Article Type: Clinical Image | First Published: April 28, 2022

A 50-year-old male with no relevant clinical history presented sudden headache accompanied by nausea, which evolved with facial paresis and drowsiness with a computed tomography (CT) showing bilateral subarachnoid bleeding, being admitted to the intensive care unit. We performed a transcranial color-coded duplex ultrasonography (TCCS) that showed the presence of a rounded image at M2 portion of the right middle cerebral artery (rMCA) that measured 20 mm × 21 mm with a positive color Doppler sig...

 Open Access DOI:10.23937/2474-3682/1510201

Simultaneous Complex Fracture of the Corpora Cavernosa Bilaterally with Total Disjunction of the Urethra: Case Report and Literature Review

Adil Mellouki, Ahsaini Mustapha, Mellas Soufiane, El-Ammari Jalal Eddine, Tazi Mohammed Fadl, Elfassi Mohammed Jamal and Farih Moulay Hassan

Article Type: Image Article | First Published: March 24, 2022

Penile fracture is a rare urological emergency described as the traumatic rupture of the tunica albuginea of an erect penis, it usually occurs during sexual intercourse. Patients typically report a sound at the time of the injury, described as a snapping sound, immediate detumescence, and subcutaneous hematoma. Prompt surgical exploration and corporal repair is the most effective therapy. Urethral injury associated with a penile fracture is reported to be between 2 and 27% of cases; this latter ...

 Open Access DOI:10.23937/2474-3682/1510200

When Hemophilia Comes Late: A Spontaneous psoas Hematoma Revealing Acquired Hemophilia a in a 50-Year-Old Woman

Adil Mellouki, Anas EL Allali, Rhyan Alami Ouadane, Ahsaini Mustapha, Mellas Soufiane, EL-Ammari Jalal Eddine, Tazi Mohammed Fadl, Elfassi Mohammed Jamal and Farih Moulay Hassan

Article Type: Case Report | First Published: March 19, 2022

Spontaneous hematoma of the psoas muscle is a rare entity whose incidence varies between 0.6% and 6.6% and is potentially fatal. Although hematomas of traumatic origin are reported, spontaneous hemorrhages are relatively more frequent. Spontaneous iliopsoas hematomas usually occur in patients with coagulopathy due to hemophilia or anticoagulants/antithrombotics. Clinically, patients present with pain in the right iliac fossa, groin or back, with a flexed hip and tenderness in passive extension, ...

 Open Access DOI:10.23937/2474-3682/1510199

CT Guided Biopsy Revealing Pseudotumoral Autoimmune Pancreatitis

Hajar EL AGOURI and Mustapha AZZAKHMAM

Article Type: Medical Image | First Published: March 19, 2022

Immunoglobulin G4-autoimmune pancreatitis (IgG4- AIP) is a relatively rare chronic inflammatory disease of the pancreas. The physiopathology of this disease is poorly understood and still unclear. Due to the lack of specific clinical symptoms and imaging findings, it is often misdiagnosed as pancreatic cancer which may lead to abusive surgery. Herein we are report a rare case of IgG4-AIP in a 70-year-old woman, admitted in hospital for chronic epigastric pain. Clinical investigations and CT-scan...

 Open Access DOI:10.23937/2474-3682/1510198

Tuberculous Pericardial Effusion in an Immunocompromised Patient- A Lethal Combination

Nishant Patel, Abhishek Singh, Rakesh kumar and Richa Aggarwal

Article Type: Clinical Image | First Published: March 09, 2022

A 23-year-old male was diagnosed with acute myelocytic leukemia was started on induction chemotherapy but despite treatment, he did not go into remission and developed fever, cough, and respiratory distress. He tested positive for COVID-19. Further investigation revealed the presence of pulmonary tuberculosis and antitubercular treatment was started. Two days later, he developed respiratory distress and 2D echocardiography along with High-resolution computed tomography was done which showed the ...

 Open Access DOI:10.23937/2474-3682/1510197

Tuberculosis Verrucosa Cutis Complicating Scrofuloderma in an Immunocompetent Child

Ihsane Hallab, Younes El Khachine, Abdessamad Sakkah, Abderrazak Jakar, Naoufel Hjira and Jalal El Benaye

Article Type: Case Report | First Published: January 26, 2022

Tuberculosis continues to be endemic in our country. Skin involvement would be underdiagnosed rather than rare. The combination of two clinical forms of skin tuberculosis is even rarer, especially in an immunocompetent boy. Young 11-years-old boy, with no tuberculosis contagion, has been presenting an asymptomatic plaque papulo-crouteuse on his right knee for 4 months (Figure 1 and Figure 2). Clinical examination reveals homolateral crural adenopathy; non-inflammatory, fistulized to the skin. Th...

 Open Access DOI:10.23937/2474-3682/1510196

A Rare Case of Primary Cutaneous Aspergillosis of the Scalp in an Immunocompetent Patient

I Hallab, A Kinany, H Kerrouch, H Titou, O Boudi, R Friekh, N Hjira and M Boui

Article Type: Case Report | First Published: January 26, 2022

Aspergillosis is a rare invasive fungal infection caused by numerous species of aspergillus. Few species of Aspergillus are pathogenic in human existence. The most frequent are aspergillus fumigatus and flavus. Cutaneous aspergillosis remain an uncommon form, it may be primary, affecting the site of skin trauma or secondary due to hematogenous spread from a contiguous anatomic location. Here we describe a rare case of primary cutaneous aspergillosis located on the scalp in an immunocompetent hos...

 Open Access DOI:10.23937/2474-3682/1510195

Atypical Seborrheic Keratosis of the Umbilicus

HAMICH Soumaya, BENAHMED Jihane, ZNATI Kaoutar and SENOUCI Karima

Article Type: Case Report | First Published: January 21, 2022

Seborrheic keratosis is one of the most common skin tumors. It most often presents as a light brown to brown nodule with a papillomatous or squamous surface. However, it may vary in color and shape and can thus resemble the pattern of other skin tumors. We report the case of an atypical seborrheic keratosis located at the umbilicus with misleading dermoscopy. We report the case of a 34-year-old female patient with a medical history of schizophrenia on antipsychotic medication. She presented to o...

Volume 8
Issue 1