Clinical Medical

Image LibraryISSN: 2474-3682

Early Online

 Open Access DOI:10.23937/2474-3682/1510217

Epidermodysplasia Verruciformis: A Late Presentation

Hasna Kerrouch, Youssef Zemmez, Rachid Frikh and Naoufal Hjira

Article Type: Clinical Image | First Published: April 03, 2023

A 35-years-old female patient presented with multiple asymptomatic raised lesions of 4 years duration on the legs. Examination revealed multiple verrucous plaques over the two legs, size ranged from 0.5-1 cm, round to oval, with normal surrounding areas (Figure 1). Systemic examination was normal....

 Open Access DOI:10.23937/2474-3682/1510216

Unique Ulcerating Lesion Revealing Adenocarcinoma of the Lung

Hasna Kerrouch, Youssef Zemmez, Rachid Frikh and Naoufal Hjira

Article Type: Clinical Image | First Published: April 03, 2023

A 57-year-old man was admitted to our department with a single ulcerated skin lesion on the right lumbar zone. The patient quit smoking 1 years ago, following a history of 35 years of smoking 13 cigarettes per day. There was no evidence of respiratory symptoms, or anorexia....

 Open Access DOI:10.23937/2474-3682/1510210

Hepatic and Lung Histiocytosis

ADIOUI Tarik, AZAMMAM Salma, ROKHSI Soukaina, TAMZAOURTE Mouna and SMAALI Jihane

Article Type: Medical Image | First Published: March 06, 2023

A 52-year-old male was admitted for abdominal pain. He had a personal history of tobacco. The physical examination and laboratory tests were normal. A thoraco-abdominal computed tomography scan (CT) reveals a combination of a thin walled pulmonary cystic lesion, and an hepatic hypodense subcapsular lesion....

 Open Access DOI:10.23937/2474-3682/1510209

Recurrent Florid Glandular Cystitis: Case Report (15 Years Follow Up)

Achraf Chatar, Jihad El Anzaoui, Ali Akjay and Abdelghani Ammani

Article Type: Case Report | First Published: February 24, 2023

Glandular cystitis is a differential diagnosis of malignant bladder tumors. Only the Pathological examination can be used to make a diagnosis. Glandular cystitis has no specific clinical manifestation. The clinical signs are not very specific and suggest bladder carcinoma. Principles of treatment for Glandular cystitis were used to treat these causative factors. Trans-urethral resection of the bladder pseudotumoral forms. The course of glandular cystitis is controversial and primarily focuses on...

 Open Access DOI:10.23937/2474-3682/1510208

Vocal Cord Edema Leading to Complete Airway Obstruction in a Case of Traumatic Difficult Airway

Koninica Sanyal and Abhishek Singh2

Article Type: Clinical Image | First Published: December 05, 2022

A 31-year-old male had presented to the emergency department after road traffic accident. Primary investigation revealed presence of right clavicle fracture, bilateral LeFort 2 and 3 fractures along with displaced mandible. He was intubated in view of poor GCS and threatened airway. After 2 days of mechanical ventilation, he was extubated and posted for open reduction and internal fixation for LeFort 2 and 3 fractures....

 Open Access DOI:10.23937/2474-3682/1510207

A Huge Chromophobe Renal Cell Carcinoma

Omar Jendouzi, Melang Alexis Mvomo, Larbi Hamdoune, Mohamed Alami and Ahmed Ameur

Article Type: Case Report | First Published: December 05, 2022

We report the clinical case of a 32-year-old female with no underlying disease who underwent in our structure a nephrectomy for a huge renal tumor. The histopathological finding revealed a chromophobe cell carcinoma and the evolution was favorable with no recurrence or metastasis....

 Open Access DOI:10.23937/2474-3682/1510206

A Lung Mass

J Smaali, R Lemouden, M Chiguer, N ElOmri, A ElKadiri, Y Sekkach and J Fatihi

Article Type: Image Article | First Published: October 21, 2022

A 29-year-old man with a history of bulbar ulcer treated 2 years previously and chronic smoking at 13 packs/year was hospitalized for respiratory symptoms made up of right basithoracic pain with cough and clear sputum without fever or progressive night sweats for six months in a context of deterioration in general condition. The clinical examination was unremarkable....

 Open Access DOI:10.23937/2474-3682/1510205

Branch Pulmonary Artery Stenosis in Chronic Myeloid Leukaemia: A Rare Presentation

Sudeb Mukherjee, MBBS, MD, DM and Suhana Datta, MBBS, MS

Article Type: Clinical Image | First Published: October 17, 2022

26-year-old lady admitted with shortness of breath and chest discomfort for last one and half months. She had no history of chest pain. She was not suffering from any major illness neither she was taking any medications on regular basis. On initial examination there was pallor and bipedal oedema. SpO2 was 94% in room air. Cardiovascular examinations reveal short systolic murmur in the pulmonary area with no radiation and continuous murmurs in left axillary area of same intensity. Chest examinati...

 Open Access DOI:10.23937/2474-3682/1510204

Unusual Presentation of Intramuscular Hemangioma in Anterior Abdominal Wall

Lobna Marsaoui, Lasaad Gharbi, Atef Mejri, Souhail Karwiya, Wael Ferjaoui, Dhouha Bacha

Article Type: Image in Medicine | First Published: July 07, 2022

The patient was a 15-year-old man with no known medical History. He had also no surgical history. Abdominal MRI with contrast showed a large intramuscular mass in the right anterior abdominal wall with presence of internal linear and nodular high T2 components....

 Open Access DOI:10.23937/2474-3682/1510203

Man with Sudden Loss of Consciousness

Mohammad Eftekhari, MD

Article Type: Image Challenge | First Published: May 16, 2022

A 51-year-old man with hypertension presented to the emergency department with sudden loss of consciousness (LOC). Two hours before presentation, his wife witnessed his abrupt collapse and called the emergency medical service....

 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