Clinical Medical

Reviews and Case ReportsISSN: 2378-3656

Early Online

 Open Access DOI:10.23937/2378-3656/1410414

Massive Liver, and Kidney Cysts Excision: A Case Report

Cagla Yazar, MD, Mesher Ensarioglu, MD and Nedim Cekmen, PhD

Article Type: Case Report | First Published: December 30, 2022

Polycystic kidney disease is a multisystemic familial inherited disease. A symptomatic treatment approach is the standard modality for autosomal dominant polycystic kidney disease (ADPKD) complications and life-long 50% chronic renal failure risk, as renal transplantation is the only definitive treatment. We aimed to explain the anesthesia management of our patient who had an 18 kg cyst removed. There are various complications that; include hypertension, urinary tract infections, hematuria, pain...

 Open Access DOI:10.23937/2378-3656/1410413

Atypical Presentation of Classic Kaposi’s Disease: About a New Observation

Najoua Ammar, Mariame Meziane, Laila Benzekri and Karima Senouci

Article Type: Case Report | First Published: November 30, 2022

Kaposi’s disease (KD) is a multifocal, vascular lesion of low- grade malignant potential that presents most frequently in mucocutaneous sites. KD also commonly involves lymph nodes and visceral organs. This case intend to describe multifocal atypical kaposian manifestations in HIV negative patient....

 Open Access DOI:10.23937/2378-3656/1410412

Online Learning on Students during the COVID-19 Pandemic

Hamida Amer and Amal Ouhida

Article Type: Review Article | First Published: November 30, 2022

In this Covid-19 pandemic phase, all teaching and learning process is done by online learning. The COVID-19 pandemic has created the largest disruption of education systems in human history, affecting nearly 1.6 billion learners in more than 200 countries. Closures of schools, institutions and other learning spaces have impacted more than 94% of the world’s student population. There is a fear of losing 2020 academic year or even more in the coming future....

 Open Access DOI:10.23937/2378-3656/1410411

ADM-Assisted Implant Based Breast Reconstruction vs. Free Tissue Transfer Breast Reconstruction

Mohammad Mohammad

Article Type: Original Article | First Published: November 22, 2022

Despite in the recent decade, the free tissue transfer has been the gold standard for breast reconstruction and evolving of DIEP, TUG flaps toe the most common used breast reconstruction approach at present time, however the complexity of the procedure, long operative time, donor site comorbidities, long learning curve and subsequently increased cost were always present as downside of this approach...

 Open Access DOI:10.23937/2378-3656/1410410

Unusual Variant of Cutaneous Amelanotic Melanoma of the Cheek

Mohamed Amine Haouane, Issam Rharrassi, Abouchadi Abdeljalil, Ahmed Bouhamidi and Mohamed Amine Azami

Article Type: Original Article | First Published: October 31, 2022

Amelanotic melanoma is a type of cutaneous melanoma characterized by the absence of pigment. The rhabdoid features are an uncommon histological variant of malignant melanoma. Only a handful of primary rhabdoid melanoma cases have been reported in the literature. We describe here an additional case of a 60-year-old man with a primary pure dermal amelanotic melanoma with rhabdoid features and review the clinicopathological features of the previously reported cases of this rare entity....

 Open Access DOI:10.23937/2378-3656/1410409

Laryngeal and Pharyngeal Reconstruction: A Worldwide Review of the Current Guidelines and Standards of Practice. Does a Universal Reconstruction Algorithm Exist?

Mohammad Mohammad, Giannis Dimovelis, Ashraf Mostafa and Aenone Harper Machin

Article Type: Original Article | First Published: October 31, 2022

The reconstruction of hypopharynx and larynx post ablative surgery has been always a demanding challenge. Not only the restoration of the anatomy and achieving robust wound healing, but also the complexity of function in the area for the airway and upper digestive tract not to be compromised. Moreover, the age of this group of patients and perioperative radiotherapy adds to the existing obstacles in reconstruction. The evolution of microsurgery and free tissue transfer replacing the previous gol...

 Open Access DOI:10.23937/2378-3656/1410408

Registration of the First Case Study in Cyprus of a Critically Ill Patient with Tuberculosis and Simultaneous Infection with Mycobacterium Soft Tissue on the Medial Surface of the Thighs

Andria Syka, RN, BSc, MSc and Lakis Palazis, MD, EDIC, MP

Article Type: Case Study | First Published: October 21, 2022

The first critically ill case with medial soft tissue tuberculosis is recorded for the first time in Cyprus. She is a young patient with a rich medical history. Tuberculosis was detected in the soft tissues of the medial degree in the Intensive Care Unit of the Nicosia General Hospital. The purpose of this specific study is to record and analyze the first clinical case in Cyprus of a critically ill patient with tuberculosis and simultaneous infection with Mycobacterium soft tissue on the medial ...

 Open Access DOI:10.23937/2378-3656/1410407

Gastric Schwannoma, Rare Presentation of a Gastric Mass, with an Excellent Outcome

Fadwa Oudad, Samira Benayad, Zineb Bouchbika, Nadia Benchakroun, Nezha Tawfiq, Hassan Jouhadi, Souha Sahraoui and Abdellatif Benider

Article Type: Case Report | First Published: September 30, 2022

Schwannoma is a benign tumor, that mainly occurs in the nerve endings of the head and neck, and more rarely in the gastrointestinal tract. In the latter case, it appears as a submucosal tumor (SMT), which elective site is the stomach. Gastric schwannoma (GS) accounts for 0.2% of all gastric tumors and is mostly benign slow-growing, and very often asymptomatic. Its diagnosis can only be confirmed by a histopathological examination, which allows the distinction between a GS and other SMTs, particu...

 Open Access DOI:10.23937/2378-3656/1410406

Anesthetic Management of a Patient with Epidermolysis Bullosa for Esophageal Dilatation: A Case Report

Ersin Kandemir, Begüm Gökdemir, Deniz Kaya, Figen Leblebici and Nedim Çekmen

Article Type: Case Report | First Published: September 30, 2022

Epidermolysis bullosa (EB) is a mucocutaneous disorder characterized by fragility of skin and mucosal membranes to the mechanical stress resulting formation of blisters, erosions and scarring. Their vulnerability needs certain attention and anesthetic management plan to perform anesthesia requiring procedures and surgeries without complications. In our case, a patient with EB had undergone an esophageal dilatation procedure....

 Open Access DOI:10.23937/2378-3656/1410405

Multi-Drug Resistant Tuberculous Meningitis in a Pregnant Woman

Batuhan Erdir, Burcu Ileri Fikri, Irem Ezgi Demirhisar and Guldem Turan

Article Type: Case Report | First Published: September 30, 2022

Tuberculous meningitis (TBM) is the most fatal form of the Mycobacterium tuberculosis infection. Its diagnosis remains difficult due to poor suspicion of the disease especially in the case of pregnancy. We bring to your attention a 27-year-old pregnant woman who came to the emergency department with headache and nausea. With high clinical suspicion and early treatment with Meropenem 3x2 gram, Levofloxacin 2 x 500 mg, Amoxicillin Clavulanate 3 x 1 gram, Ethambutol 1 x 25 mg/kg body weight, Pyrazi...

 Open Access DOI:10.23937/2378-3656/1410404

Merkel Cell Carcinoma of the Upper Eyelid: A Case Report and Review of the Literature

K Coulibaly, S Anajar, E Othman, Amal Hajjij and F Slimani

Article Type: Case Report | First Published: September 30, 2022

Merkel cell carcinoma of the upper eyelid is a rare and aggressive tumor. It develops from Merkel cells present in areas with glabrous skin. It touches females more than males. A 42 years old female patient presented with a nodular painless and purplish lesion of the left upper eyelid. The diagnosis of Merkel cell carcinoma was made on histopathological examination and immunohistochemical analysis....

 Open Access DOI:10.23937/2378-3656/1410403

Pyoderma Gangrenosum of the Breast: A Rare Location of Neutrophilic Dermatoses

Sophia AI, Aboudouraib M, Amal S and Hocar O

Article Type: Case Report | First Published: August 31, 2022

Pyoderma gangrenosum (PG) is a rare entity belonging to the neutrophilic dermatoses. It is an inflammatory dermatosis with a chronic evolution by relapses, often revealing an associated underlying disease. The location to the breast represents is unusual, poorly documented in the literature and whose diagnosis remains difficult to establish....

 Open Access DOI:10.23937/2378-3656/1410402

Rapid Progression of Sternocostoclavicular Hyperostosis (SCCH) Observed after Anti-TNF-a Therapy for Polyarthritis: A Case Report

Atsushi Kitagawa, Mitsuhiko Takahashi, Tomoko Nakamura and Yasushi Hashimoto

Article Type: Case Report | First Published: August 31, 2022

Sternocostoclavicular hyperostosis (SCCH) is a chronic osssifying diathesis affecting mostly juxtasternal structures and the inflammatory osteitis is mostly part of the synovitis, acne, pustulosis, hyperostosis, and osteitis (SAPHO) syndrome. we presented a case of 62-year-old woman with polyarthritis in bilateral hands, who had experienced swelling of anterior chest wall sinse she was 30 years old....

 Open Access DOI:10.23937/2378-3656/1410401

Perspectives in the Treatment of Crohn’s Disease by a Physician of Family Medicine: A Clinical Case Presentation

Luka Vučkič, Eva Zadravec, Igor Rakuša and Mateja Rakuša

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

Crohn’s disease is a rare disease with a chronic relapsing course. Usually begins at a young age influenced by environmental, genetic, and immunological factors. Patients mostly have only intestinal changes. In addition to the gut, other organs, such as skin, joints, liver, and kidneys can be affected. The type of treatment and choice of drugs depends on the type and severity of the disease....

 Open Access DOI:10.23937/2378-3656/1410400

Periprosthetic Fractures and Acetabular Loosening after Surgical Treatment of Bilateral Femoral Neck Pathological Fractures Secondary to Hypocalcemic Seizure with Chronic Renal Failure: A Case Report and Review of the Literature

Weihua Li, Zehui Zou, Xuqiang Liu and Xiaofeng Li

Article Type: Case Report | First Published: July 31, 2022

Long-term hemodialysis treatment of chronic kidney disease (CKD) can lead to disorder of calcium and phosphorus regulation and abnormal parathyroid function. Most patients with renal failure often have secondary hyperparathyroidism, at which time the parathyroid glands can release large amounts of parathyroid hormone (PTH), which activate osteoclast activity to increase serum calcium levels, resulting in severe skeletal diseases, including osteoporosis, pathological fractures, bone pain....

 Open Access DOI:10.23937/2643-3885/1710069

Irreducible First Metatarsophalangeal Joint Dislocation Secondary to Entrapment Through Flexor Hallucis Brevis: A Case Report

Kelly Tomasevich, Colin Pavano, Jacob Silver and Jill Putnam

Article Type: Case Report | First Published: July 30, 2022

This case report highlights a unique soft tissue entrapment in an open Metatarsophalangeal joint dislocation requiring operative reduction....
  • Article Formats

 Open Access DOI:10.23937/2378-3656/1410399

The Pharmacology of Curaderm in the Treatment of Basal Cell Carcinoma

B E Cham

Article Type: Research Article | First Published: July 31, 2022

Skin cancer is the most common form of cancer in the United States of America and in Australia. Basal cell carcinoma (BCC), the most prominent skin cancer, is curable, but can be disfiguring and costly to treat....

 Open Access DOI:10.23937/2378-3656/1410398

Colorectal Cancer in Adolescence: A Report of Two Cases


Article Type: Case Series | First Published: July 30, 2022

Colorectal cancer is very rare in children. Therefore, the diagnosis is generally established at advanced disease. This is a presentation of two cases of colorectal treated at Habib Bourguiba Hospital University....

 Open Access DOI:10.23937/2378-3656/1410396

Susac Syndrome: Collaboration is Required for a Diagnosis

Claudia Candale-Radu, Akintomide Femi Akindotun, Reza Hosseini, Sibi Thirunavukkarasu, Unn Ljostad and Ase Mygland

Article Type: Case Report | First Published: June 30, 2022

Susac Syndrome is a rare auto-immune endotheliopathy that rarely presents with the full triad of branched retinal artery occlusion, encephalopathy and sensorineural hearing loss. The diagnosis of Susac can be a challenge due to the variability in presentation, course and severity of disease....

 Open Access DOI:10.23937/2378-3656/1410397

Unusual site of yellow ligament ossification- cervical spine

Mehdi Mahmoodkhani and Navid Askariardehjani

Article Type: Case Report | First Published: June 30, 2022

The yellow ligament, or Ligamentum flavum, is the ligament that connects the lamina arches of two adjacent vertebrae in the spine. This ligament is yellow and has elasticity. Ligamentum flavum ossification is an uncommon cause of pressure on the cervical cord....

 Open Access DOI:10.23937/2378-3656/1410395

Methotrexate Induced Stevens-Johnson Syndrome: Two Cases Reports

I. Masmoudi, F. Baklouti, N. Siala, YO. Yaye, A. Masmoudi and A. khanfir

Article Type: Case Report | First Published: June 23, 2022

Methotrexate induced Stevens-Johnson syndrome (SJS) is rare but life-threatening cutaneous reaction. This is a case report of two 14-year-old girls with methotrexate (MTX)-induced Stevens-Johnson syndrome (SJS). Both girls received chemotherapy with MTX in the treatment of osteosarcoma and then developed SJS....

 Open Access DOI:10.23937/2378-3656/1410394

Adult-Onset Atypical Coeliac Disease Presenting with Severe Anaemia and Hidradenitis Suppurativa: A Case Report

Udani Dassanayake and Saroj Jayasinghe

Article Type: Case Report | First Published: June 04, 2022

A 23-year-old female presented with a history of an acute febrile illness associated with cough for about 24 hours. She gave a background history of altered bowel habits for 2 years. A mixed deficiency anaemia was detected, and endoscopy, serology and histological tests confirmed a diagnosis of coeliac disease. She was successfully treated with a gluten free diet. She also had hidradenitis suppurativa which subsided with a gluten-free diet....

 Open Access DOI:10.23937/2378-3656/1410393

Superficial Temporal Artery Aneurysm

Hafedh DALY, Cyrine MNASSRI, Farhat CHALBI and Amira HORCHANI

Article Type: Case Report | First Published: May 29, 2022

The superficial temporal artery aneurysm is a rare pathology. We report the case of a 7-year-old child who consulted for a beating mass on the left forehead. The doppler ultrasound and The CT angiography confirmed the diagnosis of a superficial temporal artery aneurysm. The treatment was surgical and the postoperative course was simple....

 Open Access DOI:10.23937/2378-3656/1410392

Pleomorphic Adenoma of External Auditory Canal: First Case Report from Ethiopia with Relevant Literature Review

Yonas Girma Shumiye, MD, Fatuma Yassin Bushra, BSc, MPH, Ruth Abera Alemayehu, MD and Muluken Bekele Wondimagegnehu, MD

Article Type: Original Article | First Published: May 28, 2022

Ceruminous Pleomorphic Adenoma is a very rare, benign neoplasm originating from the ceruminal glands in the external auditory canal. Clinical manifestations are nonspecific. Meticulous preoperative clinical, pathologic, and radiologic evaluations are crucial in effective management of patients....

 Open Access DOI:10.23937/2378-3656/1410391

A Case of Parkinsonism and Encephalopathy with Combined Lithium-Risperidone Therapy: Treatment with Pramipexole

Enes Tarık İnci and Tahir Kurtuluş Yoldaş

Article Type: Case Report | First Published: April 30, 2022

Lithium is a drug that has been used in the treatment of bipolar disorder for many years. Due to its narrow therapeutic range, systemic side effects can be seen frequently. Serious side effects can occur even in non-toxic doses. We present a case of parkinsonism and encephalopathy developed in a patient with normal lithium blood level who used lithium and risperidone combination therapy for bipolar disease. Lithium is a drug that has been used to treat bipolar disorder for over 60 years. Due to ...

Volume 9
Issue 4