Open Access DOI:10.23937/2378-3656/1410360
A Case Report on Primary Neuroendocrine Cancer of Vagina
Kumari Puja, Ashok Kumar Arya, Arun Yadav and Durgesh
Article Type: Case Report | First Published: July 31, 2021
Neuroendocrine tumors of the gynaecologic tract are rare, and pose a significant clinical challenge because of the tumor heterogeneity and lack of standardized guidelines for treatment. Primary neuroendocrine tumor of vagina is extremely rare and only 26 cases have been reported so far in literature. Most, but not all, neuroendocrine tumors of the gynaecologic tract have an aggressive clinical course and clinically share similarities with small cell lung cancer. Cumulative data supports a multi-...
Open Access DOI:10.23937/2378-3656/1410359
The Heart Shape-Sign in Bilateral Medial Medullary Infarction; Complicated with Quadriparesis and Respiratory Failure
Liaquat Ali, Numan Amir, Naveed Akhtar, Osama Elalamy, Mohammed Alhatou, Gholam Adeli and Ambreen Iqrar
Article Type: Case Report | First Published: July 31, 2021
20% of ischemic strokes involve posterior circulation. The most common causes of posterior circulation large artery ischemia are atherosclerosis, embolism, and dissection. The most common location of atherosclerotic occlusive disease within the posterior circulation is the proximal portion of the vertebral artery in the neck within the first inches. Basilar artery occlusive disease most often presents as ischemia in the pons. Occlusion of the rostral portion of the basilar artery can cause ische...
Open Access DOI:10.23937/2378-3656/1410358
A Case of COVID-19 Infection Associated with Severe Cold Agglutinin Autoimmune Haemolytic Anaemia
Prabhashini Kumarihamy, Sujeewa Gunaratne, Ashani Ratnayake, Hiranya Abeysinghe, Sahan Perera, Vishaka Rajapaksha and Navoda Wickramasinghe
Article Type: Case Report | First Published: July 31, 2021
COVID-19 is known to cause systemic disease with multiple organ dysfunctions. COVID-19 associated immune-mediated phenomena such as autoimmune haemolytic anaemia has been identified previously with rare incidence. However, the association between COVID-19 infection and autoimmune haemolytic anaemia is not fully evaluated. Here, we present a case of a previously well patient who developed severe cold agglutinin hemolytic anemia during the course of COVID-19 infection. Although there were no throm...
Open Access DOI:10.23937/2378-3656/1410357
Acute Lymphoblastic Leukemia Mimicking Bilateral Wilms Tumour: A Radiologic Review
Adebola-Yusuf AO, Adefalujo AP, Oyelese AT, Ilori OJ, Ajiboye OF, Oyegunle AO and Emmanuel EE
Article Type: Case Report | First Published: July 31, 2021
Acute leukemia, the commonest cancer in children, accounts for approximately 30% of all childhood malignancies approximately 75% of which are Acute Lymphoblastic Leukemia (ALL) affects children of any age, commoner in ages 1-4 years, boys more than girls. The kidneys are sites of extra medullary leukemic involvement usually seen late in the course of the disease. ALL with renal involvement may mimic Wilms’s tumor due to overlap of their clinical and radiological findings. These include malaise...
Open Access DOI:10.23937/2378-3656/1410356
Case Report: A Rare Case of Biatrial Thrombus in the Absence of Interatrial Shunt
Paul Elias, MD, Jonatan D Nunez Berton, MD, Marian T Calfa, MD and Azar Radfar, MD, PhD
Article Type: Case Report | First Published: July 31, 2021
In this rare case we describe a 56-year-old woman who presented with an acute pulmonary embolism (PE) complicated by right heart strain indicating the need for catheter-directed mechanical thrombectomy. Pre-operative two dimensional (2D) transthoracic echocardiogram (TTE) showed no evidence of intracardiac thrombi. Subsequently, post-operative 2D TTE indicated large biatrial thrombi with no evidence of PFO, or other intracardiac shunt. Here, we describe this rare and unique presentation and disc...
Open Access DOI:10.23937/2377-4630/1410122
Spinal Anesthesia: Much More Than Single Shot of Hyperbaric Bupivacaine
Luiz Eduardo Imbelloni, MD, PhD, Marildo A Gouveia, MD, Nathália Maluf Ghorayeb, MD, and Sylvio Valença de Lemos Neto, MD, PhD, MBA
Article Type: Research Article | First Published: August 11, 2021
There is significant and renewed attentiveness in the use of regional anesthesia techniques for many common surgeries. The vast majority of anesthesiologists world wide use the routinely the hyperbaric solution of bupivacaine for almost all types of surgery. However, they ignore that spinal anesthesia has more to offer. A different kind of technique for a different kind of patients. The understanding of spinal anesthesia in relation to sensory and motor blocks with hyperbaric and isobaric soluti...
Open Access DOI:10.23937/2469-5777/1510091
Olecranon Fractures - Review of Treatment and Complications
Henrique Sousa, Ricardo Oliveira, Moisés Ventura, Renato Ramos, Rita Grazina and Andreia Ferreira
Article Type: Review Article | First Published: July 25, 2021
Olecranon fractures are common upper extremity fractures usually subject to surgical fixation. Several options exist for olecranon fracture treatment, tension band, plating, intramedullary nail and fragment excision with triceps advancement are the most used but no technique is suitable for the management of all olecranon fractures and each one is associated with more or less prevalence of the most common complications, namely loss of motion, nonunion, malunion, infection, wound dehiscence, inst...
Open Access DOI:10.23937/2643-3907/1710052
Intra-Oral Incision in Facial Cellulitis without Fluctuation: A Case Report
Sarah Arafat, M.Sc, Mona Abdel Aziz, M.Sc, Heba A Shawky, PhD and Ahmed M Salloum, MD
Article Type: Case Report | First Published: July 29, 2021
A 14-years-old girl was admitted to the emergency department of Alexandria university hospital, suffering from facial cellulitis, closing her left eye, without fluctuation trismus, dysphagia and fever for 2 days. It was assumed by the physicians who examined her that the cause of facial cellulitis is ophthalmic infection, and was given antibiotic therapy and eye-drops for 3 days with no improvement (Figure 1). Then, the patient was referred for maxillofacial consultation. By taking history, ther...
Open Access DOI:10.23937/2643-4555/1710016
A Case of Chronic Hypertension with Superimposed Preeclampsia in Hypertensive Emergency
Gitanjali Kumari, Vaishali Taralekar, Aniket Kakade, Jyoti Rathi and Naval Dudum
Article Type: Case Report | First Published: July 30, 2021
Preeclampsia is defined as BP > 140/90 mmHg on 2 occasions 4-6 hours apart, which occurs in pregnancy after 20th week of period of gestation, which involves multi organ system. Hypertensive emergency is a spectrum of Preeclampsia which is an acute crisis. We present a case, from our clinic, of a pregnant woman who was referred here with Hypertensive emergency, she was a known case of chronic hypertension with superimposed preeclampsia in hypertensive emergency, and was managed effectively with A...