Medical Case Studies

  • Abbreviation: Med. Case Stud.
  • Language: English
  • ISSN: 2141-6532
  • DOI: 10.5897/MCS
  • Start Year: 2010

MCS Articles

March 2018

Blind nasal intubation in temporomandibular joint ankylosis: A case report

Temperomandibular joint (TMJ) ankylosis is loss of joint movement that results from a union of the mandibular condyle to the base of the skull. Managing airway is considered to be one of the most difficult and challenging procedures when there is a diseased temperomandibular joint as a result of inadequate mouth opening. Although TMJ ankylosis is well known risk factors of difficult airway management, the techniques...

Author(s): Bereket Gebremeskel Girmay and Mohammed Suleiman Obsa

November 2016

Percutaneous drainage management of an abscess developed from conservatively treated retroperitoneal haematoma caused by acupuncture

With acupuncture treatment becoming a widely used technique in medicine to control chronic pain, there have been increasing reports on its associated complications. Although pneumothorax is the most frequently reported, infectious complications may not be uncommon. However, retroperitoneal or intraabdominal abscess caused by acupuncture may be much more serious conditions than pneumothorax. We experienced a 67-year-old...

Author(s): Jin Soo Kim, Ki Hoon Kim and Woon Won Kim

July 2016

Epidural abscess in a diabetic patient with complicated pyelonephritis: Case report and literature review

Epidural abscess is a rare condition, with increasing incidence, but still underdiagnosed. Clinical set is often confused with common diseases, which delays the diagnosis and may progress to irreversible neurological sequelae or death, if no early intervention is taken. We have reported a case of a patient immunosuppressed by diabetes who developed an epidural abscess due to a complicated...

Author(s): Carolina Neiva Guedes da Silva, Ana Paola Lavigne Safadi, Anderson Brito de Azevedo Silva and Pedro Gemal Lanzieri

September 2015

Legacy of mental Illness: A family with unusual genetic penetration

Mental illnesses are multifactorial disorders caused by the interaction of genetic and environmental factors. Multiple lines of evidence suggest that the roles of genetic and environmental factors depend on each other.  The aim of the report is to share the presentation of different psychiatric illnesses in generations of a family. A 31 year old male, unmarried, studied up to class eight, unemployed, muslim, non...

Author(s): S.M. Yasir Arafat, Afsana Karim and Shahida Choudhury

July 2015

Corticotrophin deficiency in end-stage renal failure led to recurrent hypoglycemia: A case report

Reactive hypoglycemia caused by an insulinoma, pre-diabetic metabolic state, fluctuations in diabetic metabolic situation and antidiabetic medication is commonly known. We report on the case of an unusual multi-factorial occurrence of a woman with recurrent hypoglycemia, which cannot be explained adequately by a single commonly known cause. We refer to a cachectic non-diabetic 52-year-old German woman, admitted to our...

Author(s): Benjamin Wagner and Peter H. Kann

August 2014

Methicillin resistant Staphylococcus aureus prostatic abscess in an American soldier

Prostatic abscess caused by methicillin resistant Staphylococcus aureus (MRSA) is rare with few previously reported cases. This appears to be the first identifiable report of a healthy, immunocompetent individual developing a community acquired prostatic abscess. A 35 year old male soldier presented to the emergency room complaining of chills, malaise, pelvic pain, tenesmus, dysuria and bloody urine. On admission, he...

Author(s): Howard MacLennan, D. O., Cristóbal S. Berry-Cabán, Elizabeth Goorley, D. O. and Benjamin Ingram

June 2014

Huge retroperitoneal liposarcom: Case report

Liposarcoma is the most common tumor type of retroperitoneal soft tissue sarcomas. Liposarcoma is a malignant tumor of mesenchymal origin in which the bulk of tumor differentiates into adipose tissue. A 50 year old male patient was presented at our clinic with abdominal mass and pain. Abdominal ultrasonography, computed tomography (CT) and magnetic resonance imaging (MRI) showed a huge retroperitoneal mass. Hematologic,...

Author(s): Yildiz Kemal

May 2014

A giant left adrenal pseudocyst presented as abdominal discomfort and laparoscopic adrenalectomy performed

Adrenal cysts are rare lesions and surgical approach is the best treatment option to treat these lesions. Several studies revealed laparoscopic approach is the most effective and safety to remove benign adrenal cysts. Objective of this case report was to assess the safety and efficacy of laparoscopic approach in the removal of benign giant adrenal cysts. A 21 year old female patient was presented at our gastroenterology...

Author(s): Yildiz Kemal

April 2014

A rare disease process with deadly consequences and a therapeutic dilemma – spontaneous coronary artery dissection: A literature review

Spontaneous coronary artery dissection is a rare but deadly disease process that continues to have an elusive pathophysiology and treatment strategy. We present a 32 year old patient who suffered from a spontaneous dissection of the left anterior descending artery. Multiple case reviews in the literature were reviewed, but no randomized controlled trials are available to help guide our therapy. A conservative strategy...

Author(s): Sunil Naik, Nicholas Tisdale, Nadir Rehman and Shukri David.

May 2013

Pregnancy following endometrial ablation resulting in subtotal hysterectomy under spinal anaesthesia – A case report

  A 44-year-old woman presented in her second pregnancy following a cavaterm balloon endometrial ablation three years earlier. Antenatal scans showed a fibroid measuring 11 × 7.5 × 8.2 cm in the lower segment. The placenta was fundal positioned and the baby’s growth was normal. At 32 weeks, a magnetic resonance imaging (MRI) scan excluded placenta percreta but was unable to exclude placenta...

Author(s): Menelik Lee and Nicholas Kenney

May 2013

Roseomonas mucosa isolated from bloodstream of the myelodysplastic syndrome (MDS) patient

  Roseomonas is a recently proposed genus of pink-pigmented, non-fermentative, short gram-negative rod-bacteria which have been recognized as a cause of human infections. We report a case of bacteremia associated with Roseomonas mucosa isolated from a patient with a history of nodular goiter and multiple episodes of blood transfusion.   Key words: Roseomonas mucosa,...

Author(s): Tang Xiao-long, Liu Peng, Cai Shu-yu, Hu Le-lin, Jiang Zhen-you, Chen Chen, Chen Jia,Wu Xian-Lin and Chen Xiao-Yin

February 2013

Sleeping sickness: The consequence of inappropriate diagnosis flow chart in case report

  Sleeping sickness is a vector-borne parasitic disease with variable, non-specific and inconstant symptoms. Thus, clinical signs are insufficient for diagnosis. Definite diagnosis relies on evidence demonstration of trypanosome in body fluids through parasitological techniques. For reasons related to costs, workload and technical incapacities, these technics are not always performed and sleeping sickness...

Author(s): Lisette Kohagne Tongué, Raceline Gounoue Kamkumo, Guy Christian Fako Hendji, Peka Mallaye, Abdoulaye Diarra and Francis Louis

February 2013

Laparoscopic resection of the rudimentary horn of a unicornuate uterus diagnosed by three-dimensional computed tomography

A 16-year-old woman was admitted to the emergency room due to severe lower abdominal pain. She had no surgical or obstetric history. Menarche had occurred 2 years ago. She suffered from dysmenorrhea and pelvic cyclic pain during menstruation. The three-dimensional computed tomography combined with ultrasonography revealed a rudimentary horn of unicornuate uterus. We performed a laparoscopic removal of this uterine...

Author(s): Tae-Hee Kim, Hae-Hyeog Lee, Dong-Su Jeon and Junsik Park

November 2012

Endometriosis-induced hemoperitoneum in the colonic serosa

  Endometriosis is an inflammatory disease. The etiology of endometriosis is exactly unknown. A 42-year-old virgin experienced a sudden increase in pain that began one day prior to examination. She had been suffering from dysmenorrhea and menorrhagia. The patient had abdominal guarding with severe rebound tenderness. On computed tomography, both ovaries were normal, and sigmoid colon was seen in the...

Author(s): Tae-Hee Kim, Hae-Hyeog Lee, Soo-Ho Chung and WooSeok Lee

November 2012

Burkitt’s lymphoma: Causing obstructive jaundice in an adult

  Obstructive jaundice secondary to Burkitt’s lymphoma (BL) is very rare. It is important to recognise   this   condition   as   it   can  mimic  adenocarcinoma  of  the  pancreas,  but the management of the two conditions is very  different.  In  this  study,  we  present  the case...

Author(s):   Ankur Sidhu, Michael Kok-Luen Ng, Saurabh Prakash And Marty Smith

June 2012

Laparoscopic repair of iatrogenic anterior diaphragmatic hernia

  Congenital diaphragmatic hernia is a relatively common condition with an incidence of about 1 in 2000 to 1 in 5000 live births. Most cases occur posterolaterally through the foramen of Bochdalek and usually present immediately after birth with respiratory distress. Congenital anterior diaphragmatic hernia (Morgagni's hernia) is rare, accounting for less than 5% of all types of congenital diaphragmatic...

Author(s): Abdullah Alwabari, Lalit Parida and Ahmed H. Al-Salem

June 2012

Rhabdomyosarcoma of the mesentery in an infant

Rhabdomyosarcoma is the most common soft tissue sarcoma in infants and children. Commonly, it arises from the head and neck, genitor-urinary system, trunk and extremities. Rhabdomyosarcoma arising in the mesentery is extremely rare and only few cases were reported in the literature. This is a case report of a rhabdomyosarcoma of the mesentery in a 4 month-old male infant.   Key words: Rhabdomyosarcoma,...

Author(s): Ahmed H. Al-salem, Lalit Parida and Abdulla Al-Wabari

May 2012

Autosomal dominant inheritance with variable penetrance in primary familial and congenital polycythemia: A family tree

  Primary familial and congenital polycythemia is a rare congenital disorder with only one case ever reported from Indian Subcontinent. Here, we are reporting an entire family inflicted with primary familial and congenital polycythemia, first ever of its kind from Indian subcontinent. We are of firm belief that our report would create awareness among medical fraternity in India about this under reported...

Author(s):   Jain P. K., Siddiqui M. Z., Gaba R., Srivastava G., Jaiswal P., Srivastava S. And Shukla A.

May 2012

Immature gastric teratoma in a newborn

  Gastric teratomas are very rare embryonal neoplasms and accounts for less than 1% of all teratomas occurring in infants and children. It is usually seen in male infants who present with upper abdominal mass and commonly it is benign. This report describes a large immature grade II gastric teratoma in a male newborn. The tumor was treated with total excision including part of the stomach.   Key...

Author(s): Ahmed H. Al-Salem

January 2012

Hypercalcemia secondary to parathyroid hormone secretion from metastatic lesions in liver

  Parathyroid cancer is a rare malignancy with a prevalence of 0.005% of all registered cancer cases in the United States. Metastases are rare but when they occur the metastatic lesions are usually in the lungs and lymph nodes. There has been only one reported metastasis to the liver in the 233 combined year experience of several major medical centers. A 35-year-old man had 9 metastatic lesions in his liver...

Author(s): Jennifer R. Dubay, Veena Patil, Neha Rickson, Anthony Morrison and David L. Vesely

January 2012

Idiopathic retroperitoneal fibrosis presented as abdominal discomfort and low back pain (IgG4-related disease)

  We presented a 45 year-old male patient in a hospital, who had low back pain and non-specific abdominal discomfort for duration of 2 weeks. Abdominal Computed Tomography (CT) showed retroperitoneal Para aortic mass at lower aortic roots before bifurcation and elevated C-RP. Unfortunately, the patient refused to do biopsy, and has a history of amlodipine usage with a very high suspicion of idiopathic...

Author(s): Ala’ Mohamed Aqel Elayyan

December 2011

An unusual case of inguinal hernia: Persistent mullerian duct syndrome with transverse testicular ectopia

  Persistent Müllerian Duct syndrome (PMDS) is a rare variety of male pseudo-hermaphroditism. It is characterized by the persistence of the uterus, fallopian tubes and upper vagina in otherwise normally virilized boys. The association of the syndrome called transverse testicular ectopia (TTE), a condition in which both testes are located in one inguinal canal is rare. Here, we report a young male...

Author(s):   Suvro Ganguly, Rabi Sankar Biswas, Makhan Lal saha, Siddhartha Bhattacharya and Soumen Das

December 2011

Tacrolimus adverse events in transplant recipients with diarrhoea or calcium channel blockers: Systematic review

Tacrolimus is widely used for solid-organ transplant immunosuppression. Adverse events can happen in recipients with diarrhoea or calcium channel blockers (CCBs) co-administration. We undertook a systematic review on adverse events in recipients treated with Tacrolimus for whom a raised tacrolimus trough level (≥10 ng/ml) was reported, in a situation of diarrhoea or CCB...

Author(s):   Sandrine Leroy, Sonia Fargue, Albert Bensman Georges Deschênes Evelyne Jacqz-Aigrain and Tim Ulinski

September 2011

Case report: Postoperative hemorrhage in the nasopharynx at two weeks following adenotonsillectomy

  Postoperative hemorrhage is an unlikely complication of adenotonsillectomy and occurs within several days following the procedure. We describe a patient with postoperative hemorrhage after adenotonsillectomy in nasopharynx at the postoperative 15th and 18th day. The study reveals that bleeding after adenotonsillectomy is an unlikely complication for the surgeon and patient, and requires extra experimental...

Author(s): Fazil Emre Ozkurt and Muhammed Fatih Evcimik

  • Article Number: 8528EFD520

September 2011

Plasma endothelin level in hypertension and diabetes mellitus

  The aim of the present study was to determine plasma levels of endothelin-1 (ET-1) in normal healthy population, patients with diabetes mellitus (DM) and its correlation with hypertension and nephropathy in DM. A total of 34 patients with DM, that included 19 cases with simple DM without nephropathy and 15 cases with diabetic nephropathy were used in the study. Four of the cases were considered simple DM and...

Author(s): Usha Singh, R. G. Singh, Suman Singh and Shailja Singh

  • Article Number: FB288DD521

August 2011

Impalement injury of the oro-pharynx with fatal consequences in a child: A case report and review of the literature

  Impalement injuries of the oropharynx are especially common in children. They may be innocuous injuries but can present with life threatening sequele which range from neurologic to non-neurologic sequele. Herein, we report the first of this type of injury from Nigeria and it was a 2 year old female child who presented with a rod like metallic object embedded in her oropharynx following a fall on the same...

Author(s): A. A. Adoga, M. B. Sandabe, A. Bemu, E. Musa, A. A. Bakari, A. M. Kodiyaand B. M. Ahmad

  • Article Number: 41429F7517

August 2011

Transient trifascicular block in severe hyperkalemia: A case report

  Hyperkalemia is a commonly encountered electrolyte abnormality that can significantly alter normal cardiac conduction. Potentially lethal dysrhythmias associated with hyperkalemia include complete heart block and Mobitz type II second-degree atrioventricular (AV) block. We report a case of trifascicular block, due to hyperkalemia. The patient's symptoms and electrocardiogram (ECG) evidence of...

Author(s): AGARWAL Navnit, SINGH Anurag, GABA Ripudaman, SHUKLA Ranjeet, AGARWAL Mandavi and JAISWAL Pankaj

  • Article Number: A75D6DA518

June 2011

Metabolic syndrome in Japanese patients with mental retardation

  To conduct a study on metabolic syndrome (MetS) observed in patients with mental retardation (MR) to clarify the factors associated with its prevalence and incidence. During the period from October 2006 to March 2007, for 302 cases of patients with MR who were admitted to or visited 2 support facilities for people with intellectual disabilities in Japan, we reviewed the patients’ admission records and...

Author(s): Shunya Hoshino, Kenji Yamamoto, Shingo Miyaji, Yoshiro Sakai, Hiroaki Yamamoto, Masami Inui Yukawa and Hitoshi Miyaoka

  • Article Number: 70F417C516

May 2011

Candiduria by Candida tropicalis evolves to fatal candidemia

  Candida species are opportunistic pathogens that belong to the normal human microbiota. In the past decades, the incidence of nosocomial fungal diseases has increased, and Candida spp. is still one of the main causal agents. Urinary tract is usually involved with disseminated infections, but interpretation of yeast findings, from representative specimens of this anatomical site,...

Author(s): Vidigal, Pedrina Gonçalves, Santos, Simone Aparecida, Maria Aparecida Fernandez, Patrícia de Souza Bonfim, Hilton Vizi Martinez and Terezinha Inez Estivalet Svidzinski

  • Article Number: 41EA507511

May 2011

Mason at a surgical mission

  Strangulation of penis and scrotum by objects for auto-erotic purpose though common may at times lead to grave complications. Removal of these objects is a challenging task. We report such a case where a mason came to our rescue following failed attempts at surgical removal.   Key words: Foreign body, penis, scrotum

Author(s): Utpal De, Dritiman Maitra, Sujoy Pal, Monoranjan Kar and Mritunjay Mukherjee

  • Article Number: 50492EE512

February 2011

Kartagener’s syndrome- A case report

  Primary Ciliary Dyskinesia (PCD) is a genetic disorder with an autosomal recessive mode of inheritance.It is caused by a defect in the structure of cilia, due to which ciliary movement, and consequently, its function, are impaired.  Sinusitis, nasal polyposis, and otitis media with effusion are commonly seen among patients presenting to the otolaryngologist, and PCD should be considered as an...

Author(s): Jayita Poduval and Murali Poduval

  • Article Number: BBBD259509

February 2011

Primary non Hodgkin’s lymphoma of the orbit: A case report

  Lymphoma is the most common malignancy of the orbit and the eyelids, accounting for 10% of malignant orbital tumors in adults. Orbital lymphomas can arise primarily in the orbit or represent a manifestation of disseminated disease. In this paper we report a case of early stage orbital lymphoma, which was managed successfully with chemotherapy, and a review of the related literature. A Moroccan Muslim woman...

Author(s): Essadi I, Tazi  EM, Allam W, Sbitti Y, Ichou M and Errihani H

  • Article Number: 7A473D0510

January 2011

Treatment advances and future directions in stages II and III colon cancer

Author(s): El Mehdi Tazi and Hassan Errihani

  • Article Number: D4F2EFC504

January 2011

Mixed medullary and follicular carcinoma of the thyroid – A rare entity

  Mixed medullary–follicular carcinoma is an uncommon tumor of the thyroid. It is characterized by histological and immunohistochemical features of both follicular and parafollicular C cells. We report a case of medullary carcinoma of the thyroid in a 26 year old female, which on light microscopy, showed not only the well known arrangement of cells in sheets and nests, but also unequivocal follicular...

Author(s): Kafil Akhtar, S. Shamshad Ahmad, Sufian Zaheer and Shiasta M. Vasenwala

  • Article Number: E6F1C4F507

October 2010

Salivary gland cystadenocarcinoma of the tongue: A case report and literature review

  Cystadenocarcinoma is a rare salivary gland tumor which commonly arises in the ovary and the appendix. Only 7 cases have been reported in the tongue with 2 cases described as highly malignant. We report a case of cystadenocarcinoma of the base of the tongue in a 79-year-old man who presented with goiter and dysphagia. Physical examination showed a mass of the tongue. Treatment consisted in a partial...

Author(s): Mona Mlika, Ines Chelly, Heifa Azouz, Houda Ouertani, Ghazi Besbes,Emna Mnif, Slim Haouet, Mohamed Moncef Zitouna and Nidhameddine Kchir

  • Article Number: 1973643500

October 2010

Chronic viral hepatitis and their relation to ABO blood groups and rhesus (Rh) factor

  ABO blood groups have shown some association with various diseases. Although there are small studies in literature about association between ABO blood groups and chronic viral hepatitis, only few studies found relation between fibrosis severity in chronic viral hepatitis C (CVHC) and ABO blood groups. The aim of this survey is to determine the frequency of different blood groups and Rh (Rhesus) factor in...

Author(s): Alireza Emami Naeini, Mojtaba Rostami and Sahar Emami Naeini

  • Article Number: 7CFAC24502

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