International Journal of Case Reports

  • Emergency surgery for a Morgagni hernia causing respiratory failure

    Emergency surgery for a Morgagni hernia causing respiratory failure Yoshitsugu Tsukamoto, Takeharu Enomoto, Takehito Otsubo, Kenta Katsumata, Natsuko Kamei, Jin Shimada, Shinya Mikami Division of Gastrointestinal and General Surgery, Department of Surgery, St. Marianna University School of Medicine Reports of emergency surgical repair of a retrosternal hernia causing respiratory failure in an adult are rare. We treated an 82-year-old man who had been suffering breathlessness upon exertion, some speech difficulty, and, most recently, visual hallucinations. He had consulted a physician…

  • Serious Staphylococcus Aureus Infection in a Patient with Diabetes Mellitus

    Serious Staphylococcus Aureus Infection in a Patient with Diabetes Mellitus Cátia Pereira, Joana Cascais Costa, Joana Coelho Internal Medicine Departement – Centro Hospitalar Universitário de Coimbra The immune system and metabolism are closely related and it is recognized that diabetes mellitus (DM) and its complications have a compromising impact on the degree of immunosuppression. The authors present the case of a 65-year-old man with a history of type 2 DM and ulcers of the lower limbs who went to the…

  • Oral pyridostigmine for treatment of postoperative ileus associated with elevated catecholamine levels: A case report

    Oral pyridostigmine for treatment of postoperative ileus associated with elevated catecholamine levels: A case report Sherif Aly, MD 1,2; Gentian Kristo, MD, MPH, FACS1,3. 1Department of Surgery, Veterans Affairs Boston Healthcare System, Boston, MA, USA; 2Department of Surgery, Boston Medical Center, Boston University School of Medicine, Boston, MA, USA; 3Department of Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA. The etiology of post-operative ileus is usually multifactorial, but increased catecholamines have been implicated as an important cause….

  • Pulmonary metastasis of a Dermatofibrosarcoma of Darier and Ferrand treated by IMATINIB: a case report

    Pulmonary metastasis of a Dermatofibrosarcoma of Darier and Ferrand treated by IMATINIB: a case report Kamal EL BAKRAOUI 1, Mohamed TARCHOULI2, Ibrahim ELGHISSASSI 1, Rhizlane BELBARAKA3, Hassan ERRIHANI1. 1Department of Medical Oncology, National Institute of Oncology, CHU Rabat, Morocco. 2Departement of Surgery, First Medical and Surgical Center, Agadir, Morocco. 3Department of Medical Oncology, FMPM, CHU Marrakech, Morocco. Dermatofibrosarcoma (DFS) described by Darier and Ferrand represents less than 5% of soft tissue sarcomas and metastases only very rarely. We report the…

  • Inadvertent epidural administration of remifentanil (Ultiva®) during labour analgesia

    Inadvertent epidural administration of remifentanil (Ultiva®) during labour analgesia Dany Khodra aReplacement Anesthesiologist in Belgium The use of remifentanil patient-controlled analgesia for labour analgesia remains controversial. The high potency of the drug, the fear of serious adverse drug reactions and drug administration errors are all legitimate concerns. We report the case of a woman in labour who inadvertently received a remifentanil solution via epidural route. In addition to the risk of respiratory depression, the epidural administration of remifentanil contains glycine…

  • A Case Report of Warfarin Induced Coagulopathy and Upper Gastro Intestinal Bleeding

    A Case Report of Warfarin Induced Coagulopathy and Upper Gastro Intestinal Bleeding Dr.K.Swapnaa aDepartment of Pharm D, Bharat Institute of Technology and Krishna Institute of Medica Sciences – Pharmacy ,Mangalpally Ibrahimpatnam, Telengana 501510,India Warfarin is an oral vitamin k antagonist prescribed to those patients for the treatment and prevention of venous thromboembolism. The major challenges to be faced during the therapy were a greater risk for both major well as minor bleeding, which makes the regular monitoring of INR (international…

  • Regional Anaesthesia for Lumbar Laminectomy- Case Series

    Regional Anaesthesia for Lumbar Laminectomy- Case Series Idehen H O, Agbonkhese G, ⃰ Obeta E C, Imarengiaye C O Depts of Anaesthesiology and ⃰ Neurosurgery University of Benin Teaching Hospital Benin City, Edo State, Nigeria. The use of central neuraxial anaesthesia for lumbar laminectomy is evolving in our centre with its attendant advantages like decrease in intraoperative blood loss, peri-operative cardiac ischemic incidents, postoperative hypoxic episodes, arterial and venous thrombosis, and it provides longer/ adequate postoperative pain control. Nonetheless, blindness…

  • Temozolamide-Associated Pancytopenia in a Patient with Glioblastoma Multiforme

    Temozolamide-Associated Pancytopenia in a Patient with Glioblastoma Multiforme Kubra Bozkurt¹ , Esra Terzı Demırsoy2, Esma Turkmen Bekmez3, Dıncer Aydın4 1Department of İnternal Medicine, University of Health Sciences, Kocaeli Derince Training and  Research Hospital, Kocaeli, Turkey; 2 Department of Hematology, University Health Sciences, Kocaeli Derince Training and Research Hospital , Kocaeli, Turkey; 3Department of Medical Oncology, University of Health Sciences, Kocaeli Derince Training and Research Hospital, Kocaeli, Turkey; 4Department of Medical Oncology, University of Health Sciences, Kocaeli Derince Training and Research…

  • The Rare Case of Thromboangiitis Obliterans in a Patient Previously Diagnosed with a Stroke

    The Rare Case of Thromboangiitis Obliterans in a Patient Previously Diagnosed with a Stroke Niki Parikh and Franklyn Babb Texas Tech University Health Sciences Center, Department of Family Medicine, 3601 4th Street, STOP 8312, Lubbock, TX 79430-8312 Thromboangiitis obliterans (Buerger’s disease) is a disease of small and medium-sized vasculature, mainly involving the distal upper and lower extremities in male patients under the age of 45. Smoking tobacco is considered to be a predisposing and triggering agent. This presentation discusses the…

  • Case Report on Port Site Sinus

    Case Report on Port Site Sinus SD Sandhya*, Joshua Jacinth* Department of Pharm D, Cmr College of Pharmacy, Kandlakoya,Medchal, Hyderabad Port site infection (PSI) is an infection which is seen at port site after any laparoscopic surgery or at the site where any other medical devices are inserted into the body. It is one of the rare but preventable complications of successful laparoscopic surgeries due to improper sterilization of instruments. PSI is already known to be a rare complication but…