IJCR (2020), Volume 4

Diffuse-type tenosynovial giant cell tumour of the temporo-mandibular joint: an indication for alloplastic joint replacement

Diffuse-type tenosynovial giant cell tumour of the temporo-mandibular joint: an indication for alloplastic joint replacement
Case Report of International Journal of Case Reports Diffuse-type tenosynovial giant cell tumour of the temporo-mandibular joint: an indication for alloplastic joint replacement An-Sofie Vandeput1, MD; Michel Bila1, MD; Titiaan Dormaar1, MD; Anne-Marie Delsupehe2, MD; Constantinus Politis1, MD, PhD 1Department of Oral and Maxillofacial Surgery, University Hospital Leuven, Leuven, Belgium; 2Department of Pathology, University Hospital Leuven, Leuven, Belgium A 25-year old female patient was referred to our department with a mass at the level of the right temporomandibular joint (TMJ). The patient experienced symptoms of paroxysmal pain of the TMJ and weight loss. Magnetic resonance imaging (MRI) revealed a tumour in the right masticatory space extending into the right TMJ, with invasion of the temporal bone. Surgical resection of the mass and total TMJ replacement surgery with a custom-made pros-thesis were performed. Final histological diagnosis of the resected specimen showed a dif-fuse-type tenosynovial giant cell tumour (D-TGCT). The multidisciplinary team’s decision was to give adjuvant radiotherapy; however, the patient declined further treatment. At 6 months follow-up, the patient had ...

Bilateral Distal Humeral Fracture in a patient with Osteogenesis imperfecta During the Covid Pandemic

Bilateral Distal Humeral Fracture in a patient with Osteogenesis imperfecta During the Covid Pandemic
Case Report of International Journal of Case Reports Bilateral Distal Humeral Fracture in a patient with Osteogenesis imperfecta During the Covid Pandemic– A Rare Case Report Dr. Vaisakh Reghuram1*, Mr. Milind Mehta2, Mr. Gautam Talawadekar3 1Speciality Doctor T&O, Furness General Hospital , Barrow in Furness, UK. 2Specialist Registrar T&O, Furness General Hospital, Barrow in Furness, .UK 3Consultant T&O, Furness General hospital, Barrow in Furness, UK. Introduction: Osteogenesis imperfecta (OI) is a genetic disorder which is characterised by bone deformity, low bone mass, connective tissue manifestations and brittle bones with history of multiple fractures. Although recurrent fractures are known in patient with OI, the occurrence of bilateral simultaneous fracture of humerus is quite rare. Presenting complaint and investigations: The patient had a fall in the outdoors during a storm during the height of covid pandemic and sustained injury to both arms. Radiographs revealed comminuted fracture of left distal humerus and transverse extraarticular supracondylar fracture of right humerus. Diagnoses, therapeutics interventions, and outcomes: Although, conservative measures were advised as per the ...

Long Progression-free-survival Pancreatic Carcinosarcoma Under Gemcitabine-nabpaclitaxel First Line Chemotherapy

Long Progression-free-survival Pancreatic Carcinosarcoma Under Gemcitabine-nabpaclitaxel First Line Chemotherapy
Case Report of International Journal of Case Reports Long Progression-free-survival Pancreatic Carcinosarcoma Under Gemcitabine-nabpaclitaxel First Line Chemotherapy Miguel Borregón Rivilla, Katherin Martínez-Barroso, Alba Ramos Garrido, Irene Ramos Reguera, Beatriz Berzal Hernández, Manuel Alejandro Mazariegos Rubi, Cristina Gómez Palmero, Margarita Díez de los Ríos, Irene Otero Blas, Ana Belén Rupérez Blanco, Javier Medina Martínez, Lourdes Fernández Franco, Ana María González Ageitos, Luis López Gómez Medical Oncology Service, Virgen de la Salud Hospital, Toledo, Spain Carcinosarcoma of the pancreas is a rare entity with short case series reported in the literature. Diagnosis is established by immunohistochemical examination including both carcinomatous and sarcomatous components. Prognosis is usually limited to 6-9 months life expectancy. Standard chemotherapy regimen is not well defined. We present a case of pancreatic carcinosarcoma with long-time progression-free-survival under first line chemotherapy treatment with gemcitabine-nabpaclitaxel combination. Tumor histopathological and clinical characteristics are reviewed. Keywords: Carcinosarcoma; Pancreas; Gemcitabine-Nabpaclitaxel; Cytokeratin; Vimentin ...

Feeling of Imminent Death after Long Bone Surgery

Feeling of Imminent Death after Long Bone Surgery
Case Report of International Journal of Case Reports Feeling of Imminent Death after Long Bone Surgery Guzmán Rodríguez, Raúl; Borregón Rivilla, Miguel; Palomares Morales, Aitana Doctors of the Virgen de la Salud hospital at Toledo (Spain). 71-year-old male patient with hypertension, obesity and personal history of prostate adenocarcinoma with blast bone metastases. Admitted after fall and pathological right pertrochanteric fracture. Programmed surgery is performed by means of endomedullary nailing on the fractured right hip and prophylactic left hip. Pre-surgical nasopharyngeal exudate for coronavirus is positive, with no apparent clinical translation. Three hours after surgery, the patient begins with dyspnea, central thoracic pain of a pleuritic nature and a feeling of imminent death. Physical examination reveals poor general condition, hypotension, diaphoresis, tachypnea and desaturation, without neurological affectation. Treatment is initiated with intensive serotherapy, oxygen therapy and analgesia. Analysis reveals troponin and normal NT-proBNP with elevated LDH and D-dimer, as well as mild metabolic acidosis. The electrocardiogram and transthoracic echocardiogram do not show any alterations. Urgent pulmonary CT-angiography targets signs compatible ...

A world in the head: Brain abscess caused by Paradoxical embolism due to pulmonary arteriovenous fistula as a debut of hereditary hemorrhagic telangiectasia

A world in the head: Brain abscess caused by Paradoxical embolism due to pulmonary arteriovenous fistula as a debut of hereditary hemorrhagic telangiectasia
Case Report of International Journal of Case Reports A world in the head: Brain abscess caused by Paradoxical embolism due to pulmonary arteriovenous fistula as a debut of hereditary hemorrhagic telangiectasia Calle-Gómez, MI., Escobar- Sevilla, J., Domingo-Roa, S., Yagui Beltrán, S., Constan De la Revilla, E., Mediavilla García, JD. Hospital Universitario Virgen de las Nieves. Granada 66-year-old patient with a history of alcoholism and smoking, chronic iron deficiency anemia treated with oral iron who was admitted for streptococcal brain abscess, during the etiological study we found arteriovenous shunt on echocardiography and pulmonary arteriovenous fistula, undergoing endovascular closure of the same during stay. In the physical examination, perioral teleangiectasis was observed, when meeting the Curaçao criteria, a genetic study of hereditary hemorrhagic teleangiectasia was requested, which was positive. Learning points: -Learning of risk factors for the acquisition of cranial abscess and its etiological study. -Emphasize the paradoxical cause of systemic embolism. -Study, screening and Treatment on AVM in hereditary hemorrhagic telangiectasia. Keywords: Brain abscess; Paradoxical embolism; Pulmonary arteriovenous fistula; Rendu-osler-weber ...

Male Sexual Assault – A Case Report of Foreign Body in the Rectum from Sexual Assault by Female Partner

Male Sexual Assault - A Case Report of Foreign Body in the Rectum from Sexual Assault by Female Partner
Case Report of International Journal of Case Reports Male Sexual Assault - A Case Report of Foreign Body in the Rectum from Sexual Assault by Female Partner A. Monday Yilkudi.1, Nathaniel Adewole.2, Kenneth Onyejekwe.1, Pius Ogelekwu1, Stephen Edino1 1Department of Surgery, University of Abuja Teaching Hospital, Abuja-FCT, Nigeria 2Department of Obstetrics and Gynaecology University of Abuja Teaching Hospital, Abuja-FCT, Nigeria Most rectal foreign bodies (FB) are a result of insertion for sexual gratification. FB in the rectum as. result of sexual assault in males by the female partner is rare. A 32-year-ol man presented with a 6-day history of deep anal pain and lower abdominal pain, following an assault by a female partner while he was drunk. Physical examination and plain radiography confirmed a FB in the rectum. The FB was removed at exploratory laparotomy following failed attempt at trans rectal removal under spinal anaesthesia. The FB was confirmed to be a perfume canister. The patient has remained well at two months of follow up. Male sexual assault by ...