IJCR (2020), Volume 4

Metastatic bladder tumor from pancreatic adenocarcinoma

Metastatic bladder tumor from pancreatic adenocarcinoma
Case Report of International Journal of Case Reports Metastatic bladder tumor from pancreatic adenocarcinoma Konstantinos M. Skrepetis1, Ioannis Efthimiou1, Zacharias Chousianitis1, Stavros Peroukidis1 1Department of Urology, General Hospital of Messinia, Kalamata, Greece. Metastatic pancreatic adenocarcinoma to the urinary bladder is extremely rare and has only been reported 4 cases worldwide. We describe such a case presented with hematuria and dysuria after ten months of the initial diagnosis. Immunohistochemistry helped to confirm the diagnosis of metachronous metastasis. Six months after being diagnosed with the bladder metastasis, progression with severe right hydronephrosis and mild dilatation of the left pyelocaliceal system palliated with an UventaTM metallic ureteral stent and a double J ureteric catheter. Keywords: Metastasis; Pancreas; Bladder; Hydronephrosis ...

Priapism as A Warning Sign for Chronic Myeloid Leukemia

Priapism as A Warning Sign for Chronic Myeloid Leukemia
Case Report of International Journal of Case Reports Priapism as A Warning Sign for Chronic Myeloid Leukemia Boudreaux, J, BS, BA1, Haller, CN, MD2, Maslov, D, MD, MS1,2, Bateman, L, MD2 1University of Queensland/Ochsner Clinical School, New Orleans, LA. 2Ochsner Clinic Foundation, Department of Internal Medicine, New Orleans, LA. CML is a chronic myeloproliferative disorder associated with activating mutations in tyrosine kinases forming a BCR-ABL fusion gene, causing hyperproliferation of neoplastic myeloid progenitors [1,2]. The incidence of CML peaks in the fourth and fifth decades of life [3]. In the United States, nearly 4,500 cases are diagnosed annually [3]. The onset of the disease is insidious due to the nonspecific initial “B symptoms,” such as increased fatigability, weight loss and weakness. The natural history of CML is slow with a median survival of three years if untreated [3,4]. The current treatment is targeted therapies to the BCR-ABL tyrosine kinase using imatinib or nilotinib and hydroxyurea. Although B symptoms are common, priapism can be an initial presentation of CML in ...

Ptosis resolved after cataract surgery – A case report

Ptosis resolved after cataract surgery - A case report
Case Report of International Journal of Case Reports Ptosis resolved after cataract surgery - A case report Ming Chen, MD, MSc, FACS University of Hawaii. It is well known in the literature that adult ptosis can be induced or worsen by cataract surgery even with modern sutureless clear cornea phacoemulsification. [1, 2, 3, 4,5,6,7,8] We are presenting this unusual case was the opposite. The ptosis resolved after cataract surgery. A possible effect from the successful management of dry eye disease before cataract surgery is explained. Drooping of the unilateral upper eyelid is unilateral ptosis. Ptosis may be myogenic, neurogenic, and aponeurotic from healthy aging, injury, eye diseases. [9, 10]  Ptosis also can be associated with hard contact lens wear, immunological, degenerative, or hereditary disorders, tumors, or infections. [7] Patients with ptosis often present with a lower position of the upper eyelid, complain of a tired appearance, and defect in their superior visual field even blurred vision. The levator muscle controls the position of the eyelid and is innervated by ...

Meningoencephalitis in a Child with Mycoplasma Pneumonia

Meningoencephalitis in a Child with Mycoplasma Pneumonia
Case Report of International Journal of Case Reports Meningoencephalitis in a Child with Mycoplasma Pneumonia J. Kelly Smith, MD, FACP Departments of Academic Affairs and Biomedical Sciences, James H. Quillen College of Medicine, East Tennessee State University, Johnson City, TN 37614 The patient is a 15-year-old girl who presented with a 4-day history of fever, a persistent cough, and x-ray evidence of a right middle lobe pneumonia. On day 10 of her illness, at a time when she was afebrile and her pneumonia had cleared, she developed a severe headache and within hours lapsed into coma. Cerebral spinal fluid analysis and serological tests were diagnostic of a post-infectious meningoencephalitis due to Mycoplasma pneumoniae. Keywords: Meningoencephalitis; Mycoplasma Pneumonia ...

Evaluation of laboratory risk indicator for necrotizing fasciitis (Lrinec) scoring system for diagnosis of necrotizing fasciitis in patients presenting with soft tissue infection

Evaluation of laboratory risk indicator for necrotizing fasciitis (Lrinec) scoring system for diagnosis of necrotizing fasciitis in patients presenting with soft tissue infection
Case Report of International Journal of Case Reports Evaluation of laboratory risk indicator for necrotizing fasciitis (Lrinec) scoring system for diagnosis of necrotizing fasciitis in patients presenting with soft tissue infection Naresh Duthaluri, Adith C, Prabhu P, Rekha A Sri Ramachandra Medical College,SRIHER Necrotizing soft tissue infection represents a diverse process; the term itself encompasses a continuum ranging from pyoderma to life threatening infections (clostridial gas gangrene with myonecrosis, anaerobic cellulitis, and severe, necrotizing vibrio infections). These can occur in any anatomical area but the commonest site is the extremities. Necrotizing fasciitis is often underestimated because of the lack of specific clinical findings in the initial stages of the disease. The paucity of specific cutaneous signs to distinguish necrotizing fasciitis from other soft tissue infections such as cellulitis makes the diagnosis extremely difficult. The first and most important consideration for an accurate, prompt diagnosis is to have a high index of suspicion. It has been shown by numerous studies in the past that early recognition and surgical intervention at ...

Intra Cholecystic Papillary Tubular Neoplasm – A Case Report Of A Rare Differential Diagnosis Of Carcinoma Gall Bladder

Intra Cholecystic Papillary Tubular Neoplasm – A Case Report Of A Rare Differential Diagnosis Of Carcinoma Gall Bladder
Case Report of International Journal of Case Reports Intra Cholecystic Papillary Tubular Neoplasm – A Case Report Of A Rare Differential Diagnosis Of Carcinoma Gall Bladder Dr. Sana Aboosalih1*, Dr. K. R. Manoj Prabu2, Dr. P. Jayaganesh3, Dr. Pichaimuthu Anbalagan4, Dr. Devy Gounder Kannan5, Dr. Arcot Rekha6 1Surgical Resident, Dept. of General Surgery, Saveetha Medical College, Chennai, Tamil Nadu, India. 2Assistant Professor, Dept. of General Surgery, Saveetha Medical College, Chennai, Tamil Nadu, India. 3Assistant professor, Dept. of Pathology, Saveetha Medical College, Chennai, Tamil Nadu, India. 4Assistant Professor, Dept. of Surgical Gastroenterology, Saveetha Medical College, Chennai, Tamil Nadu, India. 5Professor and HOD, Dept. of Surgical Gastroenterology, Saveetha Medical College, Chennai, Tamil Nadu, India. 6Professor and Unit Cheif, Dept. of General Surgery, Saveetha Medical College, Chennai, Tamil Nadu, India We present a case report of a 57 year old lady who presented with complaints of right sided upper abdominal pain. The patient was initially diagnosed with carcinoma gall bladder(CAGB) by CECT Abdomen and PET CT imaging studies. Intra cholecystic papillary tubular ...