IJCR (2021), Volume 5

Acute cholecystitis with intraluminal gallbladder bleeding: Case report and literature review

Acute cholecystitis with intraluminal gallbladder bleeding: Case report and literature review
Case Report of International Journal of Case Reports Acute cholecystitis with intraluminal gallbladder bleeding: Case report and literature review Jerica Novak, MD, PhD, Aleksander Göntér, MD, Jurij Janež, MD, PhD Department of Abdominal Surgery, University Medical Centre Ljubljana, Zaloška cesta 7, 1000 Ljubljana, Slovenia, University of Ljubljana, Faculty of Medicine, Vrazov trg 2, 1000 Ljubljana, Slovenia. Background: Hemorrhagic cholecystitis is an infrequent complication of acute cholecystitis associated with high mortality rate. Recognition of this acute abdominal condition is often challenging. Authors present a case of acute intraluminal gallbladder bleeding with a consequential gallbladder wall perforation and hematoperitoneum requiring emergency surgery in a patient on anticoagulant therapy. Case Presentation: An 80-year old woman with atrial fibrillation on warfarin was presented to abdominal surgeon due to acute abdominal pain with hemodynamic instability and active intraluminal gallbladder bleeding on CT-scan. An emergency laparotomy with cholecystectomy was performed. Despite intensive treatment patient died on the third postoperative day. Conclusions: Hemorrhagic cholecystitis is a potentially life-threatening condition. Patients on anticoagulant therapy with clinical signs ...

PICC Insertion could be an optimal choice of central venous access in prone position mechanically ventilated COVID-19 ARDS patient

PICC Insertion could be an optimal choice of central venous access in prone position mechanically ventilated COVID-19 ARDS patient
Case Report of International Journal of Case Reports PICC Insertion could be an optimal choice of central venous access in prone position mechanically ventilated COVID-19 ARDS patient Ali Al Bshabshe1, Ali Abdullah Kablan2, Nasser Mohammed Alwadai3, Omprakash Palanivel3, Ghaida Nawi A. Alharthi4, Khloud Faleh S. Alahmari4, Hala Khamis S. Alghamdi4, Raghad Abdullah M. Brkout 4, Lamees Abdullah M. Brkout 4, Lama Abdullah M. Brkout 4 1Intensive Care Consultant, Aseer Central Hospital & Professor, Department of Medicine/Critical Care, College of Medicine, King Khalid University, Abha, Aseer Region, Saudi Arabia. 2Intensive Care Senior Specialist, Department of Intensive Care Unit, Aseer Central Hospital, Abha, Aseer Region, Saudi Arabia. 3Consultant Respiratory Therapist, Department of Respiratory Care Unit, Aseer Central Hospital, Abha, Aseer Region, Saudi Arabia. 4Medical Students, Department of Medicine, College of Medicine, King Khalid University, Abha, Aseer Region, Saudi Arabia. During the management of critically ill covid-19 patients obtaining an appropriate centrally inserted central catheter (CICC) can be a prime necessity. Traditionally, a CICC is inserted in a supine position. However, a ...

Efficacy and safety of Bosutinib in Patient with Chronic myeloid leukemia who was intolerant to DASTANIB,NILOTUNIB

Efficacy and safety of Bosutinib in Patient with Chronic myeloid leukemia who was intolerant to DASTANIB,NILOTUNIB
Case Report of International Journal of Case Reports Efficacy and safety of Bosutinib in Patient with Chronic myeloid leukemia who was intolerant to DASTANIB,NILOTUNIB -Case report Abdullah M Arshad1,  Mohamed A Yassin2 1Department of Medicine Hamad Medical Corporation, Doha , Qatar. 2Hematology Section /Medical Oncology , National Center for Cancer Care and Research, Doha ,Qatar. Treatment for Chronic myeloid leukemia has been revolutionized because of availability of different tyrosine kinase inhibitors. Each TKI come with its on toxicity profile as this needs to be taken in account before starting therapy with particular agent in a patient. Most of the adverse effects related to TKI are mild and can be managed by either symptomatic treatment or either by dose reduction. But some patients can become intolerant and to switch to other TKI remains the only option. Bosutinib is currently approved for treatment of chronic phase CML  in patients who are either resistant or intolerant to previous TKI. We present a case of 59 year old male patient with CML who ...

A case study of ruptured cornual ectopic with successful outcome in subsequent pregnancy

A case study of ruptured cornual ectopic with successful outcome in subsequent pregnancy
Case Report of International Journal of Case Reports A case study of ruptured cornual ectopic with successful outcome in subsequent pregnancy Snigdha Kumari1 MS,DNB,  Bharti Joshi MD1*, DNB, Rashmi Bagga MD2, Jasvinder Kalra2 MD, Pradip Kumar Saha3, MD 1Assistant professor 2Professor 3Additional professor Department of Obstetrics & Gynaecology, Post Graduate Institute of Medical Education & Research (PGIMER), Sector 12, Chandigarh, India. Cornual pregnancy is a fearful condition with dreadful complications. Due to rarity and late presentation, it poses diagnostic and therapeutic challenges. There is no consensus on treatment strategies till date and risk of rupture after repair in subsequent pregnancy always remains a major concern. We hereby discuss a case of 27 year female who presented with ruptured cornual ectopic pregnancy, underwent cornual wedge resection with repair and had subsequent pregnancy with a successful outcome. Keywords: Cornual ectopic, interstitial pregnancy, cornual wedge resection ...

Case of recurrent pulmonary thromboembolism due to therapeutic non-compliance

Case of recurrent pulmonary thromboembolism due to therapeutic non-compliance
Case Report of International Journal of Case Reports Case of recurrent pulmonary thromboembolism due to therapeutic non-compliance Mihaela Anghele1*, Liliana Dragomir2, Virginia MARINA3 1MD. Mihaela ANGHELE: CLINICAL-MEDICAL Department, «Dunarea de jos» University of Galati, Faculty of Medicine and Pharmacy, Galati, Romania. 2MD. Liliana DRAGOMIR: CLINICAL-MEDICAL Department, «Dunarea de jos» University of Galati, Faculty of Medicine and Pharmacy, Galati, Romania. 3PH.D. Virginia MARINA: MEDICAL Department of Occupational Health, «Dunarea de jos» University of Galati, Faculty of Medicine and Pharmacy, Galati, Romania. Pulmonary embolism occurs when thrombi enter the pulmonary arterial circulation. Most pulmonary embolisms are the result of deep venous thrombosis of the pelvic limbs, chest or pelvis, and, less commonly, the jugular veins or inferior vena cava. Venous thromboembolism includes deep vein thrombosis and pulmonary embolism. It is the third most common cardiovascular disease, with a total annual incidence of 100-200 per 100 000 population. INTRODUCTION: Acute pulmonary embolism is the most serious clinical presentation of venous thromboembolism. Overall, pulmonary embolism is a major cause of mortality, morbidity and ...

A Rare Occurrence of Primary Breast Mucormycosis, A Case Report

A Rare Occurrence of Primary Breast Mucormycosis, A Case Report
Case Report of International Journal of Case Reports A Rare Occurrence of Primary Breast Mucormycosis, A Case Report Dr. Sanjeev Shah, Dr. Kamlesh Patel, Dr. Chetna Bhullar, Dr. Nidhi Barot Sterling Accuris diagnostic laboratory, Ahmedabad. Zygomycosis occurs primarily in immunosuppressed patients and those with diabetes mellitus. Incidence of zygomycosis has increased among transplant recipients, patients with hematologic malignancy and Covid-19 associated pulmonary complications. Soft tissue zygomycosis may be localized, extend to deep underlying tissues, or may be disseminated. The most common clinical presentation is induration of the skin with surrounding erythema, rapidly progressing to necrosis.Histological examination and culture of soft tissue are important for the diagnosis of cutaneous zygomycosis. Treatment consists of surgical excision or debridement, reversal of predisposing factors and administration of antifungal agents (amphotericin B formulations, Posaconazole/or Isavuconazole). Keywords: Zygomycosis, immunosuppressed, histopathology, culture, antifungal agents ...