IJCR (2022), Volume 6

Case Report of International Journal of Case Reports Mononeuropathy Multiplex – Case Report of An Unusual Manifestation of Primary Sjögren’s Syndrome Andreia Freitas1, Filipa Santos Borges1, Sara Beça2, Carina Silva1 1Serviço de Medicina Interna, Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de Gaia; 2Servicio de Medicina Interna, Hospital Clínic Barcelona, Barcelona, Spain Sjögren’s Syndrome (SS) is a chronic autoimmune disease characterized by exocrinopathy, with xerophthalmia and xerostomia. Patients with SS may exhibit extra-glandular features such as neurologic symptoms. Peripheral neuropathy is the most common neurological complication of primary SS (pSS). We report a case of a 71-year-old female with pSS admitted to the Internal Medicine ward due to sensorimotor symptoms and petechiae. From the extensive study carried out, emphasis is given to elevation of inflammatory markers and to nerve conduction study compatible with mononeuritis of multiple nerves. The diagnosis of mononeuropathy multiplex (MM) secondary to pSS was made. She was started on corticosteroid therapy, which allowed complete regression of the petechiae as well as symptomatic and functional improvement ...

Case Report of International Journal of Case Reports Ectopic prostatic tissue at the rectum presenting as a submucosal tumor: A case report Han-Tse Kuo1, Tzu-Hsuan Fan2, Jim-Ray Chen3, Chung-Wei Fan1* 1Division of Colorectal Surgery, Department of Surgery, Chang Gung Memorial Hospital, Keelung, Taiwan; 2Fisrt Post-Graduate Year, Chang Gung Memorial Hospital, Linkou, Taiwan; 3Department of Pathology, Chang Gung Memorial Hospital, Keelung, Taiwan Ectopic prostate tissue (EPT) is an uncommon presentation and has been found mainly in the male urinary tract, such as the bladder, urethra, seminal vesicles, and testis. There have been extremely few cases of EPT observed out of the genitourinary tract. The present article describes one rare case of a 78-year-old male with an incidental finding of a rectal submucosal tumor, which was completely resected with a pathological diagnosis of EPT. Keywords: Ectopic prostatic tissue; Colorectal tumor ...

Case Report of International Journal of Case Reports Percutaneous fibrin injection for the successful closure of an iatrogenic bronchopleural fistula following percutaneous lung biopsy Sophia M. Foroushani, MD1,2, Jessica Shi, MD1,2, Ducksoo Kim MD3,4, Gentian Kristo, MD, MPH, FACS1,5. 1Department of Surgery, Veterans Affairs Boston Healthcare System, Boston, MA, USA; 2Department of Surgery, Boston Medical Center, Boston University Medical School, Boston, MA, USA; 3Department of Interventional Radiology, Veterans Affairs Boston Healthcare System, Boston, MA, USA; 4Department of Interventional Radiology, Boston Medical Center, Boston University Medical School, Boston, MA, USA; 5Department of Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA Background: Bronchopleural fistula (BPF) following percutaneous lung mass biopsy is a very rare but challenging complication. We describe percutaneous fibrin injection as safe and successful in the treatment of BPF. Additionally, we present a thorough literature review of the reported treatment options of iatrogenic BPF. Summary: A 68-year-old man with a lung cancer, COPD, and multiple other comorbidities underwent an image-guided percutaneous biopsy of an enlarging right-upper ...

Case Report of International Journal of Case Reports Babinski-Nageotte Syndrome: Case Report of a rare variant of Lateral Medullary Infarction Arunava Saha, MD1; Kamal Pokhrel, MD1; Gary Keilson, MD2 1.Department of Internal Medicine, Saint Vincent Hospital, Worcester, MA; 2.Chief, Department of Neurology, Saint Vincent Hospital, Worcester, MA Babinski-Nageotte Syndrome (BNS) is a rare variant of lateral medullary infarction, and only a few cases have been reported. In this case, a 52-year-old African-American gentleman presented with acute onset weakness on the left side of the body. On examination, there was a palpable right supraclavicular lymph node. Neurological examination showed right-sided gaze-evoked nystagmus and left hemiparesis with grade 3/5 power. Reflexes were normal except for extensor plantar responses on the left. MRI showed a subacute right-sided lateral brainstem infarct just below the pontomedullary junction with minimal progression in a repeat MRI after 24 hours. Workup for supraclavicular adenopathy with CT chest and CT abdomen and pelvis revealed neither neoplastic nor metastatic disease. Biopsy of supraclavicular lymph node was planned as an ...

Case Report of International Journal of Case Reports It was not a ureteral lesion. The importance of a correct comparison of clinical history and diagnostic imaging Paolo Danilo Cannizzaro1, Roberta Pilato1, Giuseppe Mazzone2, Rosalia Latino1, Antonio Di Cataldo1,* 1University of Catania, Italy, Department of Surgery; 2University of Catania, Italy, Department of Radiology This case report could be considered very useful to show to the surgical residents how to obtain a correct diagnosis utilizing logically both clinical signs and diagnostic tools. Twenty days after a right hemicolectomy for colon cancer this patient presented a right sided colic pain in the lumbar region with irradiation to the groin and a CT showing a dilated right ureter. The anamnesis of the recent surgery was suggestive for iatrogenic ureteral lesion. Through the comparison of pre-operative and postoperative CT, however, it has been realized that a stone present in the right pelvis before surgery had been gone down to the ureter just immediately after surgery. Iatrogenic ureteral lesions after colorectal surgery are rare but ...

Case Report of International Journal of Case Reports “Treat and treatment”, a rare and unsuspicious case of Enteric Duplication Cysts (EDC) in an adult man Cuneo Davide, Ascari Francesca, Scotto Bruno, Laquatra Noemi, Muratori Simone, Varoli Michele Carpi Hospital Via Molinari 2, 41012 Carpi (MO) Italy Background: Enteric duplication cysts are rare congenital malformations. Cases in adults are rare, often asymptomatic and diagnosed incidentally. Enteric duplication cysts in adults could present abdominal pain, distention, mass and dysphagia. The preoperative diagnosis is difficult, radiological images, even an abdominal Computed Tomography scan could not show a bowel duplication. Malignant transformation is rare. Case presentation: We present a case of a 67 year-old man admitted in Our Surgery Unit for several episodes of bowel obstruction. After an ileal resection the anatomopathological exam diagnosed an Enteric duplication cysts. Conclusion: A diagnosis before surgery is difficult. Only surgery and a precise anatomopathological exam can discover this malformation. Keywords: Enteric duplication cysts, abdominal pain, colonoscopy, bowel constipation, ileal resection, preoperative diagnosis, pathological exam ...