International Journal of Case Reports


Cardiac Metastatic Involvement in Lung Cancer – Cardiac Metastatic Involvement

Case Report of International Journal of Case Reports Cardiac Metastatic Involvement in Lung Cancer - Cardiac Metastatic Involvement Miguel Borregón1*, Katherine Martínez2, Alba Ramos1, Irene Ramos1, Beatriz Berzal1, Manuel Mazariegos1, Margarita Díez1, Cristina Gómez1, Ana Belén Rupérez1, Irene Otero1, Ana Karina Santos1, Juan David Cárdenas1, Elia Martínez3 1Medical oncology service. Hospital Virgen de la Salud de Toledo, Spain; 2Medical oncology service. Hospital General de Segovia, Spain; 3Medical oncology service. Hospital Universitario de Fuenlabrada, Spain. Lung cancer is the second most common solid tumour and the first in mortality worldwide. Important progress has been reached in recent years in this pathology, focusing its treatment on histology, molecular biology and clinical presentation. Cardiac metastatic involvement consists in a severe clinical entity with increasing incidence due to better radiological techniques and longer survival of lung cancer. It requires special care and attention from many specialists. Clinical review about cardiac involvement secondary to lung cancer is provided, focused on its epidemiology, clinical presentation, diagnoses and treatment. Better understanding about cancer natural history is needed to offer the best treatment and care. Condensed abstract Cardiac metastatic involvement consists in a severe clinical entity with increasing incidence due to better radiological techniques and longer survival of lung cancer. It requires special care and attention from many specialists. Clinical review about cardiac involvement secondary to lung cancer is provided, focused on its epidemiology, clinical presentation, diagnoses and treatment. Keywords: Lung cancer, Heart metastases, Malignant pericardial effusion, Cardiac tamponade ...

Successful surgical management of chronic bilateral encapsulated seroma after node-negative breast cancer: A Case Report

Case Report of International Journal of Case Reports Successful surgical management of chronic bilateral encapsulated seroma after node-negative breast cancer: A Case Report Kjersti Fosheim1*, Sophie Bojesen2, Hannah Troestrup2 and Anne-Vibeke Laenkholm1 1Department of Surgical Pathology, Zealand University Hospital, Roskilde, Denmark. 2Department of Plastic Surgery, Zealand University Hospital, Roskilde, Denmark. Background: Chronic encapsulated seroma following breast cancer surgery is a rare entity, and management is challenging. We present clinical and pathologic findings in a patient with extensive history of bilateral refractory breast seroma successfully treated with capsulectomy. Case presentation: A 71-year-old woman with previous early BRCA2 associated, node-negative breast cancer, developed late onset seroma following endocrine therapy, unilateral breast-conserving surgery, and completion of adjuvant radiotherapy. Non-simultaneous bilateral mastectomy was later performed to treat infection and reduce risk of contralateral breast cancer. Each surgery was followed by chronic seroma. After six years of ineffective treatment attempts with repeated aspirations, the patient successfully underwent bilateral capsulectomy. She remains seroma-free nine months from time of capsulectomy. Conclusion: This is the first report of late onset bilateral encapsulated breast seroma following mastectomy without axillary dissection. When managing breast seroma refractory to conventional treatment encapsulated seroma and prompt capsulectomy should be considered. Keywords: Breast cancer, encapsulated seroma, capsulectomy, case report ...

Unexpected Combined Double Posterior and Anterior Approach to Treat Thoracic Disc Herniation: a Case Report

Case Report of International Journal of Case Reports Unexpected Combined Double Posterior and Anterior Approach to Treat Thoracic Disc Herniation: a Case Report MARÍA CARMEN VIEJOBUENO-MAYORDOMO M.D., ANA VERDEJO-GONZÁLEZ M.D., DAVID RUIZ PICAZO M.D., JOSÉ RAMÍREZ-VILLAESCUSA* Ph.D. DEPARTMENT OF ORTHOPAEDIC SURGERY, SPINE UNIT. COMPLEJO HOSPITALARIO UNIVERSITARIO DE ALBACETE, SPAIN. Introduction: Although frequently observed in magnetic resonance images, symptomatic thoracic disc herniations are rare. Surgical treatment is indicated when patients suffer from functional symptoms with no response to medical treatment, when neurologic symptoms appear or worsen or in the event of myelopathy. Posterolateral approaches are commonly accepted as the treatment for lateral and mediolateral disc herniations and non-calcified medial herniations. On the other hand, anterior approaches have been accepted to treat gigantic calcified medial disc herniations. Case presentation: This case report presents on a 57-year-old female patient suffering from thoracolumbar pain and impairment. The magnetic resonance study showed images compatible with a posteromedial T12-L1 disc herniation that, after medical treatment failure, required surgical treatment. Initially, a posterior approach was performed, resulting in the immediate postoperative period in motor and sensitive deficit of the lower left limb, so a surgical reintervention was performed using an anterior approach, obtaining good clinical and functional results. Conclusion: Thoracic disc herniations are uncommon. Surgical indication is decided in the presence of neurologic symptoms. Neurologic injury is a common complication due to the lesion’s characteristics and it can also be secondary to the surgical procedure. An adequate election of the surgical approach may minimize neurologic injuries. Keywords: Case Reports, Intervertebral Disc Degeneration, Orthopedic Procedures, Spinal Cord Injury, Spine ...

Celiac disease presenting as abnormal atrial rhythm resolving after gluten-free diet

Case Report of International Journal of Case Reports Celiac disease presenting as abnormal atrial rhythm resolving after gluten-free diet Moshe Rav-Acha1,3 MD, Eyal Shteyer2,3* MD 1Cardiology, Shaare Zedek Hospital, Hebrew University, Jerusalem; 2Pediatric Gastroenterology, Shaare Zedek Hospital, Hebrew University, Jerusalem; 3Faculty of Medicine, Hebrew University of Jerusalem, Israel. We describe a case of a teenager who presented with palpitations and abnormal low atrial rhythm. Celiac Disease (CD) serology, sent due to low ferritin, was positive and gastroscopy confirmed CD diagnosis. Both palpitations and abnormal rhythm resolved after gluten-free diet with normalization of CD serology. Keywords: celiac disease, arrhythmia, gluten-free diet ...

Case Report: COVID 19 infection induced Autoimmune Hemolytic Anemia

Case Report of International Journal of Case Reports Case Report: COVID 19 infection induced Autoimmune Hemolytic Anemia Waheed Abdul1* MD, Kavita Krishnakant1 DO 1Kingman Regional Medical Center, Kingman, Arizona, USA. SARS-CoV 2 was designated a pandemic by WHO on March of 2019. There have been over 120 million confirmed cases of COVID-19 globally with greater than 4 million hospitalizations in the US alone. These cases can range from asymptomatic disease to multi-organ dysfunction resulting in death. The spectrums of complications stemming from COVID-19 are much broader and can include other autoimmune disorders. Here we present a case of a woman who developed autoimmune hemolytic anemia from COVID-19 infection and was successfully treated with high dose corticosteroids. Keywords: COVID 19, autoimmune hemolytic anemia, Cold agglutinin disease, corticosteroids ...

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Aims
International Journal of Case Reports (ISSN:2572-8776; DOI:10.28933/IJCR) is a journal publishing case reports in all kinds of diseases of all medical fields. Our aim is to provide a platform for authors from all countries to encourages publication of most recent case reports in all specialties. 

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Scope: (Case reports from all medical fields.)

  • Allergy and Its Subspecialties
  • Anesthesiology and Its Subspecialties
  • Physical Medicine and Rehabilitation and Its Subspecialties
  • Urology and Its Subspecialties
  • Emergency Medicine and Its Subspecialties
  • Dermatology and Its Subspecialties
  • Medical Genetics and Its Subspecialties
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  • Ophthalmology and Its Subspecialties
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  • Radiation Oncology and Its Subspecialties
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  • Family Medicine and Its Subspecialties
  • Immunology and Its Subspecialties

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