International Journal of Case Reports

Idiopathic Sigmoid Intussusception Prolapse per Anus

Case Report of International Journal of Case Reports Idiopathic Sigmoid Intussusception Prolapse per Anus Loay M. AlJaberi,MD1, Alaa Eddin K. Salameh,MD2, Rafiq M. Salhab,MD3,Hazem A. Ashhab,MD4 1,2 Al-Quds University School of Medicine, East Jerusalem, P.O. box 89 3 Surgery Department, Al-Ahli Hospital, Hebron, Palestinian Territories 4 Gastroenterology Department, Charleston Area Medical Center, West Virginia, USA Sigmoidal intussusception protrusion through the anus is extremely rare and has only been reported a few times. The majority of cases of prolapsed sigmoid intussusception in adults have an underlying bowel pathology such as carcinoma, polyps, or benign neoplasms, which are usually discovered intra-operatively. Our case is a 25-year old male patient, previously healthy, with no history of constipation or straining, who presented with a painless prolapsed mass out of the anus. It is very unusual for a young healthy male to present suddenly with such a complaint. After failed attempts to reduce the prolapsed segment under general anesthesia, laparotomy was performed and the prolapsed mass was determined to be an intussuscepted sigmoid. Hartmann procedure was performed. 9 cm of the sigmoid was resected. Findings were consistent with a healthy but edematous prolapsed sigmoid colon. Keywords: Idiopathic Sigmoid prolapse, Sigmoid Procidentia, Colonic Prolapse ...

Major bleeding precipitated by interactions between antibiotics and warfarin: a case series

Case Report of International Journal of Case Reports Major bleeding precipitated by interactions between antibiotics and warfarin: a case series Luana Marchesan1, Raíssa Londero Chemello1, Vanessa Thomé1, Diego Chemello1,2 1.Department of Clinical Medicine, Health Science Center, Federal University of Santa Maria, Santa Maria, Brazil 2.Postgraduate Program in Health Science, Federal University of Santa Maria, Santa Maria, Brazil Warfarin is a widely used anticoagulant agent with a large spectrum of indications for prevention and treatment of thromboembolic complications. Despite its low cost, warfarin and all other vitamin K antagonist (VKA) use has several limitations, including narrow therapeutic index requiring frequent laboratory monitoring to prevent complications related to under- and over-anticoagulation. The concomitant use of medications may alter the metabolism of warfarin by inducing or inhibiting the cytochrome P450-2C9, resulting in a decrease or increase in anticoagulant effect. In this setting, interactions between warfarin and antibiotics have been described. These interactions represent one of the problems with VKA use in the clinical setting. We aimed to report four cases where the prescription of antibiotics without proper control of anticoagulation levels led to major hemorrhagic complications. Keywords: Anticoagulants; warfarin; drug interactions; hemorrhage; anti-bacterial agents ...

Totally Cystic Schwannoma in the posterior mediastinum on right side- A rare presentation

Case Report of International Journal of Case Reports Totally Cystic Schwannoma in the posterior mediastinum on right side- A rare presentation Amarjit singh, K S Sidhu, Shivaji Rai, Karandeep singh. Department of Cardio-Thoracic and Vascular Surgery, Government Medical College, Amritsar, India A 54 year old female presented with a short history of dyspnoea on exertion and pain right hypochondrium, radiating to back. X-Ray chest showed a well-defined opaque mass in the posterior mediastinum. A computed Tomography (C T) scan chest done revealed a thick walled cystic lesion in the posterior mediastinum compressing the right lower lobe bronchus along with minimal pleural effusion on same side. Ultrasound guided aspiration was done and clear watery fluid aspirated. Standard postero-lateral thoracotomy was under taken and the whole cystic mass was excised. Postoperative period was uneventful. Histopathological examination of the cyst wall revealed it to be a cystic schwannoma. Keywords: Cystic mass, Posterior mediastinum, Thorax, Thoracotomy, Schwannoma ...

Flu B or not Flu B: An atypical case of minimal change disease triggered by Influenza B presenting with multi-organ dysfunction

Case Report of International Journal of Case Reports Flu B or not Flu B: An atypical case of minimal change disease triggered by Influenza B presenting with multi-organ dysfunction Jordana Cheta1, Alamgir Mirza1, Michael Binder1, Sandeep Magoon1 and Thomas McCune1 1Affiliated with Eastern Virginia Medical School (EVMS), 825 Fairfax Avenue, Norfolk, Virginia 23507 Minimal change disease (MCD) accounts for 10-15% of idiopathic nephrotic syndrome in adults. Patients typically present with nephrotic range proteinuria, hypertension, microscopic hematuria and can even progress to acute renal failure. MCD can be primary (idiopathic) or secondary from etiologies such as cancer, medications, autoimmune conditions and infections. The link between infectious etiologies for MCD is important to recognize, since MCD tends to show a good response to treatment of the underlying cause. Influenza A has been reported as a secondary cause of MCD and rarely, influenza A, not B, can also present with liver failure. We present an atypical case of a 60-year-old female with no past medical history who presented with liver failure along with acute kidney injury and nephrotic range proteinuria. She was diagnosed with liver failure and secondary MCD from influenza B, the first reported case, and made a full recovery with treatment of Influenza B ...

Manual physical therapy clears adhesive bowel obstruction and strictures in a patient with Crohn’s disease

Case Report of International Journal of Case Reports Manual physical therapy clears adhesive bowel obstruction and strictures in a patient with Crohn’s disease 1 Leonard B Weinstock, 2Janey S A Pratt, 3Lawrence Wurn, 4 Sharon Hepburn, 1Associate Professor of Clinical Medicine and Surgery, Washington University School of Medicine; Specialists in Gastroenterology, LLC, St. Louis, MO 63141, United States; 2Clinical Associate Professor of Surgery, Stanford University School of Medicine, Palo Alto, CA 94035, United States; 3Director of Clinical Research, Clear Passage Therapies, Gainesville, FL; 4Clinical Director, Clear Passage Therapies, St. Louis, MO A woman with Crohn’s disease with prior resection presented with a one-year history of persistent abdominal pain. The small bowel follow-through radiograph demonstrated the presence of two strictures in the small intestine due to adhesive scarring. Opting for conservative management, the patient underwent a specialized manual physical therapy regimen. Following treatment, the patient experienced significant decrease of abdominal pain and improved biomechanical function. Radiologic imaging revealed complete resolution of both strictures. Manual physical therapy may be a viable non-operative option to manage small bowel strictures or obstruction. Keywords: Manual physical therapy, adhesive bowel obstruction and strictures, Crohn’s disease ...

Dr. Xiaoning Luo
Professor, Department of Otorhinolarygology-Head and Neck Surgery, Guangdong General Hospital, Guangzhou, China

Professor & Head, Dept.of Medicine, Govt. Medical College, Amritsar, India

Dr. Jitesh K. Kar
Clinical assistant professor, Department of Internal Medicine – Neurology, University of Alabama at Birmingham, Huntsville Regional Campus

Dr. Nisar Haider Zaidi
MBBS, MS, MRCS (Glasgow), FICS, FACS. Department of surgery, King Abdulaziz University Hospital , POBox-80215 Jeddah 21589 , Saudi Arabia

Dr. Giuseppe Lanza
Consultant Neurologist and Clinical Researcher, Department of Neurology IC of the “Oasi” Institute for Research on Mental Retardation and Brain Aging

Dr. Yousif Mohamed Y. Abdallah
Professor (Assistant), Radiological Science and Medical Imaging Department, College of Applied Medical Sciences, Majmaah University, Majmaah, Saudi Arabia

Dr. Karol Szyluk
District Hospital of Orthopedics and Trauma Surgery

Dr. Mohd Normani Zakaria
Chairman / Head of Hospital Unit / Assistant Professor / Consultant Audiologist, Audiology and Speech Pathology Programme, School of Health Sciences,, Universiti Sains Malaysia 

Dr. Dennis J. Mazur
Senior Scholar, Center for Ethics in Health Care, and Professor of Medicine, Oregon Health and Science University, Portland, Oregon USA

Dr. Marcos Roberto Tovani Palone
Department of Pathology and Legal Medicine, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil.

Dr. Begum Sertyesilisik
Assoc. Prof. at the Istanbul Technical University

Dr. Jamunarani Veeraraghavan
Baylor College of Medicine, One Baylor Plaza, Houston, Texas 

Dr. Rajinder Pal Singh Bajwa
Niagara Falls Mem Med Center, Division of Infectious Diseases, 621 Tenth Street, Niagara Falls, NY

Adiyaman University School Of Medicine, Department Of Neurosurgery, Adiyaman

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1. Avinaba Mukherjee, Sourav Sikdar, Anisur Rahman Khuda-Bukhsh. Evaluation of ameliorative potential of isolated flavonol fractions from Thuja occidentalis in lung cancer cells and in Benzo(a) pyrene induced lung toxicity in mice. International Journal of Traditional and Complementary Medicine, 2016; 1(1): 0001-0013. 
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International Journal of Case Reports (ISSN:2572-8776; DOI:10.28933/IJCR) is a peer reviewed open access 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
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