Background:In newborns, vomiting is a very frequent find.Especially in a newborn who has undergone major surgery, postoperative vomiting is a common occurrence.In our study, we aimed to present a newborn who was operated on first for anorectal malformation (ARM) and then for vesicoureteral reflux (VUR) and diagnosed with infantile hypertrophic pyloric stenosis (IHPS) upon persistent vomiting.Case Presentation: 2900 gram, 40 weeks, a boy was born from the first birth of the 25-year-old mother.It was observed that the patient had anal atresia in his first examination.He was operated on the postnatal first day and the ostomy opened.Then the patient who had urinary tract infections was performed USG and voiding cystourethrogram.The patient was diagnosed with VUR and a subureteric injection (SUE) was made.Upon persistent vomiting, he was diagnosed with IHPS. Conclusions:The existence of additional anomalies in babies born with congenital anomalies must be investigated.If vomiting persists, especially in a neonatal who has undergone major thoracoabdominal surgery IHPS should not be forgotten.There is no specific treatment order for patients who have multiple anomalies and require more than one surgery to be corrected.Each patient should be specially examined.
A 56-year-old woman with type 2 diabetes mellitus and multiple sclerosis presented to our emergency department with right flank pain, fever (38.6°) and dysuria.A computed tomography (CT) scan showed the right kidney hydronephrosis secondary to ureteral stone, therefore a percutaneous nephrostomy was placed.The next day the patient's condition deteriorated rapidly; a new CT showed the presence of gas in the right kidney suspicious for emphysematous pyelonephritis (EPB) that needed an emergency nephrectomy.Thirtyfive days later the patient was discharged in good general condition.In patients with urinary sepsis and worsening clinical conditions an early CT evaluation should be performed to exclude the presence of EPB.
Background: Here we present a case of a 36-year-old woman who suffered from severe (118°) flexion deformity of the right wrist joint because of heavily burn scar contracture of the right hand wrist.Methods: After scar excision, the wrist external fixator was applied and adjusted regularly to extent the wrist and to obtain normal range of motion of the wrist joint.Skin reconstruction was performed with a dermal regeneration matrix and eventually with a split-thickness skin graft. Results:No complications were detected associated with the treatment of the dermal regeneration matrix.Take-rate of the artificial dermal matrix and split-thickness skin graft were 100%.The wrist flexion deformity was corrected from 118° to 33° and was basically restored to its normal anatomical position.Follow-up at 6 months, the cosmetic and function results were satisfactory. Conclusion:This study demonstrates that the dermal regeneration matrix provides a potential alternative for reconstruction of complex contracture wounds.
Buschke-Lowenstein tumor or giant condyloma acuminata is a rare disorder of the external genitalia, belonging to the group of verrucous carcinomas, and usually affects immunocompromised men.Human Papillomavirus (HPV) 6 and 11 are potentially involved in the pathophysiology.A detailed questioning, a rigorous clinical examination and complementary imaging are important to establish an accurate lesion assessment and an adapted management.Wide surgical excision is the treatment of choice.
Blastomycosis is known for its propensity to mimic other illnesses, which often leads to incorrect or delayed treatment.Here we present a case report of a patient working in Wisconsin who was misdiagnosed as Tuberculosis since he was an Indian.The patient was not evaluated on endemic grounds for Blastomyces where he was working for couple of years.After he developed skin lesions along with increased shortness of breath, lesions were evaluated which showed large yeast cells resembling Blastomyces.The treating pulmonologist evaluated his occupational history and was revealed with endemicity for Blastomyces.
Lyme neuroborreliosis (LNB) is a rare infectious disorder of the nervous system caused by Borrelia burgdorferi spirochetes.Different neurological conditions were reported in the disease.We report a case of LNB in a 4-year-old boy with abdominal pain as first symptom and following onset of symmetrical ascending progression of weakness causing severe respiratory failure.The patient was diagnosed initially with Guillain-Barre syndrome (GBS).Despite the fact that he had received Intravenous immunoglobulin (IVG) treatment, upper and lower muscle weakness and respiratory failure did not recover.Second dose of IVG treatment was started but the patient didn't get better.Diagnosis of LNB was made by detection of specific antibody in serum with neuro-radiological images suggestive for this infectious disease.After a 2-week course of third-generation cephalosporin, the outcome was favorable with improvement in muscle tone but persistence of respiratory muscle failure with two extubation failures.Therefore administration of plasmapheresis was decided.All symptoms relieved following this treatment. Conclusion:This case report shows that Pediatricians must consider Lyme disease in the differential diagnosis of GBS, especially in countries where the infection is endemic.This case shows that plasmapheresis could be effective for pediatric neuroborreliosis cases.
Tumors located in the parapharyngeal space are rare. They account for 0.5% of the whole tumors of the head and neck. Benign neoplasms are the most common with a rate of 70 to 80%, 40 to 50% originate in the salivary glands.
Background: SARS-CoV-2 can reach the central nervous system through the vagal nerve.Microbiota may favour or prevent viral spread.Objective: Assess whether auricular transcutaneous vagus nerve stimulation (ATVNS) may favour the occurrence of mild-COVID-19 or the recurrence of herpes simplex type 1.Methods: All data were collected during routine consultations for Small Intestinal Bowel Overgrowth.Results: 749 patients were included.195 patients were recommended and comply with ATVNS.67 patients of the ATVNS group experienced mild-COVID-19 (34.3%) versus only 28 in the not-recommended ATVNS group (525 patients; 5.3%).A similar percentage was observed in the non-compliant ATVNS group (one case for 29 patients; 3.4%) [p<0.001].37 patients of the ATVNS group experienced a labial herpetic flare (19.0%) versus only 26 in the not-recommended AT-VNS group (5.0%).One labial herpetic flare was observed in the non-compliant ATVNS group (p<0.001).Patients who experienced mild-COVID-19 initially present with low levels of hydrogen sulphide and of butyrate in exhaled breath (respectively 0.12 +/-0.1 versus 0.16+/-0.1 and 0.58+/-0.41versus 1.02 +/-0.67 ppm) (p<0.001).This difference was not observed for herpetic flares. Conclusion:A reduced diversity of microbiota in the foregut may favour the primo-infection with COVID-19.ATVNS may increase the risk of clinical expression of COVID-19 or of herpes labialis.
Idiopathic pulmonary hemosiderosis (IPH) extremely rarely occurrs in adults according to current literature.We report one case of IPH in a middle-aged woman presenting with extensive central-predominant ground glass opacities and consolidation in the lungs.Since these imaging findings are not specific and can be similar to other diffuse pulmonary diseases, it is essential to have an deep understanding of this disorder.Imaging findings must be combined with clinical laboratory examination to make a diagnosis of IPH.Transbronchial lung biopsy (TBLB) is the gold standard for evaluation of suspected patients.We review the current literature and provide a recommendation based on discussion.
Open Access Giant Ureteral Stone in a Pediatric Patient: Case Report Yalcin Comert HS*1, Salci G1, Sarihan H1, Bozoglu ST1, Ozdogan EB2 And Eyuboglu I3 1Karadeniz Technical University, Faculty of Medicine, Department of Pediatric Surgery, Trabzon, Turkey 2Karadeniz Technical University, Faculty of Medicine, Department of Pediatric Nephrology, Trabzon, Turkey 3Karadeniz Technical University, Faculty of Medicine, Department of Radiology, Trabzon, Turkey *Corresponding author: Yalcin Comert HS, MD, Assist. Prof, Karadeniz Technical University, Faculty of Medicine, Department of Pediatric Surgery, TR61080, Trabzon, Turkey, Fax: +90 462 3250518, Tel: +90 5327419246, E-mail: sonayyalcin@hotmail.com Citation: Yalcin Comert HS, Salci G, Sarihan H, Bozoglu ST, Ozdogan EB, et al. (2021) Giant Ureteral Stone in a Pediatric Patient: Case Report. J Case Rep Stud 9(1): 103 Volume 9 | Issue 1 Journal of Case Reports and Studies
The clinical course of our patient highlights an atypical presentation of thromboembolic disease related to pregnancy, a thrombophlebitis of the right ovarian vein with endocaval floating thrombus in the postpartum. The diagnosis remains difficult since it is a rare entity with an atypical presentation but with serious medical consequences.
Congenital malformations can go unnoticed and have an impact on morbidity and mortality in early stages of life being a cause of infant death in some countries [1]. Malformations of the gastrointestinal tract occupy the second place among congenital abnormalities [2].
Hemangiomas are frequently observed lesions in the head and neck region, those of the nasal cavity and sinuses are very rare. They are divided into two histological types, capillary and cavernous ones.
Consideration by the International LawRehabilitation ("Rehabilitation") is a preferable form of reparation mechanisms when there is a violation resulting from acts of torture, cruel, inhuman or degrading treatment.The reason is that rehabilitation, as in individual measure, might play an essential role in order to reduce and diminish the consequences of such violations as much as possible [1].Also, it is clear for some that the research for reparation has a therapeutic benefit with other medical or psychological treatments for the victims [2].And taking into consideration the fact that the rehabilitation is the total of the process during when the victim deploys in order to reach the elimination of the consequences of the act of violation, the research there is also an important part [3].
Tracheobronchopathia osteochondroplastica (TOCP) is a rare disease defined by the presence of osteocartilaginous foci in the sub mucosa, without direct connection to the cartilage structures of the respiratory tree.
A retrospective review of a prospective database of 1721 patients treated for peritoneal metastases was available.Seventy of these patients were treated for ovarian malignancy and 64 of these were for recurrent ovarian cancer.Only 4 of these had a recurrent mucinous ovarian neoplasm.Demographic information and clinical data were obtained from the patient database.Surgical procedures performed and pathology reports were available for review.Continuous follow-up information was available on all 4 patients.
Congenital malformations can go unnoticed and have an impact on morbidity and mortality in early stages of life being a cause of infant death in some countries [1]. Malformations of the gastrointestinal tract occupy the second place among congenital abnormalities [2].
Temporal bone carcinoma is rare, occurring about 0.2% of all cancer of the head and neck [1]. Histologically it can arise from epithelial, mesenchymal or salivary gland. Eighty-six percent of these tumors are squamous cell carcinoma (SCC) [2]. The most common symptoms of this malignancy are ear pain and discharge [3]. These symptoms are similar to those of chronic suppurative otitis media and otitis externa and therefore SCC is easily misdiagnosed. Late diagnosis of SCC of the temporal bone is common, which worsens the prognosis [4].
Tuberculosis of the thyroid gland is very rarely diagnosed with a prevalence of 0.1-0.3 %. According to Ghosh, et al., the rarity of this localization is due to the bactericidal action of colloid and also the high iodine content and high blood flow in thyroid tissue.
Gullo´s syndrome is a benign pancreatic hyperenzymemia that appears in healthy individuals and that is maintained over time, with fluctuations and transient normalization of pancreatic enzyme values in the absence of any evidence of clinical or morphological pancreatic disease.Its correct diagnosis is important to assure the carriers of the defect that there is no pancreas disease and to avoid unnecessary examinations, treatments and hospitalizations.
