Importance of ultrasound examination: A case of peritoneal catheter tunnel infection
Some peritoneal dialysis catheter infections cannot be detected via a physical examination. In this case, we show importance of ultrasound examination in cases of suspected infection or clinical abnormality at the catheter tunnel site AbstractSome peritoneal dialysis catheter infections cannot be detected via a physical examination. Ultrasound of the PD catheter tunnel should be performed in cases of suspected infection or clinical abnormality at the catheter tunnel site. (Source: Clinical Case Reports)
Source: Clinical Case Reports - December 27, 2021 Category: General Medicine Authors: Yoshihiro Nakamura, Tsuyoshi Watanabe, Naoho Takizawa, Yoshiro Fujita Tags: CLINICAL IMAGE Source Type: research

Triple emergencies: Hyperosmolar hyperglycemic state, venous thromboembolism, and huge free ‐floating right heart thrombus successfully managed with anticoagulation
In a resource-constrained setting, therapeutic anticoagulation though less favored may be helpful with a favorable outcome in the absence of an optimal therapeutic strategy in patients with HHS who develop VTE and right heart thrombus. AbstractA 57-year-old man, with type 2 diabetes mellitus, was admitted with a hyperosmolar hyperglycemic state, who developed in-hospital venous thromboembolism with huge free-floating right heart thrombus, and there is no available optimal treatment option for the huge free-floating right heart thrombus, except anticoagulation with warfarin and low molecular weight heparin with successful o...
Source: Clinical Case Reports - December 26, 2021 Category: General Medicine Authors: Hayatu Umar, Usman Muawiyya Zagga, Femi Akindotun Akintomide, Abdulaziz Aminu, Abubakar S. Maiyaki, Umar Zulkifilu, Musa Tambuwal Umar, Kabiru Mande Muhammad, Adeshina Abdulateef Yusuf, Adamu Jibril Bamaiyi Tags: CASE REPORT Source Type: research

COVID ‐19 case of ventilator‐induced lung injury on extracorporeal membrane oxygenation: Physicians' clinical struggle and ethical conflict in a novel pandemic
Resource scarcity was concerned in the initial surge of the COVID-19 pandemic. To open slots for extracorporeal membrane oxygenation (ECMO), we tried ECMO weaning allowing invasive ventilation in a 66-year-old man with severe COVID-19, backfiring as ventilator-induced lung injury. We will discuss the ethical conflict during pandemics in this report. AbstractResource scarcity was concerned in the initial surge of the COVID-19 pandemic. To open slots for Extracorporeal Membrane Oxygenation (ECMO), we tried ECMO weaning allowing invasive ventilation in a 66-year-old male with severe COVID-19, backfiring as ventilator-induced ...
Source: Clinical Case Reports - December 26, 2021 Category: General Medicine Authors: Yoshiko Ishisaka, Nobuyuki Nosaka, Yuka Mishima, Takahiro Masuda, Michio Nagashima, Yosuke Tanaka, Kouhei Yamamoto, Masayuki Yoshida, Hidenobu Shigemitsu Tags: CASE REPORT Source Type: research

Splenosis mimicking gastric obstructive tumor: Diagnostic workup and surgical excision
In patients with tumor-like lesions on abdominal imaging and a history of splenic injury, clinicians should raise suspicion of the presence of intraperitoneal splenosis, in order to avoid unnecessary operations in the absence of symptoms. AbstractSplenosis is a condition that occurs after splenic rupture. A 29-year-old male patient with a history of splenectomy was admitted due to multiple vomiting episodes. The diagnostic workup was unable to differentiate between gastric GIST and splenosis. Laparoscopic surgical resection was performed leading to the diagnosis of splenosis. (Source: Clinical Case Reports)
Source: Clinical Case Reports - December 26, 2021 Category: General Medicine Authors: Vaia ‐Aliki Rompou, Dimitrios Korkolis, Evelina Skafida, Dimitrios Tsamis, Aris Plastiras Tags: CASE REPORT Source Type: research

Corpectomy and spinal stabilization using a 3D ‐printed spine model and custom jigs to address severe spinal deformities from T9‐11 and L2‐4 in a 6‐month‐old German shepherd puppy
This report describes surgical decompression and stabilization of 2 hemivertebrae in a German shepherd dog. Long-term clinical and imaging outcomes are documented. Spinal cord decompression via corpectomy improved neurological function and intrinsic spinal cord changes on MRI. The dog improved to have minimal paraparesis and an active lifestyle. (Source: Clinical Case Reports)
Source: Clinical Case Reports - December 26, 2021 Category: General Medicine Authors: Charlotte G. Musser, Rebecca C. Windsor, Fred Wininger Tags: CASE REPORT Source Type: research

Clinical ‐radiological approach for the diagnosis of cleidocranial dysplasia in adults: A familial cases series
In this report, we discuss the clinical and radiological signs of a case series comprising three sisters and the son of one of the sisters, all with suspected bone dysplasia. (Source: Clinical Case Reports)
Source: Clinical Case Reports - December 26, 2021 Category: General Medicine Authors: Javier Ignacio Segovia ‐Fuentes, Jorge Armando Egurrola‐Pedraza, Edgar Junior Castro‐Mendoza, Eder Cano‐Pérez, Doris Esther Gómez‐Camargo, Dacia Isabel Malambo‐García Tags: CASE REPORT Source Type: research

Clinically suspected myocarditis in COVID ‐19 patients: Case series and review of the literature
Although it seems that COVID-19 myocarditis is not a common complication, its lethal nature makes it essential to carefully monitor patients for possible clinical and laboratory findings of myocarditis (especially females and younger ages). AbstractThis Study describes eleven patients positive for severe acute respiratory syndrome coronavirus 2. In our cases, females and younger patients developed more severe disease. In contrast, improvement in left ventricular ejection fraction and N-terminal prohormone brain natriuretic peptide within the first week of treatment contributed to promising outcomes. (Source: Clinical Case Reports)
Source: Clinical Case Reports - December 26, 2021 Category: General Medicine Authors: Ahmad Amin, Seyed Parsa Eftekhar, Naghmeh Ziaie, Soudeh Roudbari, Pegah Salehi, Farzad Jalali, Iraj Jafaripour, Sanaz Ghaffari, Maryam Mohseni Salehi, Reza Ebadi Tags: CASE REPORT Source Type: research

Stercoral ulcer after Hirschsprung's disease surgery
Patients with postoperative Hirschsprung's disease associated with Down syndrome with intellectual disability require careful and long-term follow-up to avoid severe constipation that may lead to stercoral ulcer. AbstractConstipation and stercoral ulcer are risk factors associated with Hirschsprung's disease (HD); long-term follow-up is, thus, essential. In postoperative HD associated with Down syndrome (DS) with intellectual disability, vigilant follow-up is required to avoid severe constipation because DS predisposes the patients to constipation and caregivers cannot easily understand the symptoms. (Source: Clinical Case Reports)
Source: Clinical Case Reports - December 26, 2021 Category: General Medicine Authors: Toshihiko Kakiuchi, Atsuhisa Fukuta, Koichiro Yoshimaru, Yumeng Zhang, Ryo Shimoda, Muneaki Matsuo Tags: CASE REPORT Source Type: research

Challenges in corticosteroid dose regulation in a patient with autoimmune thyroid disease and neuropsychiatric syndrome: A running commentary
We report challenges in corticosteroid dose regulation in a case of autoimmune thyroid disease along with neuropsychiatric syndrome. AbstractIn the following, we report a therapeutic challenge faced by reduction in corticosteroid therapeutic dosage in a patient diagnosed with Hashimoto's encephalopathy (HE), which is equivalent to corticosteroid-responsive encephalopathy related to autoimmune thyroiditis and often misdiagnosed as neuropsychiatric status. The patient developed psychiatric symptoms. (Source: Clinical Case Reports)
Source: Clinical Case Reports - December 26, 2021 Category: General Medicine Authors: Reza Bidaki, Fatemeh Saghafi, Samira Ahrari, Vajiheh Aghamollaii, Mojde Rahmani, Ahdie Asadi Tags: CASE REPORT Source Type: research

Rare case of angiomyolipoma of the larynx
We report a rare case of angiomyolipoma (AML) of the larynx. AML belongs to the family of perivascular epithelioid cell tumors (PEComas). We review the literature on PEComas and describe differences in immunohistochemical findings between renal AML and AML in the head and neck region. (Source: Clinical Case Reports)
Source: Clinical Case Reports - December 26, 2021 Category: General Medicine Authors: Hiromu Nakamura, Yasuhiro Tada, Testuya Ogawa, Yuta Nakaegawa, Shigeyuki Murono, Yasushi Fujimoto Tags: CASE REPORT Source Type: research

An innovative approach in the management of alveolar clefts with bone graft harvest from maxillary tuberosity and mandibular wisdom molar odontectomy sites: A case report
In this study, we describe the management of a 14-year-old girl with bilateral alveolar clefts using alternative intraoral donor sites for bone graft harvest. (Source: Clinical Case Reports)
Source: Clinical Case Reports - December 26, 2021 Category: General Medicine Authors: Symon Guthua, Peter M. Ng ’ang’a, Krishan Sarna, Martin Kamau Tags: CASE REPORT Source Type: research

Oxygen: Friend or foe in the COVID ‐19 battle
In this study, we share a case of an elderly man with moderate COVID-19 who never received any form of supplemental oxygen as compared to other patients with similar presentation. (Source: Clinical Case Reports)
Source: Clinical Case Reports - December 26, 2021 Category: General Medicine Authors: Kishan Chudasama, Esmail Sangey Tags: CASE REPORT Source Type: research

A prognostic approach on a case of pediatric Philadelphia chromosome ‐positive acute lymphoblastic leukemia with monosomy‐7
Our case report highlights the occurrence of monosomy-7 as a distinct marker of poor outcome in children with Philadelphia-positive ALL. AbstractIn this work, we present the first case of a Ph-positive ALL Moroccan girl witht(9;22)(q34;q11) and monosomy-7. She was diagnosed with Ph-positive ALL based on bone marrow examination, immunophenotyping, and cytogenetic analysis. She relapsed after treatment with the persistence of the Ph chromosome and the appearance of a monosomy-7. (Source: Clinical Case Reports)
Source: Clinical Case Reports - December 26, 2021 Category: General Medicine Authors: Hanaa Skhoun, Mohammed Khattab, Aziza Belkhayat, Zahra Takki Chebihi, Nadia Dakka, Jamila El Baghdadi Tags: CASE REPORT Source Type: research

Endotracheal cuff undersizing diagnosed by computed tomography: Case report
AbstractWe herein report a case in which the trachea could be completely sealed only when the cuff pressure reached 100  cmH2O. An excessive cross-sectional area of the trachea is a rare phenomenon, but we believe that our case will be helpful for clinicians who encounter similar situations. (Source: Clinical Case Reports)
Source: Clinical Case Reports - December 26, 2021 Category: General Medicine Authors: Hong ‐Lei Wu, Yan‐Man Zhang, Jia‐hai Shi, Pei‐pei Ji, Wang‐Qin Shen Tags: CASE REPORT Source Type: research

Reddish multilobulated mass on the scalp in a 13 ‐year‐old girl
We describe the case of nodular hidradenoma presenting as an expanding nodule on the scalp. This tumor is a simulator of malignant lesions on clinical and dermoscopic examination. Our case emphasizes the importance to identify this tumor as a differential for scalp lesions. (Source: Clinical Case Reports)
Source: Clinical Case Reports - December 26, 2021 Category: General Medicine Authors: Mohamed Ben Rejeb, Randa Said, Sirine Ben Cheikh, Badreddine Sriha, Nejet Ghariani, Mohamed Denguezli Tags: CLINICAL IMAGE Source Type: research