Acquired right-sided diaphragmatic hernia in a patient with retroperitoneal hydatidosis: a  case report and review of the literature
ConclusionsThe ability of hydatid disease to involve several body organs makes diagnosis and management of resultant complications a challenge in some cases, like ours. Knowledge about a reported rare complication could enable early detection and management to avoid serious complications, including abdominal viscera incarceration and strangulation. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - June 18, 2021 Category: General Medicine Source Type: research

Obturator hernia: a case report
ConclusionThis case report highlights the importance of rapid diagnosis and repair of obturator hernia even in the setting of an improving clinical picture. It also demonstrates the safety of laparoscopic repair in this setting. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - June 17, 2021 Category: General Medicine Source Type: research

Stroke associated with Mycoplasma hominis infection: a case report
ConclusionAn association may exist between stroke and the immune response toMycoplasma hominis infection. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - June 15, 2021 Category: General Medicine Source Type: research

Embryo transfer can be performed in either uterine horn. Two successive pregnancies in a patient with uterus didelphys: a case report
ConclusionPregnancy is possible in women with uterus didelphys using single embryo transfer inin vitro fertilization/intracytoplasmic sperm injection cycles. It is recommended that both horns be given a chance. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - June 14, 2021 Category: General Medicine Source Type: research

Left ventricular noncompaction —a rare cause of triad: heart failure, ventricular arrhythmias, and systemic embolic events: a case report 
ConclusionsLeft ventricular noncompaction is rare cardiomyopathy, but it should always be considered as a possible diagnosis in a patient hospitalized with heart failure, ventricular arrhythmias, and systemic embolic events. Echocardiography and cardiac magnetic resonance are essential imaging tools for diagnosis and follow-up. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - June 8, 2021 Category: General Medicine Source Type: research

From hypotonic maintenance fluid to severe hyponatremia: a case report
ConclusionThis clinical situation can serve as a reminder of the latest recommendations from the American Academy of Pediatrics regarding the use of intravenous fluids that promote the use of isotonic fluids in children. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - June 7, 2021 Category: General Medicine Source Type: research

Possible immunoglobulin-E-dependent sugammadex-induced anaphylaxis caused by an epitope other than γ-cyclodextrin: a case report
ConclusionsIn the present case, sugammadex-induced anaphylaxis might have occurred through an immunoglobulin-E-dependent mechanism and not involve γ-cyclodextrin as an epitope. Physicians should pay attention to the occurrence of sugammadex-induced anaphylaxis even when the patient has a history of safe administration of sugammadex. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - June 5, 2021 Category: General Medicine Source Type: research

Atraumatic thoracic spinal fracture mimicking herpes zoster neuralgia: a case report
ConclusionsPatients with ankylosing spondylitis could develop atraumatic spinal fractures. Severe intercostal neuralgia is an early indicator of spinal fractures, and spinal magnetic resonance imaging is crucial for the diagnosis. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - June 4, 2021 Category: General Medicine Source Type: research

Mucoid degeneration of the posterior cruciate ligament in a college soccer player: a case report
ConclusionsArthroscopic decompression of the posterior cruciate ligament may relieve knee pain and facilitate early return to play with good functional results. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - June 3, 2021 Category: General Medicine Source Type: research

Management of a spontaneous supra-aortic arterial dissection: a case report
ConclusionsMedical management of a spontaneous isolated innominate artery dissection is appropriate for short-term and potentially long-term therapy. This not only spares the patient from a potentially unnecessary surgical operation but also provides the surgeon and the patient the time to plan for a surgical approach if it becomes necessary. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - June 2, 2021 Category: General Medicine Source Type: research

Giant hamartomatous polyp of the uterine cervix with heterologous mesenchymal tissue in a child: a case report  
ConclusionGiant hamartomatous cervical polyps rarely occur in patients below 10  years of age. The majority of these lesions are benign; however, a few cases with malignant transformation are also reported, which demands elaborate investigations into the etiopathogenesis and nature of the lesions. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - June 1, 2021 Category: General Medicine Source Type: research

Pancreatic ductal adenocarcinoma concomitant with pancreatic metastases of clear-cell renal cell carcinoma: a case report
ConclusionsRenal cell carcinoma metastases of the pancreas are rare and often occur decades after the initial diagnosis of renal cell carcinoma. The combination of renal cell carcinoma metastases and pancreatic ductal adenocarcinoma is even rarer. However, the possibility should be considered by clinicians, radiologists, and pathologists. The special role of renal cell carcinoma as a site of origin of pancreatic metastasis should be further elucidated. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - May 31, 2021 Category: General Medicine Source Type: research

Acute manic state with psychotic features in a teenager with autoimmune encephalitis: a case report
ConclusionThis case underlines the importance of collaboration between child and adolescent psychiatry and pediatrics, and gives pointers for timely diagnosis. Manic adolescents who do not respond to mood-stabilizing treatment should be subjected to further consultations and investigations. Psychiatrists and neurologists should develop an integrated approach to the management of brain disorders. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - May 31, 2021 Category: General Medicine Source Type: research

Durvalumab-induced myocarditis, myositis, and myasthenia gravis: a case report
ConclusionThis is, to our knowledge, the first reported case of anti-programmed cell death ligand 1-induced combination of myocarditis, myasthenia gravis, and myositis. While the use of immunologic agents has resulted in overall improved cancer outcomes, their increased use has led to a vast spectrum of immune-related adverse effects.  We review the diagnostic workup and management of patients with these immune-related adverse effects, underscoring the importance of early identification given the potential for rapid deterioration. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - May 31, 2021 Category: General Medicine Source Type: research

Subhepatic appendix: an ectopic topography not to be disregarded: a case report
ConclusionSubhepatic appendicular peritonitis occurring in an elderly patient poses enormous diagnostic problems. When faced with right upper quadrant pain, considering acute ectopic appendicitis would significantly reduce complications. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - May 31, 2021 Category: General Medicine Source Type: research

Cervical spine injury after virtual reality gaming: a case report
ConclusionsRapid movements during VR gaming can lead to injuries of the cervical spine. In addition to rapid movements, the additional weight of the VR headset as well as the decoupling of audiovisual stimuli from the perceived proprioceptive information should be considered. Determining whether this is an isolated incident induced by unknown preexisting factors or whether the trauma mechanism alone can lead to severe spinal trauma needs to be studied further with additional cases. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - May 31, 2021 Category: General Medicine Source Type: research

Membranous nephropathy and autoimmune hepatitis in the setting of acute Helicobacter pylori infection: a case report
ConclusionThis case adds to the growing evidence of a correlation betweenH. pylori infection, MN, and autoimmune liver disease. This report demonstrates a unique case of a patient with MN, autoimmune hepatitis (AIH)/primary biliary cholangitis (PBC), and HP who underwent triple-eradication antibiotic treatment that resulted in an ultimate resolution of all these conditions. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - May 30, 2021 Category: General Medicine Source Type: research

A novel CD74-ROS1 gene fusion in a patient with inflammatory breast cancer: a case report
ConclusionWe report the case of a CD74-ROS1 fusion gene in a patient with IBC. This may reveal, for the first time, a possible association between CD74-ROS1 gene fusion and rapid progression of inflammatory breast cancer. Multigene panel testing can be performed when rapidly progressive breast cancer occurs and could reveal potential therapeutic strategies. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - May 30, 2021 Category: General Medicine Source Type: research

Clear cell renal cancer metastasis in the contralateral ureter: a case report
ConclusionUreteral metastasis of clear cell renal carcinoma is very rare, and there is no well-established treatment. For patients with low metastatic spread/volume, the aim should be to preserve kidney function, and thus metastasectomy should be considered. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - May 30, 2021 Category: General Medicine Source Type: research

Krukenberg tumor as an incidental finding in a full-term pregnancy: a case report
ConclusionThis case report describes an uncommon example of a young pregnant woman without identifiable risk factors for gastric cancer who manifested a Krukenberg tumor. This incidental finding suggests that pregnancy obscured the cancer ’s clinical appearance. The rapid deterioration in the patient’s condition corresponds to what is described in the literature. The limited information regarding this neoplasm in Mexico and the torpid evolution of the case highlight the importance of conducting additional studies to generate ther apeutic interventions aimed at increasing overall survival. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - May 29, 2021 Category: General Medicine Source Type: research

Opioid-free anesthesia —dexmedetomidine as adjuvant in erector spinae plane block: a case series
ConclusionFurther investigation is recommended to establish the potential for ESPB with dexmedetomidine as adjuvant as an opioid-free anesthetic modality in laparoscopic gynecological surgery. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - May 29, 2021 Category: General Medicine Source Type: research

Central retinal vein occlusion in a patient using the antipsychotic drug olanzapine: a case report
ConclusionsThese results indicate that CRVO can be a complication of chronic use of antipsychotic medications such as olanzapine, as shown for the first time in our case report. Clinicians should question patients who develop a sudden CRVO whether they are using antipsychotic medications such as olanzapine. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - May 29, 2021 Category: General Medicine Source Type: research

Inflammatory cap polyp of the sigmoid colon: a case report
ConclusionInflammatory cap polyp is a benign entity, and it should be kept in mind as an important differential diagnosis of exophytic colonic mass with surface exudates. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - May 29, 2021 Category: General Medicine Source Type: research

Intrabiliary and abdominal rupture of hepatic hydatid cyst leading to biliary obstruction, cholangitis, pancreatitis, peritonitis and septicemia: a case report
ConclusionIntrabiliary perforation of the liver hydatid cyst is an infrequent event but has severe consequences. Therefore, when patients complain of abdominal pain, fever, peritonitis, decreased appetite, and jaundice, a differential diagnosis of hydatid disease needs to be taken into consideration. Early diagnosis of complications and aggressive treatments, such as endoscopic retrograde cholangiopancreatography and surgery, are vital. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - May 28, 2021 Category: General Medicine Source Type: research

Ventricular tachycardia with epicardial and pericardial fibrosis 6 months after resolution of subclinical COVID-19: a case report  
ConclusionsThis case suggests an insidious and possible long-term cardiac involvement and reflects the challenges in traditional workups and screening modalities in identifying cardiac involvement in COVID-19. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - May 28, 2021 Category: General Medicine Source Type: research

Neonates with coronavirus disease 2019 acquired from infected mothers: the incompatibility of maternal intensity and infant lung involvement: two  case reports
ConclusionThe neonates had worse clinical conditions than the mothers, and the intensity of pneumonia and level of lung involvement in the newborns were not associated with the stage and severity of the disease in the mothers with COVID-19. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - May 28, 2021 Category: General Medicine Source Type: research

Proteus  mirabilis thoracic vertebral osteomyelitis: a case report
ConclusionsChronic back pain is a common but often dismissed symptom among the older population; osteomyelitis should be considered in patients with recurrent fever or neurological symptoms. Old age, chronic renal failure, and diabetes mellitus are possible predisposing factors for osteomyelitis. Our findings suggest that long-term treatment with antibiotics is effective for osteomyelitis caused byP.  mirabilis,, although surgery is required for abscess formation or serious vertebral destruction. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - May 28, 2021 Category: General Medicine Source Type: research

Inadvertent arterial puncture involving the subclavian artery and the aorta during central venous catheterization: a case report
ConclusionUtilization of real-time ultrasound guidance via the subclavian approach could have allowed for direct visualization of needle insertion to the anatomical structures, guidewire location, and directionality, all of which can lead to decreased complications and improved cannulation success compared with the landmark technique. A leftward direction of the catheter seen on postprocedural X-rays should raise high suspicion of inadvertent catheter placement and immediate correction. This complication should have been prevented if ultrasound guidance had been used. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - May 28, 2021 Category: General Medicine Source Type: research

Felty syndrome: a case report
ConclusionThis case report details the clinical course of sepsis secondary to pneumonia and urinary tract infection in the setting of Felty syndrome. Our patient does not fit the conventional profile for presentation given her race, age, and the length of time following diagnosis of rheumatoid arthritis. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - May 27, 2021 Category: General Medicine Source Type: research

Treatment and therapeutic strategies for pituitary apoplexy in pregnancy: a case series
ConclusionsAlthough the mechanism of pituitary apoplexy occurrence remains unknown, the most important treatment strategy for pituitary apoplexy in pregnancy remains adequate hydrocortisone supplementation and frequent hormonal investigation. Radiological follow-up should be performed only if clinical symptoms deteriorate, and optimal timing for surgical resection should be discussed by a multidisciplinary team that includes obstetricians and neonatologists. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - May 27, 2021 Category: General Medicine Source Type: research

A 61-year-old woman with jejunal lymphatic malformation visualized on computed tomography: a case report
ConclusionsAbdominal lymphatic malformations are difficult to diagnose solely on imaging but should remain on the differential in adult cancer patients with persistent cystic abdominal lesions despite chemotherapy and must be differentiated from metastatic implants. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - May 27, 2021 Category: General Medicine Source Type: research

Longitudinal study of primary progressive aphasia in a patient with pathologically diagnosed Alzheimer ’s disease: a case report
ConclusionsThis is possibly the first longitudinal study of nonfluent/agrammatic variant primary progressive aphasia in a Japanese-speaking patient with pathologically diagnosed Alzheimer ’s disease, but without corticobasal degeneration. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - May 26, 2021 Category: General Medicine Source Type: research

Hydrogel spacer shrinkage during external-beam radiation therapy following low-dose-rate brachytherapy for high-risk prostate cancer: a case series  
ConclusionsThe potential reduction in hydrogel spacer size during external-beam radiation therapy following brachytherapy can lead to unexpected irradiation to the rectum. This case presentation would be helpful for similar cases. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - May 26, 2021 Category: General Medicine Source Type: research

Aortic dissection diagnosed on stroke computed tomography protocol: a case report
ConclusionsWhen acute stroke is suspected due to neurological deficits, plain head CT is the first choice for imaging diagnosis. The addition of cervical CT angiography can reliably exclude stroke due to aortic dissection. CTP can identify ischemic penumbra, which cannot be diagnosed by plain head CT or diffusion-weighted magnetic resonance imaging. These combined stroke CT protocols helped us avoid missing an aortic dissection. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - May 26, 2021 Category: General Medicine Source Type: research

Avascular femoral necrosis as part of Cushing syndrome presentation: a  case report
We describe the case of a woman with CS undiagnosed for 2 years after presenting with femoral avascular necrosis.Case presentationA 38-year-old Caucasian woman was referred for evaluation of secondary amenorrhea, associated with oral contraception withdrawal in the context of deep venous thrombosis (DVT). She had a previous right hip arthroplasty for treatment of avascular necrosis of the femoral head, diagnosed after 3 years of progressive right hip pain and limited mobility. She also had high blood pressure (HBP) of 5 years ’ duration, and reported weight gain (4 kg in 2 years). There was no history of infertility ...
Source: Journal of Medical Case Reports - May 26, 2021 Category: General Medicine Source Type: research

Hemolytic uremic syndrome related to Shiga-like toxin-producing Escherichia coli with encephalitis hiding a human herpesvirus-6 infection: a case report
ConclusionWe report this uncommon case of Shiga-like toxin-producingEscherichia coli hemolytic uremic syndrome associated with a severe human herpesvirus-6 infection. Secondary isolated pericardial effusion and atypical neurological involvement are uncommon in Shiga-like toxin-producingEscherichia coli hemolytic uremic syndrome and should lead the physician to perform additional investigations. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - May 25, 2021 Category: General Medicine Source Type: research

A unique three-way Philadelphia chromosome variant t(4;9;22)(q21;q34;q11.2) in a newly diagnosed patient with chronic phase chronic myeloid leukemia: a case report and review of the  literature
ConclusionThis was the 14th case of t(4;9;22), in particular, a new variant Ph translocation involved in chromosome 4q21 and the first successful case treated with tyrosine kinase inhibitors in the world. We summarize previous case reports regarding three-way variant chromosome translocation, t(4;9;22) and discuss how this rare translocation is linked to prognosis. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - May 25, 2021 Category: General Medicine Source Type: research

Primary hypothalamic lymphoma with clinical findings mimicking pituitary apoplexy: a case report
ConclusionIn this report, we present a case of hypopituitarism that developed due to the mass effect of hypothalamic lymphoma with clinical findings of pituitary apoplexy. Intracranial masses may cause obvious endocrinological findings related to hypopituitarism, while vague findings may also be observed due to partial failure. Therefore, it is important to perform a comprehensive endocrinological examination at the time of diagnosis in patients with intracranial masses. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - May 25, 2021 Category: General Medicine Source Type: research

Severe injury to the brachial neurovascular bundle and muscles due to a horse bite: a case report
ConclusionHorse bites of large extent require a multidisciplinary approach. The composition of the team of physicians needed for treatment varies depending on the degree of the injury and eventual complications. In the case of our patient, emergency department physicians, vascular and plastic surgeons, intensive care specialists, nephrologists, and infective care specialists were involved. In different instances, the inclusion of other specialists may be necessary to save and functionalize the limbs of the patient, or save his/her life. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - May 25, 2021 Category: General Medicine Source Type: research

Recurrent spontaneous abortion related to balanced translocation of chromosomes: two case reports
ConclusionsIt is very important that couples with more than two miscarriages be provided with chromosomal analysis. Referring couples for karyotyping will rule out or confirm possible hereditary etiology and the source of chromosomal abnormalities in recurrent miscarriages. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - May 24, 2021 Category: General Medicine Source Type: research

Large retroperitoneal hematoma following vaginal delivery: a case report
ConclusionRetroperitoneal hematoma following a nontraumatic vaginal delivery is an unusual situation in general obstetrical practice. The knowledge of this potentially life-threatening condition in resource-limited settings enables effective diagnosis and management by ultrasound and laparotomy. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - May 24, 2021 Category: General Medicine Source Type: research

Surgical management outcome of cerebral schistosomiasis: a case report and  review of the literature
ConclusionCerebral schistosomiasis is a rare but important consideration in the list of differential diagnoses of cerebral space-occupying lesions. This is of particular importance in in endemic areas like Sudan. In order to reach a diagnosis, careful social and occupational history need to be obtained and correlated with the clinical, laboratory, and radiological findings. Surgical resection along with the use of proper antiparasitic agents usually provides the best clinical outcomes. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - May 23, 2021 Category: General Medicine Source Type: research

A misdiagnosed case of blastic plasmacytoid dendritic cell neoplasm experiencing multiple recurrences who  underwent allogeneic stem cell transplantation: a case report
ConclusionsEarly clinical suspicion and true pathologic diagnosis play a crucial role in patients ’ prognosis. Moreover, allogenic bone marrow transplant should be performed with more caution in aggressive forms of blastic plasmacytoid dendritic cell neoplasm because of transplant side effects and high risk of cancer recurrence. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - May 23, 2021 Category: General Medicine Source Type: research

Choroid plexus carcinoma with leptomeningeal spread in an adult: a  case report and  review of the literature
ConclusionChoroid plexus carcinoma with leptomeningeal spread in adults is very important for rapid diagnosis and treatment. In the case of the presence of leptomeningeal spread, craniospinal irradiation can be considered as a treatment method, but may have serious complications. Hence, the technique should be applied with care. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - May 23, 2021 Category: General Medicine Source Type: research

Hereditary pheochromocytoma/paraganglioma syndrome with a novel mutation in the succinate dehydrogenase subunit B gene in a Japanese family: two  case reports
ConclusionsWe detected a novel succinate dehydrogenase subunit B mutation, c.424-2delA, in a Japanese family afflicted with hereditary pheochromocytoma/paraganglioma syndrome and found the mutation to be responsible for hereditary pheochromocytoma/paraganglioma syndrome. This case emphasizes the importance of performing genetic testing for patients with pheochromocytoma and paraganglioma suspected of harboring the succinate dehydrogenase subunit B mutation (that is, metastatic, extra-adrenal, multiple, early onset, and family history of pheochromocytoma and paraganglioma) and offer surveillance screening to mutation carrie...
Source: Journal of Medical Case Reports - May 21, 2021 Category: General Medicine Source Type: research

Posttraumatic bronchobiliary fistulae due to foreign body remnants after  a road traffic injury: a case report
ConclusionsHerein, we report an extremely rare case of a posttraumatic bronchobiliary fistula caused by remnants of Surgicel hemostatic agent. Bronchobiliary fistula is mainly caused by untreated hydatid cyst, liver abscess, iatrogenic stenosis, and, rarely, trauma. Migration and erosion of oxidized regenerated cellulose through the diaphragm seems to be the causative factor of bronchobiliary fistula in this patient. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - May 21, 2021 Category: General Medicine Source Type: research

Recurrent noncirrhotic hyperammonemia causing acute metabolic encephalopathy in a patient with a continent ileocecal pouch: a case report
ConclusionThis case is an example of one of the unique consequences of urinary diversions. Urothelial tissue is typically impermeable to urinary solutes. However, when bowel segments are used, abnormal absorption of solutes occurs, including exchange of urinary chloride for serum bicarbonate, leading to a persistent hyperchloremic nonanion gap metabolic acidosis. In addition, overproduction of ammonia from urea-producing organisms can lead to abnormal absorption into the blood and subsequent oversaturation of hepatic metabolic capacity with consequent hyperammonemic encephalopathy. Although this is a rare case, prompt iden...
Source: Journal of Medical Case Reports - May 21, 2021 Category: General Medicine Source Type: research

Inverted Meckel ’s diverticulum: a case report 
ConclusionThe reasons for inversion include abnormal peristalsis around the diverticulum and non-fixity of the diverticulum itself. The inverted diverticulum itself can cause luminal compromise and acts as a lead point for intussusception leading to obstruction. Computed tomography remains the diagnostic tool of choice for identifying intestinal obstruction and intussusception. Although pathological signs, such as lipoma, can be identified, the identification of any inversion will require a proficient radiologist. Inverted Meckel ’s diverticulum is a rare condition which is difficult to diagnose preoperatively. Treat...
Source: Journal of Medical Case Reports - May 21, 2021 Category: General Medicine Source Type: research

Successful dilation and evacuation for second trimester conjoined twin: a case report and review of the literature
ConclusionIn this patient, D&E was done successfully without complications. Adequate cervical preparation, pain control, and ultrasound guidance during the procedure are critical for optimal outcomes. A literature review of methods of pregnancy termination for conjoined twins in the second trimester revealed 75% delivered vaginally through medical induction while 18% underwent cesarean section. Only one other report described successful D&E for conjoined twins after 20  weeks. D&E can be safely performed for carefully selected cases of conjoined twins beyond 20  weeks’ gestations avoiding the ne...
Source: Journal of Medical Case Reports - May 21, 2021 Category: General Medicine Source Type: research

High-dose vitamin-C induced prolonged factitious hyperglycemia in a peritoneal dialysis patient: a case report
ConclusionsAlthough factitious hyperglycemia has been reported before using certain glucometers in patients treated with high-dose vitamin C, the persistence of this phenomenon for 6 days after the discontinuation of the therapy is a distinguishing feature. This case highlights the importance of monitoring glucose with a core laboratory assay for up to a week in specific populations, such as patients on peritoneal dialysis. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - May 21, 2021 Category: General Medicine Source Type: research