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A Rare Case of Splenic Artery Aneurysm With Unusual Combination of Pancytopenia and Massive Splenomegaly in a Tertiary Care Hospital
We present the case of a 38-year-old female (gravida 1, para 1) with a previous full-term normal delivery, who presented to a rural tertiary care hospital with a two-week history of left-sided abdominal pain. A CT scan of the abdomen revealed a solitary aneurysm in the distal portion of the splenic artery, accompanied by perisplenic fluid collection resulting in splenomegaly. Given the critical risk of rupture, which can result in life-threatening bleeding, prompt and accurate diagnosis assumes paramount significance. It is worth noting that the diagnosis of SAA often occurs incidentally due to its asymptomatic nature in i...
Source: Atherosclerosis - November 30, 2023 Category: Cardiology Authors: Shrawani Kulkarni Swarupa Chakole Tanishq Dubey Seema Yelne Source Type: research

Disturbed by a sandfly: visceral leishmaniasis in ileal Crohn ´s disease under combined immunosuppression
Rev Esp Enferm Dig. 2023 Nov 30. doi: 10.17235/reed.2023.10097/2023. Online ahead of print.ABSTRACTThis case reports illustrates a 44-year-old Caucasian male with ileal Crohn´s disease under combined immunosuppression that first presented with unspecific constitutional symptoms, newly pancytopenia and elevated inflammatory markers. The infectious screening was negative except for an ileal abscess that resolved with conservative antibiotic therapy. Due to concerns for lymphoproliferative disease in a patient under anti-TNF and azathioprine, a myelogram was performed that ruled out dysplastic changes. After abscess resoluti...
Source: Revista Espanola de Enfermedades Digestivas - November 30, 2023 Category: Gastroenterology Authors: Andreia Rei Irina Mocanu Carlos Pontinha Isabel Medeiros Source Type: research

Histopathological maturation in juvenile xanthogranuloma: a blueberry muffin infant mimicking aleukemic leukemia cutis
In conclusion, distinguishing non-typical JXG from aleukemic leukemia cutis is challenging. This case highlights the importance of multiple biopsies and the potential for histopathological maturation.PMID:37989992 | DOI:10.1007/s12185-023-03675-y (Source: International Journal of Hematology)
Source: International Journal of Hematology - November 22, 2023 Category: Hematology Authors: Yuta Sakai Yasuhiro Ikawa Mika Takenaka Kazuhiro Noguchi Toshihiro Fujiki Hiroko Ikeda Taizo Wada Source Type: research