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"CASE REPORTS"
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Linear Atrophoderma of Moulin: A Rare Case Report and Review of the Literature
Linear atrophoderma of Moulin (LAM) is an uncommon dermatological disease characterised by linear, depressed plaques on the skin. TLAM is a rare condition; we were only able to identify 23 case reports in the published literature. The findings of this report contribute to the limited literature on LAM, highlighting the importance of accurate diagnosis and management.
Abstract
Linear atrophoderma of Moulin (LAM) is an uncommon dermatological disease characterised by linear, depressed plaques typically following Blaschko’s lines. LAM generally occurs in adolescence or early adulthood and is more commonly observed in females. The aetiology of LAM is still unclear. We report a rare case of LAM in an 18-year-old female presenting with an atypical Blaschkoid distribution (multiple band-like pattern) on her right trunk. A clinical examination and histopathological analysis were performed to make the diagnosis. Partial improvement was obtained with calcipotriol and colchicine. LAM is a rare condition; we were only able to identify 23 case reports in the published literature. The findings of this report contribute to the limited literature on LAM, highlighting the clinical variability of LAM and suggesting potential novel variants beyond the classic presentation, emphasising the importance of recognising diverse manifestations for accurate diagnosis and management. Early recognition of LAM is crucial for appropriate treatment and improved patient outcomes. Further research is needed to elucidate LAM’s aetiology and underlying mechanisms to facilitate the development of more targeted therapeutic strategies.
Journal Article
Giant hemorrhagic hamartoma of the Brunner’s of duodenum: a case report
Abstract
A 56-year-old woman presented with hematemesis and melena. She was hemodynamically stable, with hemoglobin at 5.2 g/dL. Upper gastrointestinal endoscopy after transfusion showed twisting of the second duodenum (D2). Computed tomography and magnetic resonance imaging revealed intussusception caused by a duodenal mass without ischemia. Endoscopic ultrasound was inconclusive, and tumor markers were normal. Exploratory laparotomy found no peritoneal carcinomatosis. Duodenotomy exposed a 7 cm pedunculated submucosal tumor in D 2. Cannulation of the cystic duct identified the papilla, and an Escat drain was inserted. The mass was resected using Endo-GIA. Postoperative recovery was uneventful; the drain was removed on Day 3, and the patient was discharged on Day 4. Histopathology confirmed a completely resected benign Brunner’s gland harmartoma. After four years, no recurrence was observed. Brunner’s gland hamartomas are benign tumors. Surgery is indicated when endoscopic treatment is not feasible.
Journal Article
Acute severe hyperphosphatemia and secondary hypocalcemia after phosphate enema administration in a constipated post-trauma patient recovering from pelvic surgery: a case report
Abstract
Severe hyperphosphatemia secondary to phosphate enema administration is a rare but clinically significant event, particularly in patients with renal impairment. We present a case of a 77-year-old male with a history of polytrauma and prolonged immobility, who developed severe hyperphosphatemia and secondary hypocalcemia following rectal administration of a phosphate enema. The case highlights hyperphosphatemia as a potential complication of phosphate absorption and underlines the importance of early recognition of symptoms and prompt treatment.
Journal Article
A novel combined approach: trans-nasal endoscopic and transoral robotic-assisted resection of nasopharyngeal amyloidosis
Abstract
Amyloidosis is a condition characterized by extracellular deposition of insoluble, proteinaceous material with β-pleated ultrastructure. Localized head neck amyloidosis is rare with 41 cases of nasopharyngeal amyloidosis reported. A 56-year old male, with a history of T2 N1 M0 HPV positive left tonsillar squamous cell carcinoma, under surveillance post-treatment, had an incidental finding of a nasopharyngeal amyloidosis (AL lambda), involving the right lateral wall. This was resected with combined trans-nasal and transoral robotic-assisted surgery (TORS) approach, avoiding palatal split while using suction catheter for soft palate retraction. This is the first case of nasopharyngeal amyloidosis treated with this novel technique. The patient had complete resolution of swallowing with good palatal function by 2 months post-procedure and a 1 year recurrence free survival. TORS is a great adjunct for nasopharyngeal resections where conventional methods maybe limited. The combined approach added excellent 3D visualization and precise dissection without the sequel of palatal splitting.
Journal Article
