Articles

Brachio-cephalic ('Gracz') fistula use for continuous hemofiltration in a hemodynamically unstable hemodialysis patient without venous vascular access: a case report

Even in patients with chronic renal failure and chronic intermittent hemodialysis, continuous venovenous hemofiltration (CVVH) is the most often practiced renal replacement technique in the intensive care unit...

Authors: Peter E Spronk, Jos NM Barendregt, Guus Crooijmans, Yolande M Vermeeren and Johannes H Rommes

Isolated radial head dislocation, a rare and easily missed injury in the presence of major distracting injuries: a case report

High velocity accidents can lead to major injuries – long bone fractures, abdominal trauma, pelvic fractures and chest injuries. These injuries can act as distracting factors during the initial assessment of a...

Authors: Ulfin Rethnam, Rajam SU Yesupalan and Salah S Bastawrous

Non union of scaphoid fracture in a cricketer – possibility of a stress fracture: a case report

Scaphoid stress fractures are rare and can be a cause of wrist pain in sportspersons. All the cases reported in the literature have been sportspersons. Missing a scaphoid stress fracture could lead to non-unio...

Authors: Ulfin Rethnam, Rajam SU Yesupalan and Thirumoolanathan M Kumar

Synchronous colonic carcinomas presenting as an inguinoscrotal hernial mass: a case report

A carcinoma within a hernia in the groin is uncommon, with an incidence of less than 0.5 percent of all excised sacs. This article describes a case of synchronous colonic carcinomas, one of which presented as ...

Authors: Siao Pei Tan, Siong-Seng Liau, Shayma'u M Habeeb and Dermot O'Riordan

Hepatotoxicity induced by horse ATG and reversed by rabbit ATG: a case report

The use of antilymphocyte agents has improved patient and graft survival in hematopoietic stem cell and solid organ transplantation but has been associated with the development of short-term toxicities as well...

Authors: Khalid A Al-Anazi, Mahmoud D Aljurf, Fahad Z Al-Sharif, Hamad M Al-Omar, Ahmed Alami and Fayyaz Farooq

Unusual trivial trauma may end with extrusion of a well-functioning penile prosthesis: a case report

Diabetes mellitus (DM) is the most common indication for insertion of a penile prosthesis and is a risk factor for infection of such prostheses.

Authors: Nader Salama, Tomoteru Kishimoto, Hiro-Omi Kanayama and Susumu Kagawa

Unusual cause of generalized osteolytic vertebral lesions: a case report

Vertebral sarcoidosis is an extremely rare form of osseous sarcoidosis. Although osseous sarcoidosis is almost always an incidental finding of sarcoidosis elsewhere in the body, vertebrae may be the primary di...

Authors: Sudip Nanda, Surya Prakash Bhatt, David Steinberg and Stephen A Volk

Dermoid cyst of the urinary bladder as a differential diagnosis of bladder calculus: a case report

Dermoid cysts are extremely rare in the urinary bladder and can pose a diagnostic dilemma to both the Urologist and the Histopathologist. Only a few cases were found documented and cited in PubMed. We present ...

Authors: Linus I Okeke, Gabriel O Ogun, Blessing R Etukakpan, Anselmn Iyama, Adewunmi O Adeoye and Babatunde M Duduyemi

Transplantation for renal failure secondary to enteric hyperoxaluria: a case report

Enteric hyperoxaluria can lead to renal failure. There have only been a few reports of renal transplantation as treatment of endstage renal disease secondary to enteric hyperoxaluria and results have been mixe...

Authors: Stephen I Rifkin

Epithelioid hemangioma (angiolymphoid hyperplasia with eosinophilia) of the orbit: a case report

Angiolymphoid hyperplasia with eosinophilia (ALHE) and Kimura's Disease (KD) share many clinical and histopathological features. Although they were once considered different stages of the same disease, they ar...

Authors: Bruno F Fernandes, Abdullah Al-Mujaini, Tina Petrogiannis-Haliotis, Abdullah Al-Kandari, Bryan Arthurs and Miguel N Burnier Jr

Palpable pediatric thyroid abnormalities – diagnostic pitfalls necessitate a high index of clinical suspicion: a case report

A 12-year-old girl presented with a 4 year history of an enlarged, firm thyroid gland. On exam, her thyroid was firm and fixed and an enlarged cervical lymph node was palpable as well. Though a thyroid ultraso...

Authors: Joshua P Klopper and Michael T McDermott

Amniotic membrane transplantation for wound dehiscence after deep lamellar keratoplasty: a case report

To report amniotic membrane (AM) transplantation in a patient with wound dehiscence 5 months after deep lamellar keratoplasty (DLKP)

Authors: Tetsuya Kawakita, Tamaki Sumi, Murat Dogru, Kazuo Tsubota and Jun Shimazaki

Gyrate atrophy of the choroid and retina with hyper-ornithinemia responsive to vitamin B6: a case report

Gyrate atrophy of the retina and choroid is a rare autosomal recessive inherited disease, characterized by progressive chorioretinal atrophy that results in progressive deterioration of peripheral and night vi...

Authors: Alireza Javadzadeh and Davood Gharabaghi

Atypical presentation of renal cell carcinoma: a case report

A case of Renal Cell Carcinoma (RCC) presenting to the Emergency Department with pyrexia and rigors is discussed.

Authors: Deepak Doshi, Michael Saab and Nidhi Singh

Vertebral hyperostosis, ankylosed vertebral fracture and atlantoaxial rotatory subluxation in an elderly patient with a history of infantile idiopathic scoliosis; a case report

This is a case report of a 48-year-old-woman with scoliosis since early childhood. Recent radiographic spinal assessment revealed the presence of distinctive spinal abnormalities. To the best of our knowledge ...

Authors: Ali Al Kaissi, Elisabeth Zwettler, Katharina M Roetzer, Joerg Haller, Franz Varga, Klaus Klaushofer and Franz Grill

Cystic fibrosis and renal disease: a case report

Cystic fibrosis (CF) is an autosomal recessive disease that is predominantly seen in the Caucasian population and involves multiple organs. Traditionally it has been thought that the kidney is the only organ w...

Authors: Baha A Al-Shawwa and Aparna R Rao

Giant scrotal elephantiasis of inflammatory etiology: a case report

Scrotal lymphedema is rare outside endemic filariasis regions in Africa and Asia. It is of variable origin in the western world.

Authors: Stefan Denzinger, Elke Watzlawek, Maximilian Burger, Wolf F Wieland and Wolfgang Otto

Minocycline-induced hypersensitivity syndrome presenting with meningitis and brain edema: a case report

Hypersentivity Syndrome (HS) may be a life-threatening condition. It frequently presents with fever, rash, eosinophilia and systemic manifestations. Mortality can be as high as 10% and is primarily due to hepa...

Authors: Nicolas Lefebvre, Emmanuel Forestier, David Farhi, Mohseni Zadeh Mahsa, Véronique Remy, Olivier Lesens, Daniel Christmann and Yves Hansmann

Atrial and placental melanoma metastasis: a case report and literature review

Malignant melanoma can metastasize to virtually any organ of the body. The aggressiveness is determined by the primary site, depth of dermal invasion, presence or absence of ulceration, lymphovascular infiltra...

Authors: Pradeep Lakshminarayana, Sarah Danson, Kim Suvarna and Barry Hancock

A missed orthopaedic injury following a seizure: a case report

Numerous orthopaedic injuries can follow a seizure and are often diagnosed late. This is the first documented case of a missed bilateral anterior shoulder dislocation following a seizure. The possible reasons ...

Authors: Laurence O'Connor-Read, Benjamin Bloch and Harry Brownlow

Dideoxynucleoside HIV reverse transcriptase inhibitors and drug-related hepatotoxicity: a case report

This report regards the case of a 43 year-old HIV-positive woman who developed an episode of serious transaminase elevation during stavudine-including antiretroviral therapy. Diagnostic assessment ruled out he...

Authors: Giuseppe Lapadula, Ilaria Izzo, Silvia Costarelli, Giuliana Cologni, Luisa Bercich, Salvatore Casari, Marco Gambarotti and Carlo Torti

Total myocardial revascularization for situs inversus totalis with dextrocardia: a case report

We report our experience of two patients suffering from severe coronary artery disease and situs inversus totalis with dextrocardia. The surgeon, standing on the right side of the patients, performed coronary ...

Authors: Abbasali Karimi, Abbas SalehiOmran, Hossein Ahmadi and Parin Yazdanifard

Concurrent pulmonary zygomycosis and Mycobacterium tuberculosis infection: a case report

A non-smoking 77-year old gentleman of Indian origin was admitted with a 4-month history of intermittent night sweats, haemoptysis and 6 kg of weight loss. CT scan of thorax demonstrated a 2.5 cm mass in the r...

Authors: Tejal Patel, Ian J Clifton, Jack A Kastelik and Daniel G Peckham

Low-grade pelvic masses with spindle cell and fibroblastic proliferation: a case report

Abdominal-pelvic masses containing spindle cell and fibroblastic proliferation are very rare. Since scant studies have reported on the pathologic characteristics inherent in this disease, appropriate clinical ...

Authors: John Micha, Mark Rettenmaier, Douglas Ellison, John Brown and Bram Goldstein

Multiple metachronous malignancies, one patient with three primary malignancies: a case report

We present a 61 year old Para 4 woman who presented with stage II Infiltrating lobular carcinoma of the breast after modified radical mastectomy. She was treated with Tamoxifen for seven years. She was diagnos...

Authors: Horace Fletcher, Gilian Wharfe, Elaine Williams, Barrie Hanchard and Derek Mitchell

A case of penile fracture with complete urethral disruption during sexual intercourse: a case report

Penile fracture is a rare condition. Primarily it is a rupture of the corpus cavernosum that occurs when the penis is erect. The rupture can also affect the corpus spongiosum and the urethra.

Authors: Klemen Jagodič, Marko Erklavec, Igor Bizjak, Sandi Poteko and Helena Korošec Jagodič

Severe heparin-induced thrombocytopenia: when the obvious is not obvious, a case report

Thrombocytopenia commonly occurs in hospitalized patients, particularly critically ill patients. We present an exemplifying case of severe heparin-induced thrombocytopenia (HIT) in an effort to solidify its hi...

Authors: Graham M Cormack and Larry J Kaufman

Mediastinal extension of a complicated pancreatic pseudocyst; a case report and literature review

Mediastinal pancreatic pseudocyst is a rare complication of acute or chronic pancreatitis.

Authors: Umar Sadat, Asif Jah and Emmanuel Huguet

The skiers knee without swelling or instability, a difficult diagnosis: a case report

Skiing as a recreational activity has increased exponentially in the last twenty-years. Similar to any sporting activity, participants can sustain various types of injury, which provides the emergency departme...

Authors: Mark E O'Donnell, Stephen A Badger, David Campbell, Willie Loan and Brendan Sinnott

Presumed stromal graft rejection after automated lamellar therapeutic keratoplasty: case report

To describe the development of presumed immune-mediated stromal rejection after automated lamellar therapeutic keratoplasty (ALTK) and its reversal after initiation of intensive topical corticosteroid therapy.

Authors: Motoko Kawashima, Hiroshi Mochizuki, Tetsuya Kawakita, Shin Hatoh, Jun Shimazaki and Masakazu Yamada

A possible new syndrome with growth-hormone secreting pituitary adenoma, colonic polyposis, lipomatosis, lentigines and renal carcinoma in association with familial testicular germ cell malignancy: A case report

Germ-cell testicular cancer has not been definitively linked to any known hereditary cancer susceptibility disorder. Familial testicular cancer in the presence of other findings in affected and unaffected fami...

Authors: Phuong L Mai, Larissa Korde, Joan Kramer, June Peters, Christine M Mueller, Susan Pfeiffer, Constantine A Stratakis, Peter A Pinto, Gennady Bratslavsky, Maria Merino, Peter Choyke, W Marston Linehan and Mark H Greene

Acute small bowel obstruction as a result of a Meckel's diverticulum encircling the terminal ileum: A case report

In the developed world, small bowel obstruction accounts for 20% of all acute surgical admissions. The aetiology for majority of these cases includes postoperative adhesions and herniae. However, a relatively ...

Authors: Avnesh S Thakor, Siong S Liau and Dermot C o'Riordan

The boy who refused an IV: a case report of subcutaneous clodronate for bone pain in a child with Ewing Sarcoma

Bone pain in malignancy can be challenging to treat. Bisphosphonates have been found to be useful in adults with bone pain, but there are no reports of their use in children for this indication. In pediatric p...

Authors: Harold Siden

Acute compartment syndrome of the hand in Henoch-Schonlein Purpura

An eight year old boy with Henoch-Schonlein Purpura (HSP) presented with acute compartment syndrome (ACS) of his left hand following arterial cannulation of his radial artery in intensive care unit. Emergency ...

Authors: Guntur E Luis and Eng-Seng Ng

Toxic shock syndrome responsive to steroids

Toxic Shock Syndrome is a dangerous disease with clinical features mimicking bacterial sepsis. The best management of Toxic Shock Syndrome is not determined.

Authors: Nikhil Vergis and David A Gorard

Acute disseminated encephalomyelitis mimicking late CNS relapse of acute lymphoblastic leukaemia: case report

Acute encephalomyelopathy occurring after an allogeneic bone marrow transplant for leukaemia is a diagnostic emergency. The diagnosis can be challenging since there is a wide set of alternative diagnoses, incl...

Authors: Ram Kumar, Shobha Nijalingappa, John Grainger and Omar Ismayl

Iatrogenic insertion of impression mould into middle ear and mastoid and its retrieval after 9 years: a case report

The magnitude of hearing loss in Pakistan is enormous. One in twelve children of Pakistan suffers from some form of hearing impairment. Many of them are unable to afford surgical procedures and resort to the u...

Authors: Mohammad Sohail Awan, Moghira Iqbal and Zakariya Imam Sardar

Reactive arthritis developing after pneumococcal conjunctivitis: a case report

S. pneumoniae is a known cause of bacterial conjunctivitis and can be transmitted through contact with infected carriers.

Authors: Amit S Verma and Dorian Dwarika

Introducing Journal of Medical Case Reports

Authors: Michael Kidd and Charlotte Hubbard