Megacolon, Rare Mode of Revealing an Isolated Pheochromocytoma: Role of Catecholamines, A Case Report
Rolly Junior Louzolo-Kimbembe, Maryame Ben Lafqih, Sana Rafi, Ghizlane El Mghari, Nawal El Ansari
Sch J Med Case Rep | 926-928
DOI : 10.36347/sjmcr.2021.v09i10.001
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In the early 50s, some authors had already described the effects of catecholamines on the intestine, by the continuous infusion of noradrenaline into rabbits causing significant dilation of their colon. Most of the time, high levels of circulating catecholamines in secreting pheochromocytomas, can disturb the intestinal function giving a protean clinical presentation of the pheochromocytomas. As a result of these catecholamines, their morbidity and mortality are mainly of cardiovascular origin, but digestive morbidity and mortality is also significant due to severe cases of complete intestinal paralysis mediated by catecholamines, which can lead to extreme digestive pictures.
Primary Squamous Cell Carcinoma of the Thyroid: A Case Report and Review of the Literature
Youness El-Khadir, Tariq Igarramen, Oumayma Bounid, Rokkaya Iharti, Ghita Hadraoui, Sanae Chaouia, Hind Riahi Idrissi, Mouna Darfaoui, Abdelhamid El Omrani, Mouna Khouchani
Sch J Med Case Rep | 929-932
DOI : 10.36347/sjmcr.2021.v09i10.002
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Primary squamous cell carcinoma of the thyroid or Herrenschmidt tumor is an extremely rare entity that accounts for less than 1% of all types of thyroid neoplasms. Moreover, it has an aggressive behavior and unfavorable prognosis that resembles anaplastic thyroid carcinoma. The management of this tumor is mainly based on radical surgery. However, various other therapeutic approaches have been used, either exclusively or in combination with surgery. We report the case of a 60 years female patient, who presented with a cervical mass, that has been evolving for 2 months, causing intermittent dysphonia and dyspnea. Computed Tomography of the neck showed a goiter involving the isthmus and right lobe of the thyroid, infiltrating the aerodigestive tract, filling the thoracic inlet, and associated with cervical lymph nodes. Biochemical tests including serum thyroid-stimulating hormone (TSH), T4, thyroglobulin, and calcitonin were quite normal. An Echoguided thyroid biopsy was performed, which the histological and immunohistochemical study revealed a squamous cell carcinoma of the thyroid. The metastatic workup was negative. The case was discussed in a multidisciplinary deliberation meeting that concluded that the tumor is unresectable, and the patient was proposed for palliative radiotherapy and supportive treatment. The post-therapeutic follow-up was marked by size progression of the neck mass and persistent dyspnea. The patient died of airway compromise after 4 months.
Locally Advanced Squamous Cells Carcinoma of the Maxillary Sinus: A Case Showing Complete Response to Exclusive Chemoradiotherapy
Tariq Igarramen, Youness Elkhadir, Ghita Elhadraoui, Oumayma Bounid, Sanae Chaouia, Mouna Darfaoui, Abdelhamid El Omrani, Mouna Khouchani
Sch J Med Case Rep | 933-937
DOI : 10.36347/sjmcr.2021.v09i10.003
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Maxillary sinus squamous cell carcinoma is the most frequent type of Maxillary sinus carcinoma, and over 80% of Maxillary sinus squamous cell carcinomas are detected at an advanced stage because of a lack of typical symptoms, and making curative surgery sometimes impossible. We report a case of advanced squamous cell carcinoma of the left maxillary sinus, which had an aggressive clinical course but a complete response to chemoradiation. A discussion of the clinical course and treatment of squamous cell carcinoma is presented, along with a review of the pertinent literature.
Sub-Acute Sclerosing Panencephalitis Manifesting as Psychiatric Illness: A Case Report
Dr. Gurmeet Kaur, Dr. Priyanka Goyal, Dr. Richa, Dr. Manika Chaudhry
Sch J Med Case Rep | 938-941
DOI : 10.36347/sjmcr.2021.v09i10.004
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Subacute sclerosing panencephalitis (SSPE) is a chronic progressive inflammatory central nervous system disorder manifesting as a rare complication of measles viral infection in childhood resulting in fatality in all cases. It is likely to have possibility of subclinical or undiagnosed measles in early childhood in absence of prior overt measles infection. Measles vaccine has a protective effect against SSPE and high vaccination gap is associated with higher incidence of SSPE. Children residing in areas with poor vaccination coverage are at increased risk of developing the disease. It is characterised by progressive intellectual deterioration, seizures, myoclonus, ataxia and visual disturbances. The onset of SSPE is insidious and can manifest as significant psychiatric ailments. A 17 years old girl with history of progressive scholastic deterioration for a year presented with focal seizures, myoclonic jerks and psychiatric manifestations like emotional outburst followed by progressive unresponsiveness, altered sensorium and memory lapses since two weeks. A diagnosis of Subacute sclerosing panencephalitis (SSPE) was made on the basis of clinical symptoms, typical EEG changes and presence of anti-measles antibody in cerebrospinal fluid. Patient received treatment for myoclonic jerks, spasticity along with supportive care. SSPE is often a chronic inflammatory and life threatening disease of central nervous system with no cure despite development of antiviral and immunomodulator drugs. There is urgent need to advocate policies to enhance vaccination coverage and for extensive research in field for potential therapies for treatment of such patients to improve clinical outcomes.
Neuroendocrine Carcinoma of the Cervix: A Case Report and Review of the Literature
Sanae Chaouia, Ghita Hadraoui, Youness El-Khadir, Oumayma Bounid, Tariq Igarramen, Rokkaya Iharti, Mouna Darfaoui, Abdelhamid El Omrani, Mouna Khouchani
Sch J Med Case Rep | 942-946
DOI : 10.36347/sjmcr.2021.v09i10.005
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Small cell neuroendocrine carcinoma of the cervix (NECC) is a rare variant of cervical cancer. The prognosis of women with NECC is poor and there is no standardized therapy for this type of malignancy based on controlled trials. Here we report a case in which a 32 years old African female patient with an intermittent vaginal spotting and abdominal pain evolving for more than three months with complete preservation of the general condition. The clinical examination revealed only a bulky mass of the cervix, which turned out to be small cell neuroendocrine cervical carcinoma. We reviewed and discussed the features, diagnosis, and prognosis of small cell neuroendocrine carcinoma of the cervix.
Spontaneous Pneumocephalus with Meningomyelocele: A Case Report
M. Mahir, B. Zouita, I, Mansir, D. Basraoui, H. Jalal
Sch J Med Case Rep | 947-949
DOI : 10.36347/sjmcr.2021.v09i10.006
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Spontaneous pneumocephalus is one of the complications of open myelomeningocele with or without clinical signs, reported very rarely in the literature. Pneumocephalus It can associated with several neurosurgical procedures, lumbar puncture, or cranial trauma; But very rarely, the open neural tube defects may lead to spontaneous pneumocephalus. The radiographic appearance of intraspinal air on CT was not described previously. The following report presents a case of spontaneous appearance of internal pneumocephalus in a newborn infant with open myelomeningocele which environmental air could gain access to the cerebrum associated with bi-ventricular hydrocephalus and an Arnold-Chiari type II malformation, revealed on CT images. Spontaneous pneumocephalus should be kept in mind as a rare complication of open meningomyelocele. Any patient with open meningomyelocele should be early evaluated for pneumocephalus with a cranial imaging.
Esthetic Management of a Huge Labiomental Lipoma: A Case Report
Sarra Azzez, Chokri Abdellatif, Rym Hadhri, Sameh Sioud, Hajer Hentati, Jamil Selmi
Sch J Med Case Rep | 950-954
DOI : 10.36347/sjmcr.2021.v09i10.007
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Lipomas are benign soft tissue neoplasm. Despite they are the most common tumours of mesenchymal nature in human body, they are unusual in oral and maxillofacial regions The oral cavity occurrence rate ranges from 1% to 4%. The etiology remains unclear and different theories have been proposed to explain the pathogenesis of this tumour. Clinically, lipomas Exhibit painless, well-circumscribed nodular swelling with yellow color or covered by normal mucosa. The case report is about a large and deep-seated lipoma occuring in labiomental region in a 60-year-old-male patient causing esthetic impediment and speech problem. The lesion was removed through intra-oral approach for esthetic reason. No recurrence was reported after 3 months follow-up.
Malignant Schwannoma of the Thigh in a Pediatric Patient: A Case Report
Sanae Chaouia, Ghita Hadraoui, Basma Mahrouch, Youness El-Khadir, Oumayma Bounid, Tariq Igarramen, Rokkaya Iharti, Mouna Darfaoui, Abdelhamid El Omrani, Mouna Khouchani
Sch J Med Case Rep | 955-957
DOI : 10.36347/sjmcr.2021.v09i10.008
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Malignant schwannomas are rare types of malignant peripheral nerve sheath tumors composed of neoplastic Schwann cells. Many are discovered incidentally as solitary tumors. The cause is unknown. Most develop independently, although some are associated with genetic disorders such as neurofibromatosis type 2 or schwannomatosis. Schwannomas can emerge in any part of the body. They affect all age groups, with a peak occurrence between 25 and 40, without predilection to sex or race. Many are asymptomatic; nevertheless, symptoms such as paresthesia and pain are induced by mass effect and direct nerve invasion. A thorough physical examination, imaging modalities such as magnetic resonance imaging, and surgical biopsy are used to make a diagnosis. Treatment is affected by several parameters, such as the location of the tumor and the severity of the symptoms. Asymptomatic patients are treated conservatively, whereas those who are symptomatic undergo surgical resection with a favorable prognosis.
Balloning Osteolysis around Acetabular Component on Long Term Follow-Up in 15 Years Old Total Hip Arthroplasty (THA) Using Proxima Short Femur Stem: A Case Report
Dr. Neetin P Mahajan, Dr. Tushar C Patil, Dr. Kevin A Jain
Sch J Med Case Rep | 958-961
DOI : 10.36347/sjmcr.2021.v09i10.009
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Introduction: In developed countries, cementless THA is the hip replacement procedure of choice, taking over cemented THA. The uncemented THA necessitates the need of snugly fitting long femur stem which can later lead to thigh pain and proximal stress shielding seen in stems loading in diaphysis. Long conventional femur components carry risk of intra and early perioperative fracture risk upto 2.5% and incidence of thigh pain upto 11%. These issues can be avoided by preserving bone stock with the use of short metaphyseal femur stem that fix at metaphyseal cancellous bone. These proxima stems load femur metaphysis more physiologically and can be inserted in a minimally invasive way. Case report: Here we present a long term follow-up of 15 years of an operated case of left hip THA done using short proxima stem of DePuy in a 41 years old male suffer from left hip osteonecrosis. At 15 years, there was ballooning periacetabular osteolysis and loosening of acetabular cup. Conclusion: Short metaphyseal proxima stem of DePuy is a good alternative in uncemented THA, especially in young adults required hip replacement surgery due to debilitating hip disorder, giving similar survival rates when compared with conventional long femur stem. This provides advantage of being minimally invasive, less soft tissue damage, less stress shielding with more physiological load distribution and preserving bone stock. The revision replacement surgery that will be required eventually in future can be better managed due to preserved bone stock and soft tissue.
A Case Report of Recurrent Chondroblastoma in a 19 Year Old Male
Dr. Neetin P Mahajan, Dr. Sunny M Sangma, Dr. Kartik P Pande, Dr. Pritam Talukder
Sch J Med Case Rep | 962-965
DOI : 10.36347/sjmcr.2021.v09i10.010
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Introduction: Chondroblastoma is a rare benign, epiphyseal bone tumor that typically affects the second decade of life and represents approximately 1% of all bone tumors. Radiologically it manifest as a lytic tomour lesion in the epiphysis of long bones. Case report: We present a case of 19 year-old male who presented with recurrent symptoms of pain and swelling in right shoulder associated with restricted shoulder mobility. Preoperative radiological imaging showed large lytic epiphyseal lesion arising from upper end of humerus interspersed with areas of calcification. MRI was done which reveal significant findings of chondroblastoma which guided in the planning of treatment. Conclusion: Chondroblastomas are typically benign, but rarely it can progress locally or metastatise. Recurrence is also noted even after surgical resection which may suggest inadequate curettage. Early diagnosis and aggressive primary management prevents further surgeries and recurrences.
Malignant Schwannoma of the Parotid Region in a Pediatric Patient: A Case Report
G. Hadraoui, S. Chaouia, O. Bounid, Y. El Khadir, T. Igarramen, R. Iharti, M. Darfaoui, A. El Omrani, M. Khouchani
Sch J Med Case Rep | 966-970
DOI : 10.36347/sjmcr.2021.v09i10.011
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Primary malignant schwannomas are uncommon neoplasms of nerve sheath origin, particularly in the head and neck, where few cases have been documented in the literature. In the work-up of a neck mass, these tumors may offer a diagnostic dilemma and carry a poor prognosis despite wide excision, chemotherapy, and radiotherapy. We report the case of a 4 years old boy who had clinical evidence of neurofibromatosis type 1 and who presented with an asymptomatic solitary left cervical swelling. He was evaluated with an MRI scan of the neck. A biopsy was performed, and the anatomopathological and histologic examination revealed a plexiform and myxoid schwannoma. The tumor was deemed unresectable by the department of oral and maxillofacial surgery. Pathological and radiological evaluation, differential diagnosis of this neoplasm and its management are discussed.
An Unusual Case Report of Delayed Acute Pulmonary Embolism after Mild-COVID-19: Value of Post-Discharge Thromboprophylaxis?
Falmata Laouan Brem, Désiré Massimbo, Noha El Ouafi, Bazid Zakaria
Sch J Med Case Rep | 971-973
DOI : 10.36347/sjmcr.2021.v09i10.012
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COVID-19-related hypercoagulability state resulting in thromboembolic events is widely described in critically ill patients, especially in those hospitalized in the intensive care unit. Nevertheless, these thrombotic events are uncommon in COVID-19-patients with mild disease. Herein we present the case of a 51-year-old male admitted for pulmonary embolism who previously presented a mild COVID-19 twenty days earlier. He was discharged on Rivaroxaban. This finding raises discussion about extending prophylactic anticoagulation in selected patients with mild COVID-19 at a high risk of VTE.
Abdominal Wall Hydatid Cyst: A Review of Literature with a Case Report
N. Ayad, H. Loukili, R. Roukhsi, A. Mouhcine
Sch J Med Case Rep | 974-976
DOI : 10.36347/sjmcr.2021.v09i10.013
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Hydatid cyst (HC) disease is a serious health problem in endemic areas. It is a parasitic infection that commonly involves liver and lungs while muscular HC is rare. HC of abdominal wall was reported only six times. We reported a 75-year-old women presented with HC of the right side Ultrasound and CECT abdomen showed a subcutaneous cyst. HC should be put in the differential diagnosis of the abdominal wall masses. Its pre-operative diagnosis is important to prevent rupture with subsequent anaphylaxis and recurrence. Surgery is the main modality of treatment.
Role of Imaging in the Diagnosis and Management of Morel Lavallée Lesion: A Case Report and Literature Review
A Diani, Y Zouine, B Zouita, D Basraoui, H Jalal
Sch J Med Case Rep | 977-980
DOI : 10.36347/sjmcr.2021.v09i10.014
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Morel-Lavallée lesion is a closed soft-tissue degloving injury that remains rare and whose management is not yet standardized. It is a closed delamination between the fascia superficialis and the cutaneous-subcutaneous tissue. This empty space is filled with fluid and may be complicated by surinfection and tissue necrosis. Regularly described in heavy traumatology, but can also be seen in post-surgical situations, it should not be ignored in routine practice. We present the case of post-surgical Morel-Lavallée lesion and we discuss the clinical presentation, pathophysiology, imaging features of Morel-Lavallée lesions. Role of imaging in guiding prompt and appropriate treatment has also been discussed.
Acute Respiratory Failure Revealing Carnitine Deficiency: A Case Report
El Kihel H, Lahlou M, Mhamat Emerick A, Elkoraichi A, Echcherif El Kettani S, Bentalha A
Sch J Med Case Rep | 981-984
DOI : 10.36347/sjmcr.2021.v09i10.015
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L-carnitine deficiency is a rare metabolic disorder that results in defective fatty acid oxidation which leads to hypoglycemia, myopathy and severe cardiac dysfunction. It can be presented by an acute respiratory failure and the Carnitine supplementation appears to be effective in correcting the symptoms and improving the lung function. We report a case of a 10 months old infant admitted in the intensive care department for acute respiratory failure; an early intubation was necessary but the infant couldn’t be weaned from the mechanical ventilation and a tracheostomy was performed after three months of failed extubation and weaning attempts. In addition to the persistence of the respiratory distress, recurrent hypoglycemia has been observed and a metablolic screening found an L-Carnitine deficiency. The supplementation allowed a rapid improvement.
Accidental Opioid Intoxication in Children Treated With Low Doses of Naloxone: A Case of Fentanyl Patch Exposure and a Case of Morphine Tablet Ingestion
El Kihel H, Arfaoui M, Chaker A, Bentalha A, Elkoraichi A, Echcherif El Kettani S
Sch J Med Case Rep | 985-989
DOI : 10.36347/sjmcr.2021.v09i10.016
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Accidental opioid intoxication in children is a rare affection in morocco, its recognition and management must be immediate to avoid its life threatening complications. In a period of two years (September 2019 - September 2021), two cases of severe opioid intoxication in children have been admitted in the intensive care department of the children’s hospital of Rabat. The first case is a 9 years old child admitted for tonic-clonic seizures with acute respiratory distress due to Fentanyl intoxication after being exposed to a skin patch dosed 75 μg/hour, he required mechanical ventilation and was treated with a bolus of 0,8 mg of Naloxone completed with continuous infusion for 48 hours with favorable evolution and hospital release in 5 days. The second case is a 2 years 5 months old child admitted for decreased consciousness with bradypnea due to morphine intoxication after oral ingestion of 5 extended-release morphine tablets dosed 30 mg each, treated with a single bolus of 0,8 mg of Naloxone with rapid improvement.
Invasive Trichosporonosis in Immunocompetent Patient, a Case Report and Review of Literature
Nabil Tiresse, Hanane El Ouazzani, Ismail Rhorfi, Ahmed Abid
Sch J Med Case Rep | 990-993
DOI : 10.36347/sjmcr.2021.v09i10.017
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Trichosporonosis is an uncommon fungal infection that affects immunocompromised patients and has a very poor prognosis. We present a case of a 23 years-old immunocompetent patient with a history of tuberculous lymph nodes. We observed the patient from admission until discharge from the hospital. There are several diagnostic and therapeutic difficulties. Clinical symptoms and radiological findings may vary according to the affected organ. Symptoms may reflect either superficial or deep infection. Diagnosis is based on microscopic study and culture of superficial specimen. In deep infections, identification of Trichosporon spp. depends on biochemical characteristics and cell morphology. Radiological imaging is most important to assess lesion extension. Several evolutions without treatment is recognized due to this disease and his complications. The patient died despite being on fluconazole treatment which confirms the reserved prognosis of the pathology reported in the literature. Several evolutions without treatment is recognized due to this disease and his complications. W. ithout treatment, the evolution occurs in more than 80% of cases towards death. Special attention should be paid to this pathology.
The Severity of Ophthalmic Damage Following Plantain Sap Used in the Treatment of Febrile Convulsion (A Case Report)
Ibanga A. A, Ochigbo S. O, Osong A. O
Sch J Med Case Rep | 994-996
DOI : 10.36347/sjmcr.2021.v09i10.018
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In the course of both conventional (orthodox) and non-orthodox (trado - spiritual, etc) health care service delivery we encounter patients that may present with conditions that require eye care intervention primarily or with eye ailments alongside other systemic ailments. The initial interventional measure may be deficient and sometimes results in severe ocular morbidity. This case report is the instillation of substance (sap from plantain stem) into the eyes of a one-month old male child by a non-orthodox health care provider in the treatment of febrile seizure with the aim to subside twitching of the eye lid that usually accompany other generalized tonic clonic activities in febrile seizures which the child presented with to the spiritual practitioner. This resulted in severe ocular chemical injury as presented here with bilateral symblepharon and corneal ulceration. Intervention by rodding with copious antibiotic ointment under topical anaesthetic reversed the symblepharon while institution of topical vitamin C fortified tear substitute, cycloplegic and antibiotics achieved positive results with resolution of the corneal ulcer. The case report identifies one of such of so many conditions where the larger health care service primary intervention interferes negatively with proper eye care service intervention, hence the need for universal health services where eye care service needs to be properly integrated into the larger health care service including the non-orthodox health care providers by way of health education and awareness.
Overcoming Barriers to Implement Regional Anesthesia in Orthopedic Surgery of Upper Extremity with Lymphedema – A Case Report
Tuhin Mistry, Bhagyashri Soor, Kartik Sonawane, Senthilkumar Balasubramanian, Raghav Gupta, Chelliah Sekar
Sch J Med Case Rep | 997-1000
DOI : 10.36347/sjmcr.2021.v09i10.019
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Anesthetic management of patient with lymphedematous extremity undergoing orthopedic surgery is not well documented in the literature. Regional anesthesia may be the only viable option for upper limb orthopedic surgery in patients with multiple comorbid conditions. However, it may be technically challenging because of the altered nature of surrounding tissue. We report the perioperative challenges and management of an elderly female patient with multiple comorbidities scheduled for an emergency orthopedic surgery of the lymphedematous upper extremity.
Cerebellar Hemangiopericytoma: A Case Report and Literature Review
Iharti R, Bounid O, Zaytoune I, Chaouia S, Hadraoui G, Darfaoui M, Elomrani A, Khouchani M
Sch J Med Case Rep | 1001-1003
DOI : 10.36347/sjmcr.2021.v09i10.020
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Background: Haemangiopericytoma (HPC) is a rare mesenchymal tumour. It was first described in 1942 by A.P. Stout and M. Murray. It represents less than 1% of intracranial tumours. Its location in the cerebellopontine angle and its appearance on CT or MRI can be misleading and lead to a false diagnosis of acoustic neuroma or meningioma. Hemangiopericytoma is characterised by its malignant potential, high rate of recurrence and distant metastases, justifying wide surgical removal and additional radiotherapy.
Small Bowel Volvulus on Incomplete Common Mesentery - A Rare Complication in Adults: A Case Report
Y. Bouktib, B. Boutakioute, M Ouali Idrissi, N Cherif Idrissi Ganouni, Cheikh Malaaynine M.F, Rabbani K, Louzi A, Finech.B
Sch J Med Case Rep | 1004-1007
DOI : 10.36347/sjmcr.2021.v09i10.021
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A small bowel volvulus on the common mesentery was discovered in an 18-year-old young adult of occlusive syndrome associated with septic shock. In this observation it is the imaging which made the diagnosis by showing the volvulus and by visualizing the anomaly of intestinal rotation. We are doing a literature review of this rare entity.
Para-Vertebral Extramedullary Hematopoiesis (PVEH) A Report of Two Cases and Literature Review
M.Jaouaher, B. Boutakioute, Ouali Idrissi M, Cherif Idrissi EL Ganouni N
Sch J Med Case Rep | 1008-1011
DOI : 10.36347/sjmcr.2021.v09i10.022
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Para-vertebral extramedullary hematopoiesis (PVEH) is defined as an ectopic development of hematopoietic tissue outside the bone marrow. It is a very rare condition, secondary to haematological disorders leading to chronic anemia. The present report describes two cases of chronic anemia patients with paraspinal medullary hematopoiesis and analyzes the clinical manifestations, imaging, pathology, diagnosis and treatment of EMH. In addition, a supplementary review of previously published cases is provided along with a review of the related literature. Computed tomography (CT) of the first case revealed paraspinal masses, and the largest was 6.2x8.0 cm in diameter. Likewise, MIRy of the second patient revealed multiple paraspinal masses in the bottom of the left thoracic cavity, and the largest was measured 10.1x10.5 cm. In conclusion, EMH is a compatible and rare disease, and should be distinguished from other neoplasms.
Juxtacortical Chondroma: A Rare Entity Involving the Phalanges
Aditi Saini, S. Gautham Shankar, Pradeep Kumar Roul, Sonal Saran, Sudhir Saxena
Sch J Med Case Rep | 1012-1014
DOI : 10.36347/sjmcr.2021.v09i10.023
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Periosteal chondroma or juxtacortical chondroma is a rare benign bone tumor of cartilaginous origin. It arises from the periosteum, particularly that of the long tubular bones. We present an interesting case of periosteal chondroma involving the phalanx of the right hand presenting as a palpable mass in a 22-year-old male. The slowly growing mass lesion was investigated in our institute. Characteristic imaging findings on the radiograph and MRI were correlated with histopathological findings to confirm the diagnosis. Establishment of benignity of the lesion guided the surgical management of the patient.
Panic Disorder Revealing Congenital Hydrocephalus: A Propos D'un Cas Clinique
Tbatou Laila, Stati Soukaina, Chaara aya, el Moussaoui Naouar, Nafiaa Hind, Ouanass Abderrazzak
Sch J Med Case Rep | 1015-1018
DOI : 10.36347/sjmcr.2021.v09i10.024
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We report the case of a 23-year-old patient with congenital tri-ventricular hydrocephalus of incidental finding during a pretherapeutic workup requested by a comorbid social anxiety disorder with chronic headache and extremity tremor. Discussion: Although the clinical picture is suggestive of a panic disorder, some elements of the observation suggest that the psychiatric symptoms are secondary to the chronic hydrocephalus. These elements are discussed in the light of the existing literature on the links between psychiatric disorders and hydrocephalus and of neuroimaging studies finding ventricular enlargement in patients suffering from anxiety disorders. Conclusion: There are links between hydrocephalus and psychiatric manifestations. A better understanding of these links could shed light on the etiopathogeny of anxiety disorders.
Spontaneous Bladder Rupture in the Immediate Postpartum Period: A Rare Consequence of Vaginal Delivery A Case Report and Literature Review
A. Salihou, V. Ndayishimiye, D. Diarra, D. Laoudiyi, K. Chbani, S. Salam, L. Ouzidane
Sch J Med Case Rep | 1023-1025
DOI : 10.36347/sjmcr.2021.v09i10.026
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Spontaneous rupture of the bladder after a vaginal delivery is an extremely rare situation. We report the case of a 32-year-old female patient who, after a vaginal delivery, presented persistent abdominal pain associated with hematuria followed by an anuria. The exaggeration of abdominal pain associated with a gradual increase in the volume of the abdomen have motivated abdominopelvic ultrasound and an injected uroscan with acquisition at the late time confirmed the diagnosis of bladder rupture that was clinically presumed, showing a finely echogenic great abundance peritoneal effusion on ultrasound, an intact uterus and contrast product extravasation outside the bladder. Its etiology is multifactorial incriminating hyperpressure of the fetal head on the bladder not previously emptied during the second phase of labor in addition to the bladder wall weakening factors. Bladder evacuation is recommended during the second phase of labor to avoid any risk of rupture.
Blount Disease: A Case Report and Review of the Literature
Warda Chaja, Ihsane Mansir, Ibtissam Zouita, Dounia Basraoui, Hicham Jalal
Sch J Med Case Rep | 1026-1028
DOI : 10.36347/sjmcr.2021.v09i10.027
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Introduction: Blount disease is an asymmetrical disorder of proximal tibial growth that produces a three-dimensional deformity. Tibia vara is the main component of the deformity. There is general agreement that two clinical forms should be distinguished based on age, infantile and adolescent, with 10 years as the cut-off. Case: We present a case of 11 year old girl admitted to our radiology department with chronic bilateral gonalgia and genu varum evoluting for a year. The clinical examination reveals bilateral varus deformity of the proximal tibia, a palpable prominence or “beaking” of the proximal medial tibial epiphysis and metaphysic. The diagnosis of blount disease has been confirmed on standard radiography. Conclusion: Blount's disease remains a rare disease whose etiology is still unknown, seems to involve hereditary and environmental factors explaining its very particular distribution. Radiological investigations are helpful to the diagnosis by showing medial varus malalignment of the tibial metaphysis. Many angles have been described. A mongthem, the mostuseful are the mechanical tibio-femoral angle, metaphyseal-diaphyseal angle (MDA) of Levine and Drennan, and bony tibial slope.
Case Report on Pemphigus Vulgaris
Simhavalli.Godavarthi, Bammidi Tushara, Krishnapriya Lakhinana, Kosuru Chandini
Sch J Med Case Rep | 1029-1030
DOI : 10.36347/sjmcr.2021.v09i10.028
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This case report is mainly about the rare auto immune disease pemphigus vulgaris. Its onset appears on the basis of interaction between genetic predisposition and various triggering factors. Mostly it is clinical presented as oral lesions, mucosal lesions, skin blisters that are itchy and painful. It affects people around the age of 50 to 60 mostly Jewish heritages from southeast Europe, India and the Middle East. Basing on clinical features, histopathological and immunopathological findings it has to diagnose and must be treated immediately because, delayed treatment cannot be helpful and may cause fatality to the patient.
Pulmonary Artery Intimal Sarcoma with Prolonged Survival: A Case Report and Review
Mohamed Réda Khmamouche, Choukri Elmhadi, Tarik Mahfoud, Rachid Tanz, Karima Oualla, Aziz Bazine, Mohamed Fetohi, Nawfel Mellas, Mohamed Ichou
Sch J Med Case Rep | 1031-1035
DOI : 10.36347/sjmcr.2021.v09i10.029
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Pulmonary artery intimal sarcoma (PAIS) is an extremly rare and agressive tumor. The prognosis is very poor, with median overall survival between 11 and 18 months. We report a case of a 38 year old man who presented to our oncology department with diagnosis of PAIS confirmed by histological examination after surgical resection and bioprosthetic pulmonary valve replacement. Six months after adjuvant chemotherapy, the patient presented a recurrence of his disease that requires other lines of chemotherapy with prolonged survival.
A Model Example: Coexisting Superior Mesenteric Artery Syndrome and the Nutcracker Phenomenon
Y. Bouktib, Prokhssi, N. Hammoun, B. Slioui, Bellasri, M. Athman, A. Mouhsin
Sch J Med Case Rep | 1041-1042
DOI : 10.36347/sjmcr.2021.v09i10.032
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Aorto-mesenteric clamp syndrome or Wilkie's syndrome is a rare cause of upper intestinal obstruction resulting from compression of the third portion of the duodenum as it passes between the superior mesenteric artery and the aorta. Clinically, it is characterized by intermittent vomiting, nausea and abdominal pain related to the degree of duodenal compression. The diagnosis is based on abdominal computed tomography. Medical management with decompression using a nasogastric tube and adequate nutritional support are initially recommended. Surgical treatment is indicated in case of failure of conservative management.
Palatal Malignant Melanoma: A Case Report of an Unusual Site and Histologic Presentation
Dr. Sarita Nibhoria, Dr. Ekta Rani, Dr Shilpa
Sch J Med Case Rep | 1043-1046
DOI : 10.36347/sjmcr.2021.v09i10.033
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Malignant melanoma is a potentially aggressive tumor of melanocytic origin. Primary oral malignant melanoma is a rare neoplasm, accounting for 0.5% of all oral malignancies. We report a case of 44yr old male patient who presented with a painful pigmented nodule involving the palate and histologically showing a spindle cell type of Melanoma.
