Spontaneous Pneumomediastinum as an Anxiety Hysteria Consequence
Nuno Zarcos Palma, Mariana da Cruz, Catarina Couto, Vítor Fagundes, Alice Castro, Mari Mesquita
Sch J Med Case Rep | 31-32
DOI : 10.36347/sjmcr.2020.v08i01.009
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A 21-year-old girl had a sudden onset of thoracic pain and shortness of breath after anxiety hysteria. After two days
the patient came to the emergency department for swollen neck. Physical examination revealed crackles in the
subcutaneous cellular tissue. Spontaneous pneumomediastinum was diagnosed, and the patient was admitted for close
monitoring. On follow up she had complete resolution of the pneumomediastinum.
Ewing Sarcoma of Soft Parts: About Three Cases and Literature Review
M. Ouali Idrissi, H. EL Hammaoui, M. El Ghaidi, H. El Mortaji, B. Boutakioute, N. Cherif Idrissi Guanouni
Sch J Med Case Rep | 10-15
DOI : 10.36347/sjmcr.2020.v08i01.004
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Extraosseous Ewing sarcomas (EESs) are rare tumours originating from soft tissues. Imaging has an interest in the
diagnosis of lesions, local extension and post-treatment follow-up. This paper reports tree cases of soft tissue Ewing's
sarcoma. They all benefited from an MRI with the T1 and T2 weighted sequences in all three planes and FATSAT
without and after gadolinium injection in all three planes. The guided echo biopsy was done for all the cases
objectifying Ewing's sarcoma. They were treated by a multidisciplinary approach including surgery, chemotherapy and
radiotherapy.
Microfilaria in Liver Aspirate: A Rare Finding
SR Rana Safia, ZSJ Jairajpuri S Zeeba, Jetley Sujata, SK Khetrapal Shaan
Sch J Med Case Rep | 4-6
DOI : 10.36347/sjmcr.2020.v08i01.002
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Filariasis caused by Wuchereria bancrofti is a disease of tropical country like India. The detection is conventionally by
demonstration of microfilariae in the peripheral blood smear. However, microfilariae can be incidentally detected in
fine needle aspirates of various lesions. Although microfilariae have been reported in cytological specimens of many
organs, but it is extremely rare to find microfilaria in cytological smears of liver aspirates [1]. We hereby report a rare
case of microfilaria in liver aspirates of a 37 year old male who presented with yellowish discoloration of eyes, urine
and malena. Radiological investigations were suggestive of nodular regeneration and hyperplasia in liver. Ultrasound
(USG) guided aspirates yielded microfilariae in liver aspirate cytology smears. A final impression of filariasis was
made.
Renal Sarcoidosis Presenting as Acute Kidney Injury with Granulomatous Interstitial Nephritis
Nadia Bouchemla, Meriem Chettati, Poda Anselme, Meryem labrassi, Wafaa Fadili, Inass Laouad
Sch J Med Case Rep | 7-9
DOI : 10.36347/sjmcr.2020.v08i01.003
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Sarcoidosis is a nonnecrotizing granulomatous disease of unknown origin that can affect lungs, eyes, kidneys and skin.
Although kidney involvement is usually clinically silent, granulomatous interstitial nephritis - the hallmark of renal
sarcoidosis – can lead to functional impairment and organ failure. We report a case of renal sarcoidosis revealed by
acute kidney injury with biopsy finding of a granulomatous interstitial nephritis. Outcome was favorable after the
institution of high dose corticosteroids.
Systemic Lupus Erythematosus Induced by Isoniazide
Benjelloun Hanane, AMI Meryem, Zaghba Nahid, Yassine Najiba
Sch J Med Case Rep | 16-18
DOI : 10.36347/sjmcr.2020.v08i01.005
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Introduction: Systemic lupus erythematosus is an autoimmune disease characterized by the presence of antibodies
Nuclear. Drug-induced lupus is an ancient, well-known but rare entity. Observation: We report a case of systemic
lupus erythematosus induced by The isoniazid. It was a female Patient, elderly of 23 years old who Introduced lupus
induced a month and a half after taking anti-bacillary treatment for pulmonary tuberculosis with positive microscopy.
The Disease was manifested by a fever, A Skin impairment made of a facial butterfly rash, scaly erythematic lesions
and itchy of arms and legs, without joint, renal, cardiac, or neurological damage. Microcytic hypochromic anemia has
been associated with it. Anti-nuclear antibodies and native anti-DNA antibodies were Positive in the serum of the
Patient while the anti-Sm, The anti-SSa, The Anti-SSb were absent, anti-histone antibodies were not made for lack of
means. Stopping the anti-bacillary treatment Allowed the regression of the lesions after 15 days and their
disappearance after two months, as well as the regression of the anti-nuclear antibodies rate after 6 months. The
reintroduction of it by discarding the Isoniazide, the most incriminating anti-bacillary, was associated to a good
clinical as well as biological tolerance. Thus, the diagnosis of isoniazid-induced lupus was retained. Conclusion: Our
case strengthens the possibility of occurrence of drug-induced lupus.
Isolated Small Bowel Perforation Discovered During Acute Peritonitis
Abdelouhab Elmarouni, Karam Aziz, Hossam Belghali, Ahmed Zerhouni, Tarik Souiki, Karim Ibn Majdoub Hassani, Khalid Mazaz, Imane Toughrai
Sch J Med Case Rep | 19-22
DOI : 10.36347/sjmcr.2020.v08i01.006
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Small Bowel Perforations (SBPs) due to causes other than trauma and known common etiological factors (mesenteric
vascular disease, internal and external hernias, intraabdominal adhesions, inflammatory bowel diseases, and
iatrogenic) are also called spontaneous or non-traumatic SBPs, Presentation at the hospital is generally late, and
patients are in an impaired physical condition due to diffuse peritonitis, we report the case of acute peritonitis
secondary to an isolated ileal perforation discovered in a patient operated on in the surgical emergency.
Multiple Myeloma Presenting as a Clavicular Swelling – A Case Report
Chaganti Sridevi, UVPU Sowjanya, KalaiSelvi VS
Sch J Med Case Rep | 23-24
DOI : 10.36347/sjmcr.2020.v08i01.007
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Multiple myeloma (MM) is a clonal B-lymphocyte neoplasm of terminally differentiated plasma cells. The cause of
multiple myeloma is unknown. Data from cloning and gene-sequencing studies strongly imply that the malignant
clone in multiple myeloma arises from a late cell in B-cell development. A 63yr old male presented with the
complaints of swelling in the right side of the clavicular region. Various investigation; CT scan, biochemical analysis
of serum protein, and pathological studies were done. Serum electrophoresis showed an M band.
Pancoast Syndrome Revealing a Vertebral Giant Cell Tumor
EL Ghazi M, Ahmanna H-C, Rais H, Mssouguar Y, Boutakioute B, Idrissi Ouali M, Cherif Idrissi Ganouni N
Sch J Med Case Rep | 49-51
DOI : 10.36347/sjmcr.2020.v08i01.015
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Introduction: Giant cell tumor is a locally aggressive benign primitive bone tumor, the vertebral location is
exceptional, and rarely associates with an aneurysmal cyst, we report a case of vertebral giant cell tumor, colonized by
an aneurysmal cyst revealed by a Pancoast syndrome. Case presentation: We report the case of a 19 years old female
patient, present since 6 months a symptom of horner syndrome, with pain located on the shoulder and the inter
scapula-vertebral space, inflammation blood test were negative, radiological assessment showed a lytic lesion process
centered on D1 extends into spine canal and inside the thorax, Biopsy: Giant cell tumor, colonized by an aneurysmal
cyst. Conclusion: The giant cell tumor with vertebral location is a very aggressive tumor; IT can be associated with an
aneurysmal cyst responsible for tumor hypervascularization, necessitating preoperative embolization.
Original Research Article
Jan. 14, 2020
Interest of a Broad Vessel Carrier of the Sural Neuro-Cutaneous Flap for the Covering of Post-Traumatic Skin Defects of the Ankle and Foot
Ababou K, Ribag Y, Fouadi F, Khales A, Achbouk H, Ouardi A, Badaoui Z, Moqfi I, Nassim Sabah T, EL Khatib M K, Siah S
Sch J Med Case Rep | 25-30
DOI : 10.36347/sjmcr.2020.v08i01.008
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Introduction: The reconstruction of defects in the foot and ankle is a real challenge for plastic surgeons. Material and
methods: A retrospective study of a series made up of 18 patients who benefited, in the plastic surgery department of
the Mohamed V Military Hospital in Rabat, from January 2015 to December 31, 2018, of a reconstruction of ankle
skin substance loss and of the neck of the foot by a sural neurocutaneous flap with distal pedicle, using a fascio-fatty
strip containing the pedicle more than 3cm. while specifying the inclusion and exclusion criteria. Results: We noticed,
a male predominance. The average age is 41.6 years old. The coverage interested the internal malleolus in ten cases,
the external malleolus in seven cases, and the instep for 3 patients. Ten out of eighteen patients benefited from an
intervention in two surgical times, covering the skin defect by the flap with a large pedicle and skin graft of the donor
area secondarily. Minimal and manageable complications were noticed. Discussion: Anatomical reminder and the
details of our technique, it is a reliable means for covering defects in the instep and ankle, a comparison was made
with other plastic surgery procedures. Advantages and disadvantages of our technique; all stressing the need to take a
pedicle wide more than three centimeters. Conclusion: A technique of choice for covering losses of substance in the
ankle and the instep. The aim of this study was to report our experience and to assess the reliability of this flap by
taking a large pedicle.
A Rare Cause of Intestinal Obstruction during Pregnancy: The Volvulus of the Small Intestine about a Case
Roufaida Ben Janan, Yassir El Oukli, Siham Badaa, Najia Zeraidi, Abdelaziz Baidada
Sch J Med Case Rep | 33-36
DOI : 10.36347/sjmcr.2020.v08i01.010
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Volvulus of the small intestine is a rare complication of pregnancy, difficult and late diagnosis at the stage of
complication since the clinic is not very specific, often camouflaged by a symptomatology that can be related to
pregnancy. We report the case of a 38-year-old pregnant woman at 18 weeks of amenorrhea in a bowel obstruction
chart with threat of abortion. Radiological exploration had found mechanical bowel obstruction with signs of digestive
distress. Surgical exploration found a small intestine volvulus with necrosis requiring resection. In the light of this
observation, the diagnostic and therapeutic modalities of this rare association will be discussed.
Pyogenic Granuloma Case Report- Surgical Excision with Diode Laser
Shashirekha A, Tejaswi Ch
Sch J Med Case Rep | 43-45
DOI : 10.36347/sjmcr.2020.v08i01.013
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Pyogenic granuloma (PG) is a kind of inflammatory hyperplasia in response to chronic irritation. It can occur at any
age. The hypothetic etiologies include trauma, viral or hormonal factors. Gingiva is the most common site affected
followed by buccal mucosa, tongue and lips. Pyogenic granuloma in general, does not occur when excised along with
the base and its causative factors. The diode laser is our treatment of choice for pyogenic granuloma as it provides less
bleeding than the other modalities.
Delayed Hydrothorax Induced by Suboptimal Positioning of Central Venous Catheter Tip: A Case Report
Bo Young Hwang, Hak Jong You, Il Seok Kim, Min Soo Kim
Sch J Med Case Rep | 37-40
DOI : 10.36347/sjmcr.2020.v08i01.011
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Although advance in technology undergoing central venous access and awareness of consequences have improved,
unanticipated complications are still existed. Delayed onset hydrothorax caused by vascular injury from mechanical or
chemical irritation of a central venous catheter to the vascular wall may occur if positioning of the catheter is
suboptimal. A 55-year-old woman was undergone bypass surgery from the superficial temporal artery to the middle
cerebral artery with impression of Moyamoya disease. Before surgery, a triple-lumen central venous catheter was
inserted under ultrasound guidance in left subclavian vein for intraoperative hemodynamic managements. The catheter
was fixed at a length of 17 cm from skin punctured site and each port of catheter was functioned optimally. After
bypass surgery, she managed with coma therapy in the intensive care unit. Three days after coma therapy, she
developed respiratory distress during the weaning from mechanical ventilation. Massive pleural effusion on the right
chest, air-bubble with low density fluid collection on the anterior mediastinum, and small amount of pericardial
effusion were shown in chest X-ray and computed tomography.
Role of Crush Cytology in Intraoperative CNS Tumors
Sangeeta Yadav, Surabhi Tyagi, B.S.Sharma
Sch J Med Case Rep | 41-42
DOI : 10.36347/sjmcr.2020.v08i01.012
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Aims & objective: To assess the efficiency of intraoperative crush cytology and its correlation with histopathological
diagnosis. Methods: The patient was investigated by various radiological & lab tests and operated. Intraoperative
crush cytology smear was prepared, stained by rapid H& E method & later correlated with the histopathological
diagnosis of the biopsy received. Result: The intraoperative cytological diagnosis was the same as the
histopathological diagnosis including the grade of the tumor. Conclusion: Crush cytology is the only possible way for
rapid & reliable diagnosis of intra- cranial space occupying lesions as FNAC cannot be performed in the cranial cavity.
It has a high accuracy rate & avoids the freezing artifacts of the frozen section
Multiples Juvenile Xanthogranuloma: About 4 Cases
Bouighjdane F, Elaattoul N, Amal S, Hocar O
Sch J Med Case Rep | 46-48
DOI : 10.36347/sjmcr.2020.v08i01.014
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Juvenile xanthogranuloma is a rare disease. It is a benign, auto-involutional tumor, mainly of cutaneous localization.
We report 4 cases of multiple juvenile xanthogranuloma. There were 4 male children, whose average age was 1 year 5
months with extremes ranging from 3 months to 3 years. The average age of onset was 9 months. Lesions were
multiple yellowish papulo nodules of varying size and number. The diagnosis of xanthogranuloma was confirmed on
biopsy with histological and immunohistochemical study in all our patients. Neurofibromatosis type 1 was found in
only one patient, in whom the hemogram showed a major hyperleucocytosis with hypochromic microcytic anemia and
osteo-medullary biopsy infiltration by non-langerhansian histiocytic cells. Ophthalmological examination done in 3
patients returned normal. Abdominal ultrasonography revealed hepatosplenomegaly in one patient and was normal in
the other 3. Juvenile xanthogranuloma is a form of non-langerhansian histiocytosis. It most often affects young
children. Clinically occurs in its classic form as papules or nodules yellow orange firm and well limited. The
anatomopathological examination confirms the diagnosis. Interrogation and clinical examination should focus on
finding extra skin lesions and signs of Neurofibromatosis type1. Ophthalmological examination is justified in case of
ocular signs, in case of extra-cutaneous lesions or multiple lesions in a child under 2 years old. If combined with NF1,
a blood count should be made to search for associated myelomonocytic leukemia.
Cerebellar Ataxia Associated with Glutamic acid Decarboxylase Autoantibody (Anti GAD)
Ana Catarina Dionísio, Ricardo Gomes, Isabel de La Cal Caballero, Rita Elvas, José Proença, Leopoldina Vicente
Sch J Med Case Rep | 54-55
DOI : 10.36347/sjmcr.2020.v08i01.017
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Cerebellar ataxia implies changes in motor coordination and balance. An etiological study is difficult given the
countless differential diagnoses. Autoimmune causes, namely due to anti-GAD antibodies, represent only around 2%
of progressive cerebellar ataxia in adults [1]. The case presented is of a woman with a history of epilepsy and alopecia
universalis that began to show a condition of cerebellar ataxia whose study revealed an autoimmune ataxia with
positive Anti-GAD 65 antibodies. Therapeutics with intravenous immunoglobulin enabled partial improvement of the
symptoms.
A Case of Generalized Pruritic Lichen Nitidus with Palmoplantar Involvement - Pediatric Generalized Lichen Nitidus
Afiouni R, Helou J, Matar S, Tomb R
Sch J Med Case Rep | 76-78
DOI : 10.36347/sjmcr.2020.v08i01.024
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Lichen nitidus (LN) is a rare cutaneous disorder characterized by the presence of multiple, usually asymptomatic,
small papules, most commonly localized on the neck, chest, forearms, abdomen and genitalia. Rare cases of
generalized LN and of palmoplantar LN have been reported, and to our knowledge, no cases of concomitant
generalized and palmoplantar LN have been described. We present the case of a 7-year old girl with generalized and
palmoplantar pruritic LN. This cutaneous disorder has a pathognomonic histopathology characterized by a dermal
lymphohistiocytic infiltrate in a ball in claw configuration. It is usually self-limited, but diffuse or persistent disease is
indication for treatment.
Chronic Myeloid Leukemia with Coagulopathy: About one Case and Review of the Literature
Beddou G, Yahyaoui H, Skali H, Benjelloun I, Ait Ameur M, Chakour M
Sch J Med Case Rep | 56-59
DOI : 10.36347/sjmcr.2020.v08i01.018
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Introduction: Consumption coagulopathy or disseminated intravascular coagulation (DIC) corresponds to
uncontrolled activation of coagulation in an anatomically intact vascular network leading to fibrin deposition in the
vasculature, organ dysfunction, and consumption of clotting factors and platelets, and life-threatening
hemorrhage. This is an acute and severe pathological situation with a very unpleasant prognosis providing very high
mortality. Materials and methods: The study was conducted on a complicated case of chronic myeloid leukemia
(CML) with disseminated intravascular coagulation (DIC). Observation: We report a case of a 75-year-old patient
followed for type II diabetes and dyslipidemia under treatment who presented with generalized fatigue and a history
of left hypochondrium discomfort. The abdominal examination revealed a splenomegaly (5 cm from the cost
overhang). The rest of the clinical examination was without peculiarity. On investigation, he was found to have a
major hyperleukocytosis at 111.5 G / l with a leukocyte count as follows: PNN at 95.89 G / l, PNE at 1.115 G / l, PNB
at 0 G / l, Lymphocytes at 11, 15 G / l and monocytes at 3.345 G / l. The hemoglobin level was 8.3 g / dl with a VGM
at 86 µ3, a TCMH at 29pg and a CCMH at 32.3 g / dl. The reticulocyte count was around 28,960 element / mm3. The
platelet count was 279 G / L. The blood smear objectified the presence of a 43% myelemia made up of 20% of
myelocytes and 23% of metamyelocytes with a rate of circulating blasts of 9%. A myelogram was performed one day
after had objectified a very rich marrow with the presence of many megakaryocytes and major hyperplasia of the
granular line at 86% is subject to compliance with the maturation pyramid without significant hiatus.
A Venous Malformation of Left Thigh-A Case Report
A. K. Al Miraj, H. N. Ashikur Rahaman, Md. Magfur Rahman, Md. Saif Ullah Khan
Sch J Med Case Rep | 60-63
DOI : 10.36347/sjmcr.2020.v08i01.019
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Purpose: To represent the clinical usefulness of duplex-guided compression in the evaluation and treatment of
iatrogenic femoral pseudo- aneurysms. Case Report: A 14 year old female patient presented to Department of Vascular
Surgery BSSMU with a complaint of swelling on the left medial aspect of thigh since birth. She underwent surgical
intervention twice at the age of 7 years and 12 years. However the lesion kept growing recurrently over the left medial
thigh after two surgical interventions over the period of 7 years. The lesion was present on left medial aspect of thigh,
extending from mid thigh to knee joint. The swelling was measuring around 7.5 cm × 4.0 cm. The overlying skin was
normal. There was longitudinal scar marks of the previous surgery were seen. The swelling was soft, compressible and
non tender on palpation. The overlying skin was normal borders were ill defined and diffuse. There was no bruit, thrill,
pulsation or rise in temperature. Duplex ultrasound scanning was done to confirm the diagnosis, which revealed and
MRI was done before planning for surgery to see the extent and nature of the lesion. Conclusions: This case revealed
that In case of vascular malformation, soft tissue and skeletal overgrowth is a common problem with lesions specially
when sited around the growth plates of the long bones. Surgical excision should be the line of treatment and ensures
least down time, morbidity and recurrence rate. Clinicians dealing with vascular problems should be aware of this
lesion where early surgical intervention provides optimal results, however should also keep in mind that recurrence of
such kind of lesion is high.
“Successful Treatment of Kimura’s Disease with Radiotherapy: A Case Report”
H. N. Ashikur Rahaman, Shravana Kumar Chinnikatti, A.K. Al Miraj, Md. Magfur Rahman, Md. Saif Ullah Khan
Sch J Med Case Rep | 64-66
DOI : 10.36347/sjmcr.2020.v08i01.020
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Kimura’s disease is a rare chronic inflammatory disorder with angiolymphaticproliferation of unknown cause.It
primarily involves the head and neck region, presenting as deep subcutaneous masses and is often accompanied by
regional lymphadenopathy, Peripheral blood eosinophilia and elevated serum immunoglobulin E (IgE) levels are
characteristic features and the microscopic picture reveals lymphoid proliferation with eosinophilic infiltration. We
report a case of Kimura's disease in a 30year-old male who presented with a Rightsubcutaneous mass and cervical
lymphadenopathy. Radiation therapy was performed for recurrence after surgical excision three times. The prescribed
radiation dose was 45 Gy, the patient was free of the disease.
Rare Association of Eosinophilic Pancreatitis and Ulcerative Colitis: A Case Report and a Review of the Literature
Samlani Z, Lemfadli Y, Bouchrit S, Habiyaremye C, Ait Errami A, Oubaha S, Rais H, Krati K
Sch J Med Case Rep | 96-99
DOI : 10.36347/sjmcr.2020.v08i01.029
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Introduction: Eosinophilic pancreatitis is a rare cause of pancreatitis. It is characterized by localized or diffuse
infiltration of the pancreatic gland by eosinophilic polymorphonuclear cells. It poses the problem of differential
diagnosis with a pancreatic tumor, hence the interest of histological evidence by invasive means. Case report: We
present a case of eosinophilic pancreatitis in a 37-year-old man who was diagnosed after an endoscopic biopsy in front
of an obstructive mass of the head of the pancreas simulating a pancreatic tumor. In contrast to the data in the
literature, our patient had only eosinophilic infiltration of the pancreas with no history of symptoms related to hypereosinophilia or to a high level of immunoglobulins E. The second peculiarity in our patient is the concomitant
revelation of ulcerative colitis. Conclusion: Eosinophilic pancreatitis is a rare and often misdiagnosed clinical
situation. Correct and precise diagnosis avoids unnecessary interventions. Echo-endoscopy with sample for
histological study presents a fundamental means for the diagnosis of eosinophilic pancreatitis.
Influence of Fasting on Attention and Concentration of Diabetic Fasting Patients during the Month of Ramadan
Loubna Oukit, Sana Rafi, Ghizlane El Mghari, Nawal El Ansari
Sch J Med Case Rep | 67-70
DOI : 10.36347/sjmcr.2020.v08i01.021
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Introduction: The impact of fasting on cognitive performance in type 2 diabetics has long been a subject of
controversy. We will focus in this work on its influence on neurocognitive performance in this population using two
tests. Patients and method: Type 2 diabetic patients who voluntarily agreed to participate in the study, during the
month of Ramadan 1437 (July 2017). Two tests were used: Cancellation Task and Digit Spam. The parameters were
evaluated and compared before, during and after the month of Ramadan. Results: The study involved 38 type 2
diabetic patients, 62% were female, with an average age of 52.9 years. The average duration of diabetes progression
was 4.62 years. The average glycated hemoglobin before Ramadan was 7.2%. All the patients maintained the fast
throughout the month of Ramadan. Digit Span test average was 5.01 before Ramadan, 5.76 during Ramadan and 4.97
after Ramadan. Regarding Cancellation Task test, the comparison highlighted a significant difference in response time
and test scores between the measurements during Ramadan and that after Ramadan. Discussion: The data comfort that
fasting would affect spatial recognition functions in type 2 diabetics. However, the assessment of short-term memory
found no differences between the three periods. Regular food intake, in particular, carbohydrate intake, which is
essential for proper neuronal functioning, would be involved in these data changes. These two tests are to be adapted
on a larger scale, constituting a real alternative for exploring neurocognitive capacities, in particular in diabetics.
First Report of 2q37 Microdeletion Syndrome in Morocco
Hanane Ait hammou, Mariam Tajir, Nisrine Aboussair
Sch J Med Case Rep | 79-82
DOI : 10.36347/sjmcr.2020.v08i01.025
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2q37 microdeletion syndrome or Albright Hereditary Osteodystrophy like (AHO-like), also referred to as AHO3 or
Monosomy 2q37qter, is characterized by developmental delay, intellectual disability, brachymetaphalangy of digits 3-
5, short stature, obesity, hypotonia, characteristic facial appearance, autism, and skeletal defects. In this work, we
report a case of cytogenetically visible de novo deletion of this 2q37 chromosome region, referred to genetic
department of Mohammed VI University Hospital of Marrakech and we discuss its clinical features and laboratory
tests. R-banding chromosomal analysis was performed for the patient from T lymphocyte cultures in vitro and
blocked in metaphase. This technique showed a small terminal deletion of the long arm of chromosome 2 and the
karyotype was designated 46, XX, del(2)(pter ---->q37:). Parental karyotypes (R-banding) were also realized, but
didn’t show any chromosomal abnormality. So, in that case, genetic counseling is reassuring for the future
pregnancies. We show through this work the interest of the geneticist in the diagnosis of rare syndromes and
appropriate genetic counseling of patient and his family.
Unusual Cause of Chest Pain after Percutaneous Coronary Intervention
Mohd Iqbal Dar, Arshed H Parry, Amir Rashid, Hilal A Rather, Nisar A Tramboo
Sch J Med Case Rep | 83-85
DOI : 10.36347/sjmcr.2020.v08i01.026
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Post procedural chest pain after percutaneous coronary intervention is a nerve wrecking symptom for both the
interventionist and the patient. Prompt recognition of the underlying condition and management is critical for survival
of the patient and success of the procedure. Here we describe an unusual cause of acute severe chest pain with a good
prognosis on early recognition, which should be considered as one of the differential diagnosis after a coronary
intervention in this scenario.
Original Research Article
Jan. 29, 2020
Factors Influencing Overweight Among Teachers in South-South Nigerian Training College and Development of a Self Assessment Checklist for Overweight
Emmanuel Amaechi Ojeogwu, Tengku Mohammad Afiff Bin Raja Husin
Sch J Med Case Rep | 86-90
DOI : 10.36347/sjmcr.2020.v08i01.027
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Teachers constitute an important fraction of Nigerian workforce whose sedentary nature of work lead them to intake of
calorie dense food and more sitting during the day. Overweight and obesity seem to be responsible for the occurrence
of diseases among the workers. The study therefore determined the factors influencing overweight among teachers in
Nigeria. 360 teachers ranging from head teachers, classroom teachers and school heads were recruited for this study.
Demographic and socioeconomic data were collected using a structured questionnaire. 165 (46%) were male while
195 (54%) were female with average age of 40.9 ± 8.8 years and average body mass index (BMI) of 26.7 ± 5.9 kg/m2.
BMI and blood pressure measurements were taken using standard techniques. BMI was classified using the National
Institutes of Health criteria, 2000. Pearson’s product moment correlation coefficient at 0.05 level of significance was
used to test the relationship between variables. Based on BMI, the prevalence of overweight and generalized obesity
among teachers in South South Nigeria Training Colleges, were 31.7% and 25.5%, respectively. Overweight and
obesity are more common among female teachers than their male counterparts. Using the waist circumference,
approximately 60% of the teachers had central obesity, while 57.2% are either overweight or obese. The high
prevalence of overweight and obesity seen among teachers calls for the introduction of therapeutic lifestyle
modification in this group of workers which can be achieved through appropriate health education and interventional
measures.
Recurrent Pneumonia Revealing a Primary Lung Lymphoma Type BALT
H. El Maâroufi, S. Jennane, M. Mahtat, M. Ababou, A. Hammani, S. Ahchouch, M. Mikdame, K. Doghmi
Sch J Med Case Rep | 91-95
DOI : 10.36347/sjmcr.2020.v08i01.028
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Primary pulmonary lymphomas of MALT type (BALT) are rare and their therapeutic management is very
heterogeneous but reflects the data of the literature. We report the case of a patient who presented for several months
recurrent pneumonia and rebellious to antibiotics. A scano-guided biopsy with anatomo-pathological study allowed
making the diagnosis. An immuno-chemotherapy with monoclonal antibodies and single-agent chemotherapy has
achieved a good response.
Successful Treatment of Idiopathic Granulomatous Mastitis with Oral Prednisolone
Chiguer M, Farid N, Dref M, Fakhri A, Rais H, Akhdari N, Hocar N, Amal S
Sch J Med Case Rep | 100-101
DOI : 10.36347/sjmcr.2020.v08i01.030
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Idiopathic granulomatous mastitis was first described in 1972 by Kessler and Wolloch. It is a rare breast condition of
unknown etiology. The challenge is to differentiate it most importantly from breast cancer and other causes of mastitis.
In this report, we describe a successful response of idiopathic granulomatous mastitis to oral prednisolone
(1mg/kg/day).The patient showed a significant decrease in the size of lesion with significant reduction in intensity of
color and thickness, until almost total disappearance. Our experience suggests that steroid therapy may be
recommended in all cases of idiopathic granulomatous mastitis as the first-line therapy.
Trichobezoar: An Unusual Cause of Gastric Perforation
EL Ghazi M., Zaitouni K, Boutakioute B, Idrissi Ouali M, Cherif Idrissi Ganouni N
Sch J Med Case Rep | 52-53
DOI : 10.36347/sjmcr.2020.v08i01.016
Abstract
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Introduction: Trichobezoar is a Greek word trich, which means hair. Bezoars are collections of indigestible material
that accumulate into the gastro-intestinal tract and are most often located in the stomach. Trichobezoars are often
associated with psychiatric illness like trichotillomania and trichophagia usually occurs in young and adolescent
females. In this case study, we showed the interest of imaging in the the diagnosis of this entity. Case presentation: A
38 years old woman, 5 days post-partum presented in the emergency department with complete occlusive syndrome
evolving for 3 days. On examination patient look irritable, abdomen was tense and sensitive on palpation. Ultrasound
shows collection of free fluid in the peritoneal cavity. A complement by CT scan demonstrated a large gastric
intraluminal heterogeneous mass that remined bezoars. On emergency, an exploratory laparotomy was performed and
bulky gastric trichobezoar was removed. Conclusion: Gastric perforation is a rare complication of gastric trichobezoar
formation. Without a history of trichotillomania or trichophagia, one would not readily include this entity on their
differential diagnosis of an acute abdomen. Once diagnosed, often incidentally with the help of radiologic imaging.
Mucus Retention Cyst of Parotid Gland: A Rare Case Report
Mohammad Jaseem Hassan, Shivani Panhotra , Simpy Raj, Sabina Khan, Sujata Jetley
Sch J Med Case Rep | 1-3
DOI : 10.36347/sjmcr.2020.v08i01.001
Abstract
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Swellings of the major salivary gland commonly lead to the differential diagnosis which includes benign and malignant tumors that are frequently associated with cystic degeneration or entirely cystic in nature. Mucus retention cysts are true cysts that rarely involve the major salivary glands. 6% to 9% of the major salivary gland swellings present as a cystic lesion and only 2-5 % of them are non-neoplastic in nature. A 21 year-old female patient presented with swelling in right parotid region for last one and half years. CECT of the parotid region show a well-defined oval fluid density lesion measuring 2.4cmx1.9cmx3.4cm in the superficial lobe of the right parotid gland with extension into the deep lobe of the parotid gland. On FNAC, 7ml creamish fluid was aspirated which on microcopy showed foamy histiocytes in a mucoid background. A diagnosis of benign cystic lesion was made cytologically. The patient underwent right subtotal parotidectomy. Gross examination revealed a globular soft tissue piece with attached fatty tissue piece measuring 5x4x3cm. On cut section a cystic cavity identified measuring 3.5x2.7x2.0cm. Cyst cavity was filled with thick mucoid material. Microscopic examination revealed a cyst lined by cuboidal and partially by pseudostratified columnar epithelium. Interspersed mucus cells also present in lining epithelium. Lumen of cyst showed proteinaceous material. Compressed salivary gland parenchyma also seen at the periphery. No cellular atypia
was seen. A diagnosis of Mucus retention cyst of right parotid gland was rendered histopathologically.
