Acute Upper Limb Ischemia after an Accidental Intra-Arterial Antispasmodic Injection on an Anatomical Variant of the Radial Artery: A Case Report and Review of the Literature
Elfatemi B, Bakkali T, Lazraq M, Khloufi S, Idrissi R, Sefiani Y, Lekehel B, Mesnaoui A, Ammar F, Bensaid Y
Sch J Med Case Rep | 303-305
DOI : 10.36347/sjmcr.2020.v08i03.011
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Accidental intra-arterial injection of various drugs, particularly antibiotics and phenobartbiturates and the occurrence of acute distal ischemia have been reported in the literature. However, no publication has explained the embologenic mechanism of antispasmodics. Most cases reported involved children and the injection site was the brachial artery. We report the observation of a patient having had distal ischemia of the hand after injection of antispasmodic in the posterior branch of the radial artery, the division of which is subject to anatomical variation.
Systemic Lupus Erythematosus Revealed by Severe Acute Pancreatitis: A Case Report
Mourad Badri, Abdelouhab EL Marouni, Ahmed Zerhouni, Tarek Souiki, Imane Toughraï, Khalid Mazaz, Karim IBN Majdoub Hassani
Sch J Med Case Rep | 356-358
DOI : 10.36347/sjmcr.2020.v08i03.027
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Systemic lupus erythematosus (SLE) is an autoimmune inflammatory disease, characterized by multi-systemic involvement and acute pancreatitis is a rare condition associated with systemic lupus erythematosus. In this publication, we report the case a 40 years old patient, admitted to the OR in a table of severe pancreatitis that revealed a systemic lupus erythematosus, until then unknown, and which probably lead to the pancreatitis as one of his rare complications.
A Rare Case of Stercoral Peritonitis Due to Colonic Perforation on Chronic Constipation in a Young Subject
Yassir El Oukli, Roufaida Ben Janan, Youssef Kerroum, Mohamed Alaoui Maliki, Khedid Yahya zin el abidin, Mohamed El Absi, El Hassan El Faricha El Alami, Mohamed El Ouanani, El Mahjoub Echarrab, Mohame
Sch J Med Case Rep | 266-268
DOI : 10.36347/sjmcr.2020.v08i03.001
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Peritonitis is a frequent surgical emergency of various etiologies, but colonic perforation on chronic constipation is an exceptional etiology. We report the medical observation of a young subject who has a long history of constipation from childhood complicated at the age of 25 with peritonitis and this to discuss the clinical, radiological and therapeutic aspects of this rare etiology.
Metastatic Prostatic Carcinoma to the Testis: A Rare Case Report
Mohd Talha, Sumbul Warsi, Shafaque Zabin, Kafil Akhtar
Sch J Med Case Rep | 269-272
DOI : 10.36347/sjmcr.2020.v08i03.002
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Prostatic carcinoma is one of the most common malignancy in aged males. The incidence of metastatic prostatic adenocarcinoma is well known with most common site being the bone followed by lung and liver. Metastasis to testis is rare and very few cases have been reported till date. We present a case report of 80 year old male who presented with swelling in the left testis since last 4 months with a history of radical prostatectomy performed 3 year back for resection of a malignant growth in the prostate. Left inguinal orchiectomy was done. Histopathological examination showed foci of atypical cells in acinar arrangement infiltrating into the tunica adventitia of the testis, suggestive of metastatic prostatic adenocarcinoma to the testis. Positive immunoexpression of AMACR and negative p63 expression further potentiated our diagnosis. This case report stresses the need for aggressive post-operative follow up in prostatic carcinoma patient and to consider the need of prophylactic orchiectomy in old patients.
Late Revelation of Primary Hyperoxaluria with Renal, Ophtalmic and Hematologic Localization: Hyperoxalurie Primitive De Révélation Tardive Avec Localisation Rénale, Ophtalmologique et Hématologique
Anibar S, Poda A, Ennasri S, Labrassi M, Chettati M, Fadili W, Laouad I
Sch J Med Case Rep | 273-276
DOI : 10.36347/sjmcr.2020.v08i03.003
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Primary hyperoxaluria is a rare heredetary disease, with autosomal recessive inhertance. It’s metabolic abnormality with responsible for accumulation of calcium oxalate deposits. We report the case of a young patient, 22 years old, born of first consanguineous marriage. He is at end chronic renal disease of unknowm nephropathy. This patient has been in hemodialysis for 4 years. He presented with anemia resistant to erytropeitin associated to bone pain. The diagnosis of hyperoxaluria was suspected in the presence of urolithiais and confirmed by the presence of both ophthalmic and bone marrow calium deposit. The therapy consisted in iterative transfusions, vitamintherapy with daily hemodialysis. The follow up was stable. Waiting for combined kidney and liver transplantation.
Anthropometry of Body Circumferences of Yorubas of Nigeria
Okoh PD, Didia BC
Sch J Med Case Rep | 277-281
DOI : 10.36347/sjmcr.2020.v08i03.004
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The aim of the research was to study the circumferential anthropometric body characteristics of adult male Yorubas of Nigeria. The study design was a non-experimental, cross-sectional design. It utilised a total number of four hundred (400) subjects whose ages ranged between 21 to 40 years with BMI of 18.50 to <30.00. Minimum sample size was determined using the Taro Yamane’s formula. Circumferential body anthropometric measurements and BMI were taken using stadiometer, digital calipers, calibrated flexible meter tape and weighting scale. Statistical analysis was done using statistical package for the social science (SPSS version 25.0) and Microsoft Excel 2019. Continuous variables were presented as mean±SD; minimum and maximum. Age was categorized into two groups (21 – 30 and 31 – 40) years while Body Mass Index (BMI) was also categorized into two; normal weight (18.5 – 24.9 designated ≤ 25.0) and slightly overweight (25.0 – 30.7 designated ≥ 25.0). Independent sample t-test was therefore carried out to determine significant difference in the measured anthropometric parameters according to age. The confidence interval was set at 95%, therefore p< 0.05 was considered significant. Results were presented in tables. Impact of age and variations in BMI were also observed in the studied anthropometric variables. Racial variation was observed when compared to other racial populations the anthropometric values could find use in medicine and forensic science.
Comparative Linear Craniofacial Anthropometric Profile of the Igbo, Ijaw and Yoruba of Southern Nigeria
Okoh PD, Fawehinmi HB
Sch J Med Case Rep | 285-291
DOI : 10.36347/sjmcr.2020.v08i03.006
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Craniofacial analysis of soft tissues using photographs provides information about the normative values of various facial parameters of a given ethnic group or race. It could also aid diagnosis of any form of deviation or abnormalities as well as help in the design of treatment plan for orthodontic, maxillofacial or facial plastic surgery. The aim of the study was to compare some linear facial parameters of adult male Igbo, Ijaw and Yoruba of southern Nigeria using photogrammetry and to compare the mean values of each of the parameters of these negroid populations with those of other races. The study made use of a total number of one thousand two hundred (1200) subjects with four hundred (400) drawn from each of the Igbo, Yoruba and Ijaw ethnic groups whose ages ranged from 21 to 40 years. Determination of minimum sample size was done using the Taro-Yamane’s formula. The study employed the use of standardized photographic record of the 1200 adults taken in the natural head position. Photographs were analysed using a software tool (WinImager). Statistical analysis was done using SPSS version 25.0 and Microsoft Excel 2019. Results showed ethnic variations across the different ethnic groups. Age related changes were also observed. On comparison to other races, noticeable differences were observed which underscores racial variation. These values describe the norm and anthropometric position of southern Nigeria among other races. This could be use in medicine, anthropometric studies and forensics.
A Case Report of a Central Giant Cell Granuloma of Maxilla
Y Sai Meghana, D.Sathya Kumar Reddy, Sridhar Reddy Kanubaddy
Sch J Med Case Rep | 292-294
DOI : 10.36347/sjmcr.2020.v08i03.007
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Central giant cell granuloma (CGCG) is a benign condition, which is rare, intra-osseous and is commonly seen with indolent lesions of the mandible commonly, anterior to the first molar and is a rare occurrence in maxilla. It is a localized osteolytic lesion with varied biologic behavior of aggression which affects the jaw bones. It was hypothesized that the lesion is not a true neoplasm but merely the result of a local reparative reaction. The present paper highlights recent literature and clinical presentation of a case of central giant cell granuloma arising in Maxilla.
Relevance of Multidisciplinary Management of a Case of Progressive Noma on Severe Anemia
Mariam Maïga, Djibril Samaké, Sibiri Traore, Mariam Traore, Korotoumou Wellé Diallo, Aboubacar Sidiki Thissé Kané, Abdrahamane Salia Maiga, Hamady Traore
Sch J Med Case Rep | 295-297
DOI : 10.36347/sjmcr.2020.v08i03.008
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Noma is a rapidly progressive of orofacial ulcerative necrotizing pathology. It mainly affects children under 6 years in sub-Saharan Africa. The most incriminated factors are malnutrition, infections, immunosuppression, parasitic endemics, poor oral hygiene which all contribute to the occurrence of anemia. The mamagement is multidisciplinary and takes place in two phases: conditioning for patient survival then reconstruction phase for social reintegration.
Behavioral and Cognitive Management of Panic Disorder and Agoraphobia in Adolescents: A Case Report
Amraouza K, Rabitateddine M, EL Barmaki N, Adali I, Manoudi F, Asri F
Sch J Med Case Rep | 282-284
DOI : 10.36347/sjmcr.2020.v08i03.005
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Children and adolescents are increasingly at risk of developing mental health issues, which negatively impact their development in their societies’. Anxiety disorders are common in this population and their management is based on psychotherapy. We’re reporting the case of a teenage girl with panic disorder associated with agoraphobia. We have proposed Cognitive behavioural therapy (CBT) as a care method. Several meta-analysis studies have shown its effectiveness in anxiety disorders. This far, studies are mainly conducted among adult population and there is few data about children and adolescents. In Morocco, child and adolescent psychiatry is a new specialty, and CBT is still very little used. In our case, panic attacks and agoraphobia were controlled at the end of therapy, and no relapse was reported after 2 years. These results make us focus on CBT as a major care method in treating young population’s anxiety disorders.
Susac Syndrome a Case Report
Abdelfattah Aljalil, Mohamed Amine Hanine, Mohamed Elakhiri, Mohamed Badaoui, Shamil Louaya, Youssef Darouassi, Haddou Ammar
Sch J Med Case Rep | 314-316
DOI : 10.36347/sjmcr.2020.v08i03.015
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Susac syndrome or "SICRET syndrome" is a recent, rare entity, defined by a diagnostic triad grouping together neurological, ophthalmological and inner ear damage. Its physiopathology is still poorly understood and its treatment is not yet codified. We report the case of a female 34-year-old patient who presented with a Susac syndrome which developed well under medical treatment with corticosteroids and we recall all clinical, evolutive and therapeutic features of this rare syndrome.
Orbital Varices Revealed by Contusive Trauma: About A Case
Asmae Siati
Sch J Med Case Rep | 298-299
DOI : 10.36347/sjmcr.2020.v08i03.009
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The etiologies of a unilateral exophthalmos are multiple, rarely represented by an intra- or extra-conical vascular mass. Orbito-palpebralvaricose veins are rare (2% of orbital masses) and represent a major cause of unilateral intermittent exophthalmitis, often with an inflammatory character. We report a case of palpebral varices in a 45-year-old adult who underwent left orbital-facial contusion and who presented 2 months later a left-palpebral mass increasing in volume, extended to the left external canthus, associated with left exophthalmia intermittent, evolving for 6 months. Ophthalmologic examination revealed a moderate left ptosis with a left exophthalmia, non-axile, non-pulsatile, without thrill, painless, without complication, without visual deficit. A vascular mass is suspected on CT and MRI reveals a left palpebral varix with temporal extension, confirmed by ANGIO-MRI. The latter also made it possible to eliminate differential diagnoses (tumor, arteriovenous fistula, etc.) and to look for a cerebral venous malformation, an encephalocele or an associated bone defect. Without complications, treatment with platelet antiaggregant at low preventive dose was undertaken before the indication of a surgical excision for aesthetic damage and extensiveness. In case of complication, sclerosis, or even excision of the varicose vein, would be possible with disappointing results (recurrence, hemorrhage).
Upper Limb Arterial Ischemia Occurred After Accidental Antibiotics Intra-Arterial Injection: Report of Three Cases
Elfatemi B, Ouldaselek E, Tijani Y, Lazraq M, Khloufi S, Idrissi R, Sefiani Y, Lekehel B, Mesnaoui A, Ammar F, Bensaid Y
Sch J Med Case Rep | 300-302
DOI : 10.36347/sjmcr.2020.v08i03.010
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The administration of antibiotics by injection may have some consequences as loco regional reactions ranging from skin necrosis at the injection site to acute limb ischemia. The observations of three patients with acute upper limb ischemia following accidental intra-arterial antibiotic injection with coldness, cyanosis, suppression of radial and ulnar pulses and necrosis of the extremities are presented there. Enoxaparin-based heparin therapy was initiated with very good results. Through these observations, and after a review of the literature, the pathophysiological mechanisms and therapeutic means will be reminded.
"Lutembacher's Syndrome" - A Case Report
Hatem Saeed, A. Ahminedache, Dinia Mohamed, El Boussaadani Badre, N. Fellat
Sch J Med Case Rep | 306-307
DOI : 10.36347/sjmcr.2020.v08i03.012
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Lutembacher's syndrome is one of the complex heart diseases and its incidence is very rare. It comprises Atrial Septal Defect (ASD) Secundum with Mitral stenosis (MS). Iinter-atrial septum develops from two sources-septum primium and septum secundum. If defect in the formation of septum primium-it forms ASD (Primium) and If defect in the formation of septum secundum it forms ASD (secundum). Mitral stenosis is an acquired heart disease developes due to recurrent attack of Rheumatic carditis. So, for the development of Lutembacher's syndrome defect in the formation of septum secundum and recurrent Rheumatic carditis are required. We report the case of à 33 years old female admitted for dyspnea, echocardiography was performed and had objective Lutemvacher’s syndrome.
Tamponade Mimicking a Surgical Abdomen and Revealing HIV Infection
Yasmine Chafai, Mohammed Amine Raouah, Hafssa Rouam, Mohamed Jamili, Mustapha El Hattaoui
Sch J Med Case Rep | 308-309
DOI : 10.36347/sjmcr.2020.v08i03.013
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Low pressure tamponade is a rare entity and difficult to diagnose. We report in our observation concerning this pathology, a patient initially admitted for a surgical emergency, and in whom the initial assessment finds a field of immunosuppression, without germ isolated in the bacteriological examination of the pericardial fluid. This observation underlines the difficulty of diagnosing this form of tamponade as well as the interest of using transthoracic ultrasound as a first-line examination to guide the diagnosis in emergency situations.
Subclavian Vein Thrombosis Revealing Hyperhomocysteinemia : Case Report And Review of Literature
Elfatemi B, Bakkali T, Ouldaselek E, Tijani Y, El Khloufi S, Idrissi R, Sefiani Y, Lekehel B, Mesnaoui A, Ammar F, Bensaid Y
Sch J Med Case Rep | 317-320
DOI : 10.36347/sjmcr.2020.v08i03.016
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The association between hyperhomocysteinemia and venous thrombosis, which has been controversial for a long time, is now widely confirmed. The causes of hyperhomocysteinemia are multiple, both hereditary and acquired. The most common hereditary abnormality is the C677T mutation of methylenetetrahydrofolate reductase (MTHFR) in a heterozygote state. Hyperhomocysteinemia is a risk factor for venous thrombosis that should be investigated as part of the Thrombophilia assessment. The observation of a 21 year old patient with hyperhomocysteinemia diagnosed by a thrombosis of the subclavian vein will be reported first, then the role of this abnormality in the occurrence of arterial and venous thrombotic incidents will be recalled.
Cutaneous Pleomorphic Adenoma or Chondroid Syringoma: A Case Report
Abdelfattah Aljalil, Mohamed Amine Hanine, Mohamed Amine Azami, Issam Rharrassi, Mohamed Badaoui, Younes Chabraoui, Mohamed Elakhiri, Haddou Ammar, Youssef Darouassi
Sch J Med Case Rep | 321-323
DOI : 10.36347/sjmcr.2020.v08i03.017
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Cutaneous pleomorphic adenoma or mixed skin tumor or chondroid syringoma is an exceptional benign tumor of the head and neck region. We present in this article a new case of chondroid syringoma of the left nasolabial fold evolving for 5 years in a 69-year-old patient, with no particular pathological history. The tumor was completely resected under local anesthesia and its anatomo-pathological examination had confirmed the diagnosis of mixed skin tumor. Long-term follow-up did not show a recurrence after 2-years. Through this clinical observation and a review of the literature, we will discuss epidemiological, clinical, histological, therapeutic features of this exceptional tumor.
Giant Cervical Cystic Lymphangioma: A Case Report
Abdelfattah Aljalil, Mohamed Amine Hanine, Mohamed Elakhiri, Issam Rharrassi, Mohamed Amine Azami, Mohamed Badaoui, Youssef Darouassi, Haddou Ammar
Sch J Med Case Rep | 324-327
DOI : 10.36347/sjmcr.2020.v08i03.018
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Cervical cystic lymphangiomas are rare. They occur in most cases in children but late appearance in adults is possible. The giant forms can expose to complications and pose operational difficulties. A cervical computed tomography is often necessary to orient the diagnosis but especially to study the extensions and the anatomical relationships with the surrounding vascular structures in order to carry out the total surgical excision. We report in this, a case of giant cervical cystic lymphangioma in a 29-year-old woman seen in a military field hospital in Morocco in 2019 and we discuss the different features of this malformation with data from the literature.
Hydatidose maligne: À propos d’un cas Malignant Hydatidosis: About a case
Bakkal H, Benjelloun H, Zaghba, Yassine N
Sch J Med Case Rep | 310-313
DOI : 10.36347/sjmcr.2020.v08i03.014
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Hydatidosis is a common zonoosis in farming countries, particularly in Morocco. pulmonary and hepatic localizations are the most noticed. Multivisceral thoracic, abdominal and pelvic dissemination is rare. It is a benign pathology whose management becomes difficult by its dissemination and its Localizations. We report a case report of a 54-year-old patient, operated 15 years ago for hepatic and epiploic hydatid cyst, showing out hemoptysis with hydatidoptysis and a distended abdomen. The chest X-ray revealed right hydroaeric feature. The thoraco-abdomino-pelvic CT scan underlined right pulmonary cystic formation as well as multiple hepatic, splenic, diffuse peritoneal, renal and pelvic cystic lesions. The hydatid serology was very positive. The therapeutic choice was based on medical treatment.
Erdheim-Chester Disease with Revealing Mandibular Localization: About A Case
El Masloumi.A, Hajjine A, Chehboun A, Boutakioute B, Ouali Idrissi M, Cherif Idrissi El Ganouni N
Sch J Med Case Rep | 352-355
DOI : 10.36347/sjmcr.2020.v08i03.026
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Erdheim-Chester disease is a rare systemic Langrehansian histiocytosis. It is diagnosed on the basis of a bundle of clinical, radiological and histological arguments. Its confirmation is based on a precise immunological profile. The bone involvement is almost constant, characterized by osteocondensing lesions more often at the metaphysso-diaphyseal level of the long bones of the lower limbs. We report the case of a 37-year-old female patient with chronic left jugular swelling. The CT scan revealed a mandibular osteolytic lesion including the cortex without extension towards the soft parts. The diagnosis of EDC was established based on the histological aspect of the lesion and confirmed by the immunohistochemical study.
Nephroblastoma with Atypical Pelvic Metastasis About A Case
B. Bannar, M. Badraoui, I. Zouita, D. Basraoui, H. Jalal
Sch J Med Case Rep | 328-330
DOI : 10.36347/sjmcr.2020.v08i03.019
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The nephroblastoma is the most common malignant tumor in children, but the metastatic localization is rare, We report in this letter the case of a girl 6 year old. Who benefetied Abdominal and pelvic ultrasound showed a retro-peritoneal mass associated with another pelvic mass requiring a CT scan, which objectified a right retro-peritoneal mass with capsular intrusion, adrenal infiltration and of the liver on the ipsilateral side evoking a nephroblastoma associated with a second centro-pelvic mass that may be related to a secondary,location. Our patient underwent a biopsy which confirmed the diagnosis of nephroblastoma and its secondary location.
Nasal Septal Carcinoma
Taleuan A, Benmansour N, Affelah M, Chekhhammoud Z, Elalami MN
Sch J Med Case Rep | 331-333
DOI : 10.36347/sjmcr.2020.v08i03.020
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Introduction: Squamous cell carcinoma of the nasal septum is an uncommon entity and there are a few cases reported in the literature. It is often misdiagnosed because its symptoms are similar to everyday rhinologic complaints. The functional impact of their treatment and the high mortality makes it important to diagnose it at early stage. We report a rare case of squamous cell carcinoma of the nasal septum. Our objective is to determine the clinical and therapeutic aspects of this rare entity. Case report: A 37 years old patient with a previous pathological history: Tobacco Sniffing, has presented , bilateral nasal obstruction and recurrent epistaxis, evolving since 8 monthes. In the examination,there was seen to be a bleeding lesion of approximately 15 x 10 mm that originated from the caudal end of the septum and was showing protrusion towards the right nasal cavity. Squamous cell carcinoma was reported as a result of the biopsy. The patient was treated with surgical resection and radiotherapy. No recurrence and complications were noticed after 6 months of follow-up. The patient will be programmed to reconstruct his nasal defect. Conclusion: Nasal septal carcinoma represented highly aggressive malignancies with higher rates of nodal involvement and subsequently worse outcome. Consequently, squamous cell carcinoma of the septum should be included in the differential diagnosis of any nasal obstruction that does not respond to decongestants.
Primary Mediastinal Lymphoma Revealed By Cardiac Tamponade
El Boussaadani Badre, Chakib Benajiba, Hajar Ourtassi, Cherti Mohamed
Sch J Med Case Rep | 348-351
DOI : 10.36347/sjmcr.2020.v08i03.025
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Primary mediastinal large B-cell lymphoma (PMBCL) is a distinct entity within B-cell lymphomas (2–4% of non-Hodgkin lymphomas). It occurs most frequently in young females but rarely during pregnancy. Moreover, a cardiac tamponade is unusually found in pregnant women. We describe a case of a 32-year-old woman, 16-week pregnant, with cardiac tamponade revealing PMBCL, where urgent pericardiocentesis was required to maintain maternal cardiac function. An MRI (Magnetic Resonance Imaging) revealed a huge mediastinal mass of which biopsy confirmed the diagnosis of a PMBCL. A spectacular improvement of the clinical signs was obtained after a first line chemotherapy including rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP). Our patient received the entire chemotherapy during her pregnancy with a regular multidisciplinary follow up. PMBCL can expose pregnant women to cardiac tamponade, and physicians should be aware of this complication mainly when pericardiocentesis is necessary.
Original Research Article
March 18, 2020
Interest of Surgical Treatment in the Management of Clavicle Fractures About 108 Cases
Rachid Maanouk, S.Senhaji, A.Baroudi, M.Bensaka, Pr H.Abid, Pr M. El Idrissi, Pr A.Elibrahimi, Pr A.Elmrini
Sch J Med Case Rep | 334-339
DOI : 10.36347/sjmcr.2020.v08i03.021
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The treatment of clavicle fractures has been very recently subject to numerous studies which have questioned the traditional view that we had of this pathology with the thought that we obtain, in the vast majority of cases, an excellent functional result in case of surgical abstention. Indeed, these recent studies have shown that there is frequently a functional impact and a significant rate of non-union in certain types of fractures which could justify surgical treatment. If as a rule orthopedic treatment remains considered preponderant, surgical treatment keeps its indications however limited, but depends on several criteria including the type of fracture, the site, the associated lesions, the failure of the initial treatment and the occurrence of complications. Our work includes a series of 102 cases of clavicle fracture collected in the traumatology department B4 at the Hassan II University Hospital between January 2009 and June 2019. The objective is to analyze the clinical and radiological results of the surgical treatment of clavicle’s fractures, as well as assess the functional outcome after surgical treatment.
Stenosis of the Iliac Arteries in a 26 Years Old Patient Producer of Cannabis but Non Consumer: Case Report and Review of Literature
Elfatemi B, Bakkali T, Khloufi S, Sefiani Y, Lekehel B, Mesnaoui A, Ammar F, BensaidY
Sch J Med Case Rep | 342-345
DOI : 10.36347/sjmcr.2020.v08i03.023
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The vascular complications of cannabis consumption are still widely discussed and their incidence seems to be weak relative to the frequency of cannabis exposure in the global population. The main argument is a close temporal relationship between exposure and vascular complication, as well as the usual exclusion of other etiologies. There is also a significant rate of recidivism with re-exposure. However, this association does not proof any causal link between both conditions. Concerning peripheral arterial injuries, cannabis-associated arteriopathies show several epidemiological, clinical and radiological features closes to Buerger's syndrome or obliterative thromboangitis (OAT). The onset of this condition necessarily requires the consumption of cannabis. The observation of a 26 year old youth working in the production of the cannabis plant but which is not a consumer, who presents a proximal arteritis of both lower limb is reported in this article.
The Werther Effect in Children: A Case Report
Amraouza K, Ennazk S, Akebour K, EL Barmaki N, Adali I, Manoudi F, Asri F
Sch J Med Case Rep | 346-347
DOI : 10.36347/sjmcr.2020.v08i03.024
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The Werther effect, or suicidal contagion via the media, is a serious phenomenon, that is underestimated and little studied among children. Our case, an eight years old girl, who did a suicide attempt by hanging, following a similar scene on television, brought us to do a review on this subject. In fact, children would be more vulnerable than adolescents and adults facing media influence. This is due to the fact that imitation and identification phenomena are more important during early stages of development. However, means of communication can be used as protective means against suicide, by involving parents and community.
Cyst of Canal of Nuck: 2 Case Reports
Suryagayathri V, Alvin Vincent, Sankar S
Sch J Med Case Rep | 370-372
DOI : 10.36347/sjmcr.2020.v08i03.031
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Canal of Nuck is formed by the evagination of parietal peritoneum into the inguinal canal in a female. It is homologous to the processus vaginalis in male. Failure of obliteration of this can result in an indirect inguinal hernia or hydrocele of the canal. Though this entity is rare, hydocele of canal of Nuck can be considered as a differential diagnosis in the cystic swellings in the inguinal region in a female.
Breach of the Greater Omentum through the Bladder then the Urethra: A Case Report
Mourad Badri, Hicham EL Bouhadouti, Ouadii Mouaqit, Karim Ibn Majdoub Hassani, Imane Toughraï, Abdelmalek Oussaden, Khalid Mazaz, Khalid Ait Taleb, El Bachir Benjelloune
Sch J Med Case Rep | 359-361
DOI : 10.36347/sjmcr.2020.v08i03.028
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Perforation of the bladder, as a late complication of radiation therapy, is a rare condition, especially on a non-necrotic bladder. We report in this publication, the case of a patient, who 1 and a half year after the end of her irradiation, presented a complication characterized by a bladder perforation with intrusion of the greater omentum through the bladder, along the ureter to the outside, to subsequently necrose and expose the patient to a risk of urinary peritonitis.
Pericardial Tamponade as the First Manifestation of Breast Cancer
Sara Belabyad, Ali Laalou, Joumana El Masrioui, Dounia Benzeroual, Saloua El Karimi, Mustapha El Hattaoui
Sch J Med Case Rep | 362-365
DOI : 10.36347/sjmcr.2020.v08i03.029
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Neoplastic involvement of the pericardium occurs frequently in post-mortem studies. Symptoms of this involvement of the pericardium prior to death are unusual. This report describes a case of breast carcinoma in a 41-year-old woman who presented with cardiac tamponade. Because breast carcinoma as a cause of cardiac tamponade is unusual, its presentation is reported. Early recognition of the possibility of malignancy allows for initiation of appropriate treatment, thereby improving the patient's chance of survival. It is recommended that all patients who present with tamponade have pericardial fluid sent for cytologic examination.
Caecal Volvulus on Complete Common Mesentery: A Case Report
Mourad Badri, Abderrahim AIT Abderrahim, Anas Belhaj, Ahmed Zerhouni, Tarek Souiki, Imane Toughrai, Khalid Mazaz, Karim IBN Majdoub Hassani
Sch J Med Case Rep | 366-369
DOI : 10.36347/sjmcr.2020.v08i03.030
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Common mesentery is the persistence of an embryonic anatomical arrangement secondary to an anomaly of rotation of the primary umbilical loop, thus constituting a common meso to the whole intestine and a short root of the mesentery. These intestinal rotation anomalies can lead to tragic and sometimes fatal complications, which generally occur during the neonatal period or at pediatric age. It is estimated that the prevalence of these congenital malformations in adulthood is around 0.2% to 0.5% at which age they very often remain asymptomatic and therefore undiagnosed (1). The diagnosis of total volvulus of the small intestine could be made in very varied circumstances: in emergency in front of a table of acute intestinal obstruction, even a state of shock, in front of a table of abdominal pain repeated more or less associated with transit disorders. We report the observation of a 21-year-old patient admitted for total volvulus of small hail on a complete common mesentery in which the evolution was favorable.
Human Embryos and Oocytes Cryopreservation in Human Assisted Reproductive Technology-A Case Study
Bipasha Ahmed, Angel, Smita Sharma
Sch J Med Case Rep | 373-379
DOI : 10.36347/sjmcr.2020.v08i03.032
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Human embryo cryopreservation represents an indispensable extension of in-vitro fertilization (IVF) programmes as long as they are based upon the recovery of a large number of oocytes. By then, 86% of stored embryos had been thawed for transfer to patients. The most widely used procedures include the cryopreservation of human zygotes or embryos in early cleavage, using 1, 2-propanediol and sucrose as cryoprotectants. Both sperm and embryo cryopreservation have become routine procedures in human assisted reproduction and oocyte cryopreservation is being introduced into clinical practice and is getting more and more widely used. Embryo cryopreservation has decreased the number of fresh embryo transfers and maximized the effectiveness of the IVF cycle. The data shows that women who had transfers of fresh and frozen embryos obtained 8% additional births by using their cryopreserved embryos. Oocyte cryopreservation offers more advantages compared to embryo freezing, such as fertility preservation in women at risk of losing fertility due to oncological treatment or chronic disease, egg donation, and postponing childbirth, and eliminates religious and/or other ethical, legal, and moral concerns of embryo freezing. In this review, the basic principles, methodology, and practical experiences as well as safety and other aspects concerning slow cooling and ultrarapid cooling (vitrification) of human embryos and oocytes are summarized.
Retinopathy of Valsalva and Pregnancy
Med Karam Saoud, Mounsef Mahaouchi, Nisrine Mamouni, Sanae Raghay, Abdlaziz Banani
Sch J Med Case Rep | 380-381
DOI : 10.36347/sjmcr.2020.v08i03.033
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Valsalva hemorrhagic retinopathy is a rare condition, often responsible for a sharp drop in visual acuity associated with pre-macular retinal hemorrhage. Pregnancy is considered a risk factor. We report a case of Valsalva retinopathy and pregnancy, through a review of the literature we describe the pathophysiological mechanism of this condition as well as the therapeutic management modalities.
Myocardial Infarction Related To Iatrogenic Coronary Cameral Fistula in a Heart Transplant Patient
Zakaria Raiss, Badre El Boussaadani , Qat Amine, Goube Pascal
Sch J Med Case Rep | 382-385
DOI : 10.36347/sjmcr.2020.v08i03.034
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Endomyocardial biopsy (EMB) remains the gold standard method for diagnosis of cardiac allograft rejection. Complications following EMB rarely occur, however, it can lead to coronary cameral fistulae (CCF). We describe the case of a 65-year-old patient admitted for lateral STEMI related to a fistula communicating the distal part of the left anterior descending artery (LAD) with the right ventricle after EMB biopsy, which was successfully treated with a covered stent.
A Case of Congenital Lumbar Hernia
Manikyamba D, Vijayalakshmi VV, Lakshmi Raghavi J
Sch J Med Case Rep | 386-387
DOI : 10.36347/sjmcr.2020.v08i03.035
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Lumbar hernia can be either congenital or acquired. It is a rare entity with common associations like lumbocostovertebral syndrome, anorectal malformations, congenital heart diseases, renal anomalies, etc. We report a case of congenital lumbar hernia with anorectal malformation and vertebral anomalies in a new born female baby.
Laryngeal Tuberculosis Revealed by Laryngeal Dyspnea
Belhaj N, Lassikri O, Nekro C, Benkhrab N, Bencheikh R, Benbouzid MA, Essakalli L
Sch J Med Case Rep | 388-391
DOI : 10.36347/sjmcr.2020.v08i03.036
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Isolated laryngeal tuberculosis is rare, it can be considered as a malignant tumor which delay the diagnosis and worsens the prognosis. We report the case of a 31-years-old patient admitted to the emergency room for the management of a progressive laryngeal dyspnea, with a laryngoscopic examination confirmed an erythematous and thick appearance of the two vocal cords. The histological examination revealed epitheloid and giganto-cellular granulomas with a caseous necrosis suggestive of tuberculosis. Culture on lowenstein medium of tissue biopsied from the vocal cords was positive. No other tuberculosis localization was found. The patient underwent standard antituberculosis therapy (isoniazid, rifampicin, ethambutol, pyrazinamide), which completely resolved the clinical situation.
Intracranial Chondrosarcoma: A Rare Case Report
Dr. Sarita Nibhoria, Dr. Ekta Rani, Dr. Aradhana Singh Hada, Dr. Navjot Kaur, Dr. Shilpa Pal
Sch J Med Case Rep | 398-400
DOI : 10.36347/sjmcr.2020.v08i03.039
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Chondrosarcoma is a malignant mesenchymal tumor with cartilageous differentiation. Most chondrosarcoma arise de novo, but some develop in a pre-existing benign cartilaginous lesion. Intracranial, extraosseous chondrosarcoma of the classic type are rare. According to the World Health Organization, chondrosarcomas are divided into three categories based on their histological grade. We are reporting a case of an 18‑year‑old male presented with complaints of right sided weakness with alleged history of road side accident, given an impression of low grade chondrosarcoma in fronto-parietal region.
A Primary Pleural Hydatid Cyst in an Unusual Location a Report of Four Cases
Karima Bouytse, Fatima Zahra Mrabet, Hanane Haddaoui, Jamal-Eddine Bourkadi
Sch J Med Case Rep | 401-405
DOI : 10.36347/sjmcr.2020.v08i03.040
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Hydatid disease is caused by the larval stage of taenia Echinococcus, which endemic in the Mediterranean region. Recently, the prevalence of the disease has increased worldwide due to an increase in the frequency of travel and immigration. Cyst hydatid mainly affects the liver and the lungs. Primary pleural hydatid disease is a rare variant of this uncommon disease and is rarely reported in medical literature. Here, we report four cases of pleural hydatid cyst discovered in patients, with a nonspecific clinical presentation. The interest of this article is to clarify the epidemiological, clinical and radiological character of the primary pleural hydatid cyst.
Black Œsophagus as a Possible Complication of Cholangitis
Soumaya Jellal, Soukaina Jiddi, Adil Ait Errami, Sofia Oubaha, Zouhour Samlani, Khadija Krati
Sch J Med Case Rep | 406-407
DOI : 10.36347/sjmcr.2020.v08i03.041
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Acute esophageal necrosis (AEN), also known as black oesophagus or necrotizing esophagitis is a very rare clinical disorder characterized by a striking endoscopic image of diffuse, circumferential, black-appearing in the distal esophagus that stops abruptly at the gastroesophageal junction on esophagogastroduodenoscopy, its etiology is likely unclear and multifactorial, Upper gastrointestinal bleeding is The most common presentation, the incidence reported is only 0.2%, the prognostic is poor and more the cases are fatal by comorbidities, We present a new case of acute oesophageal necrosis as a possible complication of cholangitis.
A Case of Mesenterique Cyst
Lhaine Mérième, Setti Chaimae, El Bouhaddouti Hicham, Benjelloun El Bachir, Abdelmalek Ousadden, Ait taleb Khalid, Ouadii Moquit
Sch J Med Case Rep | 395-397
DOI : 10.36347/sjmcr.2020.v08i03.038
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Mesenteric cysts are rare benign intra-abdominal tumors and have a wide range of underlying causes. The lack of characteristic clinical features and radiological signs may present great diagnostic difficulties. The cyst may present in one of three ways: non specific abdominal features; an incidental finding; or an acute abdomen. Abdominal pain is the major presenting symptom. The interest of this pathology is linked to pre-operative diagnosis and it is taking into account therapeutic load.
Traumatic Diaphragmatic Hernia
Zhar Jamal, Setti Chaimae, IBN Majdoub Karim
Sch J Med Case Rep | 408-409
DOI : 10.36347/sjmcr.2020.v08i03.042
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Diaphragmatic Hernia may be caused by direct or indirect trauma, and might be overshadowed by an injury to the bony skeleton, central nervous system; lungs or abdominal viscera and the hernia might remain occult for years. Early physical signs and symptoms are minimum before any abdominal organ has penetrated into the thorax. The most serious complication of a diaphragmatic hernia is strangulation should be suspected in front of patient with symptoms of bowel obstruction or pulmonary compression, and a recent or old chest or upper abdomen wound.
Aortopulmonary Window Associated with a Patent Ductus Arteriosus in an Adult
Chouaib H, Fellat N, Hatem S
Sch J Med Case Rep | 410-416
DOI : 10.36347/sjmcr.2020.v08i03.043
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Aortopulmonary window (APW) is an uncommon congenital cardiac malformation, accounting for 0.1% of all congenital cardiac diseases. It results from an incomplete division between the ascending aorta and the pulmonary artery. Clinical and hemodynamic presentation of this condition depends on the size of the defect and on the associated lesions. It is usually fatal in infancy or childhood if untreated with the development of irreversible pulmonary hypertension. Very few cases of those who have survived to adulthood have been described. Herein, we report the case of a 42-year-old female patient who presented with an Eisenmenger syndrome and pulmonary hypertension that she first declared at the age of 39-years-old, with special attention to clinical, echocardiographic and angiographic data, leading us to a diagnosis of APW associated with PDA.
Ischemic Acute Hepatic Failure – A Case Report and Review
Eduardo Cernadas, Ana Catarina Dionisio, João Corrêa, Sara Ferreira, Dália Estevão, Leopoldina Vicente
Sch J Med Case Rep | 417-420
DOI : 10.36347/sjmcr.2020.v08i03.044
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Ischemic hepatitis is a relatively uncommon lesion representing 1 to 2.5% of total patients admitted to the Intensive Care Units (ICU). It is characterized by a massive but transient elevation of plasma aminotransferases caused by anoxic necrosis of centrolobular hepatocytes. It often develops in association with shock (septic but also hypovolemic, distributive or cardiogenic), heart failure and respiratory failure, and these etiologies account for about 90% of cases. Occasionally it may result in acute liver failure. The authors describe the case of a 70-year-old woman with a history of atrial fibrillation (AF) and heart failure (HF), referred to the Emergency Department (ED) for vomiting and abdominal pain. On admission the AF with rapid ventricular response motivated hospitalization in an Intermediate Care Unit. Progressive worsening with acute heart failure and hemodynamic instability, with consequent clear increase in aminotransferase values, were consistent with the diagnosis of ischemic hepatitis. In this context, the patient developed hepatic encephalopathy and elevation of the International Normalized Ratio (INR), whose etiology were attributed to the acute liver failure. After hemodynamic stabilization and heart failure compensation, the aim was to progressively normalize the state of consciousness of the patient as well as the liver enzymes and coagulation study.
A Young Girl of 12 Year with Pancreatoblastoma; a Case Report and Short Discussion
Israt Jahan, Sarwar Alam, Md. Abdul Bari, Tarek Hasan, Md Niaz Mostafa
Sch J Med Case Rep | 421-423
DOI : 10.36347/sjmcr.2020.v08i03.045
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A 12 years old girl admitted in Bangabandhu Sheikh Mujib Medical University (BSMMU) with the complaints of occasional abdominal pain, vomiting and a mass in abdomen for four months. Her physical examination revealed a large solid mass measuring about 10x8 cm in left hypochondriac and epigastric region, CT scan of abdomen revealed mass was pancreatic in origin. Surgery was done and during exploration the mass was nodular, capsulated and cut surface was solid with necrotic and haemorrhagic areas, histopathology report was pancreatoblastoma and there was capsular and perineural invasion. She completed adjuvant chemotherapy and was on follow up but after two years she died due to local recurrence. Pancreatoblastoma (PB) is a rare childhood malignancy of pancreatic islet cells and so far our knowledge goes it is one of the few cases diagnosed in Bangladesh. In most cases tumor is located in the head of the pancreas and patients usually presents with abdominal pain and mass, vomiting, diarrhea or jaundice. The presenting features are non-specific, so it is difficult to distinguish from other inra-abdominal tumors. Here, we describe the diagnosis, clinical and histological characteristics of the tumor, and the management.
Congenital Severe Factor V Deficiency: Two Cases with Different Clinical Presentations
Eker N, Tokuç AG, Yılmaz B, Doğru Ö, Şenay E, Tufan B, Aras S, Koç A
Sch J Med Case Rep | 424-426
DOI : 10.36347/sjmcr.2020.v08i03.046
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Background: Congenital faktor V (FV) deficiency is a rare bleeding disorder in children. The incidence is approximately 1/1.000.000 in the general population. We aimed to present two patients with congenital FV deficiency who have different clinical presentation and one of them with malignancy. Case report: Case 1 was asymptomatic while Case 2 had intracranial hemorrhage at the time of initial diagnose. Their genetic mutations were different and Case 1 who had a malignancy has heterozygous mutation c.6304 C>A (p.Arg2102Ser) on 23.exon of F5 which didn’t report for FV deficiency before. Conclusion: To the best of our knowledge, there is no report in the literature about the relationship at congenital FV deficiency with malignant diseases. There may be a relationship at this new mutation with malignancy or she might have two diseases coincidentally. In conclusion, we suggest that genotype may play a significant role for severe FV deficiency patients’ different clinical presentations.
