Anaesthesia in Wilson´s Disease for Laparoscopic Surgery
Agrawal Preeti, Kataria Vijayshree, S. Jamuna
Sch J Med Case Rep | 476-478
DOI : 10.36347/sjmcr.2020.v08i04.016
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Wilson disease is an inherited disorder of altered copper metabolism with accumulation of copper in liver, brain, eyes. Patient may present with cirrhosis, acute liver failure, neuropschychiatric manifestation like tremors, dysarthria, acute psychosis. Anaesthesia in Wilson disease can be a challenging task in laparoscopic surgery, thorough workup of severity, optimal planning is essential hence we discuss a case of 12 year old female child, diagnosed as Wilson disease posted for laparoscopic cholecystectomy. This is first case report of laparoscopic surgery in Wilson disease in our knowledge.
Papillary Urothelial Neoplasm of Low Malignant Potential with Inverted Growth Pattern- A Case Report
Nanda Patil, Shoaib Khoja, Garima Agarwal, Vaidehi Nagar, Divya Brahmbhatt
Sch J Med Case Rep | 479-481
DOI : 10.36347/sjmcr.2020.v08i04.017
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Papillary Urothelial Neoplasm of Low Malignant Potential (PUNLMP) is a rare urothelial neoplasm seen in elderly patients. The term PUNLMP is used for noninvasive neoplasm of bladder with features of multilayering of lining epithelium and showing minimal or absent nuclear atypia. The growth pattern of these lesions is usually exophytic. We report a rare case of PUNLMP arising from bladder with inverted growth pattern in a 65 year old male patient.
Can Costal Chondrosarcoma Be Cured?
Lok Yuh Ing
Sch J Med Case Rep | 442-445
DOI : 10.36347/sjmcr.2020.v08i04.006
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Primary chest wall tumours are rare tumours which account for <5% of thoracic malignancies. 50-80% primary chest wall tumours are malignant tumours. Thoracic chondrosarcoma is the commonest malignant primary chest wall tumour which occurred in 30% of all malignant primary chest wall tumours. We report a case of a 62-year-old gentleman presented with left chest wall mass associated with pain. CT scan showed left 9th rib mass with intraperitoneal extension. Histopathological examination showed costal conventional chondrosarcoma, grade 2. Patient underwent tumour resection with a safe margin of 4cm, and chest wall reconstruction. Subsequently, he had radiotherapy due to close surgical margins. After 6 months’ follow-up, patient's ECOG is 0 and no evidence of recurrence.
Severe Arterial Hypertension in Adults: When to Think of Aortic Coarctation
Elouardighi Kaoutar, Dinia Mohamed
Sch J Med Case Rep | 453-455
DOI : 10.36347/sjmcr.2020.v08i04.009
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Coarctation of the aorta is a congenital narrowing of the aorta, located just below the emergence of the left subclavian artery. It is often discovered at birth, but can be later diagnosed when dealing with a resistant arterial hypertension. We report the case of a 45-year-old male admitted to the emergency department for a hypertension emergency, in whom the diagnostic work up found an aortic coarctation. A percutaneous treatment made it possible to control the arterial hypertension.
Amygdalo Glosse Furrow Lipoma Rarely Cause of Dysphagia
N. Belhaj, C. Nekro, I. Boumendil, H. Rahim, R. Bencheikh, M. A. Benbouzid, L. Essakalli
Sch J Med Case Rep | 431-433
DOI : 10.36347/sjmcr.2020.v08i04.002
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Lipoma is a benign tumor developed at the expense of fat cells. The tonsilloglossal fold lipoma is a rare entity we describe in this work the observation of a patient who consulted for dysphagia. We also report in this work a review of the literature.
About a Rare Case: A Concomitant Divergent Dislocation of the Elbow and Radial Diaphyseal Fracture
Dr. Azzelarab Bennis, Dr. Naoufal Elghoul, Dr. Omar Zaddoug, Dr. Ali Zine, Dr. Mansour Tanane, Dr. Abdeloihab Jaafar, Dr. Mohammed Benchakroun, Dr. Salim Bouabid
Sch J Med Case Rep | 434-436
DOI : 10.36347/sjmcr.2020.v08i04.003
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Concomitant lesions in the upper limb, due to trauma, have been rarely reported in the literature. The concomitant elbow dislocation and radial diaphyseal fracture is rare and constitutes challenging management for every orthopedic surgeon. Herein, we report a case of divergent elbow dislocation associated with a fracture of the ipsilateral radial shaft in a 26-year-old adult. Clinical and radiological findings prompted the patient to undergo surgery. The particularity of our case is that, although it is a rare dislocation of the elbow combined to complex fracture, surgical management followed by correct and long term rehabilitation had led to good outcomes.
Giant Frog of the Floor of the Mouth
Belhaj N, Nekro C, Rahim H, Boumendil I, Bencheikh R, Benbouzid MA, Essakalli L
Sch J Med Case Rep | 437-439
DOI : 10.36347/sjmcr.2020.v08i04.004
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The sublingual frog or ranula is a sialocele related to mucosal cystic retention secondary to obstruction of the sublingual gland or its duct (more rarely accessory glands). We distinguish the simple and plunging shape. The simple form is limited to the sublingual gland and corresponds to a true epithelial cyst. The anatomical location is specified by imagery: it is located in the floor of the mouth above the mylohyoid muscle and inside the genio-hyoid muscle. The plunging shape corresponds to an extension in the submandibular space by the free edge of the mylohyoid muscle. Most often we visualize an extension of the cyst in the submandibular region, this is what we report in this work which reports the case of a patient who consulted for mass under mandibular and whose diagnosis is posed by imaging, biology and confirmed after surgical exercise by anatompathology.
Adult Colo-Colic Intussusception: Lipoma or Cancer??
Zhar Jamal, Bahri Mohamed Oussama, Anis Tarek, Ouadii Mouaqit, El Bouhaddouti Hicham, El Benjelloun Bachir, Abdelmalek Ousadden, Ait Taleb Khalid
Sch J Med Case Rep | 440-441
DOI : 10.36347/sjmcr.2020.v08i04.005
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Acute intestinal intussusception in adults is rare [1]. In majority of adult cases, there is an underlying cause such as polyps or colon cancers. Invaginations of the small intestine account for 75% and 25% of colonic origin. The diagnosis is difficult and often late [2]. We report a rare case of acute intestinal intussusception on the polyp of the transverse colon on a 65-year-old woman, whose diagnosis was made using an abdominopelvic CT scan. Through this observation and a review of the literature we will try to identify the clinical and therapeutic features of this entity.
Vasculo-Nervous Conflict of the Pontocerbellous Angle Revealed by a Hemiface Spasm
Belhaj N, Rahim H, Ait Taleb Oumhand H, Bencheikh R, Benbouzid MA, Essakalli L
Sch J Med Case Rep | 473-475
DOI : 10.36347/sjmcr.2020.v08i04.015
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Facial hemispasm is secondary to neuro-conflict vascular in the majority of cases; a lesion of the posterior fossa is rarely involved. MRI, thanks to volume sequences and angio-MRI, proves this. We report in this work, the observation of a patient who consulted for hemiface spasm in the radiological assessment is reported to have shown a vaculonervous conflict.
Cleidocranial Dysplasia in Saudi Child; A Case Report
Abdullah Almutairi, Ahmad Moosa Alhazmi, Jawaher Jazaa Alotaibi, Abeer AlKhaldi, Ahmed AlQatie, Badi ALEnazi
Sch J Med Case Rep | 446-449
DOI : 10.36347/sjmcr.2020.v08i04.007
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Cleidocranial dysplasia is a rare inherited disease that is characterized by abnormalities in bone such as skull, jaws and shoulder girdle. The present case is a boy who was presented with previous history of fever and NICU admission for 1 week for pneumonia. The boy‘s parents were first degree consanguinity with no history of similar condition or chronic disease, there were no problems during pregnancy or delivery. The patient showed normal clinical examination and laboratory investigations, whereas radiological examination showed abnormalities in chest, skull and lateral neck. The family of the patient had no history of such condition, the boy suffered this rare disease and this wasn’t inherited as this disease is dominant trait, so the mutation caused the disease in our patient is a sporadic.
Orbital Lymphoma about 4 Cases
Coulibaly K, Traoré S, Samaké D, Traoré H, Bathily M, Kané AST, Oukerroum A, Slimani F
Sch J Med Case Rep | 427-430
DOI : 10.36347/sjmcr.2020.v08i04.001
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We report four cases of exophthalmos related to malignant lymphoma, highlighting the value of surgical biopsy. These were four patients aged 33, 50, 55 and 62 respectively. Unilateral exophthalmos was the reason for consultation in all cases. The diagnosis of non-Hodgkin's lymphoma was suspected by imaging and confirmed by pathological examination of surgical biopsies. It was type B lymphoma in 3 cases and TNK type lymphoma in 1 case. They all benefited from polychemotherapy. The evolution was marked by the regression of the tumor and exophthalmos. These cases show that the clinical polymorphism of malignant lymphomas is extreme. They can cause diagnostic problems and delay treatment. Hence the interest of the histological examination of a tissue biopsy.
A Large Dentigerous Cyst Obliterating the Maxillary Sinus Leading to Nasal Obstruction and Impaired Hearing: A Case Report
Dr. Naveen Kumar Muniganti, Dr. Sathyakumar Reddy, Dr. Rajasekhar Gali.G, Dr. Ramesh Babu Vaka, Dr. Ramani P
Sch J Med Case Rep | 450-452
DOI : 10.36347/sjmcr.2020.v08i04.008
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Dentigerous cyst is the most commonly occurring odontogenic cyst after a radicular cyst and accounts for 15% of all true cysts in the jaws. The cyst is more common in mandible than in the maxilla. The dentigerous cyst is commonly associated with impacted mandibular third molars. In the maxilla, the incidence is rare. Dentigerous cyst in the maxillary sinus in association with an impacted third molar is an uncommon entity. We present a case of dentigerous cyst associated with an impacted third molar, obliterating the maxillary sinus leading to nasal obstruction and impaired hearing in a 37-year-old male.
Tuberculous Hypertrophic Pachymeningitis in A 10 Years Old Girl: Report and A Review of the Literature
Zouita B, Bouyaali C, El badri Y, El Hadri K, Basraoui D, Jallal H
Sch J Med Case Rep | 456-459
DOI : 10.36347/sjmcr.2020.v08i04.010
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Pachymeningitis is a rare disease of diverse etiology mainly affecting the adult population. And very rare pediatric cases have been reported till now. We report the young child with pachymeningitis. Our case responded very well to antitubercular therapy with near complete recovery. Antitubercular therapy can be considered in children from endemic countries with hypertrophic pachymeningitis before labeling their condition as idiopathic hypertrophic pachymeningitis.
Malignant Granular Cell Tumor (Abrikossoff Tumor)
Raouah Mehdi, Saadoune Mohamed, Bouchabaka Yassine, El Matlini Abdelali, Igarramen Tariq, Laatitioui Sana, Bounid Oumyma, Darfaoui Mouna, Lalya Issam, Abdelahamid El Omrani, Khouchani Mouna
Sch J Med Case Rep | 460-463
DOI : 10.36347/sjmcr.2020.v08i04.011
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A granular cell tumour (GrCT) is a benign soft tissue tumor which is quite rare, that likely arises from Schwann cells, with unknown etiology. Approximately 0.5% - 2.0% of GrCTs are reported as malignant. Differentiating a malignant GCT (MGCT) from a benign one is important as the former is aggressive and has a poor prognosis, whereas the latter, after surgical resection, has excellent outcomes. A malignant lesion can be suspected on clinical presentation and confirmed via histopathological examination using the Fanburg-Smith criteria. We believe that wide local excision is the best treatment for both benign and malignant tumours. The role of adjuvant chemotherapy and radiotherapy in malignant GrCTs should be studied. All patients with GrCTs should receive follow-up to check for recurrence and metastasis.We report a rare case of swelling of soft tissue involving the lower lip in a 89 years old female patient which was histopathologically diagnosed as MGCT with a brief on review of literature has been discussed.
Cystic Ovarian Mature Teratoma with a « Floating Ball » Sign: about A Case Report
I Zouita, H El Mortaji, Y Elbadri, D Basraoui, H Jalal
Sch J Med Case Rep | 464-467
DOI : 10.36347/sjmcr.2020.v08i04.012
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Mature cystic teratoma is one of the most common human germ cell tumors and is often found in the ovary in women of reproductive age. Ovarian cystic teratomas are usually cystic fatty tumors that can be diagnosed easily using imaging techniques. We present a case of a 44-year-old woman diagnosed with cystic ovarian mature teratoma associated with the floating ball sign.
Maroteaux- Lamy Syndrome: A Rare Case of Mucopolysaccharidosis Type- VI with Bilateral Cloudy Cornea
Rajender Singh Chauhan, Apoorva Goel, Ashok Rathi
Sch J Med Case Rep | 468-470
DOI : 10.36347/sjmcr.2020.v08i04.013
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Mucopolysaccharidosis are a group of rare inherited lysosomal storage disorder. The incidence of MPS type VI (Maroteaux- Lamy syndrome) is 0.36 to 1.30 per 100,000. It has autosomal recessive inheritance and is caused due to mutation in ARSB gene located on chromosome 5. This mutation causes absent or reduced production of N- acety-l galactosamine 6 sulfatase enzyme (Arylsulfatase B). There is a progressive multisystem involvement with ocular involvement in the form of cloudy cornea, thickened sclera, glaucoma, optic atrophy and retinopathy. However, cloudy cornea remains the main culprit for reduced vision which is managed by corneal transplantation. Here we report a case of maroteaux- Lamy syndrome in which penetrating keratoplasty of one eye was done but was deferred in the other eye due to poor outcome in the operated eye in the presence of optic atrophy.
Thymic Cyst: A Rare Etiology of Cervical Mass in Adults
Belhaj N, Laassikri O, Rahim H, Boumendil I, Bencheikh R, Benbouzid MA, Essakalli L
Sch J Med Case Rep | 471-472
DOI : 10.36347/sjmcr.2020.v08i04.014
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The thymic cyst is a rare congenital tumor. Usually asymptomatic, this tumor is generally seen in childhood under the age of ten. In the neck, the preoperative diagnosis of this tumor is difficult and is rarely made. The treatment of choice is surgical excision. The long-term prognosis is excellent with a low rate of local recurrence. We report a case of cervical thymic cysts in adult patient.
Localisation Originale Du Lupus Tuberculeux Au Niveau De La Main
El Mekkaoui MJ, Kharmaz M, Lamrani MO, Mahfoud M, El Bardouni A, Berrada MS
Sch J Med Case Rep | 482-484
DOI : 10.36347/sjmcr.2020.v08i04.018
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Cutaneous tuberculosis accounts for 2% of all extrapulmonary tuberculosis and is one of the multiple clinical presentations of extrapulmonary tuberculosis. Tuberculous lupus is a paucibacillary form of cutaneous tuberculosis in which the existence of another site of infection is very fickle. We report an original case of tuberculous lupus of the hand with the indentification of Mycobacterium tuberculosis (MT) on the skin biopsy in a 35-year-old woman. The Mantoux test was positive. The search for Mycobacterium tuberculosis in sputum was negative. The skin lesions responded to antituberculous treatment.
Autopsy Findings of Oleander Poisoning – Report of A Rare Case
Dr. Nirjhar Saha, Dr. Chandan Bandopadhyay , Dr. Biswajit Sukul
Sch J Med Case Rep | 485-487
DOI : 10.36347/sjmcr.2020.v08i04.019
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This is a case report of an autopsy conducted at Kolkata Police Morgue. An 18 year old female, was allegedly being physically and mentally tortured for dowry by her husband and family. Ultimately, she took oleander nuts to commit suicide. She was taken to a nursing home in an unconscious state and expired 8 hours later. Medico-legal autopsy was conducted. Externally, conjunctiva was congested. On dissection, brain was congested. On opening the thorax; the larynx and trachea were congested. Both lungs and pleura were congested. Pericardium had extensive sub-epicardial ecchymosis. Patchy sub-endocardial haemorrhage was present on both sides of interventricular septum. On dissecting the abdomen; mouth, pharynx and oesophagus were congested. Stomach was congested and contained partially digested food. Peritoneum, small and large intestine were also congested. Liver showed patchy sub-capsular haemorrhage over upper surface of both lobes. Kidney also showed evidence of medullary haemorrhage. This case report highlights the autopsy findings of a case of Oleander poisoning. Oleander is a cardiac glycoside and has digoxin like effect: they inhibit sodium-potassium ATPase. The cardiac glycosides being oleandrin, neriin, folinerin. Death occurred due to cardio-respiratory failure.
Lymphoepithelioma-Like Carcinoma of the Uterine Cervix: A Case Report
Raouah Mehdi, Oumalloul Basma, Makrane Dounia, Laatitioui Sana, Igarramen Tariq, Bouchabaka Yassine, Saadoune Mohamed, El Matlini Abdelali, Bounid Oumayma, Darfaoui Mouna, Lalya Issam, El Omarani Abde
Sch J Med Case Rep | 488-491
DOI : 10.36347/sjmcr.2020.v08i04.020
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Lymphoepithelioma-like carcinoma (LELC) occurring in the reproductive organs is a rare variant of squamous cell carcinoma, and this tumor of the uterine cervix accounts for 0.7% of all primary cervical uterine neoplasms. It differs from the usual squamous cell carcinoma of the cervix in its morphology and clinical behavior. We report a case of LELC of cervix (FIGO stage IIB) in a 51 year old woman who presented with three months history of postcoital bleeding per vaginum and was treated primarily with concurrent chemoradiotherapy (CCRT), and brachytherapy. The prognosis of uterine lymphoepithelioma-like carcinoma is thought to be better than those of other cervical cancer types, but careful follow-up at fixed intervals is recommended. The patient has been followed up for 9 months since the end of radiation therapy, during which time there has been no evidence of tumor recurrence or metastasis.
Case Report of the Coincidence of Dubin and Johnson Syndrome and Colon Cancer
Ahmed H. Hamid, J.M.Yousuf, M. T. Yacoubi
Sch J Med Case Rep | 492-495
DOI : 10.36347/sjmcr.2020.v08i04.021
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Introduction: Dubin and Johnson syndrome (DJS) is autosomal recessive, inherited disorder with no progression to end-stage Liver disease.it result in mainly unconjugated hyper bilirubinaemia. Clinical onset of DJS often begin during the teenage years or in early adulthood. There are case reports describe the coincidence of DJS and colon cancer. Brief case report: We describe 27 years old male diagnosed with adenocarcinoma of the colon few years after the clinical onset of DJS. Conclusion: Attention should be taken when evaluating a young adult with DJS and be aware of this risk and consequences of a late diagnosis of colorectal cancer.
Complete Disappearance of A Locally Advanced Gastric Tumor Under Chemotherapy: Case Report
Alae Eddine El Aissaoui, Mourad Badri, Alliou Zabeirou, Rayhana Boujarnija, Tarik souiki, Ahmed Zerhouni, Karim Ibn Majdoub, Khalid Mazaz, Imane Toughrai
Sch J Med Case Rep | 496-498
DOI : 10.36347/sjmcr.2020.v08i04.022
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Gastric cancer is one of the most common cancers worldwide. Its most common histological form is adenocarcinoma. Perioperative chemotherapy is currently the reference treatment for resectable gastric adenocarcinomas, yet the surgery is the only potentially curative treatment. We report the case of a 50 year old patient, with a history of diabetes, hospitalized for epicastric pain evolving for several months in a context of unencrypted weight loss. The eso-gastric endoscopy revealed a large ulcero-proliferative growth in the antro-pyloric region while the anatomopathological study of the biopsy revealed an undifferentiated carcinomatous gastric process. The CT scan finds a locally advanced gastric antropyloric tumor. The patient received perioperative FLOT protocol chemotherapy with an excellent therapeutic response which has been demonstrated on the CT scan that has shown the absence of any gastric thickening or pancreatic processes. A distal subtotal gastrectomy was performed, with modified D2 (D1+) lymphadenectomy and a Billroth II Reconstruction. The anatomopathological study of the surgical piece revealed the absence of dysplasia or tumor proliferation. Postoperative recovery was uneventful and the patient received postoperative chemotherapy with a favorable evolution to date. Gastric cancer is a common tumor that requires multidisciplinary care for optimal therapeutic strategy. Perioperative chemotherapy is the reference treatment for resectable gastric adenocarcinomas; it allows the evaluation of chemical response, to have a downstaging that may facilitate surgery while getting an early systemic effect.
Cerebral Venous Thrombosis in an Adolescent with Celiac Disease
Sara Sabiry, Salma Louzi, Zainab Abdulhakeem, Hicham EL Otmani, Mohamed Abdoh Rafai, Bouchra EL Moutawakil
Sch J Med Case Rep | 502-504
DOI : 10.36347/sjmcr.2020.v08i04.024
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Celiac disease (CD) is a gluten-induced or gluten-sensitive enteropathy. It is considered as a chronic autoimmune disease affecting the gastrointestinal tract leading to malabsorption. CD may also affect other systems and it has been described as a disease associated with both arterial and venous thrombotic events. In this presentation, we report a case of a 16-year-old girl who had CD and cerebral venous thrombosis (CVT). We emphasized that CD can be investigated in patients with CVT and it is essential to search for risk factors.
Internet Addiction
Abdulkareem Salman Khudhair
Sch J Med Case Rep | 505-507
DOI : 10.36347/sjmcr.2020.v08i04.025
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Internet addiction is a wide term that covers a range of impulse-control problems and behaviors involving the internet, mobile technology, and personal computer, while there are no officially accepted criteria yet to diagnose internet addiction. The Internet in some way has made our lives easier, for example, it provides easy access to entertainment and information. However, when used excessive amounts, it can cause, anxiety obsession, depression, and also isolation, which are all symptoms of Internet addiction. Internet addiction is listed to be yet within the latest edition of the statistical manual and diagnostic of mental disorders. However, a 2-year study funded by the National Institutes of health may change that. Beginning in August of 2017, the study could deliver sufficient evidence that problems stemming from more internet use deserve serious attention from U.S. mental health and psychiatric communities. Professionals that do recognize internet addiction tend to classify it as either an impulse control disorder or obsessive-compulsive disorder or to assist treatment. Internet addiction is additionally called internet dependence compulsive computer use, and pathological internet use.
Herd Immunity or Community Immunity
Abdulkareem Salman Khudhair
Sch J Med Case Rep | 508-509
DOI : 10.36347/sjmcr.2020.v08i04.026
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Herd immunity is a form of indirect protection against an infectious disease, and occurs when a large proportion of the community acquires immunity to a particular enemy, either from pre-infection or vaccination, which provides protection to individuals who are not immune to the disease [1]. It is a type of immunity that occurs when a vaccination given to a large part of the population (or herd) provides a measure of protection to individuals who are not immune. The theory of herd immunity suggests that in the case of individual-transmitted infectious diseases, chains of infection are likely to be blocked when large numbers of the population are immune to diseases [2]. Herd immunity was first used in 1923. It was recognized as a natural phenomenon in the 1930s, when it was observed that after a large number of children developed measles immunity, the number of new infections decreased temporarily, especially among children at risk. Mass insemination to cause herd immunity has been common ever since, and has proven successful in preventing 3the spread of many infectious diseases. Opposition to vaccination challenged herd immunity, allowing preventable diseases to continue to occur or re-emerge in communities with inadequate vaccination rates [3]. If a large proportion of the population is immune to a particular disease, it helps these people not transmit the disease, so chains of infection are likely to stop, stopping or slowing the spread of the disease. The higher the proportion of individuals who are immune in society, the less likely they are to mix with people who are carriers of the disease, which helps protect them from infection [4]. The human body fights infectious diseases through the immune system when the immune system is exposed to a new enemy - a virus - it deals with it, and if the person lives and recovers, the immune system develops a memory of this invader, so that if exposed to the virus in the future he can fight it easily [5].
