The Puerperal Hematoma or Genital Thrombosis: A Case Report and Literature Review
Nadia Ch’michi, Mariyam Benayada, Nada Douraidi, Soukaina Khalta, Najia Zeraidi, Ibrahim Rhrab, Amina Lakhdar, Aziz Baydada, Aicha Kharbach
Sch J Med Case Rep | 937-940
DOI : 10.36347/sjmcr.2020.v08i11.001
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The puerperal hematoma is a dreaded complication of postpartum hemorrhage, caused by a vascular rupture, most often a venous one. The main known risk factors are fetal macrosomia and instrumental extractions. Depending on the location of the puerperal hematoma, a variety of symptoms ranging from vulvar swollen to an abdominal pain can be seen. The diagnosis is often clinical; a CT scan can locate the vessel causing the hematoma. The management of the puerperal hematoma is multidisciplinary with a tendency toward arterial embolization in most cases. Through a clinical observation, we will try to focus on this pathology and especially discuss the different therapeutic options.
Caroli Syndrome: About a Case Report and a Review of the Literature
Jihane Rizkou, Khadija Krati, Safae Roudi, Chama El Manjra, Adil Ait Errami, Sofia Oubaha, Zouhour Samlani
Sch J Med Case Rep | 941-944
DOI : 10.36347/sjmcr.2020.v08i11.002
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Caroli's disease is a very rare congenital disorder, characterized by segmental cystic dilatation of the intrahepatic bile ducts. It is called Caroli syndrome when liver fibrosis or cirrhosis coexists, and is often associated with cystic kidney disease including autosomal recessive polycystic kidney disease (ARPKD). We report a case of Caroli syndrome in a 19-year-old patient; under conservative treatment for polycystic kidney disease since the age of 10; revealed by atypical chronic pain of the right hypochondrium and which the diagnosis was made by Magnetic resonance cholangiopancreatography (MRCP) revealing findings compatible with Caroli syndrome.
Dual Pathology: Synchronous Existence of Gastrointestinal Stromal Tumour (GIST) of Stomach and Adenocarcinoma of Colon
Muhd Afiq MF, Ling LF, Kang JA, Umasangar R
Sch J Med Case Rep | 945-947
DOI : 10.36347/sjmcr.2020.v08i11.003
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Gastrointestinal stromal tumor (GIST) is a rare cancer of the digestive reported about 0.1%–3.0% of all gastrointestinal neoplasms, 10% of small-bowel tumors, and 10%–15% of all sarcomas. Gastrointestinal Stromal Tumour (GIST) and it’s coexistence with adenocarcinoma of colon is one of the rare event to occur and reported in Malaysia. Hereby, we reported a case of 70 years old lady presented with history of passing malaena. Esophagogastroduodenoscopy (OGDS) revealed mass at greater curvature of stomach. Biopsy reported as GIST. Subsequent Computed Tomography (CT) abdomen revealed incidental finding of circumferential bowel thickening at sigmoid colon, colonoscopy revealed circumferential mass at sigmoid colon, in which biopsy reported adenocarcinoma. Patient underwent sleeve gastrectomy and anterior resection however she developed complications from anastomotic leak and succumbed to her illness.
Periosteal Chondrosarcoma: A Case Report and Literature Review
M. Ouali Idrissi, S. Ouassil, B. Boutakioute, N. Cherif Idrissi Elguanouni
Sch J Med Case Rep | 948-951
DOI : 10.36347/sjmcr.2020.v08i11.004
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Periosteal chondrosarcoma, also known as juxta-cortical chondrosarcoma, is a rare malignant cartilaginous tumor arising from the external surface of the bone [1, 2]. Imaging features are often specific. Recognizing periosteal chondrosarcoma and differentiating it from other surface tumors is of capital importance because the prognosis is excellent after adequate local surgery alone. Metastasis is late and very rare [3]. We report the case of a young 23 year old, who consulted for left thigh pain evolving for 3 months without inflammatory signs or deterioration of the general condition. A conventional radiographs, computed tomodensitometry and magnetic resonance imaging were performed and were in favor of periosteal chondrosarcoma. The patient underwent a biopsy which confirmed the diagnostic.
Lingual Cystadenoma: Rar Location and Rare Cause of Odynophagia in Adults
Belhaj Najoua, N. Benkhraba, I. Boumendill, S. Nitassi, A. Oujilal, R. Bencheikh, M.A.Benbouzid, L. Essakalli
Sch J Med Case Rep | 952-954
DOI : 10.36347/sjmcr.2020.v08i11.005
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Salivary gland tumours (SGT) represent an important chapter of facial cervico pathology. Salivary gland tumours are rare and very varied. Cystadenoma is a rare epithelial tumour of the salivary glands (WHO 2005). It preferentially reaches the accessory salivary glands of the palate, lips and cheeks. We report in this work the observation of a 60-year-old patient who had discomfort with chewing and odynophagia whose paraclinical balance objectified a tissue process of the lateral posterior part of the left side of the gue including surgical exeresis and anabolic study objecting to a cystadenome.
Post Hysterectomy Fallopian Tube Prolapse: A Rare Case
Dr. Jadhav Vaishali, Dr Mishra Nigamanand, Dr. Savani Gayatri, Dr. G Geetadevi, Dr. Gaddam Prachi
Sch J Med Case Rep | 955-957
DOI : 10.36347/sjmcr.2020.v08i11.006
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Fallopian tube prolapse through the vaginal vault is a complication seen in few cases of hysterectomies where, the adnexa is preserved. The overall occurrence of fallopian tube prolapse through vaginal vault after hysterectomy is 0.01-0.05% regardless of the route [1].The only means of definitive diagnosis is the histopathological examination. Fallopian tube prolapse can be prevented by prophylactic salpingectomy or by suturing the adnexa high up in the pelvis in abdominal hysterectomy. This condition can be confused with vault granulation tissue and serious condition like carcinoma in vaginal vault. Here, we present a case of 60yrs old lady with fimbrial prolapse through the vault.
Staphylococcal Septicemia, Purulent Pericardial Effusion Causing LV Pseudo-aneurysm in Children: A Case Report
Mohd Iqbal Dar, Aamir Rashid, Zubair Mushtaq Tramboo, Nagraju Naik Banavath, Imran Hafeez, Hilal A Rather
Sch J Med Case Rep | 958-960
DOI : 10.36347/sjmcr.2020.v08i11.007
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Cardiac pseudoaneurysm formation following isolated pericardial effusion is one of the rare complications with only few case reports published so far in the literature. A 3½ years old male child present with fever and purulent polyarthritis causing staphylococcus aureus septicemia, which finally complicated into purulent pericardial effusion followed by left ventricular pseudo-aneurysm formation. Despite aggressive management, the patient had a downhill course of illness and finally resulted in death. Staphylococcal infection, especially in children can lead to metastatic infection of heart with fatal outcomes.
Satisfying Glycemic Control Achieved by Adding a Sodium-Glucose Co-transporter 2 Inhibitor to Sensor-Augmented Insulin Pump (MiniMed 640G) Therapy in a type 1 Diabetic Woman
Akiko Nishimura, Yuji Aoki
Sch J Med Case Rep | 961-964
DOI : 10.36347/sjmcr.2020.v08i11.008
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Beneficial effects of sodium-glucose co-transporter 2 (SGLT2) inhibitors, a new class of oral antidiabetic medications, have been shown in patients with type 2 diabetes and subsequently with type 1 diabetes. Since SGLT2 inhibitors lower blood glucose levels by increasing urinary glucose excretion, insulin doses often need to be reduced to avoid hypoglycemia, leading to increased ketone body formation and, possibly, euglycemic diabetic ketoacidosis. In this case report, we present a type 1 diabetic patient treated with a sensor-augmented insulin pump, who was satisfied with almost normal HbA1c levels and favorable weight loss after adding ipragliflozin, an SGLT2 inhibitor. The insulin pump MiniMed 640G featured with automated suspension and restart of insulin delivery was demonstrated to be effective and useful to prevent severe hypoglycemia and, probably, diabetic ketoacidosis. The extent of ketonemia seemed to vary with changes in pathophysiological factors. Patients and clinicians should be aware of a STICH protocol to mitigate the risk of diabetic ketoacidosis in patients with type 1 diabetes on adjunctive treatment with SGLT inhibitors.
Collet-Sicard Syndrome due to Glomus Jugulotympanicum: Case Report
Shiv Parshad Mittal, Kiran Kumar Singal, Nitish Thakur, Jaspreet Singh, Yoginder Singh Gulati, Ajinkya Murudkar
Sch J Med Case Rep | 965-967
DOI : 10.36347/sjmcr.2020.v08i11.009
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Collet-Sicard syndrome (CSS) is a clinical condition due to lesions at skull base involving both jugular foramen and hypoglossal canal, and affecting lower cranial nerves i.e. IX, X, XI and XII. We report a case of Collet-Sicard syndrome, in an elderly lady, caused by intracranial tumor Glomus jugulotympanicum.
Limb-Girdle Muscular Dystrophy-A Case Report
Krishna Kumar Dhakchinamoorthi, Yemimah Elizabeth Shaji, Ann Mariya Jose, Rheya Mathew, Sanaj Varghese, Dorathi Ria Monisha A
Sch J Med Case Rep | 968-970
DOI : 10.36347/sjmcr.2020.v08i11.010
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Limb-Girdle Muscular Dystrophy (LGMD) is a group of skeletal muscle disorder characterized by muscle weakness in the upper and lower limbs, elevated creatine phosphokinase and decreased muscular activity. The disorder occurs due to the genetic variability among the genes involved in synthesis of muscle protiens. The most commonly affected muscular protein is dystrophin encoded by the dystrophin gene located in the human X chromosome. LGMD subgrouped as sarcoglycanopathies, dysferlinopathy, calpainopathy, and GNE myopathy based on the protein and genetic involvement. In the present case report a 34 years old male admitted with complaints of lower limb weakness with elevated creatine phosphokinase (CPK) and found to be 2647.7 U/L (24-195 U/L). Also, serum lactate dehydrogenase was found to be 304 U/L. Also he was treated for the complication of grade I fatty liver. In the present case, regular monitoring and symptomatic management required to prevent or reduce the risk of other signs and symptoms.
An Unusual Case of Colo-Vesical Fistula
Dr. Ravi Kumar, Dr. Uma Pradhan, Dr. P. N. Agarwal, Dr. G. J. Singh, Dr. Inder Verma
Sch J Med Case Rep | 971-973
DOI : 10.36347/sjmcr.2020.v08i11.011
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Mucinous colorectal adenocarcinoma is a subtype of colorectal cancer (CRC). It is characterized by the presence of abundant extracellular mucin. This mucin accounts for at least 50% of the tumor volume. Incidence of Mucinous colorectal adenocarcinoma is 10%–20% of CRC patients and it occurs more commonly in young females. This case report describes a case of colovesical fistula due to mucinous adenocarcinoma of sigmoid colon.
Fibroepithelial Polyp of Vagina – A Rare Case Report
Sujata Kumbhar, Digvijay Patil, Shoaib Khoja, Garima Agarawal, Divya Brahmbhatt, Vaidehi Nagar
Sch J Med Case Rep | 974-976
DOI : 10.36347/sjmcr.2020.v08i11.012
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Polypoid lesions or grape like masses of vagina are always worrisome and uncommon. In infants and young girls, such lesions are suspicious for sarcoma botryoides. In adults, benign vaginal polyps with bizarre stromal cells may occur, leading to a misdiagnosis of sarcoma. Fibroepithelial polyps of the vagina (FEPV) have attracted special interest during the past decades because of the presence of atypical cells and abnormal mitoses in some of them 2'. Fibroepithelial polyps of the vagina (FEPV) are mucosal polypoid lesions with a connective tissue core covered by a benign squamous epithelium. They are thought to be rare. Here we present an unusual case of 42 years old female patient with complaint of pain in lower abdomen since 6 months diagnosed with fibroepithelial polyp of the vagina (FEPV).
Urachal Carcinoma Associated with Sigmoid Fistula: A Rare Case Report
Chehboun A, Tadsaoui S, Arharas S, Boutakioute B, Ouali Idrissi M, Cherif Idrissi El Ganouni N
Sch J Med Case Rep | 977-979
DOI : 10.36347/sjmcr.2020.v08i11.013
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Urachal carcinoma is rare and aggressive, involving the urachus, a derivative of the allantois that extends from the bladder to the umbilicus the association with sigmoid-fistula is extremely rare. We report a case about a 45 year old woman who presented with an infected abdominal mass. An ultrasound and CT scan were performed revealing a large mass on the dome of the bladder extending from the urachus with a sigmoid fistula suggestive of an urachal adenocarcinoma that were confirmed on a surgical biopsy. An anterior pelvectomy was performed with a good outcome.
Spontaneous Splenic Rupture: A Case Report
Chehboun A, Ait Chtouk M, Tadsaoui S, Boutakioute B, Ouali Idrissi M, Cherif Idrissi Ganouni N
Sch J Med Case Rep | 980-981
DOI : 10.36347/sjmcr.2020.v08i11.014
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Spontaneous splenic rupture is a rare life-threatening condition, it’s occurrence with no history of underlying splenic disease makes it even extremely rare. We report a case of a 26 year-old male who presented with acute left sided abdominal pain with no history of trauma; a CT scan was performed individualizing an abundant intra peritoneal free fluid associated with multiples splenic lacerations and hematomas. Conservative management was carried with a good evolution.
Inguinal Bladder Hernia: About 3 Cases
AA Wariss Adegbindin, C Gakosso, A Hajjine, M Benzalim, S Alj
Sch J Med Case Rep | 982-985
DOI : 10.36347/sjmcr.2020.v08i11.015
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Inguinal bladder hernia is a relatively rare, predominantly male condition. The diagnosis is often made by inguinal swelling in a patient over the age of 50 with inguinal swelling associated with disorders of the lower urinary tract in men (LUTS). The diagnosis is confirmed using several medical imaging modalities (UCR, ultrasound, Uro-CT). We report the cases of 3 patients in whom an inguinal hernia of the bladder was suggested on the basis of a clinical suspicion and confirmed by performing a uroscanner. Two patients underwent surgical reduction of the hernia and in one of the patients a prostatic adenomectomy was also done. There were no associated post-operative complications.
A Rare Case of Breast Filariasis
Dr. Swati Chouhan, Dr. Sandeep Nautiyal
Sch J Med Case Rep | 986-988
DOI : 10.36347/sjmcr.2020.v08i11.016
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Introduction: Filariasis is a major health hazard around the globe causing 120–129 million cases in over 72 countries. Cases with breast as primary site for the parasite are uncommon and have been reported in females. Here we present a case of a male patient with filariasis of breast which is extremely rare. Case report: A 55-year-old male presented to the outpatient department with a mildly painful swelling in his left breast in sub areolar region. The smears from the aspirate showed cystic and phagocytic macrophages, few microfilaria forms and few fibro-fatty fragments in haemorrhagic background. Conclusion: Filariasis of the breast is an uncommon condition and can cause a diagnostic dilemma at times. Hence a high index of suspicion especially in patients from endemic areas is required.
