Research Desk

Oct 27, 2020

Hussein Al-Mohamad et.al. presented the case of a 43-year-old female with a past medical history of Marfan Syndrome (MFS), who consulted her cardiologist after being diagnosed with an abdominal aortic dissection which showed up in an abdominal CT. The patient had no complaints of pain and was hemodynamically stable. Physical examination revealed several features typical to MFS. The patient underwent successful surgical repair of her abdominal aortic dissection via a minimally invasive open retroperitoneal approach.

Oct 27, 2020

Neelam Mittal et.al. presented a case of a 32-year-old female who reported with a chief complaint of pain in the upper left back tooth, which she reported was increasing while biting and taking cold or hot beverages. This case report describes endodontic management of a case with such aberrant root canal morphology of a maxillary second molar having a single root and single canal.

Oct 27, 2020

Terry Zhu et.al. presented a case of a 2-month-old full-term female who presented with a large anterior sacral meningomyelocele resulting in transient obstructive uropathy with bilateral hydronephrosis and acute kidney injury. After initial bladder decompression and surgical resection of the meningomyelocele, there was spontaneous resolution of bladder function confirmed with urodynamics.

Oct 26, 2020

The case presented by Tharmini Danisious et.al. is that of a 12-year-old girl with low grade fever of one-month duration associated with a non-productive cough whose abdominal examination revealed a firm mass on the left hypochondriac region. Subsequently,  a solitary mass confined to the left kidney with para aortic lymphadenopathy causing left ureteric compression and hydronephrosis was detected in ultrasound abdomen. Excisional biopsy of perihilar lymph node and a tru-cut biopsy from the renal mass performed showed features compatible with sinus histiocytosis with massive lymphadenopathy. The case reports a rare presentation of Rosai-Dorfman disease.

Oct 23, 2020

Garcia-Manau, Pablo et. al. present cases of 2 SARS-COV-2 RT-PCR positive women at different stages of gestation. The ultrasound in both cases showed fetal skin edema that resolved when maternal SARS-COV-2 RT-PCR test results became negative. In both of the cases, the RT-PCR test result for SARS-CoV-2 in amniotic fluid was negative. While evidence regarding transplacental transmission of COVID-19 is inconclusive, the cases report a potential fetal complication of the infection.

Oct 23, 2020

Hideki Marushima et.al. presented a case of a 76-year-old man who presented with a solitary pulmonary nodule, determined through chest radiography and computed tomography, that mimicked primary lung cancer. To establish a definitive diagnosis, tumor resection was performed with histopathological analysis indicating pulmonary hyalinizing granuloma. Radiographic findings in previously reported cases showed that most patients had well-defined margins and usually bilateral, multiple lesions. This case describes the solitary ill-defined tumor mimicking lung cancer which is an uncommon location for this rare condition.

Oct 22, 2020

Tomotaka Hemmi et.al. presented a case of an 89-year-old male patient was referred to our department for an evaluation of chronic cough.  On examination his oral cavity and pharynx, he expectorated a 10 -mm mass which was histologically diagnosed as an osseous choristoma.  The examination confirmed the well-defined, rounded, high-density mass with a tiny pedicle on the base of the tongue in previous cervical spine CT images. This case serves as a reminder of this rare entity in the diagnosis of tongue masses of the elderly.

 

Oct 22, 2020

The case is that of a 67-year-old man who was referred for colour change of the iris. Examination revealed findings consistent with iridoschisis and the patient was advised cataract surgery. However, he was lost to follow-up. He presented one year later with chronic angle closure glaucoma on the right eye and very poor remaining vision and limited vision in the left eye due to cataract. The patient underwent successful cataract surgery and achieved 20/20 vision post-operatively. The case brings to the fore the importance of timely treatment of iridoschisis to prevent ocular morbidity.

Oct 22, 2020

The case presented by Rebecca I. Chen et.al. is that of a 65-year-old woman with a 2-week history of worsening floaters and blurred vision subsequent to disseminated zoster after having received zoster subunit vaccine. She has a past medical history of multiple myeloma treated with a previous autologous hematopoietic stem cell transplant and daratumumab and pomalidomide. Her presentation was indicative of viral retinitis and an anterior chamber paracentesis confirmed the presence of VZV DNA. The patient was administered therapeutic dose valacyclovir and treated with biweekly intravitreal injections of foscarnet. This case features a potential complication of the recombinant subunit vaccine.

Oct 15, 2020

Rachid Attou et.al. presented a case of a45-year-old man was admitted to the Emergency Department with fatigue and muscular weakness. Soon after hospital admission, he developed “torsades de pointe” and was successfully resuscitated. The admission laboratory investigations had revealed a profound hypokalemia.  The diagnosis of liquorice-related pseudohyperaldosteronism was assessed by normal plasma aldosterone levels and low plasma renin activity.