Research Desk

Jan 24, 2020

A 13-year-old boy with giant accessory spleen underwent spontaneous intrasplenic hemorrhage who presented with recurrent abdominal pain. Contrast-enhanced MRI was mandatory for the diagnosis before surgical procedure.

Jan 24, 2020

Deep vein thrombosis after femoral arterial access is a rare complication of left heart catheterization. This case highlights the complex pathophysiology of Deep vein thrombosis following femoral arterial access and the challenges of management strategy selection.

Jan 24, 2020

This is a case of a 30-year-old female presenting with fatigue, abdominal striae, unintentional weight gain, and lipodystrophy. A rare diagnosis of ectopic adrenocorticotropic-dependent CS was determined and a neuroendocrine lung tumor was discovered on chest x-ray. After surgical resection, pathology confirmed lung neuroendocrine lung tumor that stained positive for adrenocorticotropic hormone.

Jan 24, 2020

This is a case of a a 26-year-old woman who presented with a four-day history of an erythematous swollen left lower limb. She was treated with intravenous clindamycin for suspected cellulitis. However, her symptoms persisted. Punch biopsy revealed findings consistent with erythema nodosum. Two days later, she developed colicky abdominal pain associated with non-bloody diarrhea. Stool culture yielded Salmonella enterica serotype enteritidis. Two days after discharge, she presented again with a right breast abscess for which she underwent incision and drainage along with antibiotic therapy. After discharge, she was symptom-free with complete resolution of the cutaneous lesions.

Jan 24, 2020

This is the case of a 9-year-old male who presented with seizures and minor trauma. Imaging showed progression of leptomeningeal enhancement in the setting of increased seizure activity, and biopsy confirmed the diagnosis. The patient received immunotherapy but eventually succumbed to the disease.

Jan 23, 2020

This is a case report of a 17-year-old Saudi male presented to the Dermatology Outpatient Clinic of Aseer Central Hospital, Saudi Arabia, with a painless rounded skin-colored exophytic nodule arising from the dorsal surface of the right middle toe, 1.7 cm in diameter. The tumor was surgically excised. Histopathology examination revealed a giant polyploid lesion, composed of massive hyperkeratosis, acanthosis, a core of thick collagen bundles and vertically oriented small dermal blood vessels. The diagnosis was giant acquired acral fibrokeratoma (AAF).

Jan 23, 2020

This is a case of a 55-year-old male with a history of controlled hypertension and smoking for 17 pack-years that was stopped five years ago, presented with progressive dysphonia for 18 months, characterized by moderate roughness and mild breathiness. It was proposed to perform a cordectomy using a CO2 laser by direct laryngoscopy. During the attempt for better laryngeal exposure, the anesthetic team reported bradycardia (30 bpm). The laryngoscope was immediately removed, and 1 mg of IV atropine was infused. Despite the measures, there was progression to asystole, and cardiopulmonary resuscitation (CPR) was promptly initiated. The patient’s pulse returned after 2 cycles of CPR and 1 mg of IV adrenaline.

Jan 22, 2020

A case of an incidental solid renal cell mass with multiple foci of intra-tumoral fat, which was shown to be a clear cell renal cell carcinoma (RCC) at nephrectomy. 

Jan 22, 2020

The report describes the intervention process of a 54-year-old female, suffering from anxiety since childhood and diagnosed with panic disorder, agoraphobia, claustrophobia and hypochondria. After 14 sessions of anthroposophic art therapy, reduction of anxiety was shown, as well as improvements of emotion regulation and executive functioning. The client indicated that she became more tolerant and accepting towards her anxiety. 

Jan 22, 2020

A 65-year-old Japanese man visited a hospital with the chief complaint of abdominal pain in January 2018. CT showed edema and thickening of the intestinal wall from the descending colon to the rectum. With radiology intervention, coiling for the arteriovenous fistula in the descending colon was performed, and hemostasis was obtained. A colonoscopy at 6 months post-surgery showed neither ulceration nor stenosis in the rectum, indicating that the rectum could be preserved in the next surgery. Ten months after the transverse colostomy, a subtotal colectomy was performed and ileorectal anastomosis and an ileostomy was created. The sigmoid colon and mesentery were not so rigid compared to the first surgery’s findings, and intestine and mesentery were resected.