122 results match your criteria AME case reports[Journal]


Spider nevus in the stomach.

AME Case Rep 2020 30;4:15. Epub 2020 Apr 30.

Department of Gastroenterology, General Hospital of Northern Theater Command, Shenyang 110840, China.

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http://dx.doi.org/10.21037/acr.2020.03.01DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7221323PMC

Prominent effect of platelet on improvement of liver cirrhosis.

AME Case Rep 2020 30;4:14. Epub 2020 Apr 30.

Department of Surgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.

Thrombopoietin (TPO) can improve liver regeneration and fibrosis. We report on a patient with liver cirrhosis who received treatment with TPO to improve liver function. An 82-year-old male had liver cirrhosis with ascites due to hepatitis C virus infection. Read More

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http://dx.doi.org/10.21037/acr.2020.04.02DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225403PMC

Neuroendocrine pancreatic tumor causing chronic diarrhea in young adult, a case report.

AME Case Rep 2020 30;4:13. Epub 2020 Apr 30.

Digestive System Surgery Service at Getúlio Vargas Teaching Hospital (HUGV), Manaus, Amazonas, Brazil.

Secretory tumors of vasoactive intestinal polypeptides (VIPomas) are rare neuroendocrine pancreatic neoplasms usually associated with secretory diarrhea. Most cases present themselves with diarrhea, weight loss, and hypokalemia. Although VIPoma patients share easily distinguishable symptoms, early diagnosis remains a challenge. Read More

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http://dx.doi.org/10.21037/acr.2020.04.03DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7221343PMC

Use of custom made 3-dimensional printed surgical guide for manubrio-sternal resection of solitary breast cancer metastasis: case report.

AME Case Rep 2020 30;4:12. Epub 2020 Apr 30.

Division of Cardiothoracic Surgery, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China.

A 44-year-old lady with solitary 4.4-cm metastasis to the manubrium from a previously resected invasive ductal carcinoma of the left breast underwent manubrio-sternal resection. We describe our unique approach of using 3-dimensional (3D)-computed tomography (CT) image segmentation planning for reconstructing desirable resection boundaries, design of ideal superficial and deep surgical resection guides, and followed by 3D printing of guides using autoclavable thermoplastic for use during surgery. Read More

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http://dx.doi.org/10.21037/acr.2020.03.08DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7221324PMC

CT-guided percutaneous aspiration of Tarlov cyst: a case report of 2-year follow up.

AME Case Rep 2020 30;4:11. Epub 2020 Apr 30.

Department of Orthopedic Surgery, Spine Health Wooridul Hospital, Seoul, Korea.

Tarlov cysts are a rare pathology characterized by sac formations at the nerve root in the sacrum. Although many options have been proposed, there is still no consensus regarding the optimal treatment strategy. The authors report a case involving a 43-year woman with a sacral perineural cyst causing buttock pain and anus discomfort for 4 years. Read More

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http://dx.doi.org/10.21037/acr.2020.04.01DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7221350PMC

Successful management requiring multidisciplinary cooperation between seven departments for a large right-sided incarcerated traumatic diaphragmatic hernia: a case report and review of literature.

AME Case Rep 2020 30;4:10. Epub 2020 Apr 30.

Department of Dermatovenerology, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou 510655, China.

We present a rare case of incarcerated traumatic diaphragmatic hernia (TDH) at the right-side presenting as dramatic dyspnea and acute gastrointestinal obstruction, which required urgent operative repair. This entity is sometimes difficult to ascertain after acute trauma and then consequently give rise to diagnostic delays with life-threatening outcomes. Successful management required a coordinated effort between anesthetist, sonographer, intensive care specialist, thoracic, urological, hepatobiliary and gastrointestinal surgeons. Read More

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http://dx.doi.org/10.21037/acr.2020.03.02DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7221354PMC

Secondary atlantoaxial subluxation in isolated cervical dystonia-a case report.

AME Case Rep 2020 30;4. Epub 2020 Apr 30.

Faculty of Sciences, Lincoln University College, Kelantan, Malaysia.

Dystonia is a neurological disorder characterized by sustained or intermittent muscle contractions resulting in twisting, repetitive movements or painful postures. Cervical dystonia (CD), an isolated dystonia of the cervical musculature, can predispose the atlantoaxial joint to unstable changes. Symptomatic treatment of dystonia through local injections of botulinum toxin clearly reduces pain in most clinical settings. Read More

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http://dx.doi.org/10.21037/acr.2020.03.03DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7221351PMC

Primary renal lymphoma: a case report and review of the literature.

AME Case Rep 2020 30;4. Epub 2020 Apr 30.

Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.

Although renal involvement is common in non-Hodgkin's lymphoma (NHL), primary renal NHL is a rare disease. Diffuse large B-cell lymphoma (DLBCL) is the most common subtype of NHL and is responsible for 30-40% of adult NHL cases globally. Here, we present a case of a 68-year-old man with right flank pain who underwent retroperitoneal laparoscopic radical nephrectomy for an enlarged right kidney, with evidence of an infiltrating mass. Read More

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http://dx.doi.org/10.21037/acr.2019.12.03DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7221322PMC

Laparoscopic resection of giant adrenal malignant tumors, a case series and review of the literature.

AME Case Rep 2020 20;4. Epub 2020 Jan 20.

3rd Department of Surgery, "AHEPA" University Hospital, Aristotle University of Thessaloniki, Medical School, Thessaloniki, Greece.

Laparoscopic approach for suspected adrenal malignancies remains a controversial issue and it gets more controversial, when managing giant adrenal malignant tumors. The aim of this paper is to present five cases of patients with giant adrenal malignant tumors that underwent laparoscopic transabdominal lateral adrenalectomy in our department between 2010 and 2017. Literature is also reviewed in order to investigate the feasibility of laparoscopic resection in these cases. Read More

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http://dx.doi.org/10.21037/acr.2019.11.04DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7082331PMC
January 2020

Combined single-port transmediastinal and laparoscopic access with CO insufflation for esophageal resection: a case report on a canine model.

AME Case Rep 2020 20;4. Epub 2020 Jan 20.

Department of Thoracic Surgery, Lishui Branch, Zhongda Hospital Affiliated to Southeast University, Nanjing 211200, China.

In order to be familiar with the dissection of the esophagus through a single transmediastinal access. Combined single-port transmediastinal and laparoscopic access with CO insufflation for esophageal resection were performed in experimental dogs. The esophagus was separated by single-hole mediastinoscopy, the stomach was separated by laparoscopy, and left neck anastomosis of tubular gastroesophagus was performed on the experimental dogs. Read More

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http://dx.doi.org/10.21037/acr.2019.12.05DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7082235PMC
January 2020

The comparison of electromagnetic with virtual bronchoscopic navigation accuracy at hybrid operating room in patient with sternal wires.

AME Case Rep 2020 20;4. Epub 2020 Jan 20.

Division of Cardiothoracic Surgery, Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong, China.

We describe a case of a 63-year-old lady with an incidental small right upper lobe ground glass opacity (GGO) lesion, who had history of open-heart surgery with bypass grafts for coronary artery disease. Video-assisted thoracic surgery (VATS) excisional biopsy with pre-operative localization was planned. Localization by percutaneous approach is challenging due to position of GGO shielded by both the scapular and ribs. Read More

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http://dx.doi.org/10.21037/acr.2019.12.04DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7082328PMC
January 2020

Methicillin resistant infective endocarditis presenting as neutrophilic meningoencephalitis.

AME Case Rep 2020 20;4. Epub 2020 Jan 20.

Department of Medicine, UCLA - Kern Medical, Kern Medical Center, Bakersfield, CA, USA.

Infective endocarditis (IE) with is associated with intravenous drug abuse or infected cardiac devices and commonly presents with non-specific constitutional symptoms. A 53-year-old female presented to the hospital with back pain, altered mental status, fever, and tachycardia. Due to patient's lethargy and decline in respiratory effort, she was intubated and lumbar puncture was performed that revealed neutrophil-predominant leukocytosis of the cerebrospinal fluid. Read More

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http://dx.doi.org/10.21037/acr.2019.11.06DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7082330PMC
January 2020

Salvage surgery for primary lung cancer complicated with Trousseau's syndrome after chemotherapy: a case report.

AME Case Rep 2020 20;4. Epub 2020 Jan 20.

First Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu City, Shizuoka, Japan.

A 65-year-old man was admitted to our hospital due to an abnormal shadow on chest radiographs. Chest computed tomography (CT) revealed a tumor (diameter: 38 mm × 27 mm) and another small nodule in the left upper lobe of the lung, which were accompanied by lymphangitis of the left upper lobe. The patient underwent a transbronchial lung biopsy, following which he was diagnosed with lung adenocarcinoma. Read More

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http://dx.doi.org/10.21037/acr.2019.11.05DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7082236PMC
January 2020

Endoscopic decompression of epidural spinal metastasis causing lumbar radiculopathy through a transforaminal approach: report of two cases.

AME Case Rep 2020 20;4. Epub 2020 Jan 20.

Department of Neurosurgery, Medical University of South Carolina, Charleston, SC, USA.

Radiculopathy in patients with metastatic spine disease (MSD) may be palliated with open or microsurgical techniques. However, delay of chemoradiation, infection risk, extended hospitalization periods, and surgical site pain may complicate surgical efforts to improve these patients' lives. Endoscopic approaches, heretofore used almost exclusively in degenerative spine disease, may also palliate debilitating pain while mitigating the drawbacks of surgical intervention in providing focal tumor debulking. Read More

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http://dx.doi.org/10.21037/acr.2019.12.02DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7082234PMC
January 2020

Multiple renal ruptures after flexible ureteroscopic lithotripsy with holmium laser.

AME Case Rep 2020 20;4. Epub 2020 Jan 20.

Department of Urology, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.

The authors present a case report of multiple renal ruptures after flexible ureteroscopic lithotripsy (FURL) with holmium laser. Multiple renal ruptures following flexible ureterorenoscopy have not been reported so far. The etiology remains unclear. Read More

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http://dx.doi.org/10.21037/acr.2019.12.01DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7082237PMC
January 2020

Post-mastectomy radiation arteritis in a patient presenting with upper extremity claudication.

AME Case Rep 2019 31;3:49. Epub 2019 Dec 31.

Department of Plastic and Reconstructive Surgery, Medstar Georgetown University Hospital, Washington, DC 20008, USA.

Radiation arteritis is a rare but serious complication following radiation therapy for the treatment of breast cancer. We present the case of a 53-year-old female presenting with right upper extremity claudication 4 months following radiation therapy for the treatment of right breast cancer, stage 3b invasive ductal carcinoma. She was referred to vascular surgery and initial imaging with computed tomography angiography (CTA) revealed occlusion from the origin of the subclavian to axillary artery. Read More

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http://dx.doi.org/10.21037/acr.2019.11.03DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6987322PMC
December 2019

Pulmonary mucormycosis developed during acute myelogenous leukemia and successfully treated by surgical resection before blood stem cell transplantation.

AME Case Rep 2019 27;3:48. Epub 2019 Dec 27.

Department of Blood Medicine, Japanese Red Cross Society Nagano Hospital, Nagano, Japan.

Pulmonary mucormycosis is relatively rare and occurs in immunosuppressed patients, for example, individuals with hematologic malignancies such as leukemia. As pulmonary mucormycosis increases rapidly and is often fatal, appropriate treatment including surgical resection is necessary. We report a patient with pulmonary mucormycosis and acute myelogenous leukemia for which antifungal drugs were invalid. Read More

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http://dx.doi.org/10.21037/acr.2019.11.02DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6987314PMC
December 2019

Re-expansion pulmonary edema in a patient with anorexia nervosa and delayed drainage of traumatic pneumothorax.

AME Case Rep 2019 3;3:46. Epub 2019 Dec 3.

Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy.

A 21-year-old patient with anorexia developed re-expansion pulmonary edema after delayed drainage of traumatic pneumothorax. The patient was treated with non-invasive respiratory support [helmet continuous positive airway pressure (CPAP) and nasal high flow] until the resolution of the edema. Risk factors associated with re-expansion pulmonary edema are anorexia nervosa, prolonged lung collapse, age in the 20-39 range and re-expansion by high suctioning pressure. Read More

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http://dx.doi.org/10.21037/acr.2019.11.01DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6987312PMC
December 2019

Unique pathological findings of lung adenocarcinoma after unexpected nivolumab treatment, possible different effects on the primary lesion and metastatic lymph nodes: case report.

AME Case Rep 2019 21;3:45. Epub 2019 Nov 21.

Department of Thoracic Surgical Oncology, the Cancer Institute Hospital, Japanese Foundation for Cancer Research, Koto-ku, Tokyo, Japan.

A 69-year-old man was diagnosed with cT1aN2M0-stage IIIA lung adenocarcinoma. Chemoradiotherapy, the standard treatment for cN2, stage IIIA adenocarcinoma, was considered impossible due to his renal functional impairment. So surgery was the only radical treatment option and therefore planned. Read More

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http://dx.doi.org/10.21037/acr.2019.10.02DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6917553PMC
November 2019

Bowel obstruction in entero-colic fistula associated with magnet ingestion in children at the Amazonas countryside.

AME Case Rep 2019 21;3:44. Epub 2019 Nov 21.

College of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil.

Ingestion of small objects by children became worrisome as the number of cases increased over the years. Consequences such as intestinal obstruction or even infection of the gastrointestinal tract are becoming more frequent since even in majority cases there is having only an expectant conduct, complications can occur. Also, the combination of two elements such as punctiform metallic materials and imams cause fistula formation in loops with greater ease, granulomas in the intestines, perforation, and can progress to peritonitis or abscesses, as well as having considerable morbidity. Read More

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http://dx.doi.org/10.21037/acr.2019.09.05DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6917546PMC
November 2019

Adult primary gastric volvulus, a report of two cases.

AME Case Rep 2019 21;3:43. Epub 2019 Nov 21.

Department of Surgery, Yokohama Asahi-Chuo General Hospital, Yokohama, Japan.

Gastric volvulus is the medical situation that a stomach is twisted beyond the physiological range. It is a rare disease which is hard to experience in routine medical examination. Principally surgical treatment is essential for the acute type. Read More

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http://dx.doi.org/10.21037/acr.2019.10.03DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6917551PMC
November 2019

Multiple bilateral Becker's nevus in a Saudi female: a rare presentation.

AME Case Rep 2019 21;3:42. Epub 2019 Nov 21.

Saudi Board of Dermatology and Venereology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.

Becker's nevus (BN) classically presents as a single, sharply demarcated, unilateral, hyperpigmented, tan colored macule over the shoulder or pectoral area and is more frequent in adolescent males than females. In this study, we present an acquired, non-syndromic atypical BN in a Saudi female. Read More

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http://dx.doi.org/10.21037/acr.2019.10.01DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6917541PMC
November 2019

Viral pneumonia and pulmonary alveolar proteinosis: the cause and the effect, case report.

AME Case Rep 2019 16;3:41. Epub 2019 Oct 16.

Pulmonology Section, Department of Medicine, Mouwasat Hospital, Dammam, Saudi Arabia.

Pulmonary alveolar proteinosis (PAP) is a rare lung disease characterized by the accumulation of amorphous lipoproteinaceous material in the distal air spaces due to defective surfactant clearance by alveolar macrophages. This leads to impaired gas exchange and arterial hypoxemia of varying degrees. Although autoimmune type of PAP is thought to be idiopathic, this focused report highlights the possible relationship between viral pneumonia and autoimmune PAP (APAP) in terms of causation, superinfection and effect of treatments. Read More

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http://dx.doi.org/10.21037/acr.2019.09.04DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6851454PMC
October 2019

Interspinous endoscopic lumbar decompression: technical note.

AME Case Rep 2019 16;3:40. Epub 2019 Oct 16.

Department of Neurosurgery, Wooridul Spine Hospital, Seoul, Korea.

Lumbar stenosis is a very common degenerative spine condition that can result in radicular and claudication symptoms. Here we describe our experience with a novel midline interspinous process endoscopic decompression procedure that can be performed in awake patients as an outpatient procedure. An interspinous endoscopic lumbar laminectomy and bilateral foraminotomy technique is presented here. Read More

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http://dx.doi.org/10.21037/acr.2019.09.07DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6851446PMC
October 2019

Late-onset severe pneumonitis under osimertinib.

AME Case Rep 2019 15;3:39. Epub 2019 Oct 15.

Division of Respiratory Medicine and Thoracic Oncology, Department of Internal Medicine V, University of Munich (LMU), Thoracic Oncology Centre Munich, Munich, Germany.

Pneumonitis is a rare and possibly life threatening side effect of TKI-treatment. We present a patient with adenocarcinoma of the lung harboring an uncommon EGFR Exon 21 mutation treated with osimertinib as second-line therapy. After nine months of treatment, the patient developed progressing shortness of breath and night sweats. Read More

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http://dx.doi.org/10.21037/acr.2019.09.01DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6851417PMC
October 2019

Rare radiculopathy from an osteochondral loose body: a case report and literature review.

AME Case Rep 2019 11;3:38. Epub 2019 Oct 11.

School of Medicine, University of New South Wales, Sydney, Australia.

Lumbar radiculopathy is usually caused by nerve compression due to herniated disc material or compression by degenerative pathology such as enlarged facet joints, thickened ligamentum flavum or synovial cysts. We report the case of a 48-year-old female with L5 sciatica due to an osteochondral loose body in the foramen. This is only the third reported case of a single osteochondral loose body in the lumbar spine and the first reported case found in the foramen. Read More

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http://dx.doi.org/10.21037/acr.2019.09.03DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6851435PMC
October 2019
3 Reads

Ciliated muconodular papillary tumor of the lung presenting with polymyalgia rheumatica-like symptoms: a case report.

AME Case Rep 2019 11;3:37. Epub 2019 Oct 11.

Department of General Thoracic Surgery, Yamanashi University, Yamanashi, Japan.

Ciliated muconodular papillary tumors (CMPTs) of the lung have been recently characterized as low-grade malignant tumors and may be indistinguishable from adenocarcinoma (AIS) because they are both abundant in mucous and spread along the alveolar walls. Herein, we report a case of CMPT with polymyalgia rheumatica (PMR)-like symptoms, which resolved after resection. After the surgery, antinuclear antibody tests were performed, but no abnormalities were noted. Read More

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http://dx.doi.org/10.21037/acr.2019.09.06DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6851452PMC
October 2019

Excellent platinum dependent response to chemotherapy after relapse under TKI treatment in NSCLC with sensitizing EGFR mutations and no detectable resistance mutations: three case studies.

AME Case Rep 2019 4;3:36. Epub 2019 Oct 4.

Division of Respiratory Medicine and Thoracic Oncology, Department of Internal Medicine V and Thoracic Oncology Centre Munich, University of Munich (LMU), Comprehensive Pneumology Center, Member of the German Center for Lung Research (DZL), Munich, Germany.

First-line tyrosine-kinase inhibitor (TKI) treatment is the current standard for patients with metastasized non-small cell lung cancer (NSCLC) and sensitizing epidermal growth factor receptor (EGFR) mutations. Despite good initial responses, patients treated with TKIs relapse after an average of 12 months. About half of them develop known resistance mechanisms and therefore are qualified for further targeted therapies. Read More

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http://dx.doi.org/10.21037/acr.2019.09.02DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6851420PMC
October 2019

Thoracic customized modular titanium-printed prosthesis.

AME Case Rep 2019 24;3:35. Epub 2019 Sep 24.

Thoracic Surgery Department, Salamanca University Hospital, Faculty of Medicine, University of Salamanca, Salamanca, Spain.

Tridimensional custom-made titanium-printed prosthesis have gained certain relevance as an alternative for chest wall reconstruction although different limitations such as uncomfortable intraoperative placement, long manufacturing time or high costs hinder its use when compared to other standard devices. Trying to overcome these problems, we developed a new model of customized modular titanium-printed prosthesis (CM-TPP) for chest wall reconstruction after breast metastasis resection that seems to offer some advantages over other custom-made reconstructive devices. Read More

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http://dx.doi.org/10.21037/acr.2019.08.01DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6789410PMC
September 2019

Al Wakra emergency presentation of Behcet's disease.

AME Case Rep 2019 9;3:34. Epub 2019 Sep 9.

Al Wakra Emergency Department, Al Wakra Hospital, Hamad Medical Corporation, Al Wakrah, Qatar.

This is atypical presentation of Behcet's disease and it's important for emergency physician and doctors who are working in acute medicine. We reported a case of a young patient presenting back pain concerning the right leg, a result of extensive bilateral deep vein thrombosis (DVT) in both legs that extended to inferior vena cava (IVC) and renal veins. After a bundle of investigations and medical examinations, the case was diagnosed as Behcet's disease with an atypical presentation. Read More

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http://dx.doi.org/10.21037/acr.2019.08.02DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6789412PMC
September 2019
1 Read

Anal squamous cell carcinoma with metastasis to duodenum causing duodenal stricture and gastric outlet obstruction.

AME Case Rep 2019 19;3:33. Epub 2019 Aug 19.

Department of Internal Medicine, St. Joseph's University Medical Center, New York Medical College, Paterson, NJ, USA.

Squamous cell carcinoma (SCC) of the anal canal is a rare entity encompassing only 2-4 percent of all colon, rectal, and anal cancers. SCC of the anal canal tends to be loco-regional, and in the event of distant metastasis, a most common site of spread is to liver and lung. We report an unusual case of SCC of the anal canal with duodenal metastases in a 49-year-old female who had presented with symptoms of abdominal pain, nausea, and vomiting eight months after the primary diagnosis of SCC of the anal canal. Read More

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http://dx.doi.org/10.21037/acr.2019.07.12DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6736792PMC
August 2019
2 Reads

Intimal sarcoma of the pulmonary artery, a diagnostic enigma.

AME Case Rep 2019 12;3:32. Epub 2019 Aug 12.

Third Department of Surgery, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Heart malignancies are rare and difficult to diagnose at early stage. Usually they are discovered when they present disease symptoms. CT of the thorax with contrast, MRI of the thorax, endobronchial ultrasound (EBUS) or echocardiography (transthoracic and/or transesophageal) and fluorodeoxyglucose positron emission tomography-CT (FDG-PET-CT) can be used to diagnose this entity. Read More

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http://dx.doi.org/10.21037/acr.2019.07.02DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6736786PMC
August 2019
3 Reads

Splenic infarction secondary to myelodysplastic syndrome: unravelling more etiologies.

AME Case Rep 2019 8;3:31. Epub 2019 Aug 8.

Department of Medicine, Saint Vincent Hospital, Worcester, MA, USA.

Myelodysplastic syndrome (MDS) is a neoplastic disorder resulting in dysplasia and apoptosis of the hematopoietic clonal cells. The presenting features of MDS are usually dependent on the cellular lineage affected in the bone marrow (BM). Generally, MDS presents in older adults with recurrent infections, anemia, and bleeding tendencies. Read More

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http://dx.doi.org/10.21037/acr.2019.07.11DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6736785PMC
August 2019
2 Reads

Successful revascularization of right coronary artery chronic total occlusion by the antegrade and retrograde approaches.

AME Case Rep 2019 8;3:30. Epub 2019 Aug 8.

Department of Cardiology, General Hospital of Northern Theater Command, Shenyang 110016, China.

The treatment of chronic total occlusion (CTO) of coronary arteries allowed for a remarkable improvement in success rates and is represented by the introduction of the "Hybrid algorithm". An inability to cross the occlusion with a guidewire is the most common cause of failure of CTO revascularization. As antegrade options are limited, intervention upon the extreme angulation of the coronary artery warrants a retrograde approach. Read More

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http://dx.doi.org/10.21037/acr.2019.06.01DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6736790PMC

Primary duodenal embryonal rhabdomyosarcoma in adults: a case report.

AME Case Rep 2019 6;3:29. Epub 2019 Aug 6.

Department of Medical Oncology, King Abdulaziz Medical City, Riyadh, Saudi Arabia.

Rhabdomyosarcoma (RMS) is a soft tissue sarcoma that histologically resembles embryonic skeletal muscle. It is a rare malignancy in adults with a predilection in the head and neck, the genitourinary tract, and other extremities. However, RMS of the gastrointestinal tract is an even rarer condition that merits presentation and discussion. Read More

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http://dx.doi.org/10.21037/acr.2019.07.09DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6736784PMC
August 2019
2 Reads

Idiopathic stroke after syndromic and neuromuscular scoliosis surgery: a case report and literature review.

AME Case Rep 2019 6;3:28. Epub 2019 Aug 6.

Department of Orthopaedic Surgery, University of California - San Francisco, San Francisco, CA 94158, USA.

Children with syndromic and neuromuscular scoliosis undergoing corrective surgery experience higher complication rates than those with idiopathic scoliosis. A rare but devastating complication is stroke, which occurs in 0.57% of operations for neuromuscular scoliosis but accounts for 7. Read More

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http://dx.doi.org/10.21037/acr.2019.07.07DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6736787PMC
August 2019
2 Reads

Salty diabetes: a case series of hypernatremia presenting with diabetic ketoacidosis.

AME Case Rep 2019 29;3:27. Epub 2019 Jul 29.

Department of Internal Medicine, St. Joseph's University Medical Center, New York Medical College, Paterson, NJ, USA.

Hyponatremia is an expected electrolyte resultant in diabetic ketoacidosis (DKA) that presents secondary to the dilutional effect of hyperglycemia. However, hypernatremia in DKA is a rare presentation, more common in the pediatric population, that rides poor morbidity and mortality. We describe three cases of patients presenting with DKA and hypernatremia with altered sensorium and share details on pathophysiology and treatment that expand our understanding amongst clinicians. Read More

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http://acr.amegroups.com/article/view/5064/html
Publisher Site
http://dx.doi.org/10.21037/acr.2019.07.04DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6691083PMC
July 2019
2 Reads

A rare case of acute pancreatitis due to very severe hypertriglyceridemia treated with subcutaneous insulin and lipid lowering drugs.

AME Case Rep 2019 29;3:26. Epub 2019 Jul 29.

Department of Medicine, UCLA Kern Medical, Bakersfield, CA, USA.

The diagnosis of acute pancreatitis in a patient requires the presence of two of the following three criteria: (I) acute onset of persistent, severe; (II) epigastric pain often radiating to the back, elevation in serum lipase or amylase to three times or greater than the upper limit of normal; (III) characteristic radiographic evidence hypertriglyceridemia is a potential cause of acute pancreatitis when levels are greater than 1,000 mg/dL. Very severe hypertriglyceridemia is classified as levels above 2,000 mg/dL. Management includes targeting pancreatitis with intravenous fluids, pain control, and nutritional support. Read More

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http://dx.doi.org/10.21037/acr.2019.07.03DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6691183PMC
July 2019
2 Reads

Upper thoracic dumbbell-shaped tumor resected in one stage posterior approach: case report.

AME Case Rep 2019 25;3:25. Epub 2019 Jul 25.

Department of Surgery, University of Concepción, Concepción, Chile.

Upper thoracic tumors may develop spinal cord compression. By surgery at the time of diagnosis, a neurological deficit can be avoided. However, this particular localization requires a double approach to decompress the spinal cord and thoracic structures. Read More

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http://dx.doi.org/10.21037/acr.2019.07.01DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6691056PMC
July 2019
1 Read

A case report and literature review: incidental jejunal ectopic pancreatic tissue in an emergency bowel exploration for suspected intussusception.

AME Case Rep 2019 22;3:24. Epub 2019 Jul 22.

Department of Surgery, King Hamad University Hospital, Busaiteen, Bahrain.

Heterotopic pancreas (HP) is defined as pancreatic tissue which is an anatomically separate entity from the main pancreas and free from the organ's vascular or ductal continuity. Most cases of HP are asymptomatic and are diagnosed incidentally upon laparotomy or on autopsy. The diagnosis of HP can be extremely difficult. Read More

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http://dx.doi.org/10.21037/acr.2019.07.05DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6691080PMC
July 2019
3 Reads

Surgical treatment of testicular tumor and its difficult management with indigenous patient.

AME Case Rep 2019 19;3:23. Epub 2019 Jul 19.

Urology Department, Federal University of Amazonas (UFAM), Manaus, Amazonas, Brazil.

Case description of a male patient, 27 years old, native Brazilian, indigenous, deaf, with a significant growth of left testicle, painless, with infiltrations, insidious beginning and two years of evolution because of the difficulty of monitoring this type of population. Presented high serum level of lactate dehydrogenase (LDH), up to 20 times higher than the maximum reference value. Ultrasound of the testis showed a complex mass on the left testicle, not being able to give an estimate of the volume. Read More

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http://dx.doi.org/10.21037/acr.2019.07.10DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6691055PMC
July 2019
3 Reads

Classic Hodgkin lymphoma with initial extranodal osseous presentation: a case report and literature review.

AME Case Rep 2019 16;3:22. Epub 2019 Jul 16.

Department of Pathology, SUNY Upstate Medical University, Syracuse, NY, USA.

Initial extranodal osseous presentation of Classic Hodgkin lymphoma (CHL) is extremely rare. The present study describes a case of CHL in an 11-year-old male presenting with lower back and right hip pain. Radiologic imaging showed a solitary lytic lesion involving the L5 vertebrae and sacrum. Read More

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http://dx.doi.org/10.21037/acr.2019.07.08DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6691073PMC
July 2019
3 Reads

Perforated ileus after L5-S1 anterior lumbar interbody fusion: a case report presentation.

AME Case Rep 2019 16;3:21. Epub 2019 Jul 16.

Jack Hughston Memorial Hospital Orthopedic Surgery Residency Program, Phenix City, AL, USA.

Acute colonic pseudo-obstruction (ACPO) as a result of anterior lumbar spinal surgery can result in colonic perforation. ACPO is often treated successfully with conservative measures, reserving surgical intervention for severe cases. The most severe cases can result in colonic perforation with a concomitant high mortality rate. Read More

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http://dx.doi.org/10.21037/acr.2019.07.06DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6691079PMC
July 2019
1 Read

Juvenile ossifying fibroma in a Nigerian boy: a rare case report.

AME Case Rep 2019 11;3:20. Epub 2019 Jun 11.

Department of Paediatrics, Lagoon Hospital, Ikeja, Lagos, Nigeria.

Cases of jaw masses abound in our environment which is a tropical one, with Burkitt lymphoma being the commonest aetiology. However rarer causes like juvenile aggressive ossifying fibroma should also be considered. It is a locally aggressive tumor with high recurrent potentials occurring in children and adolescent. Read More

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http://dx.doi.org/10.21037/acr.2019.05.05DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6624364PMC
June 2019
3 Reads

Surgical treatment of kidney tumor on a patient with second case of staghorn calculus and associated renal hydronephrosis: case report.

AME Case Rep 2019 11;3:19. Epub 2019 Jun 11.

Urology Department, Federal University of Amazonas (UFAM), Manaus, Amazonas, Brazil.

Staghorn, struvite or coral calculus are the ones that completely or partially occupies the renal pelvis and branches to the renal calices. The presence of renal calculi of any kind in the urinary tracts is related to the appearing of malign tumor in the kidneys, especially in the absence or failed treatment. A male patient, 51 years old, native of Manaus, reports about dysuria and polyuria associated with constant fever episodes and urinary tract infections with improvement by using several antibiotics but returning the symptoms after suspending it. Read More

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http://dx.doi.org/10.21037/acr.2019.05.08DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6624358PMC
June 2019
6 Reads

A rare case of ectopic chest-wall thymoma: a case report.

AME Case Rep 2019 31;3:18. Epub 2019 May 31.

Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China.

Ectopic extrathoracic thymoma is an uncommon clinical entity that has only been described sporadically, and most of them are ectopic hamartomatous thymomas or ectopic cervical thymomas. Here a case of 32-year-old woman with an ectopic thymoma was presented, which was found in right armpit and a postoperative diagnosis of 2018 World Health Organization (WHO) confirmed type B1, modified Masaoka stage I tumor was obtained. The patient had no symptoms of myasthenia or other immune disorders but once misdiagnosed as supernumerary breast. Read More

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http://dx.doi.org/10.21037/acr.2019.05.07DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6556676PMC
May 2019
6 Reads

Osteoma arising from the middle turbinate-a case series.

AME Case Rep 2019 30;3:17. Epub 2019 May 30.

Department of Ear Nose & Throat, Pinderfields General Hospital, The Mid Yorkshire Hospitals NHS Trust, Wakefield WF1 4DG, UK.

This case series aims to highlight that although extremely rare, osteoma can arise from the middle turbinate. We discuss the condition and treatment options. We describe 2 cases of osteomas arising from the middle turbinate. Read More

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http://dx.doi.org/10.21037/acr.2019.05.02DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6556693PMC
May 2019
7 Reads

Neonate with a parameatal urethral cyst.

AME Case Rep 2019 27;3:16. Epub 2019 May 27.

Department of Urology, Fertility Center of CHA Gangnam Medical Center, CHA University College of Medicine, Seoul, Korea.

Parameatal urethral cyst is an ultra rare benign condition, and only a few cases have been reported in the literature. These cysts are usually asymptomatic, and may resolve spontaneously, although surgical excision is necessary for symptomatic patients. Here, we report a neonate with a parameatal urethral cyst without symptoms. Read More

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http://dx.doi.org/10.21037/acr.2019.05.06DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6556689PMC
May 2019
9 Reads

Recanalizing left anterior descending artery chronic total occlusion with reverse controlled antegrade and retrograde tracking technology through epicardial collateral.

AME Case Rep 2019 24;3:15. Epub 2019 May 24.

Department of Cardiology, Shengjing Hospital of China Medical University, Shenyang 110022, China.

During recent years, the reverse controlled antegrade and retrograde tracking (CART) technique has become the dominant retrograde wire crossing technique. When the retrograde guiding wire cannot pass the occlusive lesions or the guiding wire is difficult to kiss, the reverse CART technique can significantly shorten the operation time and greatly improve the success rate of the operation. In this case we succeeded in recanalizing a chronic total occlusion (CTO) lesion with reverse CART for a patient diagnosed with old myocardial infarction (OMI). Read More

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http://dx.doi.org/10.21037/acr.2019.05.04DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6556698PMC
May 2019
3 Reads